Open Left Colectomy for Colon Cancer: Left Colon and Sigmoid Resection with Colostomy Formation

Exposure

1. Midline abdominal incision
2. Entry to the Lesser Sac and Splenic/Hepatic Flexure Take Down

Mobilization of Descending and Sigmoid Colon

3. Division of Mesenteric Vessels
4. Mobilization of Volvulus
5. Division of Distal Colonic Margin
6. Division of Proximal Colonic Margin
7. Removal of Specimen and Hemostasis

Colostomy

8. Removal of Specimen and Hemostasis
9. Mobilization to Allow for Stoma Maturation
10. Identification of Stoma Site in LUQ
11. Creation of Stoma

Closure

12. Abdominal Fascia closed with #1 Running Prolene
13. Skin closed with Staples
14. Colostomy Maturation and Ostomy Bag Fixation