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Extraperitoneal resection of the right colon for locally advanced colon cancer
1Colorectal Unit, Basingstoke and North Hampshire Hospital Trust, Basingstoke, UK.
Aim:
Optimal colon cancer surgery correlates with a reduction in recurrence rate and improved overall prognosis. This technical note describes the extraperitoneal approach for locally advanced right colon cancer.
Method:
The retroperitoneal technique, mainly used in pseudomyxoma peritonei resectional surgery, is described in three surgical steps and it is compared with existing surgical approaches for right colon cancer.
Results:
This approach has the advantages of early entry in the retroperitoneal plane well away from the tumour, early recognition and protection of the ureter and minimal manipulation of the tumour-bearing right colon.
Conclusion:
Extraperitoneal resection of the right colon for locally advanced colon cancer is technically feasible, safe and achieves tumour-free retroperitoneal margins.
