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KMID : 0978820070100020065
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Journal of the Korean Society of Endoscopic & Laparoscopic Surgeons
2007 Volume.10 No. 2 p.65 ~ p.72
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Laparoscopic Left Hemicolectomy
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Park Sun-Jin
Kim Jun-Gi
Lee Kil-Yeon
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Abstract
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Despite its increasing popularity, laparoscopic surgery for colorectal cancer is a difficult procedure to perform, with a long learning curve. In this report, we describe our techniques for performing a laparoscopic left hemicolectomy. We favor a medial approach starting between the inferior mesenteric artery and sacral promontory as the initial anatomic landmark. This approach allows immediate identification of the proper plane between the mesocolon and the retroperitoneum, and renders the dissection fast and safe. A special emphasis is placed on the preservation of the inferior mesenteric artery and vein. We believe that this report may assist surgeons not familiar with the procedure for a laparoscopic colectomy.
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KEYWORD
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Laparoscopic surgery, Colorectal cancer, Technique, Left hemicolectomy
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