Standardization of the nomenclature based on contemporary mesocolic anatomy is paramount prior to performing a complete mesocolic excision
In the present issue of Int J Colorectal Dis, Galizia et al.  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....
KeywordsTotal Mesorectal Excision Complete Mesocolic Excision Mesorectal Fascia Vessel Ligation Lower Local Recurrence Rate
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