To describe the laparoscopic technique of infrapyloric lymph node dissection as part of complete mesocolic excision (CME) for right-sided colon cancer in a case report context.
Key Findings:
Infrapyloric lymph node dissection is indicated for patients with specific risk factors for nodal metastasis, such as elevated CEA levels (> 17 ng/ml) and obstructive symptoms, as demonstrated in our 88-year-old patient, highlighting the clinical relevance of this case.
Interpretation:
While controversial and not routinely performed, the extended dissection may improve outcomes in select patients with right-sided colon cancer, necessitating careful patient selection.
Limitations:
The technique is not widely adopted and lacks extensive validation, particularly in diverse patient populations.
No datasets were generated or analyzed during the current study, limiting the generalizability of the findings.
Conclusion:
The laparoscopic approach to infrapyloric lymph node dissection in right-sided colon cancer may be beneficial for certain patients, warranting further investigation to establish its efficacy.
