Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be...

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Laparoscopic Colorectal Surgery R.K.Mishra

Transcript of Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be...

Page 1: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Laparoscopic Colorectal

Surgery

R.K.Mishra

Page 2: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Incidence

Page 3: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Introduction

Page 4: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anatomy

Page 5: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anatomy

Page 6: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anatomy

Page 7: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anatomy

Page 8: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anatomy

Page 9: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anatomy

Page 10: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anatomy

Page 11: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anatomy

Page 12: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Bowel Preparation

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Patient Position

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Position of Surgical Team

Page 15: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially
Page 16: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Shoulder Support

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Port Position

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Port Position

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Optical Port

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Working Ports

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Exposure

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Working Space

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Fixation of uterus

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Dissection

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Opening of peritoneum

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Dissection of fatty cellular tissue

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Dissection of Lymph node

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Mobilization of Sigmoid Colon

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Mobilization of Sigmoid Colon

Page 30: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Mobilization of Sigmoid Colon

Page 31: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Mobilization of Sigmoid Colon

Page 32: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Mobilization of Sigmoid Colon

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Division of Sigmoid Colon

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Division of Sigmoid Colon

Page 35: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Division of Sigmoid Colon

Page 36: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Dissection of proximal segment

Page 37: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Dissection of proximal segment

Page 38: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Dissection of proximal segment

Page 39: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Dissection of proximal segment

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Extra-abdominal preparation of

proximal segment

Page 41: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Extra-abdominal preparation of

proximal segment

Page 42: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Extra-abdominal preparation of

proximal segment

Page 43: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anastomosis

Page 44: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anastomosis

Page 45: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anastomosis

Page 46: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Anastomosis

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Laparoscopic Low Anterior

Resection

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Laparoscopic Sigmoidectomy

Page 49: Laparoscopic Colorectal Surgery...sigmoid colon to the abdominal wall, this operative step can be difficult. After incision of the left layer of the sigmoid mesocolon, the medially

Complications of Sigmoidectomy

• Wound infection

• Anastomotic leakage

• Bleeding

• Ureteric Injury

• Cardiopulmonary failure

• Pneumonia and

• Renal failure


Absence of transverse colon, persistent descending mesocolon, … · the sigmoid mesocolon, the chances of formation of volvulus are high. Since there was a gap behind the upper part

Absence of transverse colon, persistent descending mesocolon, … · the sigmoid mesocolon, the chances of formation of volvulus are high. Since there was a gap behind the upper part

Geoid Determination Based on Log Sigmoid Function of ...jaiee.iau-ahar.ac.ir/article_516360_ddfc1e27d5bfbf... · Omid Memarian Sorkhabi : Geoid Determination Based on Log Sigmoid…

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Intestines, Stomach, Rectal instruments · -Anastomosis Forceps-Sigmoid Anastomosis Forceps-Atraumatic Sigmoid Anastomosis sales@surgicute.com - Rectal Specula - Anuscopes - Sphincteroscopes

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Case Report A Case of Recurrent Mesocolon Myxoid ...downloads.hindawi.com/journals/crionm/2013/692754.pdfA Case of Recurrent Mesocolon Myxoid Liposarcoma and Review of the Literature

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SIGMOID FUNCTIONS: SOME APPROXIMATION, AND MODELLING …biomath.bg/s markov publications/B2015-Kyurkchiev_Markov_Lambert.… · 1 Nikolay Kyurkchiev, Svetoslav Markov SIGMOID FUNCTIONS:

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with Sigmoid Volvulus: A Review Assessment of Marfan ...assets.cureus.com/uploads/case_report/pdf/4388/... · imaging features revealed a dilated sigmoid colon, consistent with sigmoid

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Knapsack Problems with Sigmoid Utilities: Approximation ...vaibhav/papers/2012d-sb.pdf · Knapsack Problems with Sigmoid Utilities: Approximation Algorithms via Hybrid ... sigmoid

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Monica Rosa Ph.D. Sigmoid Pharma

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Laparoscopic Sigmoid Colon Resection: Supine and Lateral

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Richer Convolutional Features for Edge Detectionmftp.mmcheng.net/liuyun/rcf/cvpr17-rcf.pdf3×3-512 conv 3×3-512 conv 3-512 conv loss/sigmoid loss/sigmoid loss/sigmoid loss/sigmoid

Richer Convolutional Features for Edge Detectionmftp.mmcheng.net/liuyun/rcf/cvpr17-rcf.pdf3×3-512 conv 3×3-512 conv 3-512 conv loss/sigmoid loss/sigmoid loss/sigmoid loss/sigmoid

Original Article Leiomyosarcoma of the sigmoid colon with ...Sigmoid colon with biorherapy 8083 Int J Clin Exp Med 2016;9(5):8081-8084 plasm in sigmoid colon. None of the abnormal

Original Article Leiomyosarcoma of the sigmoid colon with ...Sigmoid colon with biorherapy 8083 Int J Clin Exp Med 2016;9(5):8081-8084 plasm in sigmoid colon. None of the abnormal

Benign mesocolon schwannoma in PET/CT and ...Benign mesocolon schwannoma in PET/CT and immunohistochemistry assessment: a case report 361. Discussion We report a case of an asymptomatic

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Log-Sigmoid Multipliers Method in Constrained Optimizationmason.gmu.edu/~rpolyak/Publications/polyak01.pdf · Log-Sigmoid Multipliers Method in Constrained ... We established convergence

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The Sigmoid Nonlinearity in Prepyriform Cortexpapers.nips.cc/...the-sigmoid-nonlinearity-in-prepyriform-cortex.pdf · THE SIGMOID NONLINEARITY IN PREPYRIFORM CORTEX ... with a standard

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Research Article Analysis of Sigmoid Functionally Graded ...

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Pavement Management Systems Management... · Pavement Management Systems ... •Sigmoid •Power •User defined Sigmoid •Default Curve (previous Curve used by PMS) Linear .

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Head. Clypeus: anterior margin medially without a ... · PDF fileHead. Clypeus: anterior margin medially without a

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