Johnson & Johnson Institute
Laparoscopic sigmoid colectomy
Operative steps
Potential complications include but are not limited to: Surgical bleeding, staple line leak, wound infection, ileus
- Trocar sites are identified, and trocars inserted to gain access to the abdominal cavity. Generally, 3-4 trocars are required.
- Initial access to the abdomen is generally obtained by either:
- Veress needle technique
- Direct trocar view technique
- Explore the abdominal cavity and address any adhesions.
- Mobilize the sigmoid and descending colon, choosing lateral to medial or medial to lateral based on preference.
- Isolate and transect the inferior mesenteric artery using the ECHELON™ 3000 Stapler or ENSEAL™ X1 Curved Jaw Tissue Sealer.
References
For complete indications, contraindications, warnings, precautions, and adverse reactions, please reference full package insert.
Nezar Jrebi, MD and Jay Redan, MD, prepared this procedure guide on behalf of Johnson & Johnson and its affiliates. The procedure guide reflects the opinions of the individual presenter, and the steps described may not encompass the complete steps of the procedure. Additionally, other surgeons may prefer different techniques, approaches, etc., as individual surgeon experience in his/her clinical practice, as well as patient needs, may dictate variation in procedure steps.
Before using any medical device, review all labeling, including without limitation; the Instructions For Use (IFU), and relevant package inserts with particular attention to the indications, contraindications, warnings and precautions, and steps for use of the device(s).
This presentation is not accredited for CE/CME.
Nezar Jrebi, MD and Jay Redan, MD, are compensated by and presenting on behalf of Johnson & Johnson and its affiliates and must present information in accordance with applicable regulatory requirements.
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