Skip to main content

Advertisement

SpringerLink
Log in

Laparoscopic right hemicolectomy with intracorporeal anastomosis

  • How I Do It
  • Published:
Techniques in Coloproctology Aims and scope Submit manuscript

Abstract

The author presents a technique for performing laparoscopic right hemicolectomy, accompanied by an online video. This method is suitable for a single surgeon working with a single assistant, who is also the cameraman. It starts with a hybrid medial-to-lateral or lateral-to-medial dissection of the right colon and mesentery, adapting to the actual anatomical findings and adhesions encountered in each individual patient. A step-by-step approach is described. Achieving the anatomical goals of each step facilitates the performance of the next step. An intracorporeal technique for anastomosis is demonstrated.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Clinical Outcomes of Surgical Therapy Study Group (2004) A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med 350:2050–2059

    Article  Google Scholar 

  2. Veldkamp R, Kuhry E, Hop WC et al (2005) Laparoscopic surgery versus open surgery for colon cancer: short-term outcomes of a randomized trial. Lancet Oncol 6:477–484

    Article  PubMed  Google Scholar 

  3. Schlachta CM, Mamazza J, Sheshadri PA, Cadeddu M, Gregoire R, Poulin EC (2001) Defining a learning curve for laparoscopic colorectal resection. Dis Colon Rectum 44:217–222

    Article  CAS  PubMed  Google Scholar 

  4. Abdel-Halim MR, Moore HM, Cohen P, Dawson P, Buchanan GN (2010) Impact of laparoscopic right hemicolectomy for cancer surgery. Ann R Coll Surg Engl 92:211–217

    Article  CAS  PubMed  Google Scholar 

  5. Satori CA, D’Annibale A, Cutini G et al (2007) Laparoscopic surgery for colorectal cancer: clinical practice guidelines of the Italian Society of Colo-Rectal Surgery. Tech Coloproctol 11:97–104

    Article  Google Scholar 

  6. Choi SI, Lee KY, Park SJ, Lee SH (2010) Single port laparoscopic right hemicolectomy with D3 dissection for advanced colon cancer. World J Gastroenterol 16:275–278

    Article  PubMed  Google Scholar 

  7. Burghardt J, Federlein M, Muller V, Benhidjeb T, Elling D, Gellert K (2008) Minimally invasive transvaginal right hemicolectomy: report of the first complex NOS (natural orifice surgery) bowels operation using a hybrid approach. Zentralbl Chir 133:574–576

    Article  CAS  PubMed  Google Scholar 

  8. DeSouza AL, Prasad LM, Park JJ, Marecik SJ, Blumetti J, Abcarian H (2010) Robotic assistance in right hemicolectomy: is there a role? Dis Colon Rectum 53:1000–1006

    PubMed  Google Scholar 

  9. Grams J, Tong W, Greenstein AJ, Salky B (2010) Comparison of intracorporeal versus extracorporeal anastomosis in laparoscopic-assisted hemicolectomy. Surg Endosc 24:1886–1891

    Article  PubMed  Google Scholar 

  10. Hellan M, Anderson C, Pigazzi A (2009) Extracorporeal versus intracorporeal anastomosis for laparoscopic right hemicolectomy. JSLS 13:312–317

    PubMed  Google Scholar 

  11. Casciola L, Ceccarelli G, Di Zitti L et al (2003) Laparoscopic right hemicolectomy with intracorporeal anastomosis. Technical aspects and personal experience. Minerva Chir 58:621–627

    CAS  PubMed  Google Scholar 

  12. Franklin ME Jr, Kelley H, Kelley M, Brestan L, Portillo G, Torres J (2008) Transvaginal extraction for specimen after total laparoscopic right hemicolectomy with intracorporeal anastomosis. Surg Laparosc Endosc Percutan Tech 18:294–298

    Article  PubMed  Google Scholar 

  13. Senagore AJ, Delaney CP, Mekhail N, Dugan A, Fazio VW (2003) Randomized clinical trial comparing epidural anaesthesia and patient-controlled analgesia after laparoscopic segmental colectomy. Br J Surg 90:1195–1199

    Article  CAS  PubMed  Google Scholar 

  14. Young-Fadok TM, Nelson H (2000) Laparoscopic right colectomy: five-step procedure. Dis Colon Rectum 43:267–271

    Article  CAS  PubMed  Google Scholar 

  15. Liang JT, Lai HS, Lee PH (2007) Laparoscopic medial-to-lateral approach for the curative resection of right sided colon cancer. Ann Surg Oncol 14:1878–1879

    Article  PubMed  Google Scholar 

  16. Yamaguchi S, Kuroyanagi H, Milsom JW, Sim R, Shimada H (2002) Venous anatomy of right colon: precise structure of major veins and gastrocolic trunk in 58 cadavers. Dis Colon Rectum 45:1337–1340

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Surgery, School of Medicine and Dentistry, James Cook University, Townsville, Queensland, 4814, Australia

    Y.-H. Ho

Authors
  1. Y.-H. Ho
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Y.-H. Ho.

Additional information

A comment to this paper is available at doi: 10.1007/s10151-010-0646-4.

Electronic supplementary material

Below is the link to the electronic supplementary material.

Supplementary material 1 (MPG 429,324 kb)

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ho, YH. Laparoscopic right hemicolectomy with intracorporeal anastomosis. Tech Coloproctol 14, 359–363 (2010). https://doi.org/10.1007/s10151-010-0647-3

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10151-010-0647-3

Keywords

Search

Navigation