Right Hemicolectomy and Ileocecectomy: Hand-Assisted Laparoscopic Approach

  • Julie Ann M. Van KoughnettEmail author
  • Eric G. Weiss


We will be illustrating the hand-assisted approach to a laparoscopic right hemicolectomy and ileocecectomy. As in the previous chapter, the seven basic steps are described, followed by the various approaches including the lateral, medial, inferior, and superior approaches. The advantages and tips of utilizing the hand-assisted approach to difficult scenarios and complications will be reviewed.


Right hemicolectomy Ileocecectomy Hand-assisted laparoscopic approach Colorectal surgery 

Supplementary material

Video 6.1

Isolation of the ileocolic pedicle – hand-assisted right hemicolectomy (MP4 411368 kb)

Video 6.2

Ligation of the ileocolic pedicle (MP4 38694 kb)

Video 6.3

Medial to lateral mobilization (MP4 47762 kb)

Video 6.4

Lateral mobilization (MP4 61743 kb)

Video 6.5

Lateral dissection of right colon – hand-assisted right hemicolectomy (MP4 477472 kb)

Video 6.6

Small bowel mobilization – hand-assisted right hemicolectomy (MP4 379340 kb)

Video 6.7

Hepatic flexure mobilization – hand-assisted right hemicolectomy (MP4 522119 kb)

Video 6.8

Inferior mobilization (MP4 52077 kb)

Video 6.9

Bleeding control of the ileocolic pedicle (MP4 93002 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Julie Ann M. Van Koughnett
    • 1
    Email author
  • Eric G. Weiss
    • 1
    • 2
  1. 1.Department of Colorectal SurgeryCleveland Clinic FloridaWestonUSA
  2. 2.Division of Education, Department of Colorectal SurgeryColorectal Surgery Residency ProgramWestonUSA

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