ta tme setup&eq
Post on 14-Apr-2017
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Theatre set-up & equipment
Y. Van NieuwenhoveUZGent - GIHK
Anesthetist
Abdominal team
Transanal team
Transanal tower
Abdominal tower
Airseal
Patient position• Abdominal part
– Lloyd Davis position– (Left arm in abduction)– Trendelenburg – right tilt
• Perineal part– Mobile leg supports– Perineal elevation
Synchronous / sequential ?• 2 teams (synchronous)
– Shorter and easier– 2 towers– 2 cameras– 2 hemostatic generators
• 1 team (sequential)– Less equipment required– Longer and less control
Abdominal team• Setup similar to left
colectomy• No linear stapler required• Surgeon/assistant right• Tower left flank• Normal insufflation
Perineal team• Starts later (peritoneal deflection)• Separated table• Tower at level of head• Surgeon and assistant between
legs• Airseal insufflation
Perineal table• Lonestar (or Galaxy) retractor• Gelpoint Path• Monopolar hook• Airseal trocar• Fenestrated grasper• Surgipro 0 small (26mm) needle (2 pcs)• “Peanut” cottons• Hemorrhoidal stapler with long detachable spike
Gelpoint Path• Dilatator• Access channel• Gelseal cap• 3 trocarts (only 2
needed)
Airseal• Valveless• Stable pneumoperitoneum
– In small spaces– with maximal suction
• Constant smoke evacuation• !don’t get liquid in filter!
Hemorrhoidal stapler• 33mm• Long spike to facilitate
transanal connection• Detachable spike• Comes with “Longo” retractor
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