Choice of the mode of laparoscopic right hemicolectomy.
- Author:
Changqing JING
1
Author Information
1. Department of Gastrointestinal Surgery, Shandong Provincial Hospital, Shandong University, Jinan 250021, China. jing66510122@sina.com.
- Publication Type:Journal Article
- MeSH:
Abdomen;
surgery;
Clinical Decision-Making;
methods;
Colectomy;
methods;
Hand-Assisted Laparoscopy;
Humans;
Intestinal Obstruction;
Laparoscopy;
methods;
Lymph Node Excision;
methods;
Mesocolon;
surgery;
Minimally Invasive Surgical Procedures;
methods;
Natural Orifice Endoscopic Surgery;
Obesity;
Robotic Surgical Procedures;
methods;
Tissue Adhesions
- From:
Chinese Journal of Gastrointestinal Surgery
2017;20(5):504-506
- CountryChina
- Language:Chinese
-
Abstract:
Laparoscopy has become the standard surgery mode of right hemicolectomy, including conventional laparoscopy, hand-assisted laparoscopic surgery (HALS), single-port laparoscopic surgery (SPLS), natural orifices translumenal endoscopic surgery (NOTES) and robotic laparoscopy. How to select reasonable laparoscopic mode could be confusing sometimes. For patients, safety, cost-effectiveness and radical cure of the surgery are very important. For doctors, advance and convenience of the surgery must be considered as well. How do we choose a win-win operation method Conventional laparoscopic surgery is the basis of all the minimally invasive surgeries, and total mesocolon resection with D3 lymphadenectomy is an important technical foundation of right hemicolectomy. HALS has some advantages in patients with obesity, abdominal surgery history, intestinal adhesion or intestinal obstruction. SPLS and NOTES have minimized abdominal trauma leading to faster recovery, but have certain technical difficulties, especially NOTES. Although robotic laparoscopic surgery is advanced, but its high cost limits its popularization. Surgeons should integrate their technical levels, hospital equipment, and conditions of patients, then choose reasonable operation mode of right hemicolectomy.
