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  • 1. Introduction
  • 2. Incision and Access to the Abdomen
  • 3. Viewing of Abdominal Organs and Exposure of Appendix
  • 4. Resection of Appendix with Cecal Wedge
  • 5. Gross Examination of Specimen and Viewing of Polyp
  • 6. Hemostasis
  • 7. Closure
  • 8. Post-op Remarks
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Laparoscopic Cecal Wedge Resection Appendectomy


Ciro Andolfi, MD1; Marco Fisichella, MD, MBA, FACS2
1University of Chicago Pritzker School of Medicine
2VA Boston Healthcare System

Procedure Outline

  1. Place Veress Needle and Insufflate the Abdomen
  2. Insert First Laparoscope Trocar and Sleeve
  3. Make Second Incision
  4. Insert Second Laparoscope Trocar and Sleeve
  5. Make Third Incision
  6. Insert Third Laparoscope Trocar and Sleeve
  1. Isolate Appendix from Mesoappendix
  2. Ligate Appendiceal Artery
  3. Cuff the Colon
  4. Transection
  5. Remove Appendix via Specimen Bag