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Malignant disease,Prognosis and adjuvant therapy,Colorectal cancer,Minimally invasive surgery,Surgical technique
Is Laparoscopic Complete Mesocolic Excision and Central Vascular Ligation Really Necessary for All Patients With Right-Sided Colon Cancer?
Gyung Mo Son, In Young Lee, Yoon Suk Lee, Bong-Hyeon Kye, Hyeon-Min Cho, Je-Ho Jang, Chang-Nam Kim, Kil Yeon Lee, Suk-Hwan Lee, Jun-Gi Kim, On behalf of The Korean Laparoscopic Colorectal Surgery Study Group
Ann Coloproctol. 2021;37(6):434-444.   Published online December 8, 2021
DOI: https://doi.org/10.3393/ac.2021.00955.0136
  • 6,630 View
  • 285 Download
  • 20 Web of Science
  • 23 Citations
AbstractAbstract PDF
Colon cancer treatment is on the way to evolution over several decades. The minimally invasive surgery has improved postoperative short-term outcomes. Adjuvant chemotherapy has prolonged the survival of advanced colon cancer patients. Hohenberger proposed the noble concept of complete mesocolic excision (CME) which consists of 3 components: plane surgery, sufficient longitudinal bowel resection, and central vascular ligation (CVL). Mesocolic plane surgery shares the same surgical principle of total mesorectal excision, which is maintaining the intact mesothelial envelope. However, there remain debates about the extent of bowel resection and the level of CVL for maximizing lymph node dissection. There is no solid clinical evidence for the oncological necessity and benefit of extended radical dissection in right hemicolectomy. CME with CVL based on open surgery has been adopted in laparoscopic surgery. So, it is also necessary to look at how the CME could be transformed and successfully implanted in the laparoscopic era. Recent rapid advances in surgical technology and cancer biology are preparing for fundamental changes in cancer surgery. In this study, we reviewed the history, oncological necessity, and compatibility of CME for the right hemicolectomy in the laparoscopic era and outline the new perspectives on the evolution of cancer surgery.

Citations

Citations to this article as recorded by  
  • Optimal extent of lymph node dissection in clinical early-stage right colon cancer: a retrospective analysis
    Hyeung-min Park, Jaram Lee, Soo Young Lee, Suk Hee Heo, Yong Yeon Jeong, Hyeong Rok Kim, Chang Hyun Kim
    Annals of Surgical Treatment and Research.2025; 108(1): 49.     CrossRef
  • Laparoscopic right hemicolectomy: a SICE (Società Italiana di Chirurgia Endoscopica e Nuove tecnologie) network prospective study on the approach to right colon lymphadenectomy in Italy: is there a standard?—CoDIG 2 (ColonDx Italian Group)
    G. Anania, M. Chiozza, A. Campagnaro, F. Bagolini, G. Resta, D. Azzolina, G. Silecchia, R. Cirocchi, A. Agrusa, D. Cuccurullo, M. Guerrieri, V. Adamo, M. Ammendola, P. Angelini, M. Annecchiarico, G. Aprea, F. Autori, G. Baldazzi, A. Balla, G. Baronio, G.
