Abstract

Jessica Rahme

In this Video, our method for performing a robotic right hemicolectomy with central mesocolic excision is described. We present
the case of a 42-year-old woman with a hepatic flexure proficient mismatch repair adenocarcinoma with no significant medical or
family history. A superior mesenteric vein first technique was used for the central mesocolic excision. Once complete, the ileum and
transverse colon were divided to remove the tumour and an isoperistaltic side-to-side anastomosis was made. The pathology revealed
a poorly differentiated adenocarcinoma 65 mm in maximum dimension with clear margins. There was no evidence of malignancy in
62 harvested lymph nodes. The patient was discharged on day 2 postoperatively and there were no short- or long-term complications.