Right Colectomy Flashcards
Greater omentum - how does this come into play during surgery
it will be flipped over the stomach so that it does not interfere w/ the procedure. A portion may be mobilized off the transverse colon during the procedure
How is the grastrocolic ligament used during a procedure
Dr. Gamagami will transect the gastrocolic ligament and omentum to mobilize the transverse colon
What structure connects the stomach and the transverse colon and fold like an apron
The omentum
Approx. how long is the large intestines?
~ 5-6 feet (1.5 meters)
What is the function of the large intestines?
absorb water and vitamins (K), and store waste.
What are the 5 sections of the large intestines?
ascending colon, transverse colon, descending colon, sigmoid colon, and rectum
What is the cecum>
A cul de sac distal to the ileocecal valve
Where is the appendix located?
At the junction of the ileum and cecum
What is the bend of the colon on the right? Below the liver called?
Hepatic flexure
What is the name for a longitudinal band of muscles that run along the length of the colon?
Teniae coli
What is the mechanism that helps the waste material move ahead along the intestines?
Haustra
How does the haustra function?
When the teniae coli contract, the large intestine is compressed, forming pockets.
What are epiploic appendages? How does the surgeon manipulate them during surgery?
Fat filled pouches which extend from the surface of the large intestine. The surgeon can use graspers to hold the epiploic appendages in order to manipulate the bowel, thus avoiding causing trauma
What does the duodenum surround?
The head of the pancreas
What is the primary function of the small intestines?
complete digestion and absorb nutrients from food.
How is the duodenum used during Dr. Gamagami’s procedure?
As a landmark to make sure he has entered the retroperitoneal space where he intends to.
What are the 4 parts of the duodenum?
Superior, descending, horizontal, ascending
How is the VSE used during the procedure in regards to the duodenum?
Blunt dissection so as not to damage the duodenum
About how long is the jejunum?
100cm
Where does the ileum connect to?
the cecum
Where does Dr. G. perform the proximal transection?
The distal portion of the ileum
What is the mesentery
A double fold in the peritoneum
What is the main function of the mesentery?
attaches intestines and orgrans to post. abd. wall. Stores fat. Contains lymph nodes, vessels, and nerves. It also contracts and relaxes to move waste
How long is the mesenteric root? Where does it extend?
15cm Long and 20cm wide. It extends from the duodenojejunal flexure to the ileocecal junction