Hemicolectomy right, open - general and visceral surgery

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  • Laparotomy

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    Laparotomy
     

    Midline abdominal incision passing the umbilicus on the right.
    Transection of the subcutaneous tissue and fascia with monopolar diathermy.

  • Bladder catheter / Setting up the surgical field

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    Bladder catheter / Setting up the surgical field
     

    After transection of the peritoneum, insert a suprapubic catheter into the bladder.
    Set up the surgical field with the retractor system.

  • Exploration

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    Exploration
     

    Gain an overview of the size and extent of the tumor and any abdominal metastases.

  • Mobilizing the ascending colon

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    Mobilizing the ascending colon
     
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  • Mobilizing the mesenteric root

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    Mobilizing the mesenteric root
     
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  • Kocher maneuver

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    Kocher maneuver
     
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  • Dissecting the duodenum

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    Dissecting the duodenum
     
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  • Opening the omental bursa

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  • Dissecting the peripancreatic lymph nodes

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    Dissecting the peripancreatic lymph nodes
     
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  • Dividing the ileocolic artery and vein

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  • Dividing the right colic artery

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  • Dividing the ileum

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  • Dividing the colon

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  • Managing the resected specimen

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  • Ileotransversostomy

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  • Closing the mesenteric defect

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  • Robinson drain

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  • Closing the fascia

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  • Redon drain

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  • Closing the skin

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