Laparoscopic right hemicolectomy with complete mesocolic excision for a T4 caecal tumour adherent to the right iliac fossa and invading the lateral abdominal wall with associated phlegmon – a video vignette

Abstract

A 67-years-old female presented with right lower abdominal pain and raised inflammatory markers. A computed tomography scan showed marked inflammatory changes with collections adjacent to the terminal ileum. The patient was managed with intravenous antibiotics initially. Subsequent colonoscopy showed a bulky 8cm caecal pole tumour involving the ileocaecal valve. Histopathology confirmed a diagnosis of moderately differentiated adenocarcinoma. The staging CT was negative for distant metastases. The patient subsequently proceeded to a laparoscopic right hemicolectomy with complete mesocolic excision (CME).