Date of download: 5/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Single-Access Laparoscopic Sigmoidectomy as Definitive.

Slides:



Advertisements
Similar presentations
Oncologic Results of Laparoscopic Versus Conventional Open Surgery for Stage II or III Left-Sided Colon Cancers A Randomized Controlled Trial A randomized.
Advertisements

Morcellation of specimen : Fact or fiction? Gustavo Plasencia MD, FACS, FASCRS.
No (Visible) Scar Colectomy Michael J Stamos, MD Professor and Chair Department of Surgery Univ. of California, Irvine.
Laparoscopic Colon Surgery
What to do with Anastomotic Stricture Gustavo Plasencia MD, FACS, FASCRS.
Transanal extraction: Is it worth it?
Date of download: 5/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: LigaSure vs Clamp-and-Tie Technique to Achieve Hemostasis.
Date of download: 5/30/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Computers and Virtual Reality for Surgical Education.
Date of download: 5/31/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Outcome of Salvage Total Laryngectomy Following Organ.
Date of download: 6/1/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Skin-Sparing Mastectomy With Sentinel Lymph Node Dissection:
Date of download: 6/1/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Human Immunodeficiency Virus and Malignancy: Thoughts.
Date of download: 6/1/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Tubal Tonsil Hypertrophy: A Cause of Recurrent Symptoms.
Date of download: 6/2/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Efficacy of Omeprazole for the Treatment of Symptomatic.
Date of download: 6/9/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Frequency of Facial Basal Cell Carcinoma Does Not.
Date of download: 6/22/2016 Copyright © 2016 American Medical Association. All rights reserved. From: The Clinical Value of the Multiple-Frequency 80-Hz.
Date of download: 6/22/2016 Copyright © 2016 American Medical Association. All rights reserved. From: A Logical and Stepwise Operative Approach to Radical.
Date of download: 6/22/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Surgical Treatment of Hyperparathyroidism in Patients.
Date of download: 6/23/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Hepatic Portal Venous Gas: The ABCs of Management.
Date of download: 6/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Multimodality Treatment of Pediatric Lymphatic Malformations.
Date of download: 6/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Three-Year Outcome of Endovascular Treatment of Superficial.
Date of download: 7/6/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Abdominal Wall Reconstruction: Lessons Learned From.
Date of download: 7/7/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Increased Antiangiogenic Protein Expression in the.
Date of download: 7/8/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Combined Subcranial Approaches for Excision of Complex.
Date of download: 7/8/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Operative Repair of Bile Duct Injuries Involving the.
Date of download: 7/9/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Small-Diameter Nerve Fiber Neuropathy in Systemic.
Date of download: 7/9/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Follicular Variant of Papillary Thyroid Cancer: Encapsulated,
Date of download: 7/14/2016 Copyright © The American College of Cardiology. All rights reserved. From: Thoracic Aortic Aneurysm and Dissection J Am Coll.
Date of download: 9/17/2016 Copyright © 2016 American Medical Association. All rights reserved. From: The Vacuum Assisted Closure Device: A Method of Securing.
Date of download: 9/17/2016 Copyright © 2016 American Medical Association. All rights reserved. From: D2.5 Dissection for Gastric Carcinoma Arch Surg.
Date of download: 9/17/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Projection of Diabetic Retinopathy and Other Major.
Date of download: 9/18/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Genetic and Histological Assessment of Surgical Margins.
Date of download: 9/18/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Detection of Colon Cancer Metastases With Fluorescence.
Copyright © 2003 American Medical Association. All rights reserved.
Copyright © 2014 American Medical Association. All rights reserved.
Copyright © 2001 American Medical Association. All rights reserved.
Copyright © 2010 American Medical Association. All rights reserved.
Copyright © 2015 by the American Osteopathic Association.
From: Persistent Next-Day Effects of Excessive Alcohol Consumption on Laparoscopic Surgical Performance Arch Surg. 2011;146(4): doi: /archsurg
Copyright © 2006 American Medical Association. All rights reserved.
Copyright © 2010 American Medical Association. All rights reserved.
Copyright © 2012 American Medical Association. All rights reserved.
Copyright © 2003 American Medical Association. All rights reserved.
Copyright © 2012 American Medical Association. All rights reserved.
Copyright © 2005 American Medical Association. All rights reserved.
Copyright © 2002 American Medical Association. All rights reserved.
Copyright © 2001 American Medical Association. All rights reserved.
Copyright © 2010 American Medical Association. All rights reserved.
Copyright © 2003 American Medical Association. All rights reserved.
Copyright © 2005 American Medical Association. All rights reserved.
Copyright © 2005 American Medical Association. All rights reserved.
Copyright © 1999 American Medical Association. All rights reserved.
Copyright © 2015 by the American Osteopathic Association.
Primary resection for diverticulitis of the colon, also used in acute large bowel obstructions. The affected segment (shaded) has been divided at its distal.
Copyright © 2005 American Medical Association. All rights reserved.
Copyright © 2004 American Medical Association. All rights reserved.
Copyright © 2006 American Medical Association. All rights reserved.
Date of download: 12/22/2017 Copyright © ASME. All rights reserved.
Copyright © 2004 American Medical Association. All rights reserved.
Copyright © 2015 by the American Osteopathic Association.
Selected best demonstrated practices in peritoneal dialysis access
Transanal total mesorectal excision (TaTME) for rectal cancer: Step by step description of the surgical technique for a two-teams approach  M.C. Arroyave,
Single incision laparoscopic resection for diverticulitis
Novel Use of Surgical Glove Port to Perform Laparoscopic Total Gastrectomy  Elio Jovine, MD, PhD, Simone Nicosia, MD, Michele Masetti, MD, Raffaele Lombardi,
Selected best demonstrated practices in peritoneal dialysis access
Robotic Coronary Artery Bypass Grafting
Left Colon Swing for Esophageal Replacement
Pursestring Stapled Anastomotic Technique for Minimally Invasive Ivor Lewis Esophagectomy  Ren-Quan Zhang, MD, Wan-Li Xia, MD, Ning-Ning Kang, MD, Wei.
Novel T-Shaped Linear-Stapled Intrathoracic Esophagogastric Anastomosis for Minimally Invasive Ivor Lewis Esophagectomy  Yi-Nan Dong, MD, Liang Zhang,
Thoracoscopic Construction of an Intrathoracic Esophagogastric Anastomosis Using a Circular Stapler: Transoral Placement of the Anvil  Ninh T. Nguyen,
Minimally Invasive Ivor Lewis Esophagectomy
Presentation transcript:

