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Laparoscopic treatment for right colon cancer

Epublication WebSurg.com, Jan 2006;06(01). URL: http://websurg.com/doi/vd01en1879

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  • 2006-01-13
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This video demonstrates an uncomplicated laparoscopic right hemicolectomy in an obese lady with cecal cancer. The surgeon uses 4 trocars to achieve medial mobilization of the mesentery, divide the ileocolic at the root and then mobilize the right colon up to proximal transverse colon. The terminal ileum is divided intracorporeally and the specimen is retrieved through a right lateral skin crease muscle splitting incision. An extracorporeal stapled anastamosis is made and the mesenteric window is not closed. This video is a good demonstration of key anatomic landmarks, surgical planes, and surgical approach to a right hemicolectomy for cancer using the medial approach.