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Complete mesocolic excision and central vascular ligation for colon cancer: Principle, anatomy, surgical technique, and outcomes

DC FieldValueLanguage
dc.contributor.author김남규-
dc.contributor.author이강영-
dc.contributor.author조민수-
dc.contributor.author한윤대-
dc.contributor.author허혁-
dc.contributor.author민병소-
dc.date.accessioned2017-10-26T07:20:09Z-
dc.date.available2017-10-26T07:20:09Z-
dc.date.issued2016-
dc.identifier.issn0960-7404-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/151895-
dc.description.abstractClassic colon cancer surgery refers to a wide resection of the tumor-bearing segment and the lymphatics draining along the named artery. The concept of TME has been applied to colon cancer and complete mesocolic excision (CME) in conjuction with central vascular ligation (CVL) has been introduced as the surgical treatment for colon cancer. Here, we discuss appropriate CME procedure with regard to the oncologic backgrounds, essential components, applied anatomy, laparoscopic technique, short-term, and oncologic outcomes. The introduction of CME has improved oncologic outcomes greatly in patients with colon cancer. The improved outcomes with CME can be attributed to underlying sound oncologic principles such as dissection through the proper plane of mesocolic excision, central vascular ligation, and sufficient length of proximal and distal margins. Thereby, CME technique can achieve en bloc removal of the diseased lesion with the increased amount of the colonic mesentery even though the length of for both bowel and mesentery resection remains a matter of debate. CME is a technically demanding operation thus, comprehensive understanding of the applied vascular anatomy is essential for successful CME. Favorable outcomes of open CME have been replicated with a laparoscopic approach. In future perspective, incorporating a structured education program on minimally invasive (laparoscopy or robot) CME would be beneficial.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherElsevier Science-
dc.relation.isPartOfSURGICAL ONCOLOGY-OXFORD-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rights.urihttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.subject.MESHColectomy/methods*-
dc.subject.MESHColonic Neoplasms/pathology*-
dc.subject.MESHColonic Neoplasms/surgery*-
dc.subject.MESHHumans-
dc.subject.MESHLigation/methods*-
dc.subject.MESHMesocolon/surgery*-
dc.subject.MESHPrognosis-
dc.titleComplete mesocolic excision and central vascular ligation for colon cancer: Principle, anatomy, surgical technique, and outcomes-
dc.typeArticle-
dc.publisher.locationNetherlands-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Surgery-
dc.contributor.googleauthorNam Kyu Kim-
dc.contributor.googleauthorYoung Wan Kim-
dc.contributor.googleauthorYoon Dae Han-
dc.contributor.googleauthorMin Soo Cho-
dc.contributor.googleauthorHyuk Hur-
dc.contributor.googleauthorByung Soh Min-
dc.contributor.googleauthorKang Young Lee-
dc.identifier.doi10.1016/j.suronc.2016.05.009-
dc.contributor.localIdA02640-
dc.contributor.localIdA03817-
dc.contributor.localIdA04313-
dc.contributor.localIdA04373-
dc.contributor.localIdA01402-
dc.contributor.localIdA00353-
dc.relation.journalcodeJ02709-
dc.identifier.eissn1879-3320-
dc.identifier.pmid27566031-
dc.identifier.urlhttp://www.sciencedirect.com/science/article/pii/S0960740416300287?via%3Dihub-
dc.subject.keywordColonic neoplasms-
dc.subject.keywordMesocolic excision-
dc.subject.keywordMorbidity-
dc.subject.keywordSurvival rate-
dc.contributor.alternativeNameKim, Nam Kyu-
dc.contributor.alternativeNameLee, Kang Young-
dc.contributor.alternativeNameCho, Min Soo-
dc.contributor.alternativeNameHan, Yoon Dae-
dc.contributor.alternativeNameHur, Hyuk-
dc.contributor.alternativeNameMin, Byung Soh-
dc.contributor.affiliatedAuthorLee, Kang Young-
dc.contributor.affiliatedAuthorCho, Min Soo-
dc.contributor.affiliatedAuthorHan, Yoon Dae-
dc.contributor.affiliatedAuthorHur, Hyuk-
dc.contributor.affiliatedAuthorMin, Byung Soh-
dc.contributor.affiliatedAuthorKim, Nam Kyu-
dc.citation.volume25-
dc.citation.number3-
dc.citation.startPage252-
dc.citation.endPage262-
dc.identifier.bibliographicCitationSURGICAL ONCOLOGY-OXFORD, Vol.25(3) : 252-262, 2016-
dc.date.modified2017-10-24-
dc.identifier.rimsid46220-
dc.type.rimsART-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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