Left
Hemicolectomy
Indications
• Tumors
of the splenic flexure and descending colon
• Diverticular
disease with perforation or bleeding.
Position
Supine.
Anesthesia
General.
Procedure
1. Midline
incision.
2. Mobilize
descending colon and splenic flexure.
3. Divide
the inferior mesenteric vessels between ligatures at its take off.
4. Separate
greater omentum from the stomach to take it with the left half of the
transverse colon.
5. Divide
colon between clamps removing left lateral third of transverse colon.
6. Descending
and simoid colon.
7. Anastomose
transverse colon to the rectum using single layer of interrupted non-absorbable
suture.
8. To
avoid tension, it may be necessary to mobilize the right transverse colon.
9. Close
abdomen without drainage.
Instruments
• General
set, 1
• Gastrointestinal
set, 1.
Any questions be sent to drmmkapur@gmail.com
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