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. 2016 May;98(5):303-7.
doi: 10.1308/rcsann.2016.0112. Epub 2016 Mar 29.

Extended right hemicolectomy and left hemicolectomy for colorectal cancers between the distal transverse and proximal descending colon

G Gravante  1 , M Elshaer  2 , R Parker  1 , A C Mogekwu  1 , B Drake  1 , A Aboelkassem  1 , E U Rahman  3 , R Sorge  4 , T Alhammali  1 , K Gardiner  1 , S Al-Hamali  1 , M Rashed  1 , A Kelkar  1 , R Agarwal  3 , S El-Rabaa  1
Affiliations

Extended right hemicolectomy and left hemicolectomy for colorectal cancers between the distal transverse and proximal descending colon

G Gravante et al. Ann R Coll Surg Engl. 2016 May.

Abstract

Introduction: We report our experience with extended right hemicolectomy (ERH) and left hemicolectomy (LH) for the treatment of cancers located between the distal transverse and the proximal descending colon, and compare postoperative morbidity, mortality, pathological results and survival for the two techniques.

Methods: A retrospective review was performed of a single institution series over ten years. Patients who underwent different operations, had benign disease or received palliative resections were excluded. Data collected were patient demographics, type and duration of surgery, tumour site, postoperative complications and histology results.

Results: Ninety-eight patients were analysed (64 ERHs, 34 LHs). ERH was conducted using an open approach in 93.8% of cases compared with 73.5% for LH. The anastomotic leak rate was similar for both groups (ERH: 6.3%, LH: 5.9%). This was also the case for other postoperative complications, mortality (ERH: 1.6%, LH: 2.9%) and overall survival (ERH: 50.4 months, LH: 51.8 months). All but one patient in the ERH cohort had clear surgical margins. Nodal evaluation for staging was adequate in 78.1% of ERH cases and 58.8% of LH cases.

Conclusions: In our experience, both ERH and LH are adequate for tumours located between the distal transverse and the proximal descending colon.

Keywords: Colorectal cancer; Hemicolectomy; Outcomes; Surgery.

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Figures

Figure 1
Figure 1
Kaplan–Meier curves showing survival for extended right hemicolectomy (ERH) and left hemicolectomy (LH) patients
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