Open Left Colectomy for Colon Cancer: Left Colon and Sigmoid Resection with Colostomy Formation

1. Exposure

1. Midline Incision and Exploration
2. Entry to the Lesser Sac and Splenic/Hepatic Flexure Take Down

2. Mobilization of Descending and Sigmoid Colon

3. Division of Mesenteric Vessels
4. Mobilization of Volvulus
5. Division of Distal Colonic Margin
6. Division of Proximal Colonic Margin
7. Removal of Specimen and Hemostasis

3. Colostomy

8. Removal of Specimen and Hemostasis
9. Mobilization to Allow for Stoma Maturation
10. Identification of Stoma Site in LUQ
11. Creation of Stoma

4. Closure

12. Abdominal Fascia Closed with #1 Running Prolene
13. Skin Closed with Staples
14. Colostomy Maturation and Ostomy Bag Fixation