Transverse colectomy with total mesocolic excision for cancer - Safe Transverse
Epublication WebSurg.com, Nov 2019;19(11). URL: http://websurg.com/doi/lt03en17791
In this key lecture, Dr. Armando Melani explains how transverse colectomy with total mesocolic excision for cancer is a doable and safe surgery, in his opinion and according to his experience. Dr. Melani outlines the recommendations for a safe transverse colectomy and teaches us how to avoid lesions in the superior mesenteric vessels, shows laparoscopic mobilization for resection of the transverse colon due to cancer, and demonstrates an excellent vascular approach. Finally, Dr. Melani provides the rationale of the extension of the LND for right colon cancer and gives a didactic demonstration in this video. In conclusion, transverse colectomy with total mesocolic excision for cancer is relatively difficult. The reasons for this are the anatomical variations of middle colic vessels, transverse mesocolon attachments with the pancreatic head, and venous communications. In this authoritative lecture, Dr. Melani demonstrates the laparoscopic approach and provides all recommendations to achieve a successful surgery.