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Laparoscopic sigmoid colectomy for cancer

J Leroy, MD, FRCS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Jan 2006;06(01). URL: http://websurg.com/doi/vd01en1874

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  • 2006-01-13
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This video demonstrates an uncomplicated laparoscopic sigmoid colectomy for cancer in a normal weight lady. The surgeon uses a medial approach to mesenteric mobilization and division of inferior mesenteric artery at the root. The hypogatric nerves, ureter and gonadal artery are identified. The splenic flexure is not mobilized due to the length of the bowel. The bowel is removed through a suprapubic incision and an EEA anastamosis is made. This video is a good demonstration of key anatomical landmarks and surgical approach to sigmoid colectomy for cancer through the medial approach.