Laparoscopic Rectosigmoid Colon Resection-Low Anterior Resection

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SAMPLE EXCERPT
- Full procedure text, video and illustrations available with the full product
PRE-PROCEDURE
INDICATIONS
  • Colonoscopically unresectable colon polyps
  • Colon cancer
  • Diverticulitis
  • Segmental Crohn's disease
  • Volvulus
CONTRAINDICATIONS
  • Coagulopathy
  • Fulminant colitis
  • Critical colonic distention
EQUIPMENT
  • Allen stirrups
  • Electrocautery
  • Harmonic scalpel or ligature
  • Laparoscopic suction irrigator
  • 5- and 12-mm laparoscopic ports
  • Endoscopic staplers

PROCEDURE
Sample excerpt does not include step-by-step text instructions for performing this procedure
The full content of this section includes:
  • Step-by-step text instructions for performing the procedure
  • Clinical pearls providing practical clinical tips from medical experts
  • Patient safety guidelines consistent with Joint Commission and OHSA standards
  • Links to medical evidence and related procedures

POST-PROCEDURE
CARE
  • 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.
COMPLICATIONS
  • 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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