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Abstract
Complete excision of mesocolon associated with central ligation of blood vessel (CME + CVL) allows extensive dissection of lymph nodes along the blood vessels. We carried out this study with the aim of: “Assessing the feasibility and safety and short-term results of laparoscopic right hemicolectomy using CME principle at Hue Central Hospital. A cross-sectional descriptive study on 25 patients with right colon cancer treated with laparoscopic surgery using CME + CVL principleat Hue Central Hospital from 5/2018 - 8/2019. Admitting symptoms were abdominal pain (84%) and gastrointestinal bleeding (64%) and changes in bowel habit (56%). Cecum and ascending colon accounted for most of the tumor position (84.0%). Operative time varied depending on the location and the invasion of the tumor. Operative time was shortened from the first cases (> 3 hours) to the later cases in the series (<2 hours). There was 01 case of duodenal serosal injury and 01 case of bleeding from the venous pancreatoduodenal branch. Most tumors were classified as stage T3, N0. The number of lymph nodes harvested was usually> 20 nodes. We did not recordany cases of anastomotic leakage. There were 2 cases (8%) of chylous ascites after surgery successfully treated conservatively. Keywords: Colon cancer, Complete excision of mesocolon, Laparoscopic surgery
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