The DOI matches its Crossref record; 27 of the 27 references it cites were found in a registry or an index.
Standardized surgery for colonic cancer: complete mesocolic excision and central ligation – technical notes and outcome
Abstract
Objective Total mesorectal excision (TME) as proposed by R.J. Heald more than 20 years ago, is nowadays accepted worldwide for optimal rectal cancer surgery. This technique is focused on an intact package of the tumour and its main lymphatic drainage. This concept can be translated into colon cancer surgery, as the mesorectum is only part of the mesenteric planes which cover the colon and its lymphatic drainage like envelopes. According to the concept of TME for rectal cancer, we perform a concept of complete mesocolic excision (CME) for colonic cancer. This technique aims at the separation of the mesocolic from the parietal plane and true central ligation of the supplying arteries and draining veins right at their roots. Method Prospectively obtained data from 1329 consecutive patients of our department with RO‐resection of colon cancer between 1978 and 2002 were analysed. Patient data of three subdivided time periods were compared. Results By consequent application of the procedure of CME, we were able to reduce local 5‐year recurrence rates in colon cancer from 6.5% in the period from 1978 to 1984 to 3.6% in 1995 to 2002. In the same period, the cancer related 5‐year survival rates in patients resected for cure increased from 82.1% to 89.1%. Conclusion The technique of CME in colon cancer surgery aims at a specimen with intact layers and a maximum of lymphnode harvest. This is translated into lower local recurrence rates and better overall survival.
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A Role for NF-κB in Organ Specific Cancer and Cancer Stem Cells
Kaltschmidt, C., Banz-Jansen, C., Benhidjeb, T., Beshay, M., Förster, C., Greiner, J., Hamelmann, E., Jorch, N., Mertzlufft, F., Pfitzenmaier, J., et al. (2019) · Cancers · doi:10.3390/cancers11050655 · Cited by 102
Metadata
- Authors
- Hohenberger, W., Weber, K., Matzel, K., Papadopoulos, T., & Merkel, S.
- Venue
- Colorectal Disease
- Publisher
- Wiley
- Published
- 2009-04-09
- Volume
- 11
- Issue
- 4
- Pages
- 354-364
- ISSN
- 1462-8910 (ISSN-L)
- 1463-1318
- OpenAlex
- W1970054060
- Cited by
- 1,636
- References
- 27
- FWCI
- 8.93
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Standardized surgery for colonic cancer: complete mesocolic excision and central ligation – technical notes and outcome. https://app.cochat.ai/papers/10.1111/j.1463-1318.2008.01735.x
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- Hohenberger, W., Weber, K., Matzel, K., Papadopoulos, T., & Merkel, S. (2009). Standardized surgery for colonic cancer: complete mesocolic excision and central ligation – technical notes and outcome. Colorectal Disease. https://doi.org/10.1111/j.1463-1318.2008.01735.x
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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