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Sigmoid Colectomy and Left Hemicolectomy: Laparoscopic Approach

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Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery

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Abstract

The purpose of this chapter is to review the technique of performing a laparoscopic sigmoid resection and left hemicolectomy. The essential steps of the procedure will be discussed in detail, including patient positioning, port placement, identification of key structures (inferior mesenteric artery pedicle, tumor, and ureter), mobilization techniques, extraction sites, and methods of reconstruction. While there are many different approaches to performing a sigmoid resection or Hartmann’s reversal, this chapter will describe the pure laparoscopic approach. Additionally, specific considerations and challenges encountered while performing a sigmoid resection will be reviewed.

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Author information

Authors and Affiliations

  1. Division of Colon and Rectal Surgery, Department of Surgery, University of Nevada School of Medicine, Las Vegas, NV, USA

    Charles B. Kim MD

  2. Division of Colon and Rectal Surgery, Department of Surgery, University of Nevada School of Medicine, Las Vegas, NV, USA

    Ovunc Bardakcioglu MD, FACS

Authors
  1. Charles B. Kim MD
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  2. Ovunc Bardakcioglu MD, FACS
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Corresponding author

Correspondence to Charles B. Kim MD .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery, Department of Surgery, University of Nevada School of Medicine, Las Vegas, Nevada, USA

    Ovunc Bardakcioglu

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Ligation of the inferior mesenteric artery (MP4 141226 kb)

Lateral mobilization of sigmoid colon (MP4 21110 kb)

Rectosigmoid transection (MP4 103185 kb)

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Kim, C.B., Bardakcioglu, O. (2015). Sigmoid Colectomy and Left Hemicolectomy: Laparoscopic Approach. In: Bardakcioglu, O. (eds) Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-7531-7_13

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  • DOI: https://doi.org/10.1007/978-1-4899-7531-7_13

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  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4899-7530-0

  • Online ISBN: 978-1-4899-7531-7

  • eBook Packages: MedicineMedicine (R0)

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