Topographical anatomy and oncologic colon surgery: new or well forgotten old?
https://doi.org/10.17650/2220-3478-2017-7-3-49-55
Abstract
The article is devoted to the surgery standards for colorectal cancer, specific features of colon mobilization in patients with locally advanced colon cancer and the use of germ cell layers as anatomical landmarks. We describe the features and the volume of lymph node dissection during surgeries for left and right colon, the level of central vessels ligation during intervention and the criteria for assessing the quality of mesocolic excision. We studied the impact of these factors on overall and relapse-free survival, highlighted some aspects of mobilization of the right and left colon. The objective of this article was to contribute to the development of methodological guidelines for colon cancer surgery in compliance with the principles of complete mesocolic excision with central vessels ligation.
About the Authors
I. L. Chernikovskiy
Saint Petersburg Clinical Research Center for Specialized Medical Care (Oncology), Ministry of Health of Russia
Russian Federation
68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia
Russian Federation
68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia
N. V. Savanovich
Saint Petersburg Clinical Research Center for Specialized Medical Care (Oncology), Ministry of Health of Russia
Russian Federation
68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia
Russian Federation
68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia
A. A. Smirnov
Saint Petersburg Clinical Research Center for Specialized Medical Care (Oncology), Ministry of Health of Russia
Russian Federation
68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia
Russian Federation
68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia
A. V. Gavrilyukov
Saint Petersburg Clinical Research Center for Specialized Medical Care (Oncology), Ministry of Health of Russia
Russian Federation
68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia
Russian Federation
68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia
O. V. Oganesyan
Saint Petersburg Clinical Research Center for Specialized Medical Care (Oncology), Ministry of Health of Russia
Russian Federation
68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia
Russian Federation
68а Leningradskaya St., Pesochnyi Settlement, Saint Petersburg 197758, Russia
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