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Complete mesocolic excision for right colon cancer: Is D3 lymphadenectomy necessary?

Ashwin L DesouzaMufaddal M KaziShravan NadkarniPreethi S ShettyVipin TAvanish P Saklani
Published in: Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland (2023)
In this retrospective study, lymphadenectomy along the superior mesenteric vein, as a component of CME for right colon cancer, offered a higher nodal yield with no improvement in oncological outcome. Dissection of the SMV, over and above a D2 dissection, could therefore be restricted to specialized colorectal units until further studies establish the incremental oncological benefit of this extended lymphadenectomy or define a patient group in whom it is beneficial.
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