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Contemporary Surgery WEBSURG VIDEO TIPSLaparoscopic total colectomy with partial proctectomy: Right colon mobilizationJoël
Leroy,
MD;
Jacques
Marescaux,
MD, FRCS;
Federico
Costantino,
MDStrasbourg, France 164Laparoscopic total colectomy with partial proctectomy vd01en2261http://www.websurg.com/ref/contemporary-vd01en2261.htm<object
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</object>J Leroy (France) / J Marescaux (France) / F Costantino (France)English18'2008-02-14
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This video demonstrates the performance of a total colectomy performed laparoscopically that included resection of the cephalad portion of the rectum.
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Case presentationVascular approach of the right and transverse colonRight colon mobilisationLeft colon mobilisationRectal dissection with tattoo of the distal polypSmall bowel ileal mobilisationSpecimen extractionIleo-rectal anastomosis and closure of the mesenteric defectGeneral and digestive > Colon > Polyposis > Total colectomy
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Fast Track
To mobilize the distal esophagus, the author divides the phrenoesophageal membrane, then frees the esophagus from the mediastinum.
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This approach involves resection of the proximal portion of the rectum. The authors divide the ileum near the ileocecal junction. With the ureter identifi ed and secured, they move to dissect anterior to the fascia. The duodenum comes into view, then progressively the colon and attachments are freed. After they complete freeing the right colon, they move to the patient’s left side to carry out a left colectomy.
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