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A stepwise approach to laparoscopic right hemicolectomy with D2 excision. An illustrated video guide for training colorectal surgeons ‐ a video vignette
Author(s) -
Walmsley James,
Max Samuel,
Hughes Gemma,
Ahmed Jamil
Publication year - 2021
Publication title -
colorectal disease
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.029
H-Index - 89
eISSN - 1463-1318
pISSN - 1462-8910
DOI - 10.1111/codi.15763
Subject(s) - medicine , dissection (medical) , right hemicolectomy , vignette , surgery , anastomosis , hemicolectomy , ascending colon , resection , general surgery , colorectal cancer , cancer , psychology , social psychology
We present a stepwise approach to performing a laparoscopic right hemicolectomy along with D2 excision. The video illustrates a modular approach for set up and resection, performed on a 60‐year‐old male patient, with a cancer in the ascending colon. The procedure is divided into its key steps, which include patient position, port placement and anatomical exposure, medial to lateral dissection with vessel control, sub‐ileal dissection, lateral mobilization, hepatic flexure mobilization and extraction with extracorporeal anastomosis. The key regional anatomy is highlighted alongside diagrams illustrating standard anatomy and common anatomical variants. We believe this video provides a valuable resource for trainee surgeons to expand their understanding regarding steps of the procedure and associated anatomy.