Laparoscopic Left Hemicolectomy

Client
Prof. Michael Corrin, Biomedical Communications, University of Toronto
Dr. Sami Chadi, Division of General Surgery, Toronto Western Hospital
Team members
Felix Wieler

Felix and I had the opportunity to observe a laparoscopic left hemicolectomy performed by Dr. Sami Chadi at Toronto Western Hospital. The goal of this project was to create a sequence of illustrations that accurately and clearly depicts the surgical procedure performed by Dr. Chadi. Due to the length of the procedure, Felix and I split it into two parts so I illustrated the beginning of the procedure.

Audience
Medical Students
Media
Graphite
Ink
Adobe Illustrator
Date completed
April 2017
final surgical illustration
surgical linears
surgical linears
surgical linears
surgical linears
surgical linears
surgical linears
surgical linears
surgical linears
Process
In the operating room

Initial sketches were done while in the operating room observing the surgery. I took extra note on the anatomy so that I could keep track of the steps and orientation.

Re-iterations

The biggest challenge of this project was the anatomy. Due to the patient's medical history and condition, it was a difficult surgery and the approach differed from the norm. Therefore, many iterations were made with multiple feedback sessions from Dr. Chadi and Prof. Corrin in order to work out every detail so that the sequence of events and anatomy would be accurately depicted.

sketch
reiteration
reiteration
Works consulted

Agur, A. M. R., and Arthur F. Dalley. 2017. Grant's atlas of anatomy.

Araujo, Sergio Eduardo Alonso, Victor Edmond Seid, Sidney Klajner, and Alexandre Bruno Bertoncini. 2014. “Left Colectomy with Intracorporeal Anastomosis: Technical Aspects.” Einstein (Sao Paulo, Brazil) 12 (3): 386–88. doi:10.1590/S1679-45082014MD3030.

Dijkstra, Frederieke A., Robbert J I Bosker, Nicolaas J G M Veeger, Marc J. van Det, and Jean Pierre E N Pierie. 2015. “Procedural Key Steps in Laparoscopic Colorectal Surgery, Consensus through Delphi Methodology.” Surgical Endoscopy and Other Interventional Techniques 29 (9): 2620–27. doi:10.1007/s00464-014-3979-7.

Fallatah, Basmah, Phillipe Espalieu, Gilles Poncet, Alvine Bissery, and Jean-claude Boulez. 2008. “Elective Laparoscopic Left Colectomy for Diverticular Disease : A Monocentric Study on 205 Consecutive Patients.” World Journal of Laparoscopic Surgery 1 (3): 22–27.

Han, Kil-Su, Gyu-Seog Choi, Jun-Seok Park, Hye Jin Kim, Soo Yeon Park, and Soo-Han Jun. 2010. “Short-Term Outcomes of a Laparoscopic Left Hemicