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MainMINIMALLY INVASIVE PROCEDURESColoproctologyNon-specific ulceral colitisLaparoscopic coloproctectomy SILS

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Laparoscopic coloproctectomy, using the single port access (S.I.L.S. Port Covidien) with creation a J-pouch ileoanal anastomosis with temporary loop ileostoma

Laparoscopic coloproctectomy, using the single port access (S.I.L.S. Port Covidien) with creation a J-pouch ileoanal anastomosis with temporary loop ileostoma
Professor Puchkov K.V. is performing an operation ( 2011).

In this film the technique of laparoscopic coloprotectomy, using the single port (SILS port COVIDIEN) for ulcerative colitis, fulminant course of the disease (intestinal bleeding, liquid stool up to 12 times a day), is presented. The port was placed in the right iliac area (the area for the temporary loop ileostoma). The technique of dissection of the large colon and rectum by a 5 mm LigaSure instrument («MEDTRONIC COVIDIEN») and a 5 mm Harmonic Scalpel («Ethicon») instrument is demonstrated. To make the work with rectum easier, while working with the single port, the technique of transcutaneous fixing stitches on the pelvic abdomen is presented. The exposed area of rectum was transected in the transverse direction with endoscopic stitching EndoGIA device («MEDTRONIC COVIDIEN»), using a 60 mm intestinal reload. Specimen was removed from the abdominal cavity, and the ileal colon was dissected at the distance of 5 cm from the ileocecal angle. J-pouch was formed extracorporeally, and the head of a 31 mm endoscopic stitching circular device («MEDTRONIC COVIDIEN») was inserted there. Pouch was immersed into the abdominal cavity, and under the guidance of a laparoscopic, ileoanal pouch anastomosis was formed. Then at the area of the single port, loop ileostoma was created.

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