Home    中文  
 
  • Search
  • lucene Search
  • Citation
  • Fig/Tab
  • Adv Search
Just Accepted  |  Current Issue  |  Archive  |  Featured Articles  |  Most Read  |  Most Download  |  Most Cited

Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2017, Vol. 06 ›› Issue (02): 170-173. doi: 10.3877/cma.j.issn.2095-3224.2017.02.021

Special Issue:

• Video • Previous Articles    

A caudal-to-cranial approach for laparoscopic right colectomy

Liaonan Zou1,(), Beishi Zheng1, Xinquan Lu1, Pengfei Liu1, Jin Wan1   

  1. 1. Department of Gastrointestinal Surgery, Guangdong Province Hospital of Chinese Medicine, Guangzhou 510120, China
  • Received:2016-08-19 Online:2017-04-25 Published:2017-04-25
  • Contact: Liaonan Zou
  • About author:
    Corresponding author: Zou Liaonan, Email:

Abstract:

With the development of minimally invasive surgery, laparoscopic surgery has become the gold standard for colon cancer. There is involved high risk in laparoscopic radical right colectomy for its complex anatomical structure, especially for the cases with obesity and mesentery edema. Based on our previous clinical practice of laparoscopic surgery for colon cancer and further understanding of colon mesentery, the author forwards a caudal-to-cranial approach for laparoscopic radical right colectomy to make the procedure easier. Cut the peritoneum along the line between the right mesocolon and retroperitoneum, enter the Toldt′s space to dissect the posterior of SMV/SMA and their branches, and then finished the D3 dissection from caudal to cranial on both sides of the mesentery along the SMV. In the end, cut the lateral ligament to mobilize the posterior space of ascending colon. This approach is called caudal-to-cranial approach. Here, the paper to conclude its techniques and advantages.

Key words: Colorectal neoplasms, Laparoscopes, Caudal-to-cranial approach, Laparoscopic surgery

京ICP 备07035254号-20
Copyright © Chinese Journal of Colorectal Diseases(Electronic Edition), All Rights Reserved.
Tel: 0086-010-87788026 E-mail: cjcd_editor@vip.163.com
Powered by Beijing Magtech Co. Ltd