Laparoscopic extended right hemicolectomy with D3 lymphadenectomy using a medial-to-lateral approach
10.3760/cma.j.issn.1673-9752.2012.03.003
- VernacularTitle:腹腔镜中间入路扩大右半结肠癌D3根治术
- Author:
Guoxin LI
;
Liying ZHAO
- Publication Type:Journal Article
- Keywords:
Colonic neoplasms;
Laparoscopy;
Extended right hemicolectomy;
Anatomical landmark;
Complete mesocolic excision
- From:
Chinese Journal of Digestive Surgery
2012;11(3):200-203
- CountryChina
- Language:Chinese
-
Abstract:
Lapareseopic colectomy is commonly performed,but laparoscopic extended right hemicolectomy with D3 lymphadenectomy for cancer located at hepatic flexure of the colon is a complex procedure,even in the hands of experts.Laparoscopic dissection of the lymph nodes around the middle colonic and right gastroepiploic vessels are so complicated that precise vascular anatomy and surgical plane are essential to complete this procedure safely.We herein describe a standard technique for performing laparoscopic extended right hemicolectomy with D3 lymphadenectomy using a medial-to-lateral approach.The main surgical plane of this procedure is the right Toldt's space.The superior mesenteric vein (SMV) is the most important anatomical landmark of vascular dissection.Medial-to-lateral approach makes it easy to locate the right Toldt's space and the SMV.
