Laparoscopic Left Hemicolectomy
Although laparoscopic left hemicolectomy is technically demanding that necessitates successful completion of a challenging learning curves. The requisite learning is limited not only to the techniques and methods, but as importantly to appropriated patient selection. Moreover some preoperative evaluation(s) may be valuable to facilitate the procedure. Specifically, computed tomography (CT) scan can be useful in assessing the extent of the disease; water soluble contrast enema and/or small bowel series may be helpful to anatomically localize any stenosis or fistula tract in patients with inflammatory processes. Colonoscopy with biopsy is widely performed to determine the pathology, however it may not always accurately detect the anatomical site. Intraoperative localization can be both difficult and time consuming, particularly when the surgical indication is an endoscopically unresectable adenoma or a small carcinoma.
KeywordsLeft Ureter Proximal Margin Ultrasonic Scalpel Extraneous Tissue Small Bowel Series
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- Zucker KA. Laparoscopic left hemicolectomy and sigmoidectomy. In: Bruce MacFadyen BV, Jr. (ed) Laparoscopic Surgery of the Abdomen. New York: Springer-Verlag. 2003: 369–379.Google Scholar
- Milsom JW, Bohm B. Proctosigmoidectomy. In: Laparoscopic Colorectal Surgery. New York: Springer-Verlag 1995:148–166.Google Scholar
- Coller JA, Bruce CJ. Laparoscopic sigmoid resection for diverticular disease. In: Wexner SD (ed) Laparoscopic Colorectal Surgery. New York, Wiley-Liss 1999: 141–157.Google Scholar
- Jacobs M. Laparoscopic left colectomy. In: Philips EH, Rosenthal RJ (ed) Operative Strategy in Laparoscopic Colorectal Surgery. New York: Springer-Verlag 1995:230–235.Google Scholar