    Surgical Endoscopy.2024; 38(3): 1432.     CrossRef
  • Retrocaecal, supracolic and medial dissection (the RESUME approach) as an optimal surgical procedure for right‐sided colon cancer—A Video Vignette
    Hong‐min Ahn, Min Hyeong Jo, Mi Jeong Choi, Heung‐Kwon Oh, Duck‐Woo Kim, Sung‐Bum Kang
    Colorectal Disease.2024; 26(7): 1480.     CrossRef
  • Surgical treatment of right colon cancer
    A. A. Nevolskikh, V. A. Avdeenko, I. P. Reznik, T. P. Pochuev, R. F. Zibirov, S. A. Ivanov, A. D. Kaprin
    Siberian journal of oncology.2024; 23(3): 133.     CrossRef
  • Effect of Fluorescence Lymph Node Mapping on Improving Diagnostic Values of CT D3 Lymph Node Staging for Right-Sided Colon Cancer
    Gyung Mo Son, Tae Un Kim, Mi Sook Yun, ChangYeop Kim, In Young Lee, Su Bum Park, Dong-Hoon Shin, Gi Won Ha
    Cancers.2024; 16(20): 3496.     CrossRef
  • Robotic-Assisted Laparoscopic Complete Mesocolic Excision
    Inci Sahin, Bilgi Baca
    Digestive Disease Interventions.2023; 07(01): 024.     CrossRef
  • A comparison of the efficacy and safety of natural orifice specimen extraction and conventional laparoscopic surgery in patients with sigmoid colon/high rectal cancer
    Qiang He, Jing Huang, Liyun Niu, Chunbao Zhai
    Journal of Surgical Oncology.2023; 127(7): 1160.     CrossRef
  • Effect of intracorporeal anastomosis on postoperative ileus after laparoscopic right colectomy
    Sangwoo Kim, Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek, Young-Gil Son
    Annals of Surgical Treatment and Research.2023; 104(3): 156.     CrossRef
  • Surgical and oncological outcomes of laparoscopic right hemicolectomy (D3 + CME) for colon cancer: A prospective single-center cohort study
    Xiaolin Wu, Yixin Tong, Daxing Xie, Haijie Li, Jie Shen, Jianping Gong
    Surgical Endoscopy.2023; 37(8): 6107.     CrossRef
  • Incidence and survival of adenocarcinoma with mixed subtypes in patients with colorectal cancer
    Fan Zhang, Boqi Xu, Yao Peng, Zhongqi Mao, Shan Tong
    International Journal of Colorectal Disease.2023;[Epub]     CrossRef
  • Clinical Effectiveness of Fluorescence Lymph Node Mapping Using ICG for Laparoscopic Right Hemicolectomy: A Prospective Case–Control Study
    Gyung Mo Son, Mi Sook Yun, In Young Lee, Sun Bin Im, Kyung Hee Kim, Su Bum Park, Tae Un Kim, Dong-Hoon Shin, Armaan M. Nazir, Gi Won Ha
    Cancers.2023; 15(20): 4927.     CrossRef
  • Early-Onset Colon Cancer: A Narrative Review of Its Pathogenesis, Clinical Presentation, Treatment, and Prognosis
    Elvina C Lingas
    Cureus.2023;[Epub]     CrossRef
  • Do Laparoscopic Approaches Ensure Oncological Safety and Prognosis for Serosa-Exposed Colon Cancer? A Comparative Study against the Open Approach
    Ji-Hyun Seo, In-Ja Park
    Cancers.2023; 15(21): 5211.     CrossRef
  • Ausmaß und Technik der chirurgischen Resektion beim Kolonkarzinom
    Christoph Holmer
    coloproctology.2022; 44(3): 149.     CrossRef
  • Letter to the Editor Reply: ‘Mesocolon Excision in Right Colon Cancer: Is it a Real Oncological Procedure or a Mere Surgical Act?’
    Tamara Díaz Vico, Luis Joaquín García Flórez
    Annals of Surgical Oncology.2022; 29(9): 5855.     CrossRef
  • Medical disease and ambulatory surgery, new insights in patient selection based on medical disease
    Thomas Fuchs-Buder, Jacob Rosenberg
    Current Opinion in Anaesthesiology.2022; 35(3): 385.     CrossRef
  • Is the oncological impact of vascular invasion more important in right colon cancer?
