Hemicolectomía derecha D3 (ECM)

Hemicolectomía derecha D3 (ECM) laparoscópica versus robótica

D3 Rigth hemicolectomy laparoscopic versus robotic

E. E. Rubio González*, O. García Villar*, A. A. Vivas López*

* Servicio de Cirugía General, Aparato Digestivo y Trasplante de
     Órganos Abdominales. Unidad de Cirugía Colorrectal.
     Hospital Universitario 12 de Octubre. Madrid (España).

DOI: https://doi.org/10.14679/3511

Resumen:

La hemicolectomía derecha con linfadenectomía D3 y/o escisión total del mesocolon constituye una técnica introducida en las últimas décadas como una variante oncológica que busca estadificar de una manera más exacta, incrementar la supervivencia y disminuir la recidiva en pacientes con cáncer colorrectal del colon derecho; sin embargo, no hay muchos estudios comparando el abordaje laparoscópico versus robótico.
Palabras Clave: Linfadenectomía D3, escisión total del mesocolon, cáncer colorrectal, hemicolectomía derecha, laparoscopico, robótico.

Abstract:

Right hemicolectomy with D3 lymphadenectomy and/or total excision of the mesocolon is a technique introduced in recent decades as an oncological variant that seeks to more accurately stage, increase survival and decrease recurrence in patients with colorectal cancer of the right colon, however, there are not many studies comparing the laparoscopic versus robotic approach.
Key words: D3 Lymphadenectomy, Total excision mesocolon, colorectal cancer, right hemicolectomy, laparoscopy, robotic

