Laparoscopic A-P Resection

 

Poschong Suesat , MD

Bhumibol Adulyadej Hospital

Royal Thai Air Force

[email protected]

 

 

 

Mesosigmoid Dissection 1 

 

 

 

Mesosigmoid Dissection 2 

 

 

  Ligation Of The Mesosigmoid Vessels

 

 

 

Bimanual Presacral Dissection

 

 

 

Extension Of The Incision   

 

 

 

 

Dividing The Sigmoid Colon

 

 

 

Creation Of The End Colostomy

 

 

The Distal Colon And Tumor Remove Out