Laparoscopic Complete Mesocolic Excision for Right Colon Cancer

  • Nam Kyu Kim

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This video shows how to perform laparoscopic complete mesocolic excision, with radical lymphadenectomy, in patients with right colon cancer. Following description of the surgical anatomy, all essential components of the procedure are clearly explained, including patient presentation, medial to lateral dissection, central vascular ligation, and extracorporeal anastomosis. Viewers will learn how to perform surgery along the embryological plane and how to avoid damage to the blood vessels, bearing in mind the high chance of aberrant branches. Particular attention is drawn to the variation in the gastrocolic trunk of Henle and relevant vascular branches. The video will be an ideal aid to safe and effective performance of the procedure.

Acknowledgements

Ho Seung Kim (Department of surgery, Yonsei University College of Medicine)

Eman Adnan Zakarneh (Department of general surgery, king Fahad military medical complex, Saudi Arabia)

Manar Mohammed Nassr (Royal Hospital, Ministry of health, Oman)

Introduction

This video shows how to perform laparoscopic complete mesocolic excision, with radical lymphadenectomy, in patients with right colon cancer.

About The Author

Nam Kyu Kim

Dr. Nam Kyu Kim had performed over 10,000 cases of colorectal cancer so far, since2003, he started laparoscopic surgery for colorectal cancer. There after 2007 he also started robotic approach for rectal cancer, another over 2,000 cases would be IBD, diverticular disease and benign anorectal disease. He has served as 1st president of Asian pacific society of colorectal cancer, and president of Korean coloproctology and also president of Korean society of surgical oncology and president of Korean colorectal cancer study group. He published over 390 peer reviewed articles and author of chapter and books.

 

About this video

Author(s)
Nam Kyu Kim
DOI
https://doi.org/10.1007/978-981-33-6125-6
Online ISBN
978-981-33-6125-6
Total duration
28 min
Publisher
Springer, Singapore
Copyright information
© Springer Nature Singapore Pte Ltd. 2020

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Video Transcript

[MUSIC PLAYING]

Let me talk about the case presentation for laparoscopic complete mesocolic excision for colon cancer.

61-year-old lady underwent colonoscopy for medical check-up. Unfortunately, we found the ulcerofungating mass at the transverse colon. It seems to be not obstructed the lumen. And past history show that she had a hypothyroidism. Finally, tissue confirmed the adenocarcinoma of the colon.

The colonoscopy showed, as I mentioned before, ulcerofungating mass, a tissue-proven adenocarcinoma, colon cancer with a transverse colon. And you can see the CT scan, that the mass in the proximal t colon, which it seems to be involve the wall of the colon. So this is a clinical T3 and N0, because of no enlarged lymph node around the mesentery.

So we are planning to operate her by laparoscopic extended right hemicolectomy with a lymph node dissection. Thank you.