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Colorectal Laparoscopic Extended Left Hemicolectomy with Complete Mesocolic Excision & Transverse Colon - Rectal Anastomosis With Derotation of the Right Colon for Splenic Flexure Carcinoma
Case description
This video was part of the Video Loop during the SAGES 2020 Virtual Meeting. Topic: Colorectal Laparoscopic extended left hemicolectomy with complete mesocolic excision & transverse colon - rectal anastomosis with derotation of the right colon for splenic flexure carcinoma. Konstantinos Stasinos, MD1, Efstratios Kouroumpas, MD1, Weronika Stupalkowska, MD1, Roberto Bergamaschi, MD, PhD2, Salomone Di Saverio, MD, PhD1. Department of Colorectal Surgery, Cambridge University Hospitals, Addenbrooke's Hospital, Cambridge, UK, 2Section of Colorectal Surgery, New York Medical College, Westchester Medical Center, Valhalla, New York, USA.
This video vignette presents the case of a 67-year-old female with adenocarcinoma of the proximal descending colon who underwent a laparoscopic left extended hemicolectomy with derotation of the right colon and colorectal anastomosis. The video presents the technical difficulties encountered during mobilization of the left colon to procure a safe approach to the splenic flexure. It further showcases a complete laparoscopic mesocolic excision with high vessel ligation to achieve a safe oncologic excision. Finally, it presents the rare instance when a complete laparoscopic derotation of the ascending colon is used to provide length for a tension free primary colorectal anastomosis.
