[Technique of right laparoscopic hemicolectomy]

Area of Science:

• Colorectal Surgery
• Minimally Invasive Surgery
• Surgical Techniques

Background:

• Traditional right hemicolectomy can be complex.
• Advancements in minimally invasive surgery offer potential benefits.
• Standardization of techniques is crucial for consistent outcomes.

Purpose of the Study:

• To describe and evaluate a standardized minimally invasive technique for right hemicolectomy.
• To highlight the patho-anatomic advantages facilitating the procedure.
• To assess the practicability and repeatability of the method.

Main Methods:

• Mobilization of the colon segment using a window technique along mesenteric bridges.
• Transection of the ileocolic lymphovascular pedicle.
• Extracorporeal resection and anastomosis following exteriorization of the colon segment.

Main Results:

• The described technique allows for technically easy mobilization and approach to the lymphovascular pedicle.
• The procedure facilitates uncomplicated salvage and anastomosis.
• Right hemicolectomy is demonstrated as easy, practicable, and repeatable with this standardized method.

Conclusions:

• The standardized minimally invasive right hemicolectomy is a viable and advantageous procedure.
• Its patho-anatomic features support its inclusion in modern colorectal surgery armamentarium.
• The technique offers the benefits of minimally invasive surgery for right hemicolectomy.