Abstract
Although laparoscopic surgery is one of the treatment options for colorectal cancer, certain technical problems remain unresolved. In particular, laparoscopic transverse colectomy is one of the most technically challenging laparoscopic colectomy. The most difficult aspect is mobilization of the transverse colon, with division of the middle colic artery. Here we present a safe procedure for laparoscopic transverse colectomy to dissect the regional lymph nodes along the superior mesenteric vessels. The key characteristic of our procedure is that the middle colic vessels are cut along the surgical trunk using only a medial approach.
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References
Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350:2050–9.
Hazebroek EJ, Color Study Group. COLOR: a randomized clinical trial comparing laparoscopic and open resection for colon cancer. Surg Endosc. 2002;16:949–53.
Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AM, Heath RM, Brown JM, MRC CLASICC Trial Group. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet. 2005;365:1718–26.
Kitano S, Inomata M, Sato A, Yoshimura K, Moriya Y, Japan Clinical Oncology Group Study. Randomized controlled trial to evaluate laparoscopic surgery for colorectal cancer: Japan Clinical Oncology Group Study JCOG 0404. Jpn J Clin Oncol. 2005;35:475–7.
Yamaguchi S, Kuroyanagi H, Milsom JW, Sim R, Shimada H. Venous anatomy of the right colon: precise structure of the major veins and gastrocolic trunk in 58 cadavers. Dis Colon Rectum. 2002;45:1337–40.
Hasegawa S, Kawamura J, Nagayama S, Nomura A, Kondo K, Sakai Y. Medially approached radical lymph node dissection along the surgical trunk for advanced right-sided colon cancers. Surg Endosc. 2007;21:1657.
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© 2016 Springer Japan
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Kawada, K., Nishikawa, G., Shinohara, H., Hasegawa, S. (2016). Laparoscopic Transverse Colectomy. In: Sakai, Y. (eds) Laparoscopic Surgery for Colorectal Cancer. Springer, Tokyo. https://doi.org/10.1007/978-4-431-55711-1_4
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DOI: https://doi.org/10.1007/978-4-431-55711-1_4
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