Radical Laparoscopic Right Hemicolectomy With D3 Lymph Node Dissection And Intra-corporeal Anastomosis For Caecum Cancer - How I Do It

We present a Radical laparoscopic right hemicolectomy with D3 lymph node dissection and intra-corporeal anastomosis performed by Dr. Lucian Mocan at 3-rd surgery Clinic, Gastroenterology Institute Cluj Napoca, Romania An 57-year-old women presented with a positive fecal occult blood test. She had no history of abdominal pain or distension. Her medical history included hypertension and acute appendicitis that was resected 40 years previous. Her diagnostic colonoscopy revealed a cecal tumor of approximately 57 mm, and the biopsy specimen showed a well-differentiated adenocarcinoma. Preoperative three-phase dynamic computed tomography for disease staging showed a cecal tumor of 4 × 4 cm without metastasis A laparoscopic right hemicolectomy was planned Radical laparoscopic right hemicolectomy with D3 lymph node dissection was performed, and the MCA was ligated and divided at the root of the artery. Then, ileocolic functional end-to end anastomosis was conducted using endo-gia staplers. Pathological examination of the tumor revealed moderately differentiated tubular adenocarcinoma of the cecum 43 lymph nodes were removed `en-block` of whom 7 were found with metastasis The postoperative course was uneventful, and the patient was discharged in the 5-th postoperative day.