Laparoscopic Rectosigmoid Colon Resection-Low Anterior Resection

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  • Colonoscopically unresectable colon polyps
  • Colon cancer
  • Diverticulitis
  • Segmental Crohn's disease
  • Volvulus
  • Coagulopathy
  • Fulminant colitis
  • Critical colonic distention
  • Allen stirrups
  • Electrocautery
  • Harmonic scalpel or ligature
  • Laparoscopic suction irrigator
  • 5- and 12-mm laparoscopic ports
  • Endoscopic staplers

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  • The patients ambulate on the night of the procedure.
  • Nasogastric tubes are not used in uncomplicated laparoscopic segmental colectomies.
  • The patient are placed on a clear liquid diet in the morning of the first postoperative day and converted to oral pain medications.
  • The Foley catheter is removed on the first postoperative day.
  • The patient can be placed on a solid diet on the second postoperative day.
  • Approximately 10% to 15% of patients will require reinsertion of a nasogastric tube for postoperative vomiting.

The incidence of anastomotic leakage is no different than that of open colectomy.

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