Colon and Rectal Surgery [612097]
Low Anterior
Resection
Section of
Colon and Rectal Surgery
Positions of the surgical team and the equipment for the laparoscopic anterior resection.
Positions of the cannulas for the laparoscopic anterior resection.
The main mesenteric blood vessels are tented anteriorly and the plane is dissected between the
vessels and structures behind them.
The rectal dissection starts from the right side, carefully identifying and sweeping down the
hypogastric nerves (nerves for sexual function), which can be tented upward with traction.
The peritoneal reflection is incised, exposing Denonvillier’s fascia and protecting the seminal
vesicles or vaginal wall.
An endoscopic linear stapler is introduced through the suprapubic cannula and fired across the
distal intestine at right angles to the bowel.
The double-staple anastomosis (hook-up) is performed using a circular stapler.
After resection, the staples will be evaluated to be sure there has been good formation of the
staples.
Copyright Notice
© Licențiada.org respectă drepturile de proprietate intelectuală și așteaptă ca toți utilizatorii să facă același lucru. Dacă consideri că un conținut de pe site încalcă drepturile tale de autor, te rugăm să trimiți o notificare DMCA.
Acest articol: Colon and Rectal Surgery [612097] (ID: 612097)
Dacă considerați că acest conținut vă încalcă drepturile de autor, vă rugăm să depuneți o cerere pe pagina noastră Copyright Takedown.