Right hemicolectomy, laparoscopically assisted - general and visceral surgery

Subcostal skin incision in the left medioclavicular line. Following infiltration of local anesthetic; insert the Verres needle; perform the safety tests and create the pneumoperitoneum.

Remove the Verres needle; split the muscles with scissors and bluntly insert the 10mm trocar.
Laparoscopic exploration: Minor fibrotic changes of the liver surface; small areas of adhesion of the cecal cancer with the parietal peritoneum at the lateral abdominal wall.

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.

Free the greater omentum from the transverse colon while opening the lesser sac.

Divide the peritoneal reflection first at the hepatic flexure and then complete its release by dividing the reflection along the right paracolic gutter.

With the monopolar hook tip electrode free the cecum from the abdominal wall including the parietal peritoneum and a layer of preperitoneal fatty tissue - without opening the tumor. The right hemicolon is now fully mobilized.