A narrative review: complete mesocolic excision in right-sided colonic cancer resections—present paradigm and future directions

Abstract

Background and Objective: Complete mesocolic excision (CME) is thought to achieve better oncological outcomes in colon cancer surgery, but adoption in right-sided colon resections has not been as complete as total mesorectal excision (TME) in rectal cancers, and the technique is not as standardized. In addition, higher rates of intra-operative complications in early studies have limited its wide-scale adoption in routine surgical practice. We aim to determine if the literature supports a universal or selective application of CME in right-sided colonic cancer resections.