Proximal Division of the Mesentery and Sigmoid Colon

The lateral attachments of the sigmoid colon are dissected free, and the sigmoid colon is completely mobilized using a sharp and blunt dissection as in open surgery (Figure 8.6.8). Again, great care should be taken to identify and avoid any injury to the hypogastric nerves, gonadal vessels,

Laparoscopic Colon Cancer Surgery Photos

Figure 8.6.6. When the ureter cannot be easily identified on the medial side, dissection should then proceed laterally, identifying and placing a cotton gauze over the ureter. Returning to the medial side, vessel ligation may proceed with the firm knowledge that the ureter is protected beneath the gauze.

Figure 8.6.6. When the ureter cannot be easily identified on the medial side, dissection should then proceed laterally, identifying and placing a cotton gauze over the ureter. Returning to the medial side, vessel ligation may proceed with the firm knowledge that the ureter is protected beneath the gauze.

or the ureter. The mesosigmoid (or the proximal resection line just to the left of the inferior mesenteric pedicle) is held using "triangulating tension," as described in Chapter 4 and transected up to the proximal intestinal resection line. This is where the LigaSure device may be especially useful, and expeditious (Figure 8.6.9). The colon is divided with a cartridge of a 45- or 55-mm endoscopic stapler (Figure 8.6.10). The pelvic portion of the operation is now ready to begin.

Was this article helpful?

0 0
The Most Important Guide On Dieting And Nutrition For 21st Century

The Most Important Guide On Dieting And Nutrition For 21st Century

A Hard Hitting, Powerhouse E-book That Is Guaranteed To Change The Way You Look At Your Health And Wellness... Forever. Everything You Know About Health And Wellness Is Going To Change, Discover How You Can Enjoy Great Health Without Going Through Extreme Workouts Or Horrendous Diets.

Get My Free Ebook


Post a comment