Surgical Technique and Difficult Situations from Roberto Bergamaschi (Laparoscopic)

Abstract

Although laparoscopic-assisted right colectomy was first reported in 1991 [5], descriptions of a standardized surgical technique became available in recent years. The first, termed laparoscopic facilitated, consisted of a five-step lateral-to-medial approach with extracorporeal vascular ligation and ileocolic anastomosis [7]. The second, termed laparoscopic assisted, included eight steps with a medial-to-lateral approach in which vascular ligation was performed intracorporeally while the anastomosis was fashioned extracorporeally [6]. Laparoscopic intracorporeal right colectomy entails ten steps with intracorporeal anastomosis followed by specimen removal in a bag [1].