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  • 659
  • 2007-07-03

Laparoscopic segmental resection of the transverse colon

Epublication WebSurg.com, Jul 2007;07(07). URL:
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This video demonstrates the unusual procedure of segmental transverse colon resection performed for an adenocarcinoma in the distal part. All oncological principles are obeyed and a stapled colo-colic reconstruction is performed totally intracorporeally. This video is suitable for digestive surgeons. The author opens the mesocolon in the shape of a V and uses the Harmonic scalpel to divide the mesocolic fat. Dissection proceeds from the base of the mesocolon towards the colon, where the author carefully isolates Drummond’s marginal artery. Attention then turns to complete the resection of the mesocolon on the right limb of the V. The author identifies the mesocolic vessels as they emerge from the superior mesenteric vessels. This approach requires care because of the number of major vessels in the area. The dissection continues upward to divide the mesocolon on the right side.