Additional Operative Procedures LAPAROSCOPIC LATERAL-TO-MEDIAL MOBILIZATION OF THE SIGMOID COLON Please review the accompanying video for this chapter. In this video, we demonstrate an alternate approach to sigmoid mobilization. A…
Complications and Difficulties KEY STEPS 1. Transilluminating the abdominal wall and inserting ports lateral to the visualized epigastric vessels will reduce hemorrhagic port site problems. 2. To avoid inadvertent cautery…
Laparoscopic Reversal of Hartmann’s Procedure KEY STEPS 1. Peristomal incision for stoma mobilization; 0 polypropylene purse-string suture and insertion of a circular stapler anvil into the distal end of the…
Laparoscopic Hartmann’s Procedure KEY STEPS 1. Insertion of ports: 10-mm umbilical Hasson technique; 12-mm right iliac fossa; 5-mm right upper quadrant; 5-mm left iliac fossa (optional). 2. Patient rotated to…
Laparoscopic Loop Ileostomy and Loop Colostomy Formation KEY STEPS 1. Insertion of ports: a. Loop ileostomy: 10-mm umbilical Hasson technique; 5-mm left iliac fossa; optional 5-mm left upper quadrant. b….
Laparoscopic Resection Rectopexy KEY STEPS 1. Insertion of ports: 10-mm umbilical open technique; 12-mm right iliac fossa; 5-mm right upper quadrant; 5-mm left iliac fossa. 2. Patient rotated to the…
Robotic-Assisted Low Anterior Resection Vincent Obias KEY STEPS 1. Insertion of ports: 12-mm port placed 2 cm to right of umbilicus with optiview after veress needle insufflation (camera port); 12…
Laparoscopic Well’s Rectopexy KEY STEPS 1. Insertion of ports: 10-mm umbilical open technique; 5-mm right iliac fossa; 5-mm right upper quadrant; 5-mm left iliac fossa. 2. Patient placed in the…
Laparoscopic Abdominoperineal Resection KEY STEPS 1. Insertion of ports: 10-mm umbilical Hasson technique; 12-mm right iliac fossa; 5-mm left iliac fossa; 5-mm right upper quadrant. 2. Patient rotated to the…
Laparoscopic Low Anterior Resection KEY STEPS 1. Insertion of ports: 10-mm umbilical Hasson technique; 12-mm at ostomy site right iliac fossa; 5-mm right upper quadrant; 5-mm left iliac fossa. 2….
