Laparoscopic extended right hemicolectomy for cancer management is an uncommon operation because it is difficult to divide the middle colic vessels laparoscopically in an oncologic resection. Furthermore, some surgeons believe a left hemicolectomy is an adequate alternative. This study aimed to evaluate the feasibility of performing a laparoscopic hand-assisted extended right hemicolectomy for cancer located between the distal transverse colon and the proximal descending colon. The technique was described and demonstrated with a video presentation. The clinical outcome was recorded for four consecutive patients.
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The authors thank Ms. Narelle Swain, Secretary for the Department of Surgery, Nepean Hospital, for the preparation of this report.
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Chew, S.S.B., Adams, W.J. Laparoscopic hand-assisted extended right hemicolectomy for cancer management. Surg Endosc 21, 1654–1656 (2007). https://doi.org/10.1007/s00464-006-9128-1
- Colon cancer
- Extended right hemicolectomy
- Laparoscopic surgery
- Splenic flexure