Right hemicolectomy, laparoscopically assisted

  1. Skin incision and Verres needle insertion

    Video
    Skin incision and Verres needle insertion

    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.

  2. Inserting the 10mm trocar; diagnostic laparoscopy

    Video
    Inserting the 10mm trocar; diagnostic laparoscopy

    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.

  3. Inserting the 5mm trocars; patient positioning

    Video
    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.

  4. Dissecting the ileocolic vessels

    Video
    Dissecting the ileocolic vessels

    Stretching the mesentery at the ileocecal junction will pinpoint the ileocolic vessels.
    Free the ileocolic and superior mesenteric arteries at their origins. Then free the venous junctions.

  5. Dividing the ileocolic artery and vein

    Video
    Dividing the ileocolic artery and vein

    Divide the ileocolic artery between Lapro-Clips® after also sealing its central trunk with the LigaSure™ V. Follow this by transecting the ileocolic vein after sealing it with the LigaSure™ V.

Dividing mesocolon and mesentery

Divide the mesocolon / mesentery off the retroperitoneum respecting the correct layer while exposin

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