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Laparoscopic Left Colectomy
Olympus
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Mar, 2020
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Description
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Francesco Corcione, Vania Silvestri, Emanuele Pontecorvi and Umberto Bracale perform a Laparoscopic Left Colectomy to a 57 years old female with a BMI 28.3.
Technique Description:
1. Female
2. 57 years old
3. BMI 28.3
4. ASA II
5. Hypertension history with pharmacological treatment
6. Previous Caesarean section
Procedure Steps:
1. Colo-epiploic detachment
2. IMA and IMV section at origin
3. Splenic flexure mobilization
4. Preparation of rectal stump and its section
5. Knight-Griffen anastomosis
6. Air Blu Test
Learning Points:
Hybrid splenic flexure mobilization
Nerve sparing near the origin of IMA
Good blood supply of the rectal stump after preparation
Prevention of leakage with testing the anastomosis with air blu test
Clinical History:
Female
57 years old
BMI 28.3
ASA II
Hypertension history with pharmacological treatment
Previous Caesarean section
Pain in the lower parts of the abdomen
Irregular alvus
FOBT ++
Colonscopy: 50 cm from a.v. presence of stenotic and bleeding lesion… biopsies identify fragments of adenocarcinoma
