Open Right Colectomy - Medial to Lateral
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Open Right Colectomy - Medial to Lateral

The Open Right Colectomy – Medial to Lateral course will teach you:

  • To resect the ascending colon, including a part of the distal ileum, cecum, hepatic flexure and the part proximal to the mid-transverse colon.

Special attention is paid to the following hazards you may encounter during the Open Right Colectomy – Medial to Lateral:

  • Compression on vena cava by retractors
  • Autonomous plexus damage
  • Ureter and gonadal vessel injury
  • Incorrect identification of the right colic artery
  • Anatomic variation middle colic artery
  • Tumor ingrowth
  • Gastroepiploic vessels injury

With the following tips you might perform the Open Right Colectomy – Medial to Lateral even better:

  • Ureter identification
  • Dissecting transverse colon in later stage
  • Middle colic artery as landmark for omental transection
  • Distal start of omental dissection
  • Improving visibility of dissection plane by mesocolic traction
  • Transection of peritoneum
  • Alignment bowel ends for anastomosis

The following anatomical variations are described in the Open Right Colectomy – Medial to Lateral course:

  • Origin of middle colic artery and right colic artery

After studying the Open Right Colectomy – Medial to Lateral course you are familiar with the most common complications:

  • Ureteral injury
  • Postoperative ileus
  • Anastomotic leakage

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Laparoscopic Ileocecal Resection

Step by step

Abdominal cavity approach

Abdominal wall

The abdominal wall incision is described in its specific course. A choice can be made between a midline and a transverse incision.

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