c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Sigmoid Resection for Carcinoma: 7

A D V E R T I S E M E N T

   
 

The peritoneal reflections of ascending and descending colon (white line of Toldt) represent the edge of the fusion fascia formed when the embryonic colon adhered to the posterior parietal peritoneum on either side of the abdomen. Elevating the colon folds the edge of the peritoneum forming an apparent line. If dissection is kept medial to the line, the colon mesentery can be mobilized bloodlessly. The ureter is easily swept posteriorly off the mesentery.      

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Sigmoid Resection for Carcinoma: 8

A D V E R T I S E M E N T

   
 

The mesentery adjacent to the tumor demonstrated evidence of invasion.       

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Sigmoid Resection for Carcinoma: 9

A D V E R T I S E M E N T

   
 

The mesentery of the mobilized sigmoid was scored down to its base along the planned line of resection several cm proximal to the tumor.       

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This page was last modified on 2/15/2000.