Laparoscopic-Assisted Right Hemicolectomy
Anthony D. Douglas II, MD; Derrius Anderson, MD; Jelani Williams, MD; Rowan Hussein; Ashley Russell; Konstantin Umanskiy, MD
UChicago Medicine
The patient-centered environment of the operating room often precludes extensive intraoperative discussions or detailed explanations between a resident and the attending surgeon. This constraint in real-time feedback poses a challenge for surgical residents to refine their surgical skills. Implementation of a structured case review between attendings and senior residents at interval timepoints of their rotations could support addressing this gap. This case presents a laparoscopic right hemicolectomy. This procedure removes a portion of the colon and is commonly indicated for colon cancer. In this video article, a senior general surgery resident participates in the procedure and then engages in a structured case review with their attending, analyzing the fundamental steps of the procedure as well as identifying opportunities for technical improvement and enhancement of intraoperative decision-making.
Colon Interposition to Replace an Absent Esophagus is the Procedure of Choice in Low-Income Countries
Yoko Young Sang, MD1; Caroll Alvarado Lemus, MD2; Domingo Alvear, MD3
1Louisiana State University Shreveport
2Mario Catarino Rivas Hospital, Honduras
3World Surgical Foundation
This surgical video article offers a comprehensive demonstration of the colon interposition procedure, highlighting the critical operative steps and technical nuances involved in performing a successful esophageal replacement, particularly in resource-limited settings, where advanced treatment options such as gastric pull-up or jejunal interposition may be limited. Colon interposition remains a viable solution for restoring swallowing function in patients with EA or other esophageal disorders requiring esophageal replacement.
By providing a detailed visual representation of the surgical process, this video serves as a valuable educational resource for surgeons and healthcare professionals involved in the care of patients with EA or related conditions. It underscores the importance of meticulous surgical technique, vascular preservation, and careful planning to ensure successful outcomes. Moreover, the video emphasizes the crucial role of multidisciplinary care in managing these complex cases. The involvement of specialists in pediatric surgery, anesthesiology, and intensive care is essential for optimizing patient outcomes and addressing potential complications.
Laparoscopic Right Colectomy
David Rattner MD
Massachusetts General Hospital
Dr. Rattner performs a laparoscopic right colectomy to treat an unresectable polyp and incidental carcinoid tumor.
Open Total Colectomy
David Berger, MD
Associate Professor of Surgery, Massachusetts General Hospital
The New Gold Standard for Surgical Videos