Mobilization of right colon should be done selectively where initial vascular ligation is difficult due to any reasons. Otherwise vascular ligation first followed by mobilisation should be used routinely.

Thankyou,Medial to lateral approach is preferred of late,but there has not been much difference with lateral to medial approach,by way of tumour embolization or ureteric injuries.

If you want to respect the no touch tecnique, the first step is vascular ligation before mobilization of the cancer bearing segment. Then you can do what do you prefer : medial to lateral approach or lateral to medial

I never tried to do it, because  if you don,t try to find the urether  at the begining of surgery,you may hurt it.

I don't use it but it may be of some interest in the case of D3 lymph node dissection as the retroperitoneal mobilisation of the right colon allows easier dissection along the superior mesenteric vein axis and skeletonisation of the right colic branches.

I agree that the tenet of "no touch technique" prioritizes vascular ligation before mobilisation of the colon. Nevertheless, we have to accept that no data exist showing a survival benefit for laparoscopic medial to lateral, lateral to medial or D3 lymph node dissection in right colon cancers.

Prasanna Kumar Reddy do you continue using the craniocaudal dissection or have you shifted to another technique?