with Dr. Massimiliano Della Porta, Dr. Elisa Cassinotti, Prof. Luigi Boni
NOSE Lap Right Colectomy performed by Professor Luigi Boni alongside Dr. Elisa Cassinotti and Dr. Massimiliano Della Porta. The surgery has a laparoscopic 4 trocar approach, high vessels ligation with SMV exposure, intracorporeal Anastomosis and colpotomy and transvaginal specimen extraction.
Clinical Background
Laparoscopic 4 trocar approach
High vessels ligation with SMV exposure
Intracorporeal Anastomosis
Colpotomy and transvaginal specimen extraction
Technique Description
1. Trocar insertion.
2. High ligation of Ileocolic vessels.
3. Exposure of SMV.
4. Dissection of Toldt’s fascia.
5. Section of transverse colon and terminal Ileum.
6. Intracorporeal stapler anastomosis
7. Colpotomy and transvaginal specimen extraction
6. Vaginal Suture
Oncologic Right colectomy even without formal CME
Intracorporeal anastomosis
Natural orifices specimen extraction
82-year-old female
No significant past medical history
Recent significant anemia (Hb 7.8 g/dl)
Colonoscopy sub-stenotic lesion at the cecum
Adenocarcinoma
Thoraco-Abdominal CT Scan: no distant metastases
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