Laparoscopic Right Hemicolectomy.
Laparoscopic Right Hemicolectomy.
复制标题
DOI:
10.1097/dcr.0000000000001989
复制
发表时间:
2021-05
影响因子:
3.9
通讯作者:
Friel CM
中科院分区:
文献类型:
--
作者:
Kane WJ;Friel CM
3. Critical steps: Intracorporeal ligation and division of the bowel and mesentery are followed by specimen withdrawal and extracorporeal anastomosis creation through a right upper quadrant incision. 4. Technical pearls/tips: The right upper quadrant port site is extended for creation of the off-midline transverse extraction incision, which is associated with a decreased risk of future hernia formation. By performing an intracorporeal division of the bowel and mesentery, the specimen is able to be extracted longitudinally, which minimizes the size of the incision used for extraction. 5. Potential areas for injury/complication: As with any right hemicolectomy, care is taken to avoid injury to the ureter. Additionally, if the omentum is not adequately dissected off of the transverse colon, the extraction incision may become unnecessarily large.