Left Colectomy for Cancer and Vaginal Extraction
Laparoscopic left colectomy is a standardized procedure and a cornerstone of ERAS management. Nonetheless, in France in 2014, 45% of left colectomy was still performed by laparotomy. And yet the benefits of laparoscopic approach have been established for a long time: low mortality, low morbidity and reduction of hospital stay. With the use of the ERAS program all these benefits have been increased. In our institution we routinely perform ambulatory colectomy (>171 procedures) (B. Gignoux & al Annals of Surgery 2018). Our technique is a three-port surgery requiring only one assistant and the surgeon. The use of new energy devices simplifies surgery and reduces operating time. In this case we show how to use the Ligasure Hook (Medtronic) and the Signia Stapling (Medtronic) devices. Specimen extraction is carried out through the anterior vaginal wall.