Rt HEMICOLECTOMY
When is the right colon removed ?
Removal may br needed:
*Cancer of ceacum or rt colon
*Tumour of the appendix or ileum
*Trauma to ceacum or ascending colon
Position of patient
supine
Anaesthesia
General
Procedure
*Midline incision
*Lateral peritoneum is incised mobilise rt colon and ileum
*Devide ileocolic and rt colic and branches between ligatures
*Mesentry of terminal ileum devided between igatures.
*Greater omentum attached to rt colonremoved with colon.
*Bowel devided between to sets of clamps.
*Two layer anastomosis ileum and tranverse colon.
Approximate mesentry
Close abdomn in layers.
Intruments required
Lap set
Gen Set
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