Laparoscopic left colectomy: surgical technique

Laparoscopic colectomy is the standard of care for a variety of colorectal disease processes. Enhanced recovery pathways have revolutionized the post-operative recovery of these patients. In brief, the left colectomy consists of sigmoid and descending colon mobilization, isolation and transection of the vascular pedicle, and anastomosis. Hand-assisted laparoscopy is our preferred technique when a conversion is needed in difficult cases. With modern enhanced recovery pathways and excellent surgical technique, 24-hour post-operative length of stay is a realistic expectation for many patients.