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Right Hemicolectomy and Ileocecectomy: Hand-Assisted Laparoscopic Approach

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Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery

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Abstract

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.

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References

  1. Bilimoria KY, Bentrem DJ, Merkow RP, Nelson H, Wang E, Ko CY, Soper NJ. Laparoscopic-assisted vs. open colectomy for cancer: comparison of short-term outcomes from 121 hospitals. J Gastrointest Surg. 2008;12(11):2001–9.

    Article  PubMed  Google Scholar 

  2. Colon Cancer Laparoscopic or Open Resection Study Group, Buunen M, Veldkamp R, Hop WC, Kuhry E, Jeekel J, Haglind E, Påhlman L, Cuesta MA, Msika S, Morino M, Lacy A, Bonjer HJ. Survival after laparoscopic surgery versus open surgery for colon cancer: long-term outcome of a randomised clinical trial. Lancet Oncol. 2009;10(1):44–52.

    Article  PubMed  Google Scholar 

  3. Fleshman J, Sargent DJ, Green E, Anvari M, Stryker SJ, Beart Jr RW, Hellinger M, Flanagan Jr R, Peters W, Nelson H. Laparoscopic colectomy for cancer is not inferior to open surgery based on 5-year data from the COST Study Group trial. Ann Surg. 2007;246(4):655–62.

    Article  PubMed  Google Scholar 

  4. Bonjer HJ, Hop WC, Nelson H, Sargent DJ, Lacy AM, Castells A, Guillou PJ, Thorpe H, Brown J, Delgado S, Kuhrij E, Haglind E, Påhlman L. Laparoscopically assisted vs open colectomy for colon cancer: a meta-analysis. Arch Surg. 2007;142(3):298–303.

    Article  PubMed  Google Scholar 

  5. Noblett SE, Horgan AF. A prospective case-matched comparison of clinical and financial outcomes of open versus laparoscopic colorectal resection. Surg Endosc. 2007;21(3):404–8.

    Article  CAS  PubMed  Google Scholar 

  6. Delaney CP, Marcello PW, Sonoda T, Wise P, Bauer J, Techner L. Gastrointestinal recovery after laparoscopic colectomy: results of a prospective, observational, multicenter study. Surg Endosc. 2010;24(3):653–61.

    Article  PubMed  Google Scholar 

  7. Litwin DE, Darzi A, Jackimowicz J, Kelly JJ, Arvidsson D, Hansen P, et al. Hand-assisted laparoscopic surgery (HALS) with the HandPort system: initial experience with 68 patients. Ann Surg. 2000;231(5):715–23.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  8. Targarona EM, Gracia E, Garriga J, Martinez-Bru C, Cortes M, Boluda R, et al. Prospective randomized trial comparing conventional laparoscopic colectomy with hand-assisted laparoscopic colectomy. Surg Endosc. 2002;16:234–9.

    Article  CAS  PubMed  Google Scholar 

  9. Aalbers AG, Biere SS, van Berge Henegouwen MI, Bemelman WA. Hand-assisted or laparoscopic-assisted approach in colorectal surgery: a systematic review and meta-analysis. Surg Endosc. 2008;22(8):1769–80.

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  10. Cima RR, Pattana-arun J, Larson DW, Dozois EJ, Wolff BG, Pemberton JH. Experience with 969 minimal access colectomies: the role of hand-assisted laparoscopy in expanding minimally invasive surgery for complex colectomies. J Am Coll Surg. 2008;206(5):946–50.

    Article  PubMed  Google Scholar 

  11. Hassan I, You YN, Cima RR, Larson DW, Dozois EJ, Barnes SA, Pemberton JH. Hand-assisted versus laparoscopic-assisted colorectal surgery: practice patterns and clinical outcomes in a minimally-invasive colorectal practice. Surg Endosc. 2008;22:739–43.

    Article  PubMed  Google Scholar 

  12. Ringley C, Lee YK, Iqbal A, Bocharev V, Sasson A, McBride CL, et al. Comparison of conventional laparoscopic and hand-assisted oncologic segmental colonic resection. Surg Endosc. 2007;21:2137–41.

    Article  CAS  PubMed  Google Scholar 

  13. HALS Study Group. Hand-assisted laparoscopic surgery vs standard laparoscopic surgery for colorectal disease: a prospective randomized trial. Surg Endosc. 2000;14(10):896–901.

