title: Colon resection: is standard technique adequate?
abstract: The traditional approach to surgical resection of colonic cancer involves removal of the primary tumor together with the associated lymphovascular pedicle. In an attempt to improve oncological outcomes, several groups have recently published data describing improved outcomes with a more radical surgical approach termed complete mesocolic excision (CME) with central vessel ligation (CVL). Here we critically appraise this new surgical advance and discuss other surgical options suggested to offer improvements over current best practice.
authors.affiliation: Cambridge Colorectal Unit, Addenbrooke's Hospital, Cambridge University Hospitals NHS Foundation Trust, Cambridge Biomedical Campus, Hills Road, Cambridge, CB2 0QQ, UK.
authors.forename: Simon J A
authors.initials: SJ
authors.lastname: Buczacki
authors.forename: R Justin
authors.initials: RJ
authors.lastname: Davies
mesh_terms: D003082:Colectomy / Q000592:standards*; D003110:Colonic Neoplasms / Q000601:surgery*; D006801:Humans; D017410:Practice Guidelines as Topic / Q000592:standards*
keywords: Colon cancer; Complete mesocolic excision; Lymph node; Surgery