Feasibility and Outcomes of Total Mesocolic Excision versus Traditional Resection in Rt-Sided Colon Cancer: Review Article | ||||
| The Egyptian Journal of Hospital Medicine | ||||
| Article 77, Volume 93, Issue 1, October 2023, Page 7400-7405 PDF (866.09 K) | ||||
| DOI: 10.21608/ejhm.2023.324585 | ||||
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| Abstract | ||||
| As per the GLOBOCAN database of the World Health Organization, colorectal cancer (CRC) ranks 3rd among males and second among females in terms of frequency of diagnosis. Symptoms of colorectal cancer may not appear straight away. A decreased red blood cell count can be the earliest indication of colorectal cancer. Surgery, radiation treatment, and chemotherapy are all viable alternatives. The gold standard of care is surgical resection. Most cases of colon cancer are treated with potentially curative radical surgery. The fundamental concepts of surgery include detaching the primary vascular pedicle supplying the tumor and its lymphatics, achieving a tumor-free margin, and resecting the tumor as a whole along with any associated organs or tissues (end bloc resection). The local recurrence rate of right-sided cancers does not appear to be affected by ileum length. When a tumor develops in cecum, ascending colon, hepatic flexure, or proximal transverse colon, blood supply is diverted from the right branch of main colic artery to the right colic artery and ileocolic artery, respectively. When doing open surgery, doctors typically take a "lateral-to-medial" technique. First, the lateral peritoneal fold is found; this is an embryonic fusion plane that helps surgeons separate the mesofascia and retrofascia when treating right-sided colon tumors. "Standard" or "traditional" colon surgery has been used as a comparison to "complete mesocolic excision" (CME). During "standard" colon surgery, the surgeon's approach and the presence or absence of radical lymph node dissection are also variables | ||||
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