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International Journal of Colorectal Disease

, Volume 29, Issue 4, pp 543–544 | Cite as

Standardization of the nomenclature based on contemporary mesocolic anatomy is paramount prior to performing a complete mesocolic excision

  • Rishabh Sehgal
  • J. Calvin Coffey
Letter to the Editor

Dear Editor:

In the present issue of Int J Colorectal Dis, Galizia et al. [1] have elegantly performed a 5-year prospective study comparing 45 patients who underwent a complete mesocolic excision (CME) with central vascular ligation for right-sided colon cancer with a historical cohort comprised of 58 patients who underwent a classic right hemicolectomy. The authors have highlighted the crucial importance of performing an effective CME abiding to fundamental planer surgical principles and should be commended on their efforts. In this age- and sex-matched study, CME was defined as performing a standard lateral mobilization of the colon followed by sharp dissection between the visceral fascial layer and the parietal layer, thus facilitating complete mobilization of the entire mesocolon off the duodenum and pancreas down to the mesenteric root, thereby allowing for an appropriate vessel ligation at their origin. Surgical specimens were classified according to the plane of excision, i.e....

Keywords

Total Mesorectal Excision Complete Mesocolic Excision Mesorectal Fascia Vessel Ligation Lower Local Recurrence Rate 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Galizia G, Lieto E, De Vita F, Ferraraccio F, Zamboli A, Mabilia A, Auricchio A, Castellano P, Napolitano V, Orditura M (2014 Jan) Is complete mesocolic excision with central vascular ligation safe and effective in the surgical treatment of right-sided colon cancers? A prospective study. Int J Colorectal Dis 29(1):89–97Google Scholar
  2. 2.
    Culligan K, Coffey JC, Kiran RP, Kalady M, Lavery IC, Remzi FH (2012) The mesocolon: a prospective observational study. Colorectal Dis 14:421e30CrossRefGoogle Scholar
  3. 3.
    Culligan K, Walsh S, Dunne C, Walsh M, Ryan S, Quondamatteo F, Dockery P, Coffey JC. (2014) The Mesocolon: a histological and electron microscopic characterization of the mesenteric attachment of the colon prior to and after surgical mobilization. Ann Surg. doi: 10.1097/SLA.0000000000000323
  4. 4.
    Coffey JC. (2013) Surgical anatomy and anatomic surgery - Clinical and scientific mutualism. Surgeon 11(4):177–82Google Scholar
  5. 5.
    Culligan K, Remzi FH, Soop M, Coffey JC (2013) Review of nomenclature in colonic surgery—proposal of a standardised nomenclature based on mesocolic anatomy. Surgeon 1:1e5Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2014

Authors and Affiliations

  1. 1.Department of Surgery, Centre for Interventions in Infection, Inflammation and Immunity (4i), Graduate Entry Medical SchoolUniversity Hospitals Group LimerickLimerickIreland

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