What is the best surgical procedure of transverse colon cancer?An evidence map and minireview  

作　　者：Chen Li Quan Wang Ke-Wei Jiang 

机构地区：[1]Department of Gastrointestinal Surgery,Peking University People's Hospital,Beijing 100044,China

出　　处：《World Journal of Gastrointestinal Oncology》2021年第5期391-399,共9页世界胃肠肿瘤学杂志（英文版）（电子版）

摘　　要：Colorectal cancers comprise a large percentage of tumors worldwide,and transverse colon cancer(TCC)is defined as tumors located between hepatic and splenic flexures.Due to the anatomy and embryology complexity,and lack of large randomized controlled trials,it is a challenge to standardize TCC surgery.In this study,the current situation of transverse/extended colectomy,robotic/laparoscopic/open surgery and complete mesocolic excision(CME)concept in TCC operations is discussed and a heatmap is conducted to show the evidence level and gap.In summary,transverse colectomy challenges the dogma of traditional extended colectomy,with similar oncological and prognostic outcomes.Compared with conventional open resection,laparoscopic and robotic surgery plays a more important role in both transverse colectomy and extended colectomy.The CME concept may contribute to the radical resection of TCC and adequate harvested lymph nodes.According to published studies,laparoscopic or robotic transverse colectomy based on the CME concept was the appropriate surgical procedure for TCC patients.

关 键 词：Evidence map Extended colectomy Review Surgical procedures Transverse colectomy Transverse colon cancer 

分 类 号：R735.35[医药卫生—肿瘤]