Complete mesocolic excision and extended lymphadenectomy: Where should we stand?

J Surg Oncol. 2024 Feb;129(2):338-348. doi: 10.1002/jso.27475. Epub 2023 Oct 9.

Abstract

Debate regarding the risks and merits of complete mesocolic excision and extended lymphadenectomy is ongoing, particularly for right-sided colon cancers. In this article, we hope to provide a succinct yet encompassing review of the relevant literature. We posit that complete mesocolic excision with D3 dissection is indicated in select patients with colon cancers, particularly those distal to the cecum.

Keywords: D3 dissection; central vascular ligation; colorectal neoplasms; complete mesocolic excision; extended lymphadenectomy.

Publication types

  • Review

MeSH terms

  • Colectomy
  • Colonic Neoplasms* / surgery
  • Dissection
  • Humans
  • Laparoscopy*
  • Ligation
  • Lymph Node Excision