Laparoscopic right hemicolectomy with CME: standardization using the "critical view" concept.

ABSTRACT:

Background

Complete mesocolic excision is gradually becoming an established oncologic surgical principle for right hemicolectomy. However, the procedure is technically demanding and carries the risk of serious complications, especially when performed laparoscopically. A standardized procedure that minimizes technical hazards and facilitates teaching is, therefore, highly desirable.

Methods

An expert group of surgeons and one anatomist met three times. The initial aim was to achieve consensus about the surgical anatomy before agreeing on a sequence for dissection in laparoscopic CME. This proposal was evaluated and discussed in an anatomy workshop using post-mortem body donors along with videos of process-informed procedures, leading to a definite consensus.

Results

In

SUBMITTER: Strey CW 

PROVIDER: S-EPMC6208708 | biostudies-literature | 2018 Dec

REPOSITORIES: biostudies-literature