The patient is a 58-year-old male who recently was diagnosed with a sigmoid colon cancer, which was about 25cm from the anal verge. He has had staging CTs that have demonstrated no metastatic disease. During the case, the procedure is performed laparoscopically with a medial dissection of the inferior mesenteric artery and a distal transection of the colon. One of the challenges of the procedure was mobilization of the splenic flexure. Although the decision to mobilize the splenic flexure is controversial, we didn't have adequate length for an anastamosis and therefore had to mobilize the splenic flexure.
Laparoscopic Sigmoid Colectomy by Karen N. Zaghiyan, MD, FACS, FASCRS | Case Trailer physicians formula foundation | |
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Education | Upload TimePublished on 18 Apr 2019 |
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