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World J Gastrointest Surg. Jun 27, 2024; 16(6): 1521-1526
Published online Jun 27, 2024. doi: 10.4240/wjgs.v16.i6.1521
Laparoscopic right radical hemicolectomy: Central vascular ligation and complete mesocolon excision vs D3 lymphadenectomy - How I do it?
Kaushal Yadav
Kaushal Yadav, Department of Surgical Oncology, Max Hospital, Gurugram 122001, Haryana, India
Author contributions: Yadav K performed and depicts the surgical technique in the article.
Conflict-of-interest statement: Dr. Kaushal has nothing to disclose.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Kaushal Yadav, MBBS, MCh, MS, Surgical Oncologist, Department of Surgical Oncology, Max Hospital, Sushant Lok -1, Gurugram 122001, Haryana, India. kaushalyadavoo7@yahoo.com
Received: January 4, 2024
Revised: April 22, 2024
Accepted: May 8, 2024
Published online: June 27, 2024
Processing time: 177 Days and 20 Hours
Core Tip

Core Tip: Despite many decades of research, there is no consensus on standard surgical techniques for right-side colon cancer. The complete oncological resection is much more than simple number of harvested lymph nodes. Identifying the ileocolic vessels at their origin from superior mesenteric vessels is the central technique to serve this purpose. Complete visceral and parietal mesocolon excision removes the intact specimen. D3 lymphadenectomy removes all draining regional lymph nodes. Both principles serve the same goal with different emphases. So addressing adequate lymphadenectomy with complete negative margin R0 resection is central to this article.