Laparoscopic complete mesocolic excision via caudal approach for transverse colon cancer Mitsuru YOKOTA 1 , Kazuki HASHIDA 1 , Yoshio NAGAHISA 1 , Michio OKABE 1 , Hirohisa KITAGAWA 1 , Kazuyuki KAWAMOTO 1 1Department of General Surgery, Kurashiki Central Hospital Keyword: 横行結腸癌 , 腹腔鏡下横行結腸切除 pp.248-256
Published Date 2021/5/15
DOI https://doi.org/10.11477/mf.4426200908
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 Laparoscopic resection is most difficult to perform for transverse colon cancer among all colon cancers due to the variations of the vascular bifurcation and the need to manipulate close to the pancreas. We performed all procedures, including the mobilization of the mesocolon, division of the blood vessels, and transection of the transverse mesocolon along the pancreas using a magnified view from the caudal side, and standardized the procedure. In particular, an approach to the roots of the vessels to be divided along the superior mesenteric vessels and a three-dimensional understanding of the transverse mesocolon and the pancreas, which is obtained by opening the lesser sac on either side of the superior mesenteric vessels, are important. The median operative time, blood loss, and postoperative hospital stay of the 14 cases that underwent our procedures were 223 min, 5 ml, and 8 days, respectively, and there were no complications above Clavien?Dindo grade III. We reported the main points of the procedures.

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