Abstract. HENRIQUES, Alexandre Cruz et al. Duodenopancreatectomia e hemicolectomia direita em monobloco para tratamento de câncer de cólon direito . hemicolectomia direita. Thiago Milet; 3 videos; views; Last updated on Jan 13, Play all. Share. Loading Save. 6 abr. Transcript of Hemicolectomia Direita. Complicações Serviço de Cirurgia Geral – Sector Colorectal Director Serviço: Dr. Jasmins Chefe de.

Author: Arashinos Mezikinos
Country: China
Language: English (Spanish)
Genre: Technology
Published (Last): 18 July 2011
Pages: 138
PDF File Size: 10.58 Mb
ePub File Size: 2.81 Mb
ISBN: 179-1-86180-404-5
Downloads: 90068
Price: Free* [*Free Regsitration Required]
Uploader: Faugor

The proximal transverse colon and the distal ileum were divided by firing of a linear stapler purple and white loads. Huscher briefly describes the three-port Melani technique for splenic flexture mobilization. The dissection dieeita appears in front of the access and postoperative pain remains minimal. We use cookies to offer you an optimal experience on our website.

The right mesocolon was opened at the root of the ileocaecal vessels, which were meticulously dissected and clipped. Challenges and recent developments in laparoscopic surgery: Laparoscopic sigmoidectomy for diverticulitis: Are all complications of Crohn’s disease and ulcerative colitis manageable with laparoscopy?

The operative steps are clearly outlined and shown in this high-definition film. By browsing our website, you accept the use of cookies. Pathology confirmed the presence of a colon adenocarcinoma pT2N0Mx. This didactic video describes the principles of sigmoid colon resection.

What are the advantages of laparoscopy for colonic surgery?


Laparoscopic surgery is widely performed. What kind of control do you achieve after anastomosis? In this case, the patient had several episodes of diverticulitis and the surgeon only resected the affected sigmoid colon after mobilization of the splenic flexure.

This video demonstrates a right hemicolectomy for pT2 N0 M0 adenocarcinoma at the level of the caeco-ascending junction using a medial approach. Mesh placement into the abdominal cavity presents a risk that seems minimized by the development of dual-sided composite meshes, with one collagen coating that will be in contact with the digestive tract, hence limiting the risk of adhesions. Guidelines for the most adequate operative strategy, however, remain controversial and continue to evolve based on recent comparative reviews of surgical outcomes.


The consulted literature recommends that multivisceral resection must be considered if the patient is clinically able to undergo major surgery and does not present any signs of neoplasic dissemination, since the postoperative survival time is considerably longer in diteita resected group and some of these patients even achieve cure.

The vascular plane was firstly controlled by clips and, after mobilization of the entire left colon, the upper rectum was transected and the specimen was removed direeita the same access; a conventional circular transanal anastomosis was performed. Ask a question to the author You must be logged in to ask a question to authors. By browsing our website, you accept the use of cookies.

Colorectal neoplasms; Pancreaticoduodenectomy; Colectomy. The principle of the Sugarbaker technique is to create a colonic zigzag route and to fix it on the non-absorbable side of the mesh, thereby preventing colonic prolapse. This article reports the case of a patient whit a diagnosis of diarrhea and weight loss.

Once the terminal small bowel and the transverse colon have been divided at the junction of the proximal middle third, an isoperistaltic side-to-side anastomosis is carried out using a 60mm Endo-GIA linear stapler. Operative time was minutes and estimated blood loss mL. The video “Three-trocar laparoscopic sigmoidectomy and transanal extraction of the specimen for diverticular sigmoiditis” authored by J.

The risk of vascular injury is all the more important. Here, the difficulty lies in the combined presence of an incisional hernia and prolapse on a diverting transverse colostomy. In this video presentation, Dr.

Barry Salky, MD, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.

C HuscherJ Marescaux. Ask a question to the author You must be logged in to ask a question to authors.

He demonstrates trocar position as well as the main principles of gastrocolic ligament division and technical aspects of splenic flexure taking down according to the Melani technique along with a video case presentation. Postoperative peritonitis caused by thermal injury during laparoscopic colectomy: Three-trocar laparoscopic sigmoidectomy and transanal extraction of the specimen for diverticular sigmoiditis. Laparoscopic coloproctectomy for ulcerative colitis.


Peroperative ultrasonography permitted hemicolectmoia of other hepatic lesions and the delimitation of the en bloc resection of segment VI. Cristiano Huscher shows a laparoscopic coloproctectomy for ulcerative colitis in a female direifa. A year-old man was admitted to hospital for adenocarcinoma of the sigmoid colon; preoperative work-up did not show the presence of secondary lesions.

Single incision laparoscopy SIL has been described for colorectal surgery because it mainly provides an improved cosmetic outcome.

Different operative strategies are presented; contrasting the key steps in resection for neoplastic and non-neoplastic conditions.

Subsidiary exams showed ulcerovegetant lesion in the second duodenal portion and duodenocolic fistula. Laparoscopic coloproctectomy for ulcerative colitis is a safe procedure and is associated with short-term benefits such as faster recovery and less pain.

In this video, authors demonstrate a standardized technique to perform hemicolectokia segmental sigmoidectomy for cancer. Services on Demand Journal.

Hemicolectomia Direita by Carolina Martins on Prezi

Postoperative pain was minimal, allowing the patient to be discharged on postoperative day 4. Click here to access your account, or here to register for free! Totally laparoscopic right hemicolectomy for a pT2 N0 M0 adenocarcinoma. Laparoscopic sigmoidectomy for diverticulitis. How to ensure an adequate laparoscopic lymphadenectomy in colorectal surgery.

The patient then underwent a cephalic gastroduodenopancreatectomy associated with en bloc right hemicolectomy and improved well in the postoperative period. The hepatic parenchyma was transected using the coagulating hook. A suprapubic access can be considered an alternative to the umbilical site for left hemicolectomy LH because the scar remains under the bikini line and can be considered cosmetically hemicolectomai.