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Sigmoid Resection for Carcinoma Images

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Colonoscopic view of sigmoid carcinoma.
VID 213, frame 1

sigT4064

 

Colonoscopic view of sigmoid carcinoma (highlighted).
VID 213, frame 1

sigT4065

 

CT scan showing sigmoid carcinoma (1).
VID 213, frame 2

sigT4060

 

CT scan showing sigmoid carcinoma (1 - highlighted).
VID 213, frame 2

sigT4061

 

CT scan showing sigmoid carcinoma (2).
VID 213, frame 2

sigT4062

 

CT scan showing sigmoid carcinoma (3).
VID 213, frame 2

sigT4063

 

Patient position for sigmoid resection.
VID 213, frame 3

sigP4001

 

Lower abdominal incision.
VID 213, frame 4

sigP4002

 

Rectosigmoid junction.
VID 213, frame 5

sigP4003

 

Peritoneal reflection.
VID 213, frame 6

sigP4004

 

Mesentery, parietal peritoneum, fusion fascia (labeled).
VID 213, frame 7

sigG4067

 

Mesentery, parietal peritoneum, fusion fascia.
VID 213, frame 7

sigG4068

 

Peritoneal reflection (white line of Toldt - labeled).
VID 213, frame 7

sigG4069

 

Peritoneal reflection (white line of Toldt).
VID 213, frame 7

sigG4070

 

Dissection line for mobilzation of colon.
VID 213, frame 7

sigG4071

 

Evidence of sigmoid tumor invasion in the mesentery.
VID 213, frame 8

sigP4005

 

Sigmoid mesentery scored.
VID 213, frame 9

sigP4006

 

Hole created in sigmoid mesentery adjacent to bowel.
VID 213, frame 10

sigP4007

 

Linear stapler across sigmoid colon.
VID 213, frame 11

sigP4008

 

Colon divided.
VID 213, frame 12

sigP4009

 

Sigmoid mesentery division.
VID 213, frame 13

sigP4010

 

Inferior mesenteric artery.
VID 213, frame 14

sigG4057

 

Inferior mesenteric artery (labeled).
VID 213, frame 14

sigG4058

 

Isolation of a rectosigmoid trunk of the inferior mesenteric artery.
VID 213, frame 15

sigP4011

 

Division of the rectosigmoid trunk.
VID 213, frame 16

sigP4012

 

Cut end of the rectosigmoid trunk.
VID 213, frame 17

sigP4013

 

Suture ligature of rectosigmoid vessel.
VID 213, frame 18

sigP4014

 

Distal sigmoid elevated.
VID 213, frame 19

sigP4015

 

Sigmoid tumor location.
VID 213, frame 20

sigP4016

 

Illustration of sigmoid tumor location (1).
VID 213, frame 21

sigG4053

 

Illustration of sigmoid tumor location (2).
VID 213, frame 21

sigG4054

 

Distal resection line scored.
VID 213, frame 22

sigP4017

 

Line of distal sigmoid resection illustrated.
VID 213, frame 23

sigG4056

 

Left ureter visualized.
VID 213, frame 24

sigP4018

 

Pelvis.
VID 213, frame 25

sigG4047

 

Vessels.
VID 213, frame 25

sigG4048

 

Anatomic relationship of ureters.
VID 213, frame 25

sigG4049

 

Anatomic relationship of rectosigmoid.
VID 213, frame 25

sigG4051

 

Division of the mesentery of rectum.
VID 213, frame 26

sigP4019

 

Middle rectal vessels.
VID 213, frame 27

sigG4055

 

The fully-mobilized rectosigmoid.
VID 213, frame 28

sigP4020

 

Stapler applied distally.
VID 213, frame 29

sigP4021

 

Stapled distal colon.
VID 213, frame 30

sigP4022

 

Removal of proximal staple line (1).
VID 213, frame 31

sigP4023

 

Removal of proximal staple line (2).
VID 213, frame 31

sigP4024

 

Purse string of distal lumen.
VID 213, frame 32

sigP4025

 

Male end of end-to-end stapler (side view).
VID 213, frame 33

sigP4026

 

Male end of end-to-end stapler (front view).
VID 213, frame 33

sigP4027

 

Anvil for end-to-end stapler.
VID 213, frame 33

sigP4028

 

Purse string tied around anvil.
VID 213, frame 34

sigP4029

 

Stapler placement.
VID 213, frame 35

sigP4030

 

Stylette advanced.
VID 213, frame 36

sigP4031

 

Incision of bowel over stylette.
VID 213, frame 37

sigP4032

 

Advancement of stylette.
VID 213, frame 38

sigP4033

 

Stylette fully advanced.
VID 213, frame 38

sigP4034

 

Stapler and anvil united.
VID 213, frame 39

sigP4035

 

Closure of the stapler.
VID 213, frame 40

sigP4036

 

Stapler fired.
VID 213, frame 41

sigP4037

 

Stapler disengaged.
VID 213, frame 42

sigP4038

 

Removal of the stapler.
VID 213, frame 43

sigP4039

 

Opened stapler with complete proximal and distal donuts.
VID 213, frame 44

sigP4040

 

Completed anastomosis.
VID 213, frame 45

sigP4041

 

Specimen.
VID 213, frame 46

sigP4042

 

Serosal surface over tumor.
VID 213, frame 47

sigP4043

 

Bowel opened.
VID 213, frame 48

sigP4044

 

Ulcerated center of tumor.
VID 213, frame 49

sigP4045

 

Abdominal closure.
VID 213, frame 50

sigP4046

 

This page was last modified on 2/15/2000.
 

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