術後的報告..
朋友後端系統撈出來給我看..
sorry, 有的還是看無.....

Preoperative Diagnosis：
1533 Sigmoid colon Ca.

Operation：
4576 經腹腔鏡乙狀結腸切除術加吻合術(惡性腫瘤適用)Laparoscopic sigmoidectomy

Remarks：

Operative Findings：
The liver: multiple nodule on the surface r/o mets.
The small bowel: some nodule on small bowel and peritoneum.
The colon: A 4x3x2cm tumor was found at sigmoid colon.

Operative Procedure：
[Operative procedure]:
Under general anesthesia, the patient was put on table in Lithotomy position. The op field was prepared with alcohol B-I solution and was draped in aseptic manner.
Under laparoscopic assisstance,
The liver: multiple nodule on the surface r/o mets.
The small bowel: some nodule on small bowel and peritoneum.
Biopsy of the peritoneum was done.
The colon: A 4x3x2cm tumor was found at sigmoid colon.
Sigmoid colectomy was done with Harmonic scalple dissection.
The distal end was cut with Endo-GIA 60 X2.
The proximal end was cut between De-martel clamp.
A small incision was made and the tumor removed.
End to end anastomosis with CDH 30 .
A penrose drain was inserted to pelvis.
After checked the entire organ intraabdominal, we closed the wound by 1-0 Dexon suture and clip. During whole operation, total blood loss was 150ml. And the patient tolerated the whole procedure well.