Monday 23 July 2012

Laparoscopic Right Extended Hemicolectomy with Extracorporeal Anastomosis for Transverse Colon Adenocarcinoma

Lateral Dissection in White Line 

Lateral Dissection Extending to Retroperitoneum

Hepatic Flexure of Colon Mobilisation

Division of Gastrocolic Omentum

Dissection of Right Colic Artery



Right Colic Artery after Division

Haemoclip over Middle Colic Artery


Division of Middle Colic Artery


Retrieval of Specimen through Mini Laparotomy

Final Picture after Closure of Laparotomy























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  2. patient was 48 yr male presented with sub acute intestinal obstruction. Found to be adeno ca transverse colon without metastasis. Lap rt extended hemi colectomy was done with 4 ports. All the vessels were ligated and transected after applying the vascular clips at the base. Patient discharged on 6th POD. Anatomosis was done extracorporeal hand sewn. Histology turned out T 3 N2 disease currently on chemotherapy.

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