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Laparoscopic 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 PDFSubhepatic Appendicitis With Appendicular Diverticulitis: A Rare Combination for Acute Abdomen.
Cureus
September 2024
Department of Surgery, Beaumont Hospital, Dublin, IRL.
Subhepatic appendicitis is an unusual presentation of acute appendicitis (AA). Similarly, another uncommon condition that resembles AA is appendiceal diverticulitis (AD), which is a rare form of vermiform appendix pathology. It is exceedingly uncommon for the two to occur simultaneously.
View Article and Find Full Text PDFRetroperitoneal Approach to D3-Lymph Node Dissection With Left Colic Artery Preservation in the Treatment of Sigmoid Cancer.
Dis Colon Rectum
September 2024
Department of Faculty Surgery No. 2, I.M. Sechenov First Moscow State Medical University (Sechenov University), Moscow, Russia.
Background: Laparoscopic approaches and robot-assisted operations are used for colorectal cancer surgery because of their minimal invasiveness. 1 However, changes in intra-abdominal pressure during laparoscopy can lead to cardiovascular complications in compromised patients; 2 obesity and intraabdominal adhesions may further interfere with laparoscopic procedures. The retroperitoneal approach may facilitate minimally invasive surgery, even in patients with comorbidities.
View Article and Find Full Text PDFManagement of Traumatic Duodenal Injury: Is There a Role for Early Parenteral Nutrition?
J Surg Res
October 2024
Trauma/Emergency General Surgeon, Associate Professor of Surgery, University Hospital, University of South Alabama College of Medicine, Mobile, Alabama. Electronic address:
Introduction: Traumatic duodenal injuries are complex in nature and pose major challenges to trauma surgeons. These injuries are associated with high mortality rates ranging from 18% to 30% and require prompt, comprehensive care. Traumatic injury induces a hypercatabolic state that mobilizes body energy stores, leading to muscle wasting, delayed healing, and potential multi-organ failure.
View Article and Find Full Text PDFCadaveric analysis of surgical techniques and working space for retroperitoneal tumors as model for improving resection of neuroblastoma.
BMC Surg
July 2024
Department of Pediatric Surgery, University Hospital of Marburg, 35043, Baldingerstraße, Marburg, Germany.
Purpose: Neuroblastoma, the most common extracranial solid tumor in children under 5 years, often surrounds visceral arteries. This study aimed to analyze the working space provided by standardized surgical techniques at key arterial landmarks in adult cadavers.
Methods: We assessed in eight adult cadavers the mobilization of the left colon, spleen and pancreas, right colon, duodenum and mesenteric root, access to the bursa omentalis.
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