Total Abdominal Colectomy with End-Ileostomy

This chapter describes the endoscopic/surgical procedure for total abdominal colectomy with end-ileostomy as performed by the following approaches: open and laparoscopic. The text includes an introduction that outlines the indications, risks, alternatives, essential steps, needed equipment, and variations in technique for the procedure in question. This is followed by a template operative dictation, which provides the reader with an operative report, such as is found in a patient chart or electronic medical record. A description is provided of the following critical concepts for this procedure: mobilization of the left colon, transverse colon, and right colon, rectosigmoid division, terminal ileal division, and creation of end-ileostomy.