[Technique of right laparoscopic hemicolectomy].
Patho-anatomic feature such as easy mobilisation of the colon segment on mesocolon, technically easy approach to the central lymphovascular pedicle, and the possibility of relative uncomplicated salvage and anastomosis warrant including this method in the procedures of modern colorectal surgery. Mobilisation from the vascularisized mesenterial bridges in a window technique, transection of the ileocolic lymphovascular pedicle, lateral and proximal mobilisation of ileocoecum, colon ascendance, right flexure and proximal transversum. After enlargement of one trocar incision the exteriorized colon is resected and an extracorporeal anastomosis is performed in the standard manner. With this standardized method, right hemicolectomy is easy, practicable, and repeatable and can be done with all the advantages of minimally invasive surgery.
Baca
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Zentralkrankenhaus Bremen-Ost, Klinik für Allgemein- und Unfallchirurgie, Züricher Strasse 40, 28325 Bremen.
D003082:Colectomy / Q000379:methods*; D003110:Colonic Neoplasms / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*