    Gyung Mo Son
    Journal of Minimally Invasive Surgery.2022; 25(2): 49.     CrossRef
  • Ileal long-segment ischemia after the unintended ligation of variant ileal branch during laparoscopic right hemicolectomy
    Gyung Mo Son, Tae Un Kim, Dong-Hoon Shin, Joo-Young Na, In Young Lee, Shin Hoo Park
    Journal of Minimally Invasive Surgery.2022; 25(3): 116.     CrossRef
  • Multidisciplinary treatment strategy for early colon cancer
    Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
    Journal of the Korean Medical Association.2022; 65(9): 558.     CrossRef
  • Direction of diagnosis and treatment improvement in colorectal cancer
    In Ja Park
    Journal of the Korean Medical Association.2022; 65(9): 540.     CrossRef
  • Multidisciplinary Treatment Strategy for Early Colon Cancer: A Review-An English Version
    Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
    Journal of the Anus, Rectum and Colon.2022; 6(4): 203.     CrossRef
  • Robot-Assisted Colorectal Surgery
    Young Il Kim
    The Ewha Medical Journal.2022;[Epub]     CrossRef
  • It Is a Pleasure to Announce the Issue Titled “Master Class 2021” in Annals of Coloproctology
    In Ja Park
    Annals of Coloproctology.2021; 37(6): 349.     CrossRef
Malignant disease, Rectal cancer,Colorectal cancer,Biomarker & risk factor
Multifunctional Indocyanine Green Applications for Fluorescence-Guided Laparoscopic Colorectal Surgery
Gyung Mo Son, Hong-min Ahn, In Young Lee, Gi Won Ha
Ann Coloproctol. 2021;37(3):133-140.   Published online June 9, 2021
DOI: https://doi.org/10.3393/ac.2021.05.07
  • 8,243 View
  • 221 Download
  • 39 Web of Science
  • 43 Citations
AbstractAbstract PDF
Indocyanine green (ICG) could be applied for multiple functions such as fluorescent tumor localization, fluorescence lymph node mapping (FLNM), and intraoperative angiography in colorectal cancer surgery. With the near-infrared (NIR) systems, colonoscopic ICG tattooing can be used to define the early colorectal cancer that cannot be easily distinguished through the serosal surface. The lymphatic pathways can be visualized under the NIR system when ICG is injected through the submucosal or subserosal layer around the tumor. Intraoperative ICG angiography can be applied to find a favorable perfusion segment before the colon transection. Although all fluorescence functions are considered essential steps in image-guided surgery, it is difficult to perform multifunctional ICG applications in a single surgical procedure at once because complex protocols could interfere with each other. Therefore, we review the multifunctional ICG applications for fluorescent tumor localization, FLNM, and ICG angiography. We also discuss the optimal protocol for fluorescence-guided colorectal surgery.

Citations

Citations to this article as recorded by  
  • Engineered Perfluorochemical Cancer-Derived Exosomes Loaded with Indocyanine Green and Camptothecin Provide Targeted Photochemotherapy for Effective Cancer Treatment
    Yu-Hsiang Lee, Cheng-You Huang
    International Journal of Nanomedicine.2025; Volume 20: 327.     CrossRef
  • Comparison of a submucosal and subserosal approach in ICG-guided laparoscopic lymphadenectomy in gastric cancer patients: long-term outcomes of a phase 3 randomized clinical trial
    Qing Zhong, Zhi-Xin Shang-Guan, Zhi-Yu Liu, Dong Wu, Ze-Ning Huang, Hua-Gen Wang, Jun-Yun Chen, Jin-Xun Wu, Ping Li, Jian-Wei Xie, Chao-Hui Zheng, Qi-Yue Chen, Chang-Ming Huang
    International Journal of Surgery.2025; 111(3): 2558.     CrossRef
  • Hyperspectral abdominal laparoscopy with real-time quantitative tissue oxygenation imaging: a live porcine study
    Oscar MacCormac, Conor C. Horgan, Dale Waterhouse, Philip Noonan, Mirek Janatka, Richard Miles, Jaco Jacobs, Cameron Dockerill, Théo Trotouin, Alexis Schizas, Barbara Seeliger, Sebastien Ourselin, Michael Ebner, Tom Vercauteren, Jonathan Shapey
    Frontiers in Medical Technology.2025;[Epub]     CrossRef
  • Factors Affecting the Efficiency of Near-Infrared Indocyanine Green (NIR/ICG) in Lymphatic Mapping for Colorectal Cancer: A Systematic Review
