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A D V E R T I S E M E N T | |||||
Sigmoid Resection for Carcinoma Images |
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Colonoscopic view of sigmoid carcinoma. |
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Colonoscopic view of sigmoid carcinoma (highlighted). |
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CT scan showing sigmoid carcinoma (1). |
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CT scan showing sigmoid carcinoma (1 - highlighted). |
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CT scan showing sigmoid carcinoma (2). |
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CT scan showing sigmoid carcinoma (3). |
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Patient position for sigmoid resection. |
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Lower abdominal incision. |
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Rectosigmoid junction. |
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Peritoneal reflection. |
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Mesentery, parietal peritoneum, fusion fascia (labeled). |
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Mesentery, parietal peritoneum, fusion fascia. |
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Peritoneal reflection (white line of Toldt - labeled). |
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Peritoneal reflection (white line of Toldt). |
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Dissection line for mobilzation of colon. |
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Evidence of sigmoid tumor invasion in the mesentery. |
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Sigmoid mesentery scored. |
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Hole created in sigmoid mesentery adjacent to bowel. |
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Linear stapler across sigmoid colon. |
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Colon divided. |
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Sigmoid mesentery division. |
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Inferior mesenteric artery. |
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Inferior mesenteric artery (labeled). |
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Isolation of a rectosigmoid trunk of the inferior mesenteric artery. |
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Division of the rectosigmoid trunk. |
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Cut end of the rectosigmoid trunk. |
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Suture ligature of rectosigmoid vessel. |
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Distal sigmoid elevated. |
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Sigmoid tumor location. |
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Illustration of sigmoid tumor location (1). |
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Illustration of sigmoid tumor location (2). |
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Distal resection line scored. |
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Line of distal sigmoid resection illustrated. |
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Left ureter visualized. |
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Pelvis. |
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Vessels. |
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Anatomic relationship of ureters. |
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Anatomic relationship of rectosigmoid. |
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Division of the mesentery of rectum. |
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Middle rectal vessels. |
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The fully-mobilized rectosigmoid. |
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Stapler applied distally. |
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Stapled distal colon. |
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Removal of proximal staple line (1). |
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Removal of proximal staple line (2). |
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Purse string of distal lumen. |
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Male end of end-to-end stapler (side view). |
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Male end of end-to-end stapler (front view). |
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Anvil for end-to-end stapler. |
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Purse string tied around anvil. |
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Stapler placement. |
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Stylette advanced. |
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Incision of bowel over stylette. |
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Advancement of stylette. |
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Stylette fully advanced. |
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Stapler and anvil united. |
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Closure of the stapler. |
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Stapler fired. |
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Stapler disengaged. |
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Removal of the stapler. |
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Opened stapler with complete proximal and distal donuts. |
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Completed anastomosis. |
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Specimen. |
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Serosal surface over tumor. |
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Bowel opened. |
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Ulcerated center of tumor. |
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Abdominal closure. |
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This page was last modified on 2/15/2000. A D V E R T I S E M E N T
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