Marking of the planned stoma, which should be placed in the outer third of the rectus muscle on the line between the spine and the navel.
Midline laparotomy. Insertion of a ring drape and a self-retaining retractor.
Thorough exploration of the entire abdomen and exclusion of extrahepatic metastases.
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Laparotomy and Exploration
Soundsettings -
Mobilization of the Sigmoid Colon
Soundsettings The colon is pulled medially and the lateral adhesions with the peritoneum lateral to the abdominal wall are sharply dissected.
Central Transection of the Inferior Mesenteric Artery
Pre-aortic dissection after opening the retroperitoneum and central transection of the inferior mes
Pre-aortic dissection after opening the retroperitoneum and central transection of the inferior mes
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