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Leroy J, Marescaux J. Tratamiento laparoscópico del cáncer de colon derecho. Epublication: WeBSurg.com, Jan 2007;7(1). URL: http://www.websurg.com/ref/doi-vd01es1879.htm
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General and digestive > Colon > Cancer > Laparoscopic right colectomy

J Leroy (France), J Marescaux (France)

January 2007
Spanish - 21'00''

Este video muestra una hemicolectomía derecho laparoscópica no complicada en una paciente obesa con cáncer del ciego. El cirujano utiliza 4 trócares para lograr una movilización medial del mesenterio, dividir la arteria ileocólica en la raíz y luego movilizar el colon derecho proximal al colon transverso. El íleo terminal se divide intracorpóreamente y el especimen se extrae a través de una incisión lateral derecha. Se realiza una anastomosis engrapada extracorpóreamente y la ventana mesentérica no se cierra. El video evidencia los puntos de referencia anatómicos, los planos quirúrgicos y el abordaje quirúrgico para una hemicolectomía derecha para cáncer utilizando un abordaje medial.

 

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