    Article  Google Scholar 

  14. Nakajima K, Lee SW, Cocilovo C, Foglia C, Sonoda T, Milsom JW. Laparoscopic total colectomy: hand-assisted vs standard technique. Surg Endosc. 2004;18:582–6.

    Article  CAS  PubMed  Google Scholar 

  15. Vogel JD, Lian L, Kalady MF, de Campos-Lobato LF, Alves-Ferreira PC, Remzi FH. Hand-assisted laparoscopic right colectomy: how does it compare to conventional laparoscopy? J Am Coll Surg. 2011;212:367–72.

    Article  PubMed  Google Scholar 

  16. Pendlimari R, Holubar SD, Dozois EJ, Larson DW, Pemberton JH, Cima RR. Technical proficiency in hand-assisted laparoscopic colon and rectal surgery. Arch Surg. 2012;147(3):317–22.

    PubMed  Google Scholar 

  17. Cima RR, Pendlimari R, Holubar SD, Pattana-arun J, Larson DW, Dozois EJ, et al. Utility and short-term outcomes of hand-assisted laparoscopic colorectal surgery: a single-institution experience in 1103 patients. Dis Colon Rectum. 2011;54:1076–81.

    Article  PubMed  Google Scholar 

  18. Roslani AC, Koh DC, Tsang CB, Wong KS, Cheong WK, Wong HB. Hand-assisted laparoscopic colectomy versus standard laparoscopic colectomy: a cost analysis. Colorectal Dis. 2009;11:496–501.

    Article  CAS  PubMed  Google Scholar 

  19. Ozturk E, Kiran RP, Geisler DP, Hull TL, Vogel JD. Hand-assisted laparoscopic colectomy: benefits of laparoscopic colectomy at no extra cost. J Am Coll Surg. 2009;209:242–7.

    Article  PubMed  Google Scholar 

  20. Liu Z, Wang GY, Chen YG, Jiang Z, Tang QC, Yu L, et al. Cost comparison between hand-assisted laparoscopic colectomy and open colectomy. J Laparoendosc Adv Surg Tech A. 2012;22(3):209–13.

    Article  PubMed  Google Scholar 

  21. Ng LWC, Tung LM, Cheung HYS, Wong JCH, Chung CC, Li MKW. Hand-assisted laparoscopic versus total laparoscopic right colectomy: a randomized controlled trial. Colorectal Dis. 2012;14:e612–7.

    Article  CAS  PubMed  Google Scholar 

  22. Chung CC, Ng DC, Tsang WW, Tang WL, Yau KK, Cheung HY, et al. Hand-assisted laparoscopic versus open right colectomy: a randomized controlled trial. Ann Surg. 2007;246(5):728–33.

    Article  PubMed  Google Scholar 

  23. Sheng QS, Lin JJ, Chen WB, Liu FL, Xu XM, Lin CZ, et al. Hand-assisted laparoscopic versus open right hemicolectomy: short-term outcomes in a single institution from China. Surg Laparosc Endosc Percutan Tech. 2012;22(3):267–71.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Colorectal Surgery, Cleveland Clinic Florida, 2950 Cleveland Clinic Boulevard, Weston, FL, 33331, USA

    Julie Ann M. Van Koughnett MD, MEd & Eric G. Weiss MD

  2. Division of Education, Department of Colorectal Surgery, Colorectal Surgery Residency Program, Weston, FL, 33331, USA

    Eric G. Weiss MD

Authors
  1. Julie Ann M. Van Koughnett MD, MEd
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  2. Eric G. Weiss MD
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Corresponding author

Correspondence to Julie Ann M. Van Koughnett MD, MEd .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery, Department of Surgery, University of Nevada School of Medicine, Las Vegas, Nevada, USA

    Ovunc Bardakcioglu

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

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

Ligation of the ileocolic pedicle (MP4 38694 kb)

Medial to lateral mobilization (MP4 47762 kb)

Lateral mobilization (MP4 61743 kb)

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

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

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

Inferior mobilization (MP4 52077 kb)

Bleeding control of the ileocolic pedicle (MP4 93002 kb)

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Van Koughnett, J.A.M., Weiss, E.G. (2015). Right Hemicolectomy and Ileocecectomy: Hand-Assisted Laparoscopic Approach. In: Bardakcioglu, O. (eds) Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7531-7_6

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  • DOI: https://doi.org/10.1007/978-1-4899-7531-7_6

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7530-0

  • Online ISBN: 978-1-4899-7531-7

  • eBook Packages: MedicineMedicine (R0)

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