Could the top-down right hemicolectomy be an easier alternative to the classic medial-to-lateral approach in obese patients? A case report with video example

• Laparoscopic right hemicolectomy is performed only in 25% of cases in recent survey; • The medial-to-lateral and the bottom-to-up are the most frequent approaches used to perform surgery; • Top-to-down right hemicolectomy is an infrequent approach; • Obesity is an evident aspect complicating surgi...

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Detalles Bibliográficos
Autores principales: Banchini, Filippo, Luzietti, Enrico, Romboli, Andrea, Palmieri, Gerardo, Conti, Luigi, Capelli, Patrizio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9583122/
https://www.ncbi.nlm.nih.gov/pubmed/36257139
http://dx.doi.org/10.1016/j.ijscr.2022.107752
Descripción
Sumario:• Laparoscopic right hemicolectomy is performed only in 25% of cases in recent survey; • The medial-to-lateral and the bottom-to-up are the most frequent approaches used to perform surgery; • Top-to-down right hemicolectomy is an infrequent approach; • Obesity is an evident aspect complicating surgical dissection; • Top-to Down dissection could be an opportunity to use as alternative approach when classical dissection becomes intricate.

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