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Laparoscopic Total Abdominal Colectomy with Ileorectal Anastomosis

Richard Hodin, MD
Massachusetts General Hospital

1. Introduction

2. Surgical Approach

  1. Mark Patient
  2. Inject Local Anesthetic

3. Access

  1. Incision
  2. Dissect into Peritoneum
  3. Placement of Trocars

4. Mobilize Colon

5. Divide Distal Sigmoid Colon

6. Pull Colon Through Infraumbilical Port Site

7. Divide at Ileum and Make J-Pouch

8. Secure Ileal End of EEA Stapler

9. Regain Laparoscopic Access

10. Insert EEA Stapler

11. Anastomosis

12. Test Anastomosis

13. Reposition Omentum

14. Examine Resected Colon

15. Closure

16. Post-op Remarks