Laparoscopic Left Colectomy

  • Alessio PigazziEmail author
  • Matthew T. Brady


Over the past decades, advances in minimally invasive surgery have been observed in all surgical fields. Within colon and rectal surgery, the adoption of minimally invasive surgical techniques has allowed for improvements in patient care and recovery. Patients can expect shorter recovery times, decreased hospital length of stays, less postoperative pain medication requirements, and decreased risk of incisional hernia development as a result of these minimally invasive approaches. This chapter aims to present a stepwise approach to laparoscopic left colectomy to aid in developing the necessary skills to master this approach.


Laparoscopic left colectomy Minimally invasive surgery Laparoscopic colon resection 

Supplementary material

Video 20.1

Laparoscopic left Laparoscopic left colectomy left colon mobilization medial-to-lateral dissection colectomy (MP4 275383 kb)


  1. 1.
    Fox J, Gross CP, Longo W, Reddy V. Laparoscopic colectomy for the treatment of cancer has been widely adopted in the United States. Dis Colon Rectum. 2012;55(5):501–8.CrossRefGoogle Scholar
  2. 2.
    Shapiro R, Keler U, Segev L, et al. Laparoscopic right hemicolectomy with intracorporeal anastomosis: short- and long-term benefits in comparison with extracorporeal anastomosis. Surg Endosc. 2016;30(9):3823–9.CrossRefGoogle Scholar
  3. 3.
    Reid K, Pockney P, Draganic B, Smith SR. Barrier wound protection decreases surgical site infection in open elective colorectal surgery: a randomized clinical trial. Dis Colon Rectum. 2010;53(10):1374–80.CrossRefGoogle Scholar
  4. 4.
    Sujatha-Bhaskar S, Jafari MD, Hanna M, et al. An endoscopic mucosal grading system is predictive of leak in stapled rectal anastomoses. Surg Endosc. 2018;32(4):1769–75.CrossRefGoogle Scholar
  5. 5.
    Pigazzi A, Hellan M, Ewing DR, et al. Laparoscopic medial-to-lateral colon dissection: how and why. J Gastrointest Surg. 2007;11(6):778–82.CrossRefGoogle Scholar
  6. 6.
    Carmichael J, Mills S. Anatomy and embryology of the colon, rectum, and anus. In: Steele SR, Hull TL, Read TE, Saclarides TJ, Senagore AJ, Whitlow CB, editors. The ASCRS textbook of Colon and Rectal surgery. 3rd ed. Cham: Springer International Publishing; 2016. p. 3–26.CrossRefGoogle Scholar
  7. 7.
    Nelson H, Sargent DJ, Wieand HS, et al. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350(20):2050–9.CrossRefGoogle Scholar
  8. 8.
    Stulberg JJ, Champagne BJ, Fan Z, et al. Emergency laparoscopic colectomy: does it measure up to open? Am J Surg. 2009;197(3):296–301.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Surgery, Division of Colon and Rectal SurgeryUniversity of California, Irvine Medical CenterOrangeUSA

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