• Typically, the patient is placed in the supine or lithotomy position, depending on surgeon preference.
  • Arms tucked.
  • IMPORTANT: Patient secured to the table.
  • OG (oral-gastric) tube.
  • Venous compression boots.
  • Foley catheter.
  • Sometimes surgeon will go between the legs for the transverse colon part of the operation to maintain good ergonomics.
     
Laparoscopic Right Hemicolectomy Common Port Placement
  • Arrange ports thoughtfully in case conversion to hand assisted or open case will be required.
  • Must know tumor location prior to starting the case for proper trocar placement.
  • Generally, two to three 5 mm ports and one 12 mm port are used.
  • These factors/decisions will affect trocar placement.
    • Decide if vascular pedicles are stapled or energy is used.
    • Decide intracorporeal or extracorporeal anastomosis.
    • Colon extraction site.
       
Laparoscopic Right Hemicolectomy room setup

The surgeon is usually on the patient’s left side with the assistant.

Monitor is opposite from the surgeon.

Recording device is available.

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