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23 Keysteps
- Case history
- Preoperative CT-scan
- Vascular 3D reconstruction
- Description of surgical approach
- Exposure of the ileocaecal junction
- Identification of the right vascular branches of the middle colic artery
- Dissection of the right mesocolon at the origin of ileocolic vessels
- Dissection and ligature of ileocolic vessels
- Identification of superior mesenteric vein
- Exposure of the junction of ileocolic vessels with the superior mesentery vessels
- Dissection and ligature of the ileocaecal artery and vein
- Medial dissection of the right mesocolon
- Lateral dissection of Toldt’s line
- Dissection of retroperitoneal structures
- Completion of mesocolic transection
- Transection of ileum (proximal margin)
- Transection of ascending colon (distal margin)
- Hemostasis of staple line
- Preparation and orientation of the anastomosis
- Stapled side-to-side ileo ascending anastomosis
- Closure of the ostomy
- Extraction of surgical specimen
- Closure of the mesenteric gap
LIVE INTERACTIVE SURGERY: laparoscopic right partial colectomy with ileo ascending anastomosis
Epublication WebSurg.com, Oct 2018;18(10). URL: http://websurg.com/doi/vd01en5422
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In this live interactive video, authors present a demonstration of a right partial colectomy with ileo ascending anastomosis in a patient with a sessile polyp in the ileocaecal junction not endoscopically resectable. A vascular 3D reconstruction is also included at the beginning of the video.