Cranial-first approach for laparoscopic extended right hemicolectomy

Autor: Kyong-Min Kang, Heung-Kwon Oh, Hong-Min Ahn, Tae-Gyun Lee, Hye-Rim Shin, Mi-Jeong Choi, Duck-Woo Kim, Sung-Bum Kang
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Annals of Coloproctology, Vol 40, Iss 3, Pp 282-284 (2024)
Druh dokumentu: article
ISSN: 2287-9714
2287-9722
DOI: 10.3393/ac.2023.00661.0094
Popis: Complete mesocolic excision and central vascular ligation with D3 lymphadenectomy are important surgical principles for improving oncological outcomes in colon cancer. The cranial-first approach is a colonic mobilization–first approach for radical right hemicolectomy, which has several advantages, including early feasibility assessment, safe dissection from surrounding organs, preestablished inferior margin of lymph node dissection, and revelation of the tangible anatomy of the tributaries of the gastrocolic trunk. This video demonstrates the cranial-first approach for laparoscopic extended right hemicolectomy in a 66-year-old man with locally advanced cecal cancer.
Databáze: Directory of Open Access Journals