Primary port put in by open Hasson technique using blunt Hasson port.
Secondary ports put in with direct visualisation.
Four ports were used: one 12mm port in the umbilicus, and three 5mm ports in the right lower quadrant, right mid-clavicular line and left mid-clavicular line.PROCEDURE:
The colon was mobilized and the cecum, ascending colon and proximal 2/3 of the transverse colon were identified.
The white line of Toldt was dissected and the vessels supplying the involved segment were divided with a harmonic scalpel.
The colon was transected with a linear stapler and the specimen was removed.
The remaining colonic stump was oversewn with a linear stapler and an end-to-end anastomosis was performed using a linear stapler.
The regional lymph nodes were dissected and sent for pathologic examination. Estimated blood loss: 150ml
Suction irrigation was carried out.
Hemostasis was ensured.
The ports were removed under direct vision.
No.1 PDS box stitch to fascia for primary port site.
3.0 monocryl subcuticular sutures.
Interrupted sutures to skin.
POST OPERATIVE INSTRUCTIONS:
Post op bloods tomorrow (ddmmyy)
Diet: Eat and Drink as tolerated
LMWH at 18:00 hours