Laparoscopic extended right colectomy with complete mesocolic excision for transverse colon cancer is feasible in the setting of vascular anatomical variations – A video vignette.
- Resource Type
- Article
- Authors
- Alvarado, Juan; Montero, Isabella; Besser, Nicolás; Vela, Javier; Bellolio, Felipe; Larach, José Tomás
- Source
- Colorectal Disease. Apr2024, Vol. 26 Issue 4, p804-805. 2p.
- Subject
- *COLON cancer
*ANATOMICAL variation
*COLECTOMY
*RECTAL cancer
*LAPAROSCOPIC surgery
*MESENTERIC veins
*VIGNETTES
- Language
- ISSN
- 1462-8910
This article discusses the feasibility of laparoscopic extended right colectomy with complete mesocolic excision (CME) for transverse colon cancer, particularly in cases with vascular anatomical variations. The authors present a case study of a 69-year-old male with transverse colon cancer and an uncommon vascular variation where the superior mesenteric artery ran anterior to the superior mesenteric vein, making a superior mesenteric vein-first approach impossible. The authors emphasize the importance of preoperative mapping and identification of vascular variations in imaging studies. The article includes a step-by-step video of the laparoscopic procedure and contributes to the literature by demonstrating the feasibility of this technique in challenging cases. [Extracted from the article]