Laparoscopic Medial-to-lateral Colon Dissection: How and Why |
| |
Authors: | Alessio Pigazzi Minia Hellan Douglas R Ewing Benjamin I Paz Garth H Ballantyne |
| |
Institution: | (1) Department of General and Oncologic Surgery, City of Hope National Cancer Center, 1500 East Duarte Road, Duarte, CA 91010, USA;(2) Department of Surgery, Hackensack University Medical Center, 30 Prospect Avenue, Hackensack, NJ 07601, USA |
| |
Abstract: | Laparoscopic colectomy is a difficult procedure with a long learning curve. We describe in this study our technique for right-
and left-sided laparoscopic medial-to-lateral colectomy. The medial approach involves division of the vascular pedicle first,
followed by mobilization of the mesentery toward the abdominal wall, and finally freeing of the colon along the white line
of Toldt. This approach allows immediate identification of the plane between the mesocolon and the retroperitoneum and renders
the dissection fast and safe. Our series of 50 consecutive laparoscopic colectomies supports this concept. We believe that
surgeons familiar with this technique will have an important tool in their armamentarium to circumvent some of the challenges
of laparoscopic colectomy. |
| |
Keywords: | Laparoscopic colectomy Medial approach Technique |
本文献已被 SpringerLink 等数据库收录! |
|