Laparoscopic Cecal Wedge Resection Appendectomy

1. Introduction

2. Incision and Access to the Abdomen

1. Place Veress Needle and Insufflate the Abdomen
2. Insert First Laparoscope Trocar and Sleeve
3. Make Second Incision
4. Insert Second Laparoscope Trocar and Sleeve
5. Make Third Incision
6. Insert Third Laparoscope Trocar and Sleeve

3. Viewing of Abdominal Organs and Exposure of Appendix

4. Resection of Appendix with Cecal Wedge

1. Isolate Appendix from Mesoappendix
2. Ligate Appendiceal Artery
3. Cuff the Colon
4. Transection
5. Remove Appendix via Specimen Bag

5. Gross Examination of Specimen and Viewing of Polyp

6. Hemostasis

7. Closure

8. Post-op Remarks