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World J Gastroenterol. Oct 21, 2014; 20(39): 14301-14307
Published online Oct 21, 2014. doi: 10.3748/wjg.v20.i39.14301
Published online Oct 21, 2014. doi: 10.3748/wjg.v20.i39.14301
Laparoscopic complete mesocolic excision: West meets East
Carina F K Chow, Division of Colorectal Surgery, Department of Surgery, Royal Brisbane and Women’s Hospital, Brisbane, Queensland 4029, Australia
Carina F K Chow, Department of General Surgery, Mater Hospital South Brisbane, Brisbane, Queensland 4101, Australia
Carina F K Chow, Department of Surgery, University of Queensland, Brisbane, Queensland 4072, Australia
Seon Hahn Kim, Colorectal Division, Department of Surgery, Korea University Anam Hospital, Anam-dong, Seongbuk-gu, Seoul 136-705, South Korea
Author contributions: Chow CFK and Kim SH wrote, revised and approved the final draft.
Correspondence to: Carina F K Chow, MD, MBBS, Division of Colorectal Surgery, Department of Surgery, Royal Brisbane and Womens Hospital, Bowen Bridge Road, Brisbane, Queensland 4029, Australia. carinac@med.usyd.edu.au
Telephone: +61-7-36468111 Fax: +61-7-36461314
Received: November 28, 2013
Revised: April 7, 2014
Accepted: June 12, 2014
Published online: October 21, 2014
Revised: April 7, 2014
Accepted: June 12, 2014
Published online: October 21, 2014
Core Tip
Core tip: In specialised units, complete mesocolic excision is shown to improve pathological parameters as well as improve overall survival, disease free survival and reduce local recurrence. Yet many western units have not taken up the technique. This article explores reasons for and against complete mesocolic excision (CME) as well as D3 lymphadenectomy and the feasibility of laparoscopic CME.