Date of download: 5/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Single-Access Laparoscopic Sigmoidectomy as Definitive Surgical Management of Prior Diverticulitis in a Human Patient Arch Surg. 2009;144(2): doi: /archsurg View of single multichannel port in situ subumbilically with the patient in a steep Trendelenburg tilt. A 10-mm camera is initially used, allowing 2 other 5-mm instruments to be inserted synchronously via the port. This camera is later changed to a 5-mm one when larger laparoscopic instruments (eg, the EndoGIA stapler; Covidien, Autosuture, Hamilton, Bermuda) are required. The insert displays the low profile of the port after placement with both its internal and external aspects being flush with the abdominal wall. Figure Legend:

Date of download: 5/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Single-Access Laparoscopic Sigmoidectomy as Definitive Surgical Management of Prior Diverticulitis in a Human Patient Arch Surg. 2009;144(2): doi: /archsurg A, Initial medial mesenteric dissection using a Ligasure advance (Covidien, Valleylab, Norwalk, Conneticut). Retraction of the sigmoid is provided by a combination of a roticulated graspers manipulated synchronously via the Triport (Advanced Surgical Concepts, Wicklow, Ireland) and an intraluminal sigmoidoscope within the distal sigmoid. The line of dissection is near the bowel wall. B, After initial dissection, the metal stapler head that will be used to make the anastomosis is passed into the distal descending colon. C, This is then anchored in place in the descending colon above the line of intended proximal transection by a second magnet placed extracorporeally on the anterior abdominal wall. Figure Legend:

Date of download: 5/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Single-Access Laparoscopic Sigmoidectomy as Definitive Surgical Management of Prior Diverticulitis in a Human Patient Arch Surg. 2009;144(2): doi: /archsurg A, Proximal colonic transection is performed using an EndoGIA (Covidien, Autosuture, Hamilton, Bermuda). Moving the extracorporeal magnet now will also provide a means of changing the position of the proximal intestine as it is magnetically locked to the stapler anvil. B, After further distal mesenteric dissection, a linear EndoGIA with a roticulated head can be placed across the bowel to perform the distal transection. Figure Legend:

Date of download: 5/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Single-Access Laparoscopic Sigmoidectomy as Definitive Surgical Management of Prior Diverticulitis in a Human Patient Arch Surg. 2009;144(2): doi: /archsurg A, With the sigmoid now resected, a colotomy is made adjacent to the proximal staple line (in the descending colon) to deliver the anvil pike in preparation for the reanastomosis. B, Magnetic attraction then allows the pike of the anvil to be withdrawn snugly through the colotomy. During this maneuver, a roticulated grasper inserted via the transabdominal port provides downward traction on the proximal colonic segment. C, Once the pike has been snugged in the colotomy and secured in place with an endoloop, the anvil stapler is mated with the circular head of the stapler inserted per ano into the colorectal stump. Figure Legend:

Date of download: 5/28/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Single-Access Laparoscopic Sigmoidectomy as Definitive Surgical Management of Prior Diverticulitis in a Human Patient Arch Surg. 2009;144(2): doi: /archsurg Photograph of the patient taken on the eighth postoperative day during follow-up at our clinic demonstrating her single subumbilical scar. Figure Legend: