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How to do a minimally invasive laparoscopic ileocolic resection with intracorporeal Kono-S anastomosis.
ANZ J Surg
January 2025
Colorectal Unit, Department of General Surgery, The Alfred, Melbourne, Victoria, Australia.
COLOR IV: a multicenter randomized clinical trial comparing intracorporeal and extracorporeal ileocolic anastomosis after laparoscopic right colectomy for colon cancer.
Surg Endosc
December 2024
State Key Lab of Digestive Health, Department of General Surgery, National Clinical Research Center for Digestive Diseases, Beijing Friendship Hospital, Capital Medical University, No. 95 Yongan Road, Xicheng District, Beijing, 100050, China.
Introduction: Right-sided colon cancer is a prevalent malignancy. The standard surgical treatment for this condition is laparoscopic right hemicolectomy, with ileocolic anastomosis being a crucial step in the procedure. Recently, intracorporeal ileocolic anastomosis has garnered attention for its minimally invasive benefits.
View Article and Find Full Text PDFLaparoscopic right hemicolectomy with complete mesocolon excision and cranial approach.
Surg Endosc
January 2025
Department of General and Digestive Surgery, University Hospital Virgen Macarena, University of Sevilla, Seville, Spain.
Background: Complete mesocolon excision (CME) and D3-lymphadenectomy concepts have gained popularity for the surgical treatment of right colon cancer in comparison to the conventional laparoscopic right hemicolectomy (CLRH). The rationale of CME is to dissect the embryological planes between the mesenteric plane and the parietal fascia to remove the mesentery within a complete envelope of mesenteric fascia and visceral peritoneum that contains lymph nodes, the central vascular ligation, and adequate bowel length to remove involved pericolic lymph nodes in the longitudinal direction, having as the main goal to improve the oncological results. CME with D3-lymphadenectomy is challenge since involves the excision of the lymph adipose tissue covering the medial edge of the superior mesenteric vein (SMV) (trunk of Gillot, TG), and the gastrocolic trunk of Henle (GTH).
View Article and Find Full Text PDFSimplified and reproducible laparoscopic complete mesocolic excision with D3 right hemicolectomy.
Colorectal Dis
January 2025
Department of Surgical Oncology, Prolife Cancer Centre and Research Institute, Pune, India.
Article Synopsis
- Laparoscopic complete mesocolic excision (CME) with D3 lymphadenectomy for right colon cancer is becoming more accepted, but it's not yet standardized like other surgical procedures; this study presents 10 straightforward, reproducible steps to improve the surgery's ergonomics and vascular anatomy identification.
- The procedure involves adopting the French position with specific port placements designed for optimal comfort and access, allowing surgeons to efficiently dissect alongside major vascular structures like the superior mesenteric artery (SMA).
- Identifying important anatomical landmarks, specifically the ligamentum teres and SMA/superior mesenteric vein (SMV) axis, is crucial for avoiding injury during dissection, making the surgical approach both effective and safer.
Intracorporeal anastomosis in minimally invasive right hemicolectomy: a nationwide survey of the Korean Society of Coloproctology.
Ann Surg Treat Res
August 2024
Department of Surgery, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.
Purpose: We investigated the current practices and perceptions of colorectal surgeons in South Korea regarding intracorporeal ileocolic anastomosis (IIA) in minimally invasive right hemicolectomy (RHC).
Methods: Members of the Korean Society of Coloproctology (KSCP) participated in an online survey encompassing demographic information, surgical experiences, methods for IIA, and advantages, barriers, and perceptions of IIA. We performed a statistical analysis of survey results.
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