Setup for a Laparoscopic Hemicolectomy (Kingsborough Community College, Brooklyn, NY)
Gina Forsythe, CST
Kingsborough Community College, Brooklyn, NY
Laparoscopic hemicolectomy has become the standard of care for the surgical management of various colonic pathologies. Proper instrument setup and systematic counting protocols are essential components of surgical safety and procedural efficiency. The setup protocol for laparoscopic hemicolectomy shown in this video is based on established guidelines for sterile technique and encompasses instrument arrangement, the initial count, and discussion of fluid management on the sterile field. The setup includes organized placement of laparoscopic instruments, trocars, sponges, sharps, and essential equipment. This setup promotes surgical safety, reduces procedural delays, and minimizes the risk of retained surgical items.
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.
Robotic Right Hemicolectomy for Tubulovillous Adenoma with High-Grade Dysplasia: Multimedia Analysis of a Contemporary Technique
Christopher L. Kalmar, MD; Caleb L. Cutherell, MD; Farrell C. Adkins, MD
Virginia Tech Carilion
Robotic right hemicolectomy is a minimally invasive technique for right colon resections. The technique utilizes a robotic laparoscopic instrument to perform dissection of the right colon and to perform intracorporeal anastomoses, allowing for smaller abdominal incisions, quicker recovery times, and decreased short- and long-term complications.
In this case, a robotic right hemicolectomy was performed to remove an endoscopically unresectable mass at the ileocecal valve. An intracorporeal-stapled ileocolic anastomosis was performed, and the colon was removed through a trocar insertion site. The robotic-assisted minimally invasive technique allows for clear visualization of the dissection planes and facilitates intracorporeal anastomoses that would otherwise be difficult to perform using traditional laparoscopy.
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.
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