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Laparoscopic left colectomy with a lateral to medial dissection

Epublication WebSurg.com, Sep 2018;18(09). URL: http://websurg.com/doi/vd01en5379

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  • 2018-09-04
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Nowadays with the advent of new surgical instrumentation (such as transanal robotic surgery), old rules of oncological surgery (i.e., first vascular control, medial to lateral dissection) are no longer valid. A good oncological specimen with free margins and a lymph node number up to 12 is mandatory. As a result, it is essential to adapt the dissection in patients to allow for a safe dissection and to prevent morbidity. This clinical case is that of a young thin man with a Treitz’s flexure lower than usual, and subsequently the dissection occurs mostly lateral to medial.