General Surgery · Colorectal

Segmental Colectomy (Laparoscopic)

OPERATION: Laparoscopic-Assisted Segmental Colectomy — [Left Hemicolectomy / Sigmoid Resection / Right Ileocolic Resection]
ANAESTHETIC: General anaesthesia
ANTIBIOTICS: IV antibiotics at induction
POSITION: Supine. Urinary catheter. VTE prophylaxis applied. [Left / right] side of table down for colonic mobilisation.

INDICATION:
[Colonic carcinoma / diverticular disease / Crohn's disease / volvulus]. Preoperative colonoscopy [with tattoo marking]. CT staging [findings]. [Neoadjuvant treatment if applicable].

PROCEDURE:
WHO Checklist performed. Abdomen prepared and draped.

PORT PLACEMENT:
10/12 mm camera port placed via open Hasson technique at the supraumbilical / infraumbilical site — planned extraction incision. 30° laparoscope. Pneumoperitoneum to 15 mmHg. Two further working ports placed lateral to the rectus muscle on the [right / left] side as appropriate for the planned resection. [Additional trocar placed in the opposite upper quadrant if splenic / hepatic flexure mobilisation required]. Abdomen and liver inspected for metastatic disease.

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