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Right Hemicolectomy and Ileocecectomy: Laparoscopic Approach

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Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery

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Abstract

In this chapter, we will review the laparoscopic technique to perform a right hemicolectomy and ileocecectomy. There are many variations to this technique, and we will simplify the operation by dividing it into seven basic steps. A laparoscopic medial to lateral approach will be utilized to illustrate the seven steps of a right hemicolectomy. Alternatives to the medial to lateral approach including inferior to superior approach and lateral to medial approach will also be reviewed. Hand-assisted laparoscopy, single-port laparoscopy, and robotic surgery will be covered here but will be reviewed in more detail in other chapters of this book. In closing, a few difficult scenarios and complications will be discussed, and tips and tricks for dealing with them will be reviewed.

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Author information

Authors and Affiliations

  1. Department of Surgery, University of California, Irvine, Orange, CA, USA

    Joseph C. Carmichael MD & Michael J. Stamos MD

Authors
  1. Joseph C. Carmichael MD
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  2. Michael J. Stamos MD
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Corresponding author

Correspondence to Joseph C. Carmichael MD .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery, Department of Surgery, University of Nevada School of Medicine, Las Vegas, Nevada, USA

    Ovunc Bardakcioglu

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Opening peritoneum and ligation of pedicle in obese patient. (MPG 4 kb)

Opening peritoneum and ligation of pedicle. (MPG 4 kb)

Medial to lateral dissection (MPG 4 kb)

Lateral to medial dissection with exposure of the duodenum (MPG 4 kb)

Peritoneal incision and mobilization of the terminal ileum (MPG 4 kb)

Takedown of the hepatic flexure (MPG 4 kb)

Ligation of middle colics from cephalad (MPG 4 kb)

Ligation of middle colics from caudal (MPG 4 kb)

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Carmichael, J.C., Stamos, M.J. (2015). Right Hemicolectomy and Ileocecectomy: Laparoscopic Approach. In: Bardakcioglu, O. (eds) Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7531-7_5

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  • DOI: https://doi.org/10.1007/978-1-4899-7531-7_5

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7530-0

  • Online ISBN: 978-1-4899-7531-7

  • eBook Packages: MedicineMedicine (R0)

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