Francesco Corcione, Vania Silvestri, Emanuele Pontecorvi and Umberto Bracale perform a Laparoscopic Left Colectomy to a 57 years old female with a BMI 28.3.
Clinical Background
1. Female
2. 57 years old
3. BMI 28.3
4. ASA II
5. Hypertension history with pharmacological treatment
6. Previous Caesarean section
Technique Description
1. Colo-epiploic detachment
2. IMA and IMV section at origin
3. Splenic flexure mobilization
4. Preparation of rectal stump and its section
5. Knight-Griffen anastomosis
6. Air Blu Test
Hybrid splenic flexure mobilization
Nerve sparing near the origin of IMA
Good blood supply of the rectal stump after preparation
Prevention of leakage with testing the anastomosis with air blu test
Female
57 years old
BMI 28.3
ASA II
Hypertension history with pharmacological treatment
Previous Caesarean section
Pain in the lower parts of the abdomen
Irregular alvus
FOBT ++
Colonscopy: 50 cm from a.v. presence of stenotic and bleeding lesion… biopsies identify fragments of adenocarcinoma
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