Laparoscopic Complete Mesocolic Excision (CME) and D3 Lymphadenectomy for Hepatic Flexure Tumor

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5 months ago
Surgical Oncology

Case description

Surgical case: an 48-year-old man presented with a positive fecal occult blood test. He had no history of abdominal pain or distension. His diagnostic colonoscopy revealed a hepatic flexure tumor of approximately 60 mm, and the biopsy specimen showed a well-differentiated adenocarcinoma. Preoperative three-phase dynamic computed tomography for disease staging showed a hepatic flexure tumor of 5× 5 cm without metastasis. A laparoscopic right hemicolectomy was planned.Laparoscopic extended right hemicolectomy with D3 lymph node dissection was performed. Pathological examination of the tumor revealed moderately differentiated  adenocarcinoma of the colon and 43 lymph nodes were removed `en-block` of whom 7 were found with metastasis. The postoperative course was uneventful, and the patient was discharged in the 5-th postoperative day.


tags: colon canser Adenocarcinoma laparoscopic hemicolectomy complete mesocolic excision laparoscopic right hemicolectomy right colon canser surgical video case surgical education CME laparoscopic video case laparoscopy training Lymphadenectomy case Hepatic Flexure Tumor Colon Adenocarcinoma

Natalia Kardas

Natalia Kardas



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