Complete Mesocolic Excision With Central Vascular Ligation Produces an Oncologically Superior Specimen Compared With Standard Surgery for Carcinoma of the Colon
Author(s) -
Nicholas P. West,
Werner Hohenberger,
Klaus Weber,
Aristotelis Perrakis,
P J Finan,
Philip Quirke
Publication year - 2009
Publication title -
journal of clinical oncology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 10.482
H-Index - 548
eISSN - 1527-7755
pISSN - 0732-183X
DOI - 10.1200/jco.2009.24.1448
Subject(s) - medicine , surgery , lymph node , mesentery , colorectal cancer , colectomy , grading (engineering) , cancer , pathology , civil engineering , engineering
The plane of surgery in colonic cancer has been linked to patient outcome although the optimal extent of mesenteric resection is still unclear. Surgeons in Erlangen, Germany, routinely perform complete mesocolic excision (CME) with central vascular ligation (CVL) and report 5-year survivals of higher than 89%. We aimed to further investigate the importance of CME and CVL surgery for colonic cancer by comparison with a series of standard specimens.
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