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.


Left Ureter Proximal Margin Ultrasonic Scalpel Extraneous Tissue Small Bowel Series 
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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© Springer Science+Business Media, LLC 2006

Authors and Affiliations

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

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