Ileocecal resection with extended lymphadenectomy for localized cecal cancer

AIM: to evaluate the early results ileocecal resection with extended lymphadenectomy in patients with localized cecal cancer.
PATIENTS AND METHODS: from December 2021 until June 2023 40 patients with verified malignant cecal tumors were included in the study. The patients were divided into two groups: 20 patients underwent ileocecal resection with extended lymphadenectomy in the D3 volume; the control group included 20 right hemicolectomies with D3 lymphadenectomy.
RESULTS: no postoperative mortality. The differences were revealed in the course of the intraoperative and early postoperative period, the volume of the removed mesentery and the length of the resected section of the intestine, and the number of removed lymph nodes. Metastasis to lymph nodes was detected at the level of 201 and 202 groups.
CONCLUSION: ileocecal resection with extended D3 lymphadenectomy is an effective and safe method for localized forms of cecal cancer and can be considered as an alternative to the standard right hemicolectomy.

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