CHAPTER 14

Laparoscopic Bowel Resection

A bowel resection is the excision of a portion of the small or large intestine and the reanastomosis of it through a laparoscope or through an abdominal incision.

Possible equipment needed for the procedure includes a minor laparoscopic set, a laparoscope set, and a laparoscopic adult MIS set.

A brief description of the procedure through a laparoscope, after the abdomen is insufflated, follows:

1. An Endoflex retractor is used for visualization.

2. A Hunter (Glassman) grasper is used for handling the bowel.

3. A Maryland dissector is used for freeing up the bowel.

4. A Nezhat suction/irrigator is used for lubrication and removal of fluid.

5. A linear stapling device is used for transecting the bowel.

6. A Ligaclip applier is used for hemostasis.

7. A needlepoint suture passer is used in suturing.

8. A Marlow knot pusher is used for suture tightening.

9. A linear stapling device is used for reanastomosis of the bowel.

14-1 Top to bottom: 1 Endoflex protective cover; 1 Endoflex retractor, triangle, 5 mm, 80-mm length; 1 biopsy forceps, 5 mm, and tip.

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