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Title
1. Introduction
2. Access and Placement of Ports
3. Colon Mobilization
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a. Free and Elevate Omentum
b. Pull Transverse Colon Down and Enter Lesser Sac
c. Descending Colon and Splenic Flexion Mobilization
d. Clip and Divide Left Colic Artery
e. Finish Proximal Mobilization
f. Sigmoid Colon and Rectum Mobilization
g. Isolation and Division of IMA Pedicle
h. Continue Distal Mobilization
4. Conversion to Open Approach
5. Proximal Bowel Division
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a. Marginal Artery Division
6. Extension of Incision
7. Total Mesorectal Excision
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a. Check Tumor Location with Colonoscope
8. Division of Rectum
9. Distal Side-to-End Anastomosis with EEA Stapler
10. Test Anastomosis
11. Closure
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a. Prepare Loop Ileostomy Exit Site
b. Close Abdomen
c. Staple Port Incisions
d. Inject Local Anesthetic
e. Staple Midline Laparotomy Incision
f. Mature Loop Ileostomy
12. Post-op Remarks
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Laparoscopic Low Anterior Resection with Diverting Loop Ileostomy for Rectal Cancer with Conversion to Open Approach
Prabh R. Pannu, MD
;
David Berger, MD
Massachusetts General Hospital
Tags:
General Surgery
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Authors
Prabh R. Pannu, MD
David L. Berger, MD
Filmed At:
Massachusetts General Hospital
Article Information
Publication Date
7/26/2023
Article ID
342
Production ID
0342
Volume
2023
Issue
342
DOI
https://doi.org/10.24296/jomi/342