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  • Laparoscopic technique for right hemicolectomy = Laparoskopska desna hemikolektomija
    Baca, Ivo ...
    Removal of both benign and malignant lesions of the distal ileum, cecum, ascending colon and hepatic flexures can be managed by right colectomy. This article focuses upon the technical issues of ... laparoscopic right colonic resection, which involves complete mobilization of the terminal ileum and right colon to the level of midportion of the transverse colon. Patient preparation for laparoscopic right colectomy is identical to that used for theopen procedure and the patient is placed in a normal or lithotomy position.Insertion of three of the four trocars used depends on the patientćs body habitus, type of resection and operative findings. Vascular isolation done through the windows in the mesocolon is recommended before colon mobilization. A harmonic scalpel is used for ileocolic mobilization to provideimproved haemostasis. Retraction is facilitated by using the companion port, thereby allowing the surgeon to use a two-handed technique. After the entire colon has been mobilized, vascular ligation and anastomis are made extacorporeally for the laparoscopic-assisted technique. Extension of the umbilical incision and entrance into the peritoneal cavity is facilitated by incising along the shaft of the trocar. Application of a small drape for woundprotection is manadatory before withdrawing the port, grasper and cecum as one unit. The rest of the specimen is removed, and there follows safe and rapid division of the vascular supply and bowel anastomosis outside the peritoneal cavity. Currently, the laparoscopic-assisted method is favoured over the total intracorporeal approach because the latter is more technically demanding and time-consuming, less cost-effective and less safe, and carries an increased risk of contamination.
    Vir: Endoskopska revija : glasilo Sekcije za endoskopsko kirurgijo in Sekcije za gastroenterološko endoskopijo Slovenije = Endoscopic review : journal of Slovenian Society of Endoscopic Surgery and Society of Gastroenterologic Endoscopy. - ISSN 1318-8941 (Letn. 12, št. 27, 2007, str. 31-35)
    Vrsta gradiva - članek, sestavni del
    Leto - 2007
    Jezik - angleški
    COBISS.SI-ID - 22616025

    Povezava(-e):

    Digitalna knjižnica Slovenije - dLib.si

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