What equipment is required to perform a colon resection (colectomy)?

Updated: Apr 05, 2021
  • Author: David E Stein, MD, MHCM; Chief Editor: Vikram Kate, FRCS, MS, MBBS, PhD, FACS, FACG, FRCS(Edin), FRCS(Glasg), FIMSA, MAMS, MASCRS, FFST(Ed)  more...
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Answer

Standard surgical instruments are required for colon resections. In addition to the standard abdominal tray, abdominal retractors and stapling devices are also often used. The classic abdominal-wall retractors include a Buchwalter and a Balfour. These stretch the abdominal wall to allow exposure of the abdominal cavity.

Intestinal staplers are also commonly used. There are linear cutting staplers, circular staplers, and staplers that simply staple an end of intestine. Laparoscopic staplers are also available.

Energy devices can be used to facilitate coagulation of blood vessels and dissection. Regardless of the energy source, the goals of using energy devices are to quickly coagulate tissue, to minimize the risk of arcing current and injuring other structures, and to have a small diameter of thermal spread. Common instruments include the LigaSure from Covidien and the Harmonic and Enseal from Ethicon Endosurgery.

If laparoscopic colectomy is to be performed, atraumatic bowel graspers, a 30° laparoscope, and a wound protractor for specimen extraction are needed. Robotic colectomy has also become more commonplace, and robotic techniques have become part of the minimally invasive approach to colectomy.


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