Laparoscopic complete mesocolic excision with extended D3 lymphadenectomy for advanced hepatic flexure cancer: Addressing infrapyloric node dissection – A video vignette

Abstract

to the splenic flexure is challenging so a mixed approach can be used to overcome the technical difficulties. Obese patients have a higher risk of surgical site infection and they often present with preoperative skin conditions such as intertrigo in body folds, which can affect the decision about the site of the mini-laparotomy. Indocyanine green angiography is a useful tool to ensure vascularization of the anastomosis, considering the higher risk of anastomotic leakage.Lastly, obese patients have higher conversion rates, longer operative times and higher postoperative morbidity, especially lower respiratory tract infections, which are the main cause of prolongation of hospital stay and increased costs.