ileocecal resection
Surgical removal of the terminal ileum and cecum, commonly performed for Crohn's disease or right-sided colon pathology.
Full Definition
Ileocecal resection involves the surgical removal of the terminal ileum, cecum, and often the ascending colon, typically performed for Crohn's disease affecting the ileocecal region or for right-sided colonic pathology. This procedure addresses the most common site of Crohn's disease involvement and can also be indicated for malignancy, severe inflammation, or obstruction. The surgery includes removal of the associated mesentery and lymph nodes, followed by restoration of bowel continuity through ileocolic anastomosis. The procedure can be performed through open, laparoscopic, or robotic approaches. Special attention must be paid to preserving the ileocolic artery and avoiding injury to surrounding structures including the duodenum and ureter.
Usage
Usage note: Often grouped with right hemicolectomy procedures but specifically involves ileocecal region.
In Context
- "Laparoscopic ileocecal resection was performed for stricturing Crohn's disease." — operative report
- "The patient had good functional outcomes following ileocecal resection with primary anastomosis." — postoperative follow-up