Review
J Minim Invasive Surg 2007; 10(2): 65-72
Published online December 30, 2007
© The Korean Society of Endo-Laparoscopic & Robotic Surgery
-지상 강좌- 복강경하 좌반결장절제술
박선진ㆍ김준기1ㆍ이길연
경희대학교 의과대학 외과학교실, 1가톨릭대학교 의과대학 외과학교실
Laparoscopic Left Hemicolectomy
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Despite its increasing popularity, laparoscopic surgery for colorectal cancer is a difficult procedure to perform, with a long learning curve. In this report, we describe our techniques for performing a laparoscopic left hemicolectomy. We favor a medial approach starting between the inferior mesenteric artery and sacral promontory as the initial anatomic landmark. This approach allows immediate identification of the proper plane between the mesocolon and the retroperitoneum, and renders the dissection fast and safe. A special emphasis is placed on the preservation of the inferior mesenteric artery and vein. We believe that this report may assist surgeons not familiar with the procedure for a laparoscopic colectomy.
Keywords Laparoscopic surgery, Colorectal cancer, Technique, Left hemicolectomy
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Review
J Minim Invasive Surg 2007; 10(2): 65-72
Published online December 30, 2007
Copyright © The Korean Society of Endo-Laparoscopic & Robotic Surgery.
-지상 강좌- 복강경하 좌반결장절제술
박선진ㆍ김준기1ㆍ이길연
경희대학교 의과대학 외과학교실, 1가톨릭대학교 의과대학 외과학교실
Laparoscopic Left Hemicolectomy
Sun Jin Park, M.D., Jun Gi Kim, M.D., Ph.D.1, Kil Yeon Lee, M.D., Ph.D.
Department of Surgery, Kyung Hee University College of Medicine, Seoul, 1Department of Surgery, St. Vincent's Hospital, College of Medicine, The Catholic University of Korea, Suwon, Korea
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Despite its increasing popularity, laparoscopic surgery for colorectal cancer is a difficult procedure to perform, with a long learning curve. In this report, we describe our techniques for performing a laparoscopic left hemicolectomy. We favor a medial approach starting between the inferior mesenteric artery and sacral promontory as the initial anatomic landmark. This approach allows immediate identification of the proper plane between the mesocolon and the retroperitoneum, and renders the dissection fast and safe. A special emphasis is placed on the preservation of the inferior mesenteric artery and vein. We believe that this report may assist surgeons not familiar with the procedure for a laparoscopic colectomy.
Keywords: Laparoscopic surgery, Colorectal cancer, Technique, Left hemicolectomy
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