ArticleLangenbeck's archives of surgery2022
Modified complete mesocolic excision with central vascular ligation by the squeezing approach in laparoscopic right colectomy.
Article in Langenbeck's archives of surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
5 citing papers in PubMed.
- Feasibility of robotic-assisted right colectomy using the "squeezing approach".Surgery today · 2026Article
- Article
- Medial vs. inferior approach in laparoscopic right hemicolectomy: a comparative study of the perioperative outcomes for early-career surgeons.Surgery today · 2026Article
- A Case of Ascending Colon Cancer Complicated by Cronkhite-Canada Syndrome Treated with Robot-Assisted Right Hemicolectomy.Surgical case reports · 2025Article
- Transmesocolic approach in laparoscopic complete mesocolic excision for right sided colon cancers.Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques · 2022Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeComplete mesocolic excision (CME) and central vascular ligation (CVL) are becoming the standard procedure in laparoscopic right-sided colectomy. However, the approach to CME and CVL has not been established, although several useful approaches have been reported. The squeezing approach described herein is a novel procedure to perform modified CME and CVL in laparoscopic right colectomy.
methodsThe squeezing approach features retroperitoneal mobilization followed by cranial mesocolic mobilization and lymph node dissection using a cranial approach followed by a caudal approach. Dissection of the regional lymph nodes along with central vascular ligation was performed along the anterior wall of the superior mesenteric vein. In total, 177 patients (mean age, 70.6 years; male-to-female ratio, 90:87) who underwent laparoscopic right-sided colectomy were retrospectively assessed. Descriptive statistics for patient characteristics were calculated.
resultsThe mean operative time and blood loss were 169 min and 37 mL, respectively. Seven patients (4.0%) required conversion to open surgery, and major postoperative complications occurred in five patients (2.8%) with no anastomotic leakage. Histological R0 resection was achieved in all cases of stages 0-III colon cancer. The 5-year recurrence-free survival rates were 100% (n = 19), 100% (n = 40), 87% (n = 46), and 81% (n = 43) in pathological stages 0, I, II, and III, respectively. Node recurrence occurred in one case near the root of the middle colic artery.
conclusionThe novel squeezing approach in laparoscopic right colectomy could be safely performed in terms of the technical and oncological aspects.
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