Complete Mesocolic Excision for Colon Cancer: The New Standard of Care?

IF 0.8 Q4 ONCOLOGY
South Asian Journal of Cancer Pub Date : 2025-01-02 eCollection Date: 2024-10-01 DOI:10.1055/s-0044-1801754
Saumitra Rawat, Shyam Aggarwal, Purvish M Parikh, Adarsh Chaudhary, Manish Kumar, Mohit Sharma, Peush Sahni, Ramesh Ardhanari, R Pradeep, Amitabh Yadav, Suviraj John, C R Selvasekar
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Abstract

Complete mesocolic excision (CME) for colorectal cancer builds on the success of total mesorectal excision (TME), the international gold standard for rectal cancer. In TME, removal of the primary tumor along with associated mesocolon and accompanying structures as single intact specimen allows in toto excision of all structures that could potentially lead to dissemination. Recent meta-analysis has confirmed that CME results in better disease-free survival (DFS) and overall survival (OS) rates. CME can be done in three ways-open, laparoscopic, and robotic-assisted. We conducted a survey to identify the real-world situation with the use of CME by surgical oncologists. A total of 116 responders shared their experiences and thoughts. The benefit of CME was primarily thought to be for both OS and DFS by 78/116 (67%). The majority of CMEs are being conducted by the open method (74/116; 64%). A total of 52/116 (45%) were of the opinion that 6 to 10 surgeries constitute the learning curve for new surgeons for this technique. Based on our survey results, as well as two recently published systematic reviews and meta-analysis, it is time to consider CME as one of the standards of care in colorectal surgery.

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结肠系膜完全切除:结肠癌的新治疗标准?
结直肠癌全肠系膜切除(CME)的成功建立在全肠系膜切除(TME)的基础上,TME是治疗直肠癌的国际金标准。在TME中,切除原发肿瘤以及相关的结肠系膜和伴随结构作为单个完整标本,可以完全切除所有可能导致传播的结构。最近的荟萃分析证实,CME可提高无病生存(DFS)和总生存(OS)率。CME可以通过三种方式完成:开放、腹腔镜和机器人辅助。我们进行了一项调查,以确定外科肿瘤学家使用CME的现实情况。共有116名回应者分享了他们的经历和想法。78/116(67%)的人认为CME对OS和DFS都有好处。大多数cme都是通过开放方法进行的(74/116;64%)。总共52/116(45%)的人认为6 - 10例手术构成了新外科医生对该技术的学习曲线。根据我们的调查结果,以及最近发表的两篇系统综述和荟萃分析,是时候考虑将CME作为结直肠手术的护理标准之一了。
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来源期刊
CiteScore
1.00
自引率
0.00%
发文量
80
审稿时长
35 weeks
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