Acta Scientific Gastrointestinal Disorders (ASGIS)(ISSN: 2582-1091)

Research Article Volume 5 Issue 9

Complete Mesocolic Excision Via Med to Lateral Approach in Open Right Hemicolectomy and the Benefits of this Approach

Tamer M El-Gaabary, Ghada Morshed* and Sameh M Samir

Department of Surgery, Faculty of Medicine, Fayoum University, Egypt

*Corresponding Author: Ghada Morshed, Department of Surgery, Faculty of Medicine, Fayoum University, Egypt.

Received: August 17, 2022; Published: August 23, 2022


Background: The common approach used in open right hemicolectomy is lateral-to-medial approach (LA). With the start of minimal access techniques, laparoscopic surgeons used the medial-to-lateral approach (MA).

Aim: The objective of the present study was to evaluate the medial to lateral approach in patients who underwent right open hemicolectomy with total mesocolic excision and the benefits of this approach.

Patients and Methods: This is a prospective study included 20 patients with cancer right colon.

Results: Mean operative time was 68 minutes (range 53 minutes - 70 minutes), the colon was successfully transected in all patients, no postoperative anastomotic leakage occurred, and pathologic assessment revealed free distal margins and circumferential margins for all patients.

Conclusion: In the current study, MA provided short operative time and low blood loss, safe total meso rectal excision in open right hemicolectomy and it is considered an improvement over the previously used LA approach.


Keywords: Complete Mesocolic Excision; Med to Lateral Approach; Open Right Hemicolectomy


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Citation: Ghada Morshed., et al. “Complete Mesocolic Excision Via Med to Lateral Approach in Open Right Hemicolectomy and the Benefits of this Approach". Acta Scientific Gastrointestinal Disorders 5.9 (2022): 41-43.


Copyright: © 2022 Ghada Morshed., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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