Perioperative management - Right hemicolectomy, laparoscopically assisted

• Adenocarcinoma of the cecum and ascending colon
• Carcinoid of the appendix, if an appendectomy is not oncologically sufficient

• Adenocarcinoma of the right colonic flexure
• Familial adenomatous polyposis (restorative proctocolectomy with ileoanal pouch anastomosis)
• Cancers on the basis of ulcerative colitis (restorative proctocolectomy with ileoanal pouch anastomosis)

• Complete colonoscopy with biopsies for histological confirmation, preferably with ink marking for easy intraoperative localization.
• Laboratory: CBC, CRP, coagulation, creatinine, electrolytes, blood type, antibody screening test, CEA
• Abdominal ultrasound, chest X-ray in 2 planes, possibly liver MRI, contrast-enhanced liver ultrasound and/or CT of the thorax/abdomen

• generally unnecessary, but
• in case of suspected infiltration of the ureter by the tumor or involvement by the peritumoral inflammatory reaction, placement of a right-sided ureteral stent!

General Risks:

• Bleeding
• Rebleeding
• Thrombosis
• Embolism
• Wound infection

Specific Risks:

• Injury to the right ureter
• Injury to the duodenum
• Postoperative anastomotic insufficiency
• Scar and trocar hernia
• Anastomotic stenosis