Laparoscopic Right-Sided Colectomy (Ileocecal Resection, Right Hemicolectomy, Extended Right Hemicolectomy)

Abstract

The most common disease for right-sided colectomy is right-sided colon cancer. Although transverse colon cancer has been excluded from most of the major prospective randomized controlled trials due to technical concerns, laparoscopic surgery for right-sided colon cancer has been well established. The procedure of right-sided colectomy is divided into four parts: (1) mobilization of the right colon and its mesentery; (2) division of the vascular pedicles; (3) division of the lateral attachments, hepatic flexure, and omental attachments; and (4) specimen extraction and anastomosis. There are four commonly used approaches to a laparoscopic right-sided colectomy, namely, the medial, inferior, lateral, and superior approaches. The most important thing in all approaches is to create and maintain proper tension during the procedure by corporation between both hands of the assistant and the surgeon’s one hand. We will present a safe and steady procedure for right-sided colectomy with the regional lymph node dissection along the superior mesenteric vein.