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Sigma resection, laparoscopic

  1. Creation of pneumoperitoneum / Placement of working trocars

    Video
    Creation of pneumoperitoneum / Placement of working trocars
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    The skin is incised in the midline approximately 3 cm cranial to the navel, the camera trocar (T1) is introduced into the abdominal cavity via a mini-laparotomy, and the pneumoperitoneum is established. After an orienting inspection of the abdominal cavity, the working trocars (T3, T4, T2) are introduced under direct vision.

    Note:

    The risk of injury to major intra-abdominal vessels by using a Veress needle to establish the pneumoperitoneum must be considered.

  2. Mobilization of the Sigmoid Colon

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    The patient is placed in the right lateral position.
    The embryonic adhesions between the peritoneum and the sigmoid colon are dissected towards the left flexure on Gerota's fascia. The left ureter and the left iliac vessels must be clearly identified in this process.

Mobilization of the left colonic flexure

The patient is now in the anti-Trendelenburg and right lateral position. Initially, mobilization of

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general and visceral surgery

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