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Video preload image for Open Left Colectomy for Colon Cancer: Left Colon and Sigmoid Resection with Colostomy Formation
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  • Title
  • 1. Exposure
  • 2. Mobilization of Descending and Sigmoid Colon
  • 3. Colostomy
  • 4. Closure

Open Left Colectomy for Colon Cancer: Left Colon and Sigmoid Resection with Colostomy Formation

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Derek J. Erstad, MD; David L. Berger, MD
Massachusetts General Hospital

Procedure Outline

  1. Midline Incision and Exploration
  2. Entry to the Lesser Sac and Splenic/Hepatic Flexure Take Down
  1. Division of Mesenteric Vessels
  2. Mobilization of Volvulus
  3. Division of Distal Colonic Margin
  4. Division of Proximal Colonic Margin
  5. Removal of Specimen and Hemostasis
  1. Removal of Specimen and Hemostasis
  2. Mobilization to Allow for Stoma Maturation
  3. Identification of Stoma Site in LUQ
  4. Creation of Stoma
  1. Abdominal Fascia Closed with #1 Running Prolene
  2. Skin Closed with Staples
  3. Colostomy Maturation and Ostomy Bag Fixation

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Authors

Filmed At:

Massachusetts General Hospital

Article Information

Publication Date
Article ID29
Production ID0088
Volume2024
Issue29
DOI
https://doi.org/10.24296/jomi/29