Cranial-first approach for laparoscopic extended right hemicolectomy

Complete mesocolic excision and central vascular ligation with D3 lymphadenectomy are important surgical principles for improving oncological outcomes in colon cancer. The cranial-first approach is a colonic mobilization-first approach to radical right hemicolectomy, which has several advantages, in...

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Bibliographic Details
Published in:Annals of coloproctology 2024, 40(3), , pp.282-284
Main Authors: Kang, Kyong-Min, Oh, Heung-Kwon, Ahn, Hong-Min, Lee, Tae-Gyun, Shin, Hye-Rim, Choi, Mi-Jeong, Kim, Duck-Woo, Kang, Sung-Bum
Format: Article
Language:English
Subjects:
colectomy
colonic neoplasms
laparoscopy
lymph node excision
mesocolon
일반외과학
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Summary:Complete mesocolic excision and central vascular ligation with D3 lymphadenectomy are important surgical principles for improving oncological outcomes in colon cancer. The cranial-first approach is a colonic mobilization-first approach to radical right hemicolectomy, which has several advantages, including early feasibility assessment, safe dissection from surrounding organs, preestablished inferior margin of lymph node dissection, and revelation of the tangible anatomy of the tributaries of the gastrocolic trunk. This video demonstrates the cranial-first approach to radical right hemicolectomy in a 66-year-old man with locally advanced cecal cancer.
ISSN:2287-9714
2287-9722
DOI:10.3393/ac.2023.00661.0094