Laparoscopic right hemicolectomy indicates a surgical technique for the removal of right-sided colon cancer; it nowadays represents an effective treatment for this disease, but it remains a demanding procedure, burdened by the risk of serious complications, especially in laparoscopic surgery. Indeed, a standard technique for the execution of this intervention does not exist. The purpose of this study is to suggest a standardization of the procedure advising some tips and tricks which could benefit its learning and its performance, helping operators to minimize the risk of major complications. After creation of pneumoperitoneum and port placement, the procedure is structured in consecutive steps: surgical field exposure, vascular dissection, coloparietal detachment, ileal and colic sectioning, anastomosis. During the intervention, the surgical plans and all the structures involved are identified and safeguarded. The entire demolition phase occurs in an anti-clockwise direction. An intracorporeal anastomosis is performed and enterotomies are closed using a two-layer, running barbed suture. During all phases, the assistant grabs and moves bowels in order to improve the field exposure and facilitate the operator's maneuvers.
Laparoscopic right colectomy: Road to safety surgery / Anoldo, P.; Manigrasso, M.; Milone, M.. - In: ANNALS OF LAPAROSCOPIC AND ENDOSCOPIC SURGERY. - ISSN 2518-6973. - 5:October(2020), pp. 37-37. [10.21037/ales-20-93]
Laparoscopic right colectomy: Road to safety surgery
Anoldo P.;Manigrasso M.;Milone M.
2020
Abstract
Laparoscopic right hemicolectomy indicates a surgical technique for the removal of right-sided colon cancer; it nowadays represents an effective treatment for this disease, but it remains a demanding procedure, burdened by the risk of serious complications, especially in laparoscopic surgery. Indeed, a standard technique for the execution of this intervention does not exist. The purpose of this study is to suggest a standardization of the procedure advising some tips and tricks which could benefit its learning and its performance, helping operators to minimize the risk of major complications. After creation of pneumoperitoneum and port placement, the procedure is structured in consecutive steps: surgical field exposure, vascular dissection, coloparietal detachment, ileal and colic sectioning, anastomosis. During the intervention, the surgical plans and all the structures involved are identified and safeguarded. The entire demolition phase occurs in an anti-clockwise direction. An intracorporeal anastomosis is performed and enterotomies are closed using a two-layer, running barbed suture. During all phases, the assistant grabs and moves bowels in order to improve the field exposure and facilitate the operator's maneuvers.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.