Central vascular ligation and complete mesocolon excision vs D3 lymphadenectomy: Standardization of surgical technique  

作　　者：Sung Uk Bae 

机构地区：[1]Department of Surgery,School of Medicine,Dongsan Medical Center,Keimyung University,Daegu KS002,South Korea

出　　处：《World Journal of Gastrointestinal Surgery》2025年第4期435-439,共5页世界胃肠外科杂志(英文)

摘　　要：Surgical advancements have transformed colorectal cancer treatment, withcomplete mesocolic excision (CME) becoming a crucial method to guaranteeoncological safety and effectiveness. The article by Yadav emphasized the significanceof CME in attaining optimal resection margins, thorough lymph nodedissection, and enhanced long-term survival rates. The adjunctive function of D3lymphadenectomy, emphasizing the clearance of lymphatic drainage along thesupplying vessels, was also addressed. CME with central vascular ligation, basedon the principles of total mesorectal excision for rectal cancer, entails en bloc tumorresection and precise dissection along the embryological planes, thus diminishingrecurrence and improving survival rates. The viability and safety of minimallyinvasive techniques, such as laparoscopic CME, have been confirmed;however,technical difficulties remain owing to the intricate vascular anatomy. Roboticassistedsurgery presents potential benefits, including accurate lymphatic dissectionand intracorporeal anastomosis. However, evidence demonstrating itssuperiority over laparoscopic techniques is scarce owing to high costs and prolongedduration. This study promotes the global standardization of CME as anessential element of modern colorectal cancer surgery. CME epitomizes contemporaryoncological practices, requiring widespread adoption to achieve superiorityin colon cancer management.

关 键 词：LAPAROSCOPY MESOCOLON Colonic neoplasm Lymph node Surgical technique 

分 类 号：R73[医药卫生—肿瘤]