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Similarities and differences between D3 lymphadenectomy and complete mesocolic excision of right hemicolonectomy
Ist Teil von
Zhonghua wei chang wai ke za zhi, 2021-01, Vol.24 (1), p.81
Ort / Verlag
China
Erscheinungsjahr
2021
Quelle
MEDLINE
Beschreibungen/Notizen
D3 lymphadenectomy and complete mesocolic excision (CME) for colon cancer, which have been introduced to China for more than 10 years, are two major surgical principles worldwide. However, there are still many different opinions and misunderstandings about the core principles of D3 and CME, especially the similarities and differences between them. However, few articles have been published to discuss these issues specifically. Domestic scholars' understandings about D3 lymphadenectomy and CME for right hemicolectomy are quite different. Two different concepts including "D3/CME" and "D3+CME" have become mainstream views. The former equate D3 with CME and the latter seems to regard them as totally different principles. There is no consensus on which one is more reasonable. Therefore, this article aims to discuss the similarities and differences between D3 and CME for right hemicolectomy in perspectives of the theoretical background, surgical principles, extent of surgery and oncological outcomes. We believed tha