Right hemicolectomy

general and visceral surgery

readingtime 19:55 min.

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Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Laparotomy
Exploration
Mobilization of the ascending colon
Preparation of the mesenteric root
Kocher maneuver
Dissection of the duodenum from the mesenteric root
Opening of the omental bursa
Lymph node dissection in the area of the pancreatic head
Transection of the ileocolic artery and vein
Transection of the right colic artery
Transection of the ileum
Transection of the colon; handover of the specimen
Ileotransversostomy
Mesenteric suture
Robinson drainage; abdominal wall closure

Authors

Dr. med. Klaus Weber

Dr. med. Klaus Weber

Klinikum Erlangen

Prof. Dr. med. Werner Hohenberger

Prof. Dr. med. Werner Hohenberger

Universitätsklinikum Erlangen

Date

date of publication: 26.04.2009
date of update: 27.08.2023

Laparotomy

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Median midline laparotomy with right-sided umbilical incision. Transection of subcutaneous fat tissue and fascia with monopolar diathermy.
After transection of the peritoneum, insertion of a suprapubic bladder catheter. Positioning of the surgical site with the retractor system.

Exploration

Overview of the size and extent of the tumor and abdominal metastases. ... - Operations in general,

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general and visceral surgery

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After activation, you can expect the following content:

Laparotomy
Exploration
Mobilization of the ascending colon
Preparation of the mesenteric root
Kocher maneuver
Dissection of the duodenum from the mesenteric root
Opening of the omental bursa
Lymph node dissection in the area of the pancreatic head
Transection of the ileocolic artery and vein
Transection of the right colic artery
Transection of the ileum
Transection of the colon; handover of the specimen
Ileotransversostomy
Mesenteric suture
Robinson drainage; abdominal wall closure