The endoscopic linear stapler
The endoscopic linear stapler is used to divide the bowel at the distal resection margin.
Trocar Placement
Placement of 10- to 12-mm trocars for laparoscopic assisted left colon resection. Two optional trocar sites (right upper quadrant and left lower quadrant) are occasionally helpful: , typical trocars; ¥, optional trocars.
anastomos is performed in an extracorporeal manner
Terminal ileum, cecum, ascending and proximal transverse colon eviscerated through the small midline incision. Resection and anastomosis will be performed in an extracorporeal manner. The anastomosis is then returned to the abdominal cavity.
Trocar Placement
Positions of the 10- to 12-mm trocars for ileocolic resection and right hemicolectomy. The small midline incision is made as an extension of a trocar site and is used for exteriorization of the specimen and extracorporeal resection and anastomosis: , typ
Subsequent dissection of mesenteric vessels
The small bowel segment chosen for resection has been suspended by traction sutures passed through the anterior abdominal wall. This facilitates subsequent dissection of mesenteric vessels and provides retraction without additional graspers or trocars.
Endoscopic view of hiatal hernia
The is the forward and reflexed view in a patient with severe GERD demonstrating a hiatal hernia