High anterior resection (sigmoid colectomy)
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Dissection of the left colon with a harmonic scalpel (ultrasound powered cutting tool)
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Splenic flexure colon completely mobilized (the spleen is clearly visible above)
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Colonic vessels isolated with specifically designed linear stapling device
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Colonic vessels divided (stapled)
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Colon divided with linear stapling device
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Staple line across upper part of the rectum easily identifiable
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Circular stapling device introduced into the rectum and opened (spike)
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Restoration of bowel continuity (end-to-end colorectal anastomosis)
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Final view of pelvic floor and completed bowel resection