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colic vessels
The operative technique includes ligature of the colon proximal and distal to the tumor and preliminary ligature of the ileocolic and right colic vessels.
      
After elevation of the transverse colon, the lesser sac is opened through the root of the transverse colon between the middle and left colic vessels.
      
Laparoscopic extended right hemicolectomy for cancer management is an uncommon operation because it is difficult to divide the middle colic vessels laparoscopically in an oncologic resection.
      
The key characteristic of our procedure is that all right and middle colic vessels are cut along the surgical trunk using only a medial approach.
      
For an extended right hemicolectomy, the middle colic vessels can easily be identified below the lower edge of the pancreas and cut at their roots [2].
      
The mesenteric segment surrounding the origin of principal vessels was divided from the segment surrounding the colic vessels.
      
mesocolon (colon or middle colic vessels) resection, the median survival was 26 months and 19 months, respectively (P = 0.12).
      
All neurolymphatic tissues accompanying the superior mesenteric artery (SMA) and vein (SMV) were ligated just distal to the middle colic vessels.
      
Large tumor of gastric antrum ad herent to pancreas, and meso-sigmoid and colic vessels.
      
 

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