Robotic Left Colectomy with CME

Complete mesocolic excision (CME) was introduced by Hohenberger and it is well standardized for right colonic cancer as well as for cancers of the descending colon and sigma. However, for tumors of distal transverse colon, splenic flexure, and proximal descending colon, the CME remains less homogeneous. This is probably due to the complex anatomy around the splenic flexure, subject to many vascular and lymphatic variations.