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ORIGINAL ARTICLE
Year : 2019  |  Volume : 2  |  Issue : 3  |  Page : 58-62

Complete mesocolic excision for colon cancer


1 Department of Surgical Oncology, GSL Medical College and General Hospital, Rajahmundry, Andhra Pradesh, India
2 Department of Medical Oncology, GSL Medical College and General Hospital, Rajahmundry, Andhra Pradesh, India

Correspondence Address:
Dr. Puvvala Sriphani
Department of Surgical Oncology, GSL Medical College and General Hospital, NH 16, Lakshmi Puram, Rajahmundry, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJCS.IJCS_24_20

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Background: The aim of the present study was to define the complete mesocolic excision (CME) in conjunction with central vascular ligation (CVL) as the defined surgical treatment for colon cancer. Methods: A prospective study was conducted between August 2014 and August 2017, at GSL Medical College and General Hospital. A total of 46 patients (31 cases in open and 15 in the laparoscopic arm) demographic data, operative details, and postoperative outcomes, follow-up, the pathologic results were reviewed. Results: All patients (n = 46) underwent an elective CME + CVL for colon cancer. The mean age of patients was 57.8 ± 16.6 years. Of the 46, 28 were male, and 18 were female. The mean operation time was 61.2 ± 155.2 min. The mean blood loss was 88.6 ml. The mean number of total harvested lymph nodes was 28.6. The mean length of the hospital stay was 12.9 days. Conclusion: Based on the data presented in this study, CME with CVL is a feasible and safe procedure for treating colon cancer. Although the present study had certain limitations, like its small study, patients from a single center, CME with CVL was found to lead to better oncological outcomes for the colon surgery.


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