Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2015 Nov 13:1:15.
doi: 10.3978/j.issn.2221-2965.2015.11.07. eCollection 2015.

Laparoscopic-assisted radical left hemicolectomy

Yong Li  1 , Jiabin Zheng  1 , Deqing Wu  1
Affiliations

Laparoscopic-assisted radical left hemicolectomy

Yong Li et al. J Vis Surg. .

Abstract

Background: Laparoscopic-assisted radical left hemicolectomy (LRLH) is much less than other locations for its technical difficulty. There are rare reports about surgical skills of this operation. According to our rich experiences of laparoscopy surgical techniques recent years, we can proficiently master the surgical techniques and difficulties of LRLH base on the anatomy of blood vessels and the interfacial space.

Methods: A 34 years old patient who was diagnosed left colonic cancer, underwent LRLH. Combined with this case, we share the surgical technical of LRLH base on our experience.

Results: The length of operation was 80 min with bleeding of about 30 mL. The patient recovers well postoperation and discharged from hospital on the 5th day.

Conclusions: LRLH is safe and efficient for the tumor locates in the left hemicolon. Whereas, this operation is rarely difficult that should be done in the experienced center.

Keywords: Left colonic neoplasm; laparoscopy; surgical skills.

PubMed Disclaimer

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to declare.

Figures

Figure 1
Figure 1
Laparoscopic-assisted radical left hemicolectomy (3). Available online: http://www.asvide.com/articles/709
Figure 2
Figure 2
Coloscope.
Figure 3
Figure 3
Abdominal CT scan.
Figure 4
Figure 4
Trocars position.
Figure 5
Figure 5
Surgical incision.
See this image and copyright information in PMC

References

    1. Guillou PJ, Quirke P, Thorpe H, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet 2005;365:1718-26. - PubMed
    1. Larsen IK, Bray F. Trends in colorectal cancer incidence in Norway 1962-2006: an interpretation of the temporal patterns by anatomic subsite. Int J Cancer 2010;126:721-32. - PubMed
    1. Li Y, Zheng J, Wu D. Laparoscopic-assisted radical left hemicolectomy. Asvide 2015;2:133. Available online: http://www.asvide.com/articles/709 - PMC - PubMed
    1. Jayne DG, Guillou PJ, Thorpe H, et al. Randomized trial of laparoscopic-assisted resection of colorectal carcinoma: 3-year results of the UK MRC CLASICC Trial Group. J Clin Oncol 2007;25:3061-8. - PubMed
    1. Bonjer HJ, Deijen CL, Abis GA, et al. A randomized trial of laparoscopic versus open surgery for rectal cancer. N Engl J Med 2015;372:1324-32. - PubMed