PMC4005854_01
Schematic representation of the robotic trocar sites. Precisely one 12-mm optic trocar (OT), two 8-mm robotic working trocars (RT), and one 10-mm assistant trocar (AT). The dotted line represents the double-barreled ileocolostomy.
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F1
Robotic trocars were placed on the left mid-clavicular line, and the assistant's trocar was placed in the hypogastric region below the camera for traction (Figure 1).
Double-barreled ileocolostomy. a) Schematic representation of the double-barreled ileocolostomy; b) Picture of the patient's abdomen showing the incisions and double-barreled ileocolostomy.
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F2
The double-barreled ileocolostomy consists in the creation of an ostomy site were both the proximal ileum stump and the transverse colonic stump are tacked together by interrupted 4-0 Vicryl sutures (Figure 2a). The mobilized right colon was entirely exteriorized through the ileocolostomy site (approximately 5 cm) and resected extracorporeally (Figure 2b).