ABSTRACT

A right colon resection is performed for a number of indications. However, the most common is for the treatment of a colonic malignancy. Other reasons include intestinal polyps not amenable to endoscopic removal, regional inflammatory conditions (e.g. Crohn’s disease, perforated appendicitis), and rarely mechanical problems such as volvulus. Open resection represents the ‘gold standard’ comparison for other techniques, such as laparoscopic-assisted and hand-assisted right colectomy. Keys to the success of the operation, as for any intestinal operation, include adequate exposure, identification of the appropriate dissection planes, preservation of a blood supply, and a tension-free anastomosis.