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Laparoscopic right colectomy in an obese patient with a dysplastic adenoma

C Huscher, MD, PhD, FACS, FRCS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Feb 2009;09(02). URL: http://websurg.com/doi/vd01en2498

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  • 2009-02-12
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This video demonstrates a laparoscopic three-port right hemicolectomy in an obese patient with a dysplastic adenoma. A stepwise approach including landmark identification is undertaken during the procedure. The specimen is extracted through a small laparotomy, which will be protected by a plastic bag. An extracorporeal mechanical side-to-side anastomosis using a 60mm Endo-GIA is made and the mesenteric window is closed using a monofilament 2/0 running suture. This video is a good demonstration of key anatomic landmarks, surgical planes, and surgical approach to a right hemicolectomy.