Abstract

Laparoscopic right hemicolectomy with complete mesocolic excision (CME) has been the widely accepted surgical method for radical resection of right colon cancer in recent years[1]. This procedure exhibits a faster recovery than traditional laparotomy, as well as a better oncological outcomes due to central ligation of the vessels and the extended lymphadectomy[2-3]. The challenge with laparoscopic CME is the exposure of the vessels at their roots as there are many variations in the vascular anatomy of the right colon[4]. Here, we present an approach, cranial plus medial-to-lateral method, to manage the vessels safely and effectively at their roots in laparoscopic right hemicolectomy with CME.

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