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  • 1. Introduction
  • 2. Port Placement
  • 3. Right Colon Mobilization
  • 4. Resection and Anastomosis
  • 5. Closure
  • 6. Post-op Remarks
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Laparoscopic Right Colectomy with Ileocolic Anastomosis

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Joshua M. Harkins1; David Rattner, MD2
1Lake Erie College of Osteopathic Medicine
2Massachusetts General Hospital

Procedure Outline

  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
  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