Bibliografía

1. 1. 1. Dekker E, Tanis PJ, Vleugels JLA, Kasi PM, Wallace MB. Colorectal cancer. Lancet. 2019 Oct 19;394(10207):1467-1480. doi: 10.1016/S0140-6736(19)32319-0. PMID: 31631858.
      2. Hohenberger W, Weber K, Matzel K, Papadopoulos T, Merkel S. Standardized surgery for colonic cancer: complete mesocolic excision and central ligation–technical notes and outcome. Colorectal Dis. 2009 May;11(4):354-64; discussion 364-5. doi: 10.1111/j.1463-1318.2008.01735.x. Epub 2009 Nov 5. PMID: 19016817.
      3. West NP, Hohenberger W, Weber K, Perrakis A, Finan PJ, Quirke P. Complete mesocolic excision with central vascular ligation produces an oncologically superior specimen compared with standard surgery for carcinoma of the colon. J Clin Oncol. 2010;28:272e278. doi: 10.1200/JCO.2009.24.1448. Epub 2009 Nov 30. PMID: 19949013.
      4. West NP, Kobayashi H, Takahashi K, et al. Understanding optimal colonic Cancer surgery: comparison of Japanese D3 resection and European complete mesocolic excision with central vascular ligation. J Clin Oncol. 2012;30: 1763e1769. doi: 10.1200/JCO.2011.38.3992. Epub 2012 Apr 2. PMID: 22473170.
      5. Le Voyer TE, Sigurdson ER, Hanlon AL, et al. Colon cancer survival is associated with increasing number of lymph nodes analyzed: a secondary survey of intergroup trial INT-0089. J Clin Oncol. 2003;21:2912e2919. doi: 10.1200/JCO.2003.05.062. PMID: 12885809.
      6. Chen SL, Bilchik AJ. More extensive nodal dissection improves survival for stages I to III of colon cancer: a population-based study. Ann Surg. 2006;244: 602e610. doi: 10.1097/01.sla.0000237655.11717.50. PMID: 16998369; PMCID: PMC1856560.
      7. Siani LM, Lucchi A, Berti P, Garulli G. Laparoscopic complete mesocolic excision with central vascular ligation in 600 right total mesocolectomies: Safety, prognostic factors and oncologic outcome. Am J Surg. 2017 Aug;214(2):222-227. doi: 10.1016/j.amjsurg.2016.10.005. Epub 2016 Nov 16. PMID: 27876380
      8. Jacobs M, Verdeja JC, Escuela Secundaria Goldstein. Resección de colon mínimamente invasiva (colectomía laparoscópica). Cirugía Laparosc Endosc. septiembre de 1991; 1(3):144-50. PMID: 1688289.
      9. Søndenaa K, Quirke P, Hohenberger W, Sugihara K, Kobayashi H, Kessler H, Brown G, Tudyka V, D’Hoore A, Kennedy RH, West NP, Kim SH, Heald R, Storli KE, Nesbakken A, Moran B. The rationale behind complete mesocolic excision (CME) and a central vascular ligation for colon cancer in open and laparoscopic surgery : proceedings of a consensus conference. Int J Colorectal Dis. 2014 Apr;29(4):419-28. doi: 10.1007/s00384-013-1818-2. Epub 2014 Jan 31. PMID: 24477788.
      10. Croner, R.S., Ptok, H., Merkel, S., & Hohenberger, W. (2020). Implementing complete mesocolic excision for colon cancer – Mission completed? Innovative Surgical Science, 3(1), 17-29. https://doi.org/10.1515/iss-2017-0042
      11. Siani LM, Pulica C. Laparoscopic complete mesocolic excision with central vascular ligation in right colon cancer: Long-term oncologic outcome between mesocolic and non-mesocolic planes of surgery. Scand J Surg. 2015 Dec;104(4):219-26. doi: 10.1177/1457496914557017. Epub 2014 Nov 12. PMID: 25391978.
      12. Koh FH, Tan KK. Complete mesocolic excision for colon cancer: is it worth it? J Gastrointest Oncol 2019;10(6):1215-1221. doi: 10.21037/jgo.2019.05.01
      13. Negoi I, Hostiuc S, Negoi RI, Beuran M. Laparoscopic vs open complete mesocolic excision with central vascular ligation for colon cancer: A systematic review and meta-analysis. World J Gastrointest Oncol. 2017 Dec 15;9(12):475-491. doi: 10.4251/wjgo.v9.i12.475. PMID: 29290918; PMCID: PMC5740088.
      14. Athanasiou CD, Markides GA, Kotb A, Jia X, Gonsalves S, Miskovic D. Open compared with laparoscopic complete mesocolic excision with central lymphadenectomy for colon cancer: a systematic review and meta-analysis. Colorectal Dis. 2016 Jul;18(7):O224-35. doi: 10.1111/codi.13385. PMID: 27187520.
      15. Han, DP., Lu, AG., Feng, H. et al. Long-term outcome of laparoscopic-assisted right-hemicolectomy with D3 lymphadenectomy versus open surgery for colon carcinoma. Surg Today 44, 868–874 (2014). https://doi.org/10.1007/s00595-013-0697-z
      16. Ouyang M, Luo Z, Wu J, Zhang W, Tang S, Lu Y, Hu W, Yao X. Comparison of outcomes of complete mesocolic excision with conventional radical resection performed by laparoscopic approach for right colon cancer. Cancer Manag Res. 2019 Sep 25;11:8647-8656. doi: 10.2147/CMAR.S203150. PMID: 31576169; PMCID: PMC6768124.
      17. Lim, SB., Kim, J.C. (2018). Complete Mesocolic Excision and Central Vascular Ligation: History and Outcome. In: Kim, N., Sugihara, K., Liang, JT. (eds) Surgical Treatment of Colorectal Cancer. Springer, Singapore. https://doi.org/10.1007/978-981-10-5143-2_22
      18. Maeso S, Reza M, Mayol JA, Blasco JA, Guerra M, Andradas E, Plana MN. Efficacy of the Da Vinci surgical system in abdominal surgery compared with that of laparoscopy: a systematic review and meta-analysis. Ann Surg. 2010 Aug;252(2):254-62. doi: 10.1097/SLA.0b013e3181e6239e. PMID: 20622659.
      19. Fransgaard T, Pinar I, Thygesen LC, Gögenur I. Association between robot-assisted surgery and resection quality in patients with colorectal cancer. Surg Oncol. 2018 Jun;27(2):177-184. doi: 10.1016/j.suronc.2018.03.003. Epub 2018 Mar 27. PMID: 29937169.
      20. Lim DR, Min BS, Kim MS, Alasari S, Kim G, Hur H, Baik SH, Lee KY, Kim NK. Robotic versus laparoscopic anterior resection of sigmoid colon cancer: comparative study of long-term oncologic outcomes. Surg Endosc. 2013 Apr;27(4):1379-85. doi: 10.1007/s00464-012-2619-3. Epub 2012 Dec 13. PMID: 23239297; PMCID: PMC3599163.
      21. Zheng, J., Zhao, S., Chen, W. et al. Comparison of robotic right colectomy and laparoscopic right colectomy: a systematic review and meta-analysis. Tech Coloproctol 27, 521–535 (2023). https://doi.org/10.1007/s10151-023-02821-2
      22. De’Angelis N, Lizzi V, Azoulay D, Brunetti F. Robotic Versus Laparoscopic Right Colectomy for Colon Cancer: Analysis of the Initial Simultaneous Learning Curve of a Surgical Fellow. J Laparoendosc Adv Surg Tech A. 2016 Nov;26(11):882-892. doi: 10.1089/lap.2016.0321. Epub 2016 Jul 25. PMID: 27454105.