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  • Title
  • 1. Introduction
  • 2. Surgical Approach
  • 3. Access
  • 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

Laparoscopic Total Abdominal Colectomy with Ileorectal Anastomosis for Crohn's Colitis and Multifocal Dysplasia

27528 views

Winta T. Mehtsun, MD, MPH; Richard Hodin, MD
Massachusetts General Hospital

General Surgery

Procedure Outline

Table of Contents

  1. 1. Introduction
    1. 2. Surgical Approach
      1. 3. Access
        1. 4. Mobilize Colon
          1. 5. Divide Distal Sigmoid Colon
            1. 6. Pull Colon Through Infraumbilical Port Site
              1. 7. Divide at Ileum and Make J-Pouch
                1. 8. Secure Ileal End of EEA Stapler
                  1. 9. Regain Laparoscopic Access
                    1. 10. Insert EEA Stapler
                      1. 11. Anastomosis
                        1. 12. Test Anastomosis
                          1. 13. Reposition Omentum
                            1. 14. Examine Resected Colon
                              1. 15. Closure
                                1. 16. Post-op Remarks

                                  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

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                                  Authors

                                  Filmed At:

                                  Massachusetts General Hospital

                                  Article Information

                                  Publication Date
                                  Article ID259
                                  Production ID0259
                                  Volume2023
                                  Issue259
                                  DOI
                                  https://doi.org/10.24296/jomi/259