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Left hemicolectomy, open, curative

general and visceral surgery

readingtime 19:01 min.

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Anatomy Perioperative management Technique Complications Evidence Total Video

Content

Laparotomy
Exploration
Determination of the oral resection margin
Mobilization of the descending colon and sigmoid colon
Entering the omental bursa
Detachment of the greater omentum from the stomach
Transection of the greater omentum
Mobilization of the left flexure
Transection of the left colic vein
Dissection of the left colic artery
Transection of the mesocolon
Transection of the intestine
Anastomosis of the colon
Drainage and wound closure

Authors

Prof. Dr. med. Martin Kreis

Prof. Dr. med. Martin Kreis

Charite Berlin

Date

date of publication: 06.02.2012
date of update: 27.08.2023

Laparotomy

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Median skin incision with left circumcision of the navel. Transection of subcutaneous fat tissue and fascia with diathermy.

Exploration

Insertion of a drape and a retractor. Then determine the tumor size and location: The tumor is palp

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general and visceral surgery

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After activation, you can expect the following content:

Laparotomy
Exploration
Determination of the oral resection margin
Mobilization of the descending colon and sigmoid colon
Entering the omental bursa
Detachment of the greater omentum from the stomach
Transection of the greater omentum
Mobilization of the left flexure
Transection of the left colic vein
Dissection of the left colic artery
Transection of the mesocolon
Transection of the intestine
Anastomosis of the colon
Drainage and wound closure