    Irina Shevchenko, Dragos Serban, Ana Maria Dascalu, Laura Tribus, Catalin Alius, Bogdan Mihai Cristea, Andra Iulia Suceveanu, Daniel Voiculescu, Dan Dumitrescu, Florin Bobirca, Adrian Paul Suceveanu, Dragos Eugen Georgescu, Crenguta Sorina Serboiu
    Cureus.2024;[Epub]     CrossRef
  • Developments in the Use of Indocyanine Green (ICG) Fluorescence in Colorectal Surgery
    Shayan Khalafi, Cristina Botero Fonnegra, Ana Reyes, Vanessa W. Hui
    Journal of Clinical Medicine.2024; 13(14): 4003.     CrossRef
  • Clearly fluorescent delineating ER+ breast tumor incisal edge and identifying tiny metastatic tumor foci at high resolution
    Changle Li, Changyu Zhang, Wenkai Liu, Jia Liu, Wanying Ma, Chengyuan Lv, Zhuoran Xia, Yingchao Chen, Hua Gu, Wen Sun, Jianjun Du, Jiangli Fan, Xiaojun Peng
    Journal of Materials Chemistry B.2024; 12(29): 7135.     CrossRef
  • Carcinomembrane-Camouflaged Perfluorochemical Dual-Layer Nanopolymersomes Bearing Indocyanine Green and Camptothecin Effectuate Targeting Photochemotherapy of Cancer
    Yu-Hsiang Lee, Cai-Sin Chen
    ACS Biomaterials Science & Engineering.2024; 10(10): 6332.     CrossRef
  • Effect of Fluorescence Lymph Node Mapping on Improving Diagnostic Values of CT D3 Lymph Node Staging for Right-Sided Colon Cancer
    Gyung Mo Son, Tae Un Kim, Mi Sook Yun, ChangYeop Kim, In Young Lee, Su Bum Park, Dong-Hoon Shin, Gi Won Ha
    Cancers.2024; 16(20): 3496.     CrossRef
  • Optimal Indocyanine Green Dosage for Repetitive Angiography for Laparoscopic Colorectal Surgery
    Gyung Mo Son, Sang-Ho Park, Nam Su Kim, Mi Sook Yun, In Young Lee, Myeong-Sook Kwon, Tae Kyun Kim, Eun Hwa Lee, Eun Jung Hwang, Kwang-Ryul Baek
    Medicina.2024; 60(12): 1966.     CrossRef
  • The Colorectal Anastomosis: A Timeless Challenge
    Alexander A. Gaidarski III, Marco Ferrara
    Clinics in Colon and Rectal Surgery.2023; 36(01): 011.     CrossRef
  • Lymphatic flow mapping during colon cancer surgery using indocyanine green fluorescence imaging
    Kazuki Ueda, Hokuto Ushijima, Junichiro Kawamura
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  • Retroperitoneal Lymph Node Dissection in Colorectal Cancer with Lymph Node Metastasis: A Systematic Review
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    Cancers.2023; 15(12): 3196.     CrossRef
  • The Safe Values of Quantitative Perfusion Parameters of ICG Angiography Based on Tissue Oxygenation of Hyperspectral Imaging for Laparoscopic Colorectal Surgery: A Prospective Observational Study
    Gyung Son, Armaan Nazir, Mi Yun, In Lee, Sun Im, Jae Kwak, Sang-Ho Park, Kwang-Ryul Baek, Ines Gockel
    Biomedicines.2023; 11(7): 2029.     CrossRef
  • Intraoperative fluorescence mapping of lymph nodes in colon cancer
    Yu.A. Streltsov, M.A. Danilov, K.V. Shishin, A.V. Leontiev, A.B. Baychorov, V.V. Tsvirkun
    Endoscopic Surgery.2023; 29(4): 5.     CrossRef
  • Indocyanine green dye and its application in gastrointestinal surgery: The future is bright green
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  • Clinical Effectiveness of Fluorescence Lymph Node Mapping Using ICG for Laparoscopic Right Hemicolectomy: A Prospective Case–Control Study
    Gyung Mo Son, Mi Sook Yun, In Young Lee, Sun Bin Im, Kyung Hee Kim, Su Bum Park, Tae Un Kim, Dong-Hoon Shin, Armaan M. Nazir, Gi Won Ha
    Cancers.2023; 15(20): 4927.     CrossRef
  • Fluorescence-guided colorectal surgery: applications, clinical results, and protocols
    Jin-Min Jung, In Ja Park, Eun Jung Park, Gyung Mo Son
    Annals of Surgical Treatment and Research.2023; 105(5): 252.     CrossRef
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    Gyung Mo Son
    Journal of Minimally Invasive Surgery.2023; 26(4): 178.     CrossRef
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    Hyun Gu Lee
    The Ewha Medical Journal.2023;[Epub]     CrossRef
  • How Can We Improve the Tumor Response to Preoperative Chemoradiotherapy for Locally Advanced Rectal Cancer?
