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Laparoscopic total colectomy with partial proctectomy

J Leroy, MD, FRCS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA F Costantino, MD
Epublication WebSurg.com, Feb 2008;08(02). URL: http://websurg.com/doi/vd01en2261

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  • 2008-02-14
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This video demonstrates the performance of a total colectomy performed laparoscopically that included resection of the cephalad portion of the rectum. This approach involves resection of the proximal portion of the rectum. The authors divide the ileum near the ileocecal junction. With the ureter identified and secured, they move to dissect anterior to the fascia. The duodenum comes into view, then progressively the colon and attachments are freed. After they complete freeing the right colon, they move to the patient’s left side to carry out a left colectomy.