Wei Wang. Guangdong Provincial Hospital of Chinese Medicine
Here, we introduce laparoscopic curettage and aspiration technique in right hemicolectomy with complete mesocolic excision.
Firstly, the mesocolon between the ileocolic pedicle and superior mesenteric vein was identified. The mesocolon and the peritoneum along the superior mesenteric vein was dissected. The superior mesenteric vein was exposed. The right Toldt's space and the pancreatic duodenal anterior space were separated with complete mesocolic excision. Then the ileocolic vessels (ICVs), right colic vessels (RCVs), Henle’s trunk and its branches and the middle colic vessels (MCVs) were exposed. The ICVs, RCVs, right branch of MCVs were ligated at root.
Secondly, the gastrocolic omentum was dissected for full mobilization of the mesocolon containing 10 cm of normal colon distal to the lesion. And the lateral attachments of the ascending colon was also separated.
Finally, the peritoneum between the mesentery and retroperitoneum was cut. The right colon was completely mobilized.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 96007
Program Number: V307
Presentation Session: Video Loop Day 3
Presentation Type: VideoLoop
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