Table 1.
Step-by-step procedure of the laparoscopic right hemicolectomy with shaving of the duodenum.
Step 1 | Closure ileostomy and setup and exposure of operating field. |
Step 2 | Submesenteric dissection through the ileal mesentery (medial-to-lateral). |
Step 3 | Superior mesenteric vein dissection and ligation of ileocolic vessels. |
Step 4 | Proximal dissection of the superior mesenteric vein and dissection of Gastrocolic Trunk of Henle. |
Step 5 | Ligation of right branches of middle colic vessels. |
Step 6 | Hepatic flexure mobilization and colon and ileum transection. |
Step 7 | Shaving and closure of duodenum. |
Step 8 | Intracorporeal side-to-side stapled anastomosis. |