Laparoscopic Low Anterior Resection with Diverting Loop Ileostomy for Rectal Cancer with Conversion to Open Approach
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Procedure Outline
Table of Contents
- Free and Elevate Omentum
- Pull Transverse Colon Down and Enter Lesser Sac
- Descending Colon and Splenic Flexion Mobilization
- Clip and Divide Left Colic Artery
- Finish Proximal Mobilization
- Sigmoid Colon and Rectum Mobilization
- Isolation and Division of IMA Pedicle
- Continue Distal Mobilization
- Marginal Artery Division
- Check Tumor Location with Colonoscope
- Prepare Loop Ileostomy Exit Site
- Close Abdomen
- Staple Port Incisions
- Inject Local Anesthetic
- Staple Midline Laparotomy Incision
- Mature Loop Ileostomy