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Laparoscopic radical right hemicolectomy using a caucal-to-cranial approach

Xin Q Lu, MD. The Second Affiliated Hospital of Gnangzhou University of Chinese Medicine

With the continuous development of minimally invasive techniques, laparoscopic surgery has become the gold standard for colorectal cancer radical surgery. In laparoscopic radical right hemicolectomy, medial-to-lateral approach was widely accepted, but because of medial-to-lateral approach need the high requirements on anatomy technology, for the cases of obesity, mesangial hyperemia and edema,the operation is particularly difficult. Based on our previous clinical practice of laparoscopic surgery for colon cancer and understanding of surgical anatomy,the author puts forward laparoscopic radical right hemicolectomy using caudal-to-cranial approach(low-white borderline between right mesostenium and retroperitoneal is firstly cut as the entry to dissect the fusion fascial space between the visceral and parietal peritoneum,which is called caudal-to-cranial approach for right hemicolectomy), to evaluate the safety, feasibility and advantage.


Presented at the SAGES 2017 Annual Meeting in Houston, TX.

Abstract ID: 79061

Program Number: P347

Presentation Session: Poster (Non CME)

Presentation Type: Poster

47

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