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Laparoscopic Technique for Right Colectomy

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Book cover Surgery for Cancers of the Gastrointestinal Tract

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Abstract

Laparoscopic colectomy has become an accepted approach to colon resection. Compared with open colectomy, the laparoscopic technique is associated with equivalent long-term survival but shorter hospital stays, reduced analgesic requirements, improved cosmesis, and earlier resumption of a normal diet. Notably, right hemicolectomy is an appropriate procedure to perform laparoscopically because it lends itself to a standardized, reproducible technique. In this chapter, we discuss our approach to laparoscopic right colectomy, clearly outlining each step and the necessary considerations.

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References

  1. Hasson HM. Open laparoscopy vs. closed laparoscopy: a comparison of complication rates. Adv Plan Parent. 1978;13(3–4):41–50.

    CAS  PubMed  Google Scholar 

  2. Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopic colectomy). Surg Laparosc Endosc. 1991;1(3):144–50.

    CAS  PubMed  Google Scholar 

  3. Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350(20):2050–9. doi:10.1056/NEJMoa032651.

    Article  Google Scholar 

  4. Birkmeyer JD, Finks JF, O’Reilly A, Oerline M, Carlin AM, Nunn AR, et al. Surgical skill and complication rates after bariatric surgery. N Engl J Med. 2013;369(15):1434–42. doi:10.1056/NEJMsa1300625.

    Article  CAS  PubMed  Google Scholar 

  5. Delaney CP, Brady K, Woconish D, Parmar SP, Champagne BJ. Towards optimizing perioperative colorectal care: outcomes for 1,000 consecutive laparoscopic colon procedures using enhanced recovery pathways. Am J Surg. 2012;203(3):353–5. doi:10.1016/j.amjsurg.2011.09.017; discussion 5-6.

    Article  PubMed  Google Scholar 

  6. Adamina M, Kehlet H, Tomlinson GA, Senagore AJ, Delaney CP. Enhanced recovery pathways optimize health outcomes and resource utilization: a meta-analysis of randomized controlled trials in colorectal surgery. Surgery. 2011;149(6):830–40. doi:10.1016/j.surg.2010.11.003.

    Article  PubMed  Google Scholar 

  7. Favuzza J, Delaney CP. Laparoscopic-guided transversus abdominis plane block for colorectal surgery. Dis Colon Rectum. 2013;56(3):389–91. doi:10.1097/DCR.0b013e318280549b.

    Article  PubMed  Google Scholar 

  8. Delaney CP. Outcome of discharge within 24 to 72 hours after laparoscopic colorectal surgery. Dis Colon Rectum. 2008;51(2):181–5. doi:10.1007/s10350-007-9126-y.

    Article  PubMed  Google Scholar 

  9. Delaney CP, Chang E, Senagore AJ, Broder M. Clinical outcomes and resource utilization associated with laparoscopic and open colectomy using a large national database. Ann Surg. 2008;247(5):819–24. doi:10.1097/SLA.0b013e31816d950e.

    Article  PubMed  Google Scholar 

  10. Phitayakorn R, Delaney CP, Reynolds HL, Champagne BJ, Heriot AG, Neary P, et al. Standardized algorithms for management of anastomotic leaks and related abdominal and pelvic abscesses after colorectal surgery. World J Surg. 2008;32(6):1147–56. doi:10.1007/s00268-008-9468-1.

    Article  CAS  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Digestive Health Institute, University Hospitals Case Medical Center, 11100 Euclid Avenue, Cleveland, OH, 44106, USA

    Conor P. Delaney M.D., M.C.h., Ph.D., F.R.C.S.I., F.A.C.S., F.A.S.C.R.S.

  2. Surgical Education, Case Western Reserve University, 10900 Euclid Avenue, Cleveland, OH, 44106, USA

    Jeffrey L. Ponsky M.D.

  3. Department of Surgery, University of Tennessee Medical Center, 1924 Alcoa Highway, Knoxville, TN, 37920, USA

    Andrew Russ M.D.

Authors
  1. Conor P. Delaney M.D., M.C.h., Ph.D., F.R.C.S.I., F.A.C.S., F.A.S.C.R.S.
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  2. Jeffrey L. Ponsky M.D.
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  3. Andrew Russ M.D.
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Corresponding author

Correspondence to Andrew Russ M.D. .

Editor information

Editors and Affiliations

  1. Division of Surgical Oncology, City of Hope, Los Angeles, California, USA

    Joseph Kim

  2. Department of Surgery, Memorial Sloan-Kettering Cancer Center, New York, New York, USA

    Julio Garcia-Aguilar

Electronic supplementary material

Below is the link to the electronic supplementary material.

In this video, the surgeon demonstrates his approach to laparoscopic right colectomy. (MP4 69808 kb)

Key Operative Steps

Key Operative Steps

  1. 1.

    The patient is positioned and ports are placed.

  2. 2.

    The patient is rotated to left side down and placed in Trendelenburg position.

  3. 3.

    The omentum is placed over the transverse colon into the upper abdomen and the small bowel is moved to the left side to give adequate operative space.

  4. 4.

    Dissection and division of the ileocolic pedicle, protecting the ureter and duodenum.

  5. 5.

    Perform a medial-to-lateral dissection of the colonic mesentery.

  6. 6.

    Mobilize the hepatic flexure.

  7. 7.

    Mobilize the terminal ileum off the retroperitoneum.

  8. 8.

    Confirm full mobilization of the right colon to the midline.

  9. 9.

    Divide the right branch of the middle colic artery before the specimen is exteriorized.

  10. 10.

    Extension of the umbilical incision, placement of a wound retractor, and exteriorization of the specimen.

  11. 11.

    Extracorporeal resection and anastomosis.

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© 2015 Springer Science+Business Media New York

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Delaney, C.P., Ponsky, J.L., Russ, A. (2015). Laparoscopic Technique for Right Colectomy. In: Kim, J., Garcia-Aguilar, J. (eds) Surgery for Cancers of the Gastrointestinal Tract. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1893-5_16

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  • DOI: https://doi.org/10.1007/978-1-4939-1893-5_16

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1892-8

  • Online ISBN: 978-1-4939-1893-5

  • eBook Packages: MedicineMedicine (R0)

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