Overview
What is open right hemicolectomy (open right colectomy)?
What are the types of open right hemicolectomy (open right colectomy)?
What are the indications for open right hemicolectomy (open right colectomy)?
When is open right hemicolectomy (open right colectomy) contraindicated?
What is included in the procedural planning for open right hemicolectomy (open right colectomy)?
What are the reported outcomes for open right hemicolectomy (open right colectomy)?
Periprocedural Care
What equipment is needed to perform open right hemicolectomy (open right colectomy)?
How is the patient positioned for open right hemicolectomy (open right colectomy)?
Technique
What are the basic principles of colon resection?
How is the incision chosen in open right hemicolectomy (open right colectomy)?
How is the extent of resection determined in open right hemicolectomy (open right colectomy)?
How is the colon mobilized during open right hemicolectomy (open right colectomy)?
How is anastomosis created in open right hemicolectomy (open right colectomy)?
How is open right hemicolectomy (open right colectomy) closed?
What is included in postoperative care following open right hemicolectomy (open right colectomy)?
What are the possible complications of open right hemicolectomy (open right colectomy)?
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Right paramedian incision.
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Extent of right hemicolectomy.
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Incision along avascular line to mobilize right colon.
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Entire right colon mobilized up to hepatic flexure.
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Duodenum and major vessels seen after full mobilization of right colon.
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Part of distal ileum and part of transverse colon adjacent to hepatic flexure removed with specimen.
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Ileotransverse anastomosis.
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Ileum anchored to lateral abdominal wall.
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Right hemicolectomy specimen.
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Intraoperative picture showing the ileocolic junction with loop of small intestine.
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Specimen of right hemicolectomy for malignancy of ascending colon.
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Specimen opened showing the tumor.