Right hemicolectomy, laparoscopically assisted - general and visceral surgery
You have not purchased a license - paywall is active: to the product selection
Skin incision and Verres needle insertion
Inserting the 10mm trocar; diagnostic laparoscopy
Inserting the 5mm trocars; patient positioning
Insert two 5mm trocars in the mid-abdomen in the left medioclavicular line and paramedian in the left lower abdomen - each under view after transillumination, infiltration of local anesthetic and skin incision.
Trendelenburg positioning and left tilt of the table will displace the small intestine into the left upper quadrant.Dissecting the ileocolic vessels
Dividing the ileocolic artery and vein
Dividing mesocolon and mesentery
Mobilizing the terminal ileum
Dividing the mesentery
Dividing the right colic artery
Dividing the transverse mesocolon
Opening the omental bursa
Dividing the peritoneal reflection
Freeing the cecum
Right supraumbilical minilaparotomy; exteriorizing the right hemicolon
Transecting the right hemicolon
Hand-sewn end-to-end anastomosis
Checking and interiorizing the anastomosis
Suturing the fascia of the minilaparotomy
Laparoscopic check
Closing the mesenteric defect and irrigating the abdominal cavity
Removing the trocars and suturing the fascia; subcuticular skin suture and dressing
date of update: 01.02.2017
date of publication: 20.11.2011
Single Access
Access to this lecture
for 3 days
€4.99 inclusive VAT

webop-Account Single
full access to all lectures
price per month
for the modul: vascular surgery