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Laparoscopic Right Colectomy with Ileocolic Anastomosis

David W. Rattner, MD1; Joshua M. Harkins2
1Massachusetts General Hospital
2Lake Erie College of Osteopathic Medicine
  1. Introduction
  2. Portal Placement
  3. Mobilize Right Colon
    1. Identify Ileocolic Vascular Pedicle
    2. Dissection to Isolate Ileocolic Vascular Pedicle
    3. Transection of Ileocolic Vascular Pedicle
    4. Develop Retroperitoneal Space
    5. Take Down Hepatic Flexure
    6. Take Down Remaining Lateral Peritoneal Attachments of Ascending Colon and Terminal Ileum
  4. Resection and Anastomosis
    1. Transversus Abdominis Plane (TAP) Block
    2. Externalize Right Colon
    3. Divide Mesentery of Terminal Ileum to Harvest Lymph Nodes
    4. Prepare Transverse Colon for Anastomosis
    5. Construct Anastomosis
    6. Transverse Stapler to Resect Right Colon
  5. 5. Closure
  6. 6. Discussion