Usefulness of Clipless Laparoscopic Division of Superior Right Colic Vein for Right Side Transverse Colon Cancer

Abstract

Background: Clips are commonly used to divide vessels in laparoscopic surgery. However, branches of the superior mesenteric vein (SMV), including the superior right colic vein (SRCV), are narrow, and the clips are too large to be used for these veins. During surgery, there is concern about the risk of bleeding due to vascular injury, as well as when detaching the clips after the procedure. Patients and Methods: From January 2014 to December 2016, six patients with right side transverse colon cancer underwent clipless laparoscopic surgery were enrolled in this study. After skeletonizing around the roots of the SRCVs, they were divided at their roots only by LigaSure, without the use of clips. Results: The mean operative time was 136 min (range 114-160), the mean operative blood loss was less than 10 ml, and no bleeding at the stump of the SRCV was confirmed during surgery. The mean length of hospitalization after surgery was 10 days, and no complications were encountered after surgery. No recurrence was found more than three years after surgery. Conclusion: Clipless laparoscopic division of the SRCV is a useful procedure for patients with right side transverse colon cancer. the superior colic the are to for the of due to vascular injury, when the clips after the procedure; a clipless We performed a novel procedure: a clipless laparoscopic partial colectomy for right side transverse colon cancer.