الفهرس 
Introduction & Aim of the WorkOnly 14 pages are availabe for public view
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Abstract
Colorectal cancer (CRC) is the third most commonly diagnosed
cancer and the fourth leading cause of cancer death worldwide. Globally,
over 1.3 million new cases (9.7 % of all cancer diagnosis excluding non melanoma skin cancer) were diagnosed and approximately 690,000
deaths (8.5 % of all cancer deaths excluding non-melanoma skin cancer)
were attributed to this malignancy in 2012 . Before the 1900s, CRC was
relatively uncommon, but incidence rates have risen dramatically in
parallel with economic development and adoption of the sedentary
lifestyle and Western diet.
(Hohenberger, Weber et al. 2009) translated the concept of TME to
colonic cancer, noting that traditionally more favorable oncologic results
of colon neoplasia was eventually overtaken by rectal cancer and a more
radical surgical approach performed along embryonic planes of
development with higher quality specimens, produce better oncologic
outcome; thus, complete mesocolic excision (CME) with central vascular
ligation (CVL) was theorized, standardized and eventually validated by
several studies.
The aim of our study was to determine short term oncologic
outcomes after laparoscopic complete mesocolic excision with central
vascular ligation for right colonic cancer.
Thirty patients with right colonic cancer were assigned to receive laparoscopic complete mesocolic excision with central vascular ligation in (Minia university hospital and El Salam oncology center ) in the period from April, 2017 till October, 2019 and their data were prospectively collected.
The following short term outcomes measures were analysed: Operative time, conversion rate, intraoperative blood loss, intraoperative complications, time of first oral intake, duration of hospital stay, post operative complications, Short term oncologic follow up, perioperattive mortality, assessment of quality of surgical specimen.
Contrasting our results with other studies, our mean operating time was slightly lower compared to others. The mean hospital stay in our thesis was even shorter than that of other studies except a study done by (El-Fol, Ammar et al. 2019). Sixth morbidities occurred in our thesis. Three Patients complained of paralytic ileus and three patients developed UTI .
Finally we conclude from the results of our study that laparoscopic complete mesocolic excision with central vascular ligation procedure is associated with smaller incisions, less operative blood loss, earlier recovery after operation, and shorter hospital stay. Also, laparoscopic procedure is maintaining intact embryological envelope of the mesocolon and allowing high tight ligation.