    Jeonghee Han
    The Ewha Medical Journal.2023;[Epub]     CrossRef
  • Descenso en el valor de pulsioximetría tras administración intravenosa de verde de indocianina. Un artefacto no recogido en ficha técnica
    P. Rama-Maceiras, D. Ferrera Castro, E. Turrado Blanco, S. Albiñana Pérez
    Revista Española de Anestesiología y Reanimación.2022; 69(9): 608.     CrossRef
  • Safety considerations in laparoscopic surgery: A narrative review
    Brij Madhok, Kushan Nanayakkara, Kamal Mahawar
    World Journal of Gastrointestinal Endoscopy.2022; 14(1): 1.     CrossRef
  • Clinical Implication of Lateral Pelvic Lymph Node Metastasis in Rectal Cancer Treated with Neoadjuvant Chemoradiotherapy
    In Ja Park
    The Ewha Medical Journal.2022; 45(1): 3.     CrossRef
  • Near-infrared fluorescence imaging guided surgery in colorectal surgery
    Sung Uk Bae
    World Journal of Gastroenterology.2022; 28(12): 1284.     CrossRef
  • Variant Sudeck’s Point Confirmed Using Indocyanine Green (ICG) Angiography
    Gyung Mo Son, In Young Lee, Shin Hoo Park
    Annals of Robotic and Innovative Surgery.2022; 3(1): 30.     CrossRef
  • Double-layered hand-sewn anastomosis: a valuable resource for the colorectal surgeon
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    Hyo Seon Ryu, Jin Kim
    Annals of Surgical Treatment and Research.2022; 103(1): 1.     CrossRef
  • Fluorescent Tracers for In Vivo Imaging of Lymphatic Targets
    P. S. Russell, R. Velivolu, V. E. Maldonado Zimbrón, J. Hong, I. Kavianinia, A. J. R. Hickey, J. A. Windsor, A. R. J. Phillips
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  • Ileal long-segment ischemia after the unintended ligation of variant ileal branch during laparoscopic right hemicolectomy
    Gyung Mo Son, Tae Un Kim, Dong-Hoon Shin, Joo-Young Na, In Young Lee, Shin Hoo Park
    Journal of Minimally Invasive Surgery.2022; 25(3): 116.     CrossRef
  • Decrease in pulse oximetry value after intravenous administration of indocyanine green. An artifact not included in the data sheet
    P. Rama-Maceiras, D. Ferrera Castro, E. Turrado Blanco, S. Albiñana Pérez
    Revista Española de Anestesiología y Reanimación (English Edition).2022; 69(9): 608.     CrossRef
  • Direction of diagnosis and treatment improvement in colorectal cancer
    In Ja Park
    Journal of the Korean Medical Association.2022; 65(9): 540.     CrossRef
  • In vivo fluorescence imaging: success in preclinical imaging paves the way for clinical applications
    Ahmed Refaat, May Lin Yap, Geoffrey Pietersz, Aidan Patrick Garing Walsh, Johannes Zeller, Blanca del Rosal, Xiaowei Wang, Karlheinz Peter
    Journal of Nanobiotechnology.2022;[Epub]     CrossRef
  • Multidisciplinary treatment strategy for early colon cancer
    Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
    Journal of the Korean Medical Association.2022; 65(9): 558.     CrossRef
  • Robotic surgery for colorectal cancer
    Sung Uk Bae
    Journal of the Korean Medical Association.2022; 65(9): 577.     CrossRef
