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  • 0. Introduction
  • 1. Exposure and Trocar Placement
  • 2. Entry to Abdomen and Mobilization
  • 3. Bowel Division
  • 4. Colorectal Anastomosis
  • 5. Closure
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Laparoscopic Sigmoid Resection for Diverticulitis

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

Procedure Outline

  1. Infraumbilical Incision, Veress Needle Insertion, and Inflation
  2. Trocar Placement
 
  1. Port Placement
  2. Freeing Omentum from Abdominal Wall
  3. Descending Colon and Splenic Flexure Mobilization
  4. Sigmoid Colon Mobilization
  5. Isolation and Division of IMA Pedicle
 
  1. Division of Lateral and Posterior Stalks
  2. First Bowel Division
  3. Isolation and Division of Marginal Artery
  4. Second Bowel Division
  5. Anvil Placement and Abdominal Closure
 
  1. Baker-Type Anastomosis
  2. Water-Immersion Sigmoidoscopy
 
  1. Subcuticular Suture