Laparoscopic complete mesocolic excision: West meets East

Carina F.K. Chow, Seon Hahn Kim

    Research output: Contribution to journalReview articlepeer-review

    32 Citations (Scopus)

    Abstract

    Complete mesocolic excision is a relatively new concept in western literature. It follows the same concept of total mesorectal excision and units' routinely performing complete mesocolic excisions have good pathological results as well as good improvements in overall survival, disease free survival and local recurrence. And yet unlike total mesorectal excision, uptake in the West has been relatively slow with many units sceptical of the true benefits gained by taking up a more technically challenging and potentially more morbid procedure when there is a paucity of literature to support these claims. This article reviews complete mesocolic excision for colon cancer, attempting to identify the risks and benefits of the technique and particularly looking at the reasons why its uptake has not been universal. It also discusses the similarities of a complete mesocolic excision to a colon resection with a D3 lymphadenectomy as well as the role of a laparoscopic approach to this technique. Considering a D3 lymphadenectomy has been the standard of care for stage II and III colon cancers in many of our Asian neighbours for over 20 years, combining this data with data on complete mesocolic excision may provide enough evidence to support or refute the need for complete mesocolic excisions. Maybe there might be lessons to be learnt from our colleagues in the east.

    Original languageEnglish
    Pages (from-to)14301-14307
    Number of pages7
    JournalWorld journal of gastroenterology
    Volume20
    Issue number39
    DOIs
    Publication statusPublished - 2014 Oct 21

    Keywords

    • Colonic neoplasms
    • Colorectal surgery
    • Complete mesocolic excision
    • D3 lymphadenectomy
    • Laparoscopy

    ASJC Scopus subject areas

    • Gastroenterology

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