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Updated: Jun 10, 2026
Caudal-to-cranial Approach in Laparoscopic Right Hemicolectomy with Complete Mesocolon Excision and D3 Lymph Node Dissection
Published on: January 9, 2026
Pedicled ileal flap for duodenal defect after right hemicolectomy
Lianwen Yuan1, Jianping Zhou, Guoshun Shu
1Department of Geriatrics Surgery, The Second Xiangya Hospital of Center-South University, Changsha, Hunan 410011, PRC. yuanlianwen1971@yahoo.com.cn
Background/Aims:
To describe a convenient approach for repairing a large duodenal defect after right hemicolectomy for right side colon neoplasm.
Methodology:
Six patients with a large duodenal defect after right hemicolectomy with partial duodenectomy for right side colon neoplasm were treated with a pedicled ileal flap to cover the large duodenal defect.
Results:
Six cases recovered smoothly. There was no perioperative morbidity and mortality in this series, except for one patient who had a duodenal leakage but who got well with medical treatment. Postoperative radiography showed normal duodenal peristalsis.
Conclusions:
The pedicled ileal flap procedure for repairing a large duodenal defect after right hemicolectomy is safe and convenient, and is especially indicated for elderly patients or patients with poor general condition.
