Laparoscopic D3 dissection and complete mesocolic excision for right-sided colon cancer based on surgical anatomy

Konosuke Moritani, Yukihide Kanemitsu, Yasuyuki Takamizawa, Dai Shida, Shunsuke Tsukamoto, Ryohei Sakamoto

Abstract

In addition to total mesenteric excision (TME) for rectal cancer, D3 dissection [central vascular ligation (CVL)] and complete mesocolic excision (CME) are two critical aspects of right hemicolectomy for right-sided colon cancer (RCC). Here we describe a safe procedure for laparoscopic right hemicolectomy using a caudal approach with D3 dissection along the superior mesenteric artery (SMA).