  • Intraoperative Indocyanine Green Imaging for the Evaluation of Blood Perfusion Area in Cancer of the Splenic Flexure With an Occluded Inferior Mesenteric Artery: A Report of Two Cases
    Ryo Takahashi, Nobuji Kouno, Takumi Furuya, Takahisa Fujikawa
    Cureus.2022;[Epub]     CrossRef
  • Current Status and Future of Robotic Surgery for Colorectal Cancer-An English Version
    Sung Uk Bae
    Journal of the Anus, Rectum and Colon.2022; 6(4): 221.     CrossRef
  • Multidisciplinary Treatment Strategy for Early Colon Cancer: A Review-An English Version
    Gyung Mo Son, Su Bum Park, Tae Un Kim, Byung-Soo Park, In Young Lee, Joo-Young Na, Dong Hoon Shin, Sang Bo Oh, Sung Hwan Cho, Hyun Sung Kim, Hyung Wook Kim
    Journal of the Anus, Rectum and Colon.2022; 6(4): 203.     CrossRef
  • Lymph Node Cluster Dissection After Carbon Nanoparticles Injection Enhances the Retrieval Number in Colorectal Cancer
    Lu Liu, Xi Li, Yulin Hu, Jingyue Sun, Jielin Chen, Desheng Xiao, Wei Wu, Bin Xie
    Journal of Biomedical Nanotechnology.2022; 18(7): 1885.     CrossRef
  • Protein-Based Nanoparticles for the Imaging and Treatment of Solid Tumors: The Case of Ferritin Nanocages, a Narrative Review
    Francesco Mainini, Arianna Bonizzi, Marta Sevieri, Leopoldo Sitia, Marta Truffi, Fabio Corsi, Serena Mazzucchelli
    Pharmaceutics.2021; 13(12): 2000.     CrossRef
  • Is Laparoscopic Complete Mesocolic Excision and Central Vascular Ligation Really Necessary for All Patients With Right-Sided Colon Cancer?
    Gyung Mo Son, In Young Lee, Yoon Suk Lee, Bong-Hyeon Kye, Hyeon-Min Cho, Je-Ho Jang, Chang-Nam Kim, Kil Yeon Lee, Suk-Hwan Lee, Jun-Gi Kim
    Annals of Coloproctology.2021; 37(6): 434.     CrossRef
Case Report
Pneumatic Colorectal Injury Caused by High Pressure Compressed Air
Jin Young Lee, Young Hoon Sul, Seung Je Go, Jin Bong Ye, Jung Hee Choi
Ann Coloproctol. 2019;35(6):357-360.   Published online May 22, 2019
DOI: https://doi.org/10.3393/ac.2018.08.19
  • 10,191 View
  • 97 Download
  • 3 Web of Science
  • 3 Citations
AbstractAbstract PDF
The pneumatic colorectal injury caused by high pressure compressed air are rare and can be fatal. Herein, we present a case of 45-year-old male who developed sudden onset of severe abdominal pain after cleaning the dust on his pants with high pressure compressed air gun dust cleaner. Emergent exploratory laparotomy was done which findings are a huge rectal perforation with multiple serosal and subserosal tear in sigmoid to splenic flexure of colon. Anterior resection with left hemicolectomy, and temporary transverse colostomy was performed. Postoperative course was uneventful. Recently, prognosis is generally favorable because of prompt diagnosis and emergent surgical management.

Citations

Citations to this article as recorded by  
  • Laparoscopic Repair of Colorectal Perforations Induced by Compressed Air Pressure: A Case Report
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