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Laparoscopic Right Hemicolectomy

  • Steven D. Wexner
  • Susan M. Cera

Abstract

Preoperatively, patients undergo an appropriate medical evaluation. Imaging studies including CT scan, barium studies, and colonoscopy are undertaken for preoperative planning to assess the location of disease, review any associated complications, and identify any synchronous lesions. Preoperative marking of polyps by endoscopic tattooing using India ink is necessary to ensure intraoperative identification of the lesion and to avoid the need for intraoperative colonoscopy. In patients with recurrent Crohn’s disease or history of multiple laparotmoies, imaging studies are particularly important in providing “roadmaps” to define extent of previous resections, length of remaining bowel, and degree of previous mobilization of flexures. Preoperative mechanical and antibiotic bowel preparation consists of 45 cc sodium phosphate solution (Fleets phosphosoda; C.B. Fleet Co., Inc., Lynchburg, VA) PO at 4 pm and at 9 pm, each followed by 3–8 oz glasses of water, and 1 gm neomycin with 500 mg metronidazole at 7∶00 and 11∶00 pm.

Keywords

Mesenteric Defect Cecal Volvulus Ileocolic Anastomosis Sodium Phosphate Solution Middle Colic Vessel 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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References

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Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Steven D. Wexner
    • 1
  • Susan M. Cera
    • 1
  1. 1.Department of Colorectal SurgeryCleveland Clinic FloridaWestonUSA

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