Intended for healthcare professional education

Johnson & Johnson Institute

Laparoscopic right hemicolectomy

Nezar Jrebi, MD and Jay Redan, MD

Operative steps

Potential complications

Potential complications include but are not limited to: Surgical bleeding, staple line leak, wound infection, ileus, urinary retention

  • Trocar sites are identified, and trocars inserted to gain access to the abdominal cavity.
  • Initial access to the abdomen is generally obtained by either:
    • Veress needle technique
    • Direct trocar view technique
  • Explore the abdominal cavity, assessing the liver and peritoneal surfaces.
  • Take down any adhesions.
  • Gain access to and mobilize the cecum and ileum by ligating and dividing the ileocolic artery and ileocolic vein to their origins at the base of the mesentery, using an energy device such as ENSEAL™ X1 Curved Jaw Tissue Sealer or a stapling device such as ECHELON™ 3000 Stapler.
  • Ensure a complete specimen with intact mesocolic envelope containing all lymph nodes, extract specimen.
  • Identify duodenum.
  • Identify right ureter.
  • Continue mobilization and dissect the hepatic flexure and right transverse colon mesentery by ligating and dividing the right middle colic vessels using an energy device such as ENSEAL™ X1 Curved Jaw Tissue Sealer.

5mm port placement

Optical port placement

Mobilize and transect ileocolic artery


ICG

Hepatic flexure mobilization

5 mm port placement
Optical Port Placement
mobilize and transect ileocolic artery
ICG
Hepatic flexure mobilization

References

For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.


Nezar Jrebi, MD and Jay Redan, MD, prepared this procedure guide on behalf of Johnson & Johnson and its affiliates. The procedure guide reflects the opinions of the individual presenter, and the steps described may not encompass the complete steps of the procedure. Additionally, other surgeons may prefer different techniques, approaches, etc., as individual surgeon experience in his/her clinical practice, as well as patient needs, may dictate variation in procedure steps.


Before using any medical device, review all labeling, including without limitation; the Instructions For Use (IFU), and relevant package inserts with particular attention to the indications, contraindications, warnings and precautions, and steps for use of the device(s).


This presentation is not accredited for CE/CME.

Nezar Jrebi, MD and Jay Redan, MD, are compensated by and presenting on behalf of Johnson & Johnson and its affiliates and must present information in accordance with applicable regulatory requirements.

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