External view of exteriorized segment
External view of exteriorized segment of small intestine prior to resection. Note wound protector.
Subsequent dissection of mesenteric vessels
The small bowel segment chosen for resection has been suspended by traction sutures passed through the anterior abdominal wall. This facilitates subsequent dissection of mesenteric vessels and provides retraction without additional graspers or trocars.
Trocar Placement
Suggested trocar placement for resection of distal small bowel lesions. For a more proximal lesion, move the left lower quadrant trocar to the left upper quadrant. Trocars 4 and 5 are per the surgeon’s preference.