Operation of small intestine and large intestine

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One of colectomy (end to side anastomosis)
time:2021-10-27   click :1267

1. Take right hemicolectomy as an example. First, put the purse string suture on the terminal ileum and prepare to place the anvil head. Then lift the transverse colon, insert the end-to-end Huaxia stapler from one end, and poke a small opening on the intestinal wall (about 4 ~ 5cm from the intestinal end) (Fig. 3-23-1).
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Fig. 3-23-1 after the right hemicolectomy, the Cathay disposable tubular stapler was inserted into the transverse colon cavity, and the jejunum was sutured with purse strings
2. Connect the two parts of Huaxia stapler and prepare for firing (Fig. 3-23-2).
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Figure 3-23-2 two parts of Huaxia disposable tubular stapler have been connected and close together
3. The right end of transverse colon was closed with Huaxia disposable linear suture device (Fig. 3-23-3).
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Figure 3-23-3 suture and close the colonic opening after completing the end-to-side anastomosis of ileum and transverse colon
4. The completion of anastomosis is shown in the figure (Figure 3-23-4). The editor believes that this kind of anastomosis is especially suitable for intestines with large diameter difference. However, it is not suitable to insert the Cathaysian stapler body from the proximal intestinal tube for anastomosis, otherwise it will cause blind loop.
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Figure 3-23-4 suture of mesentery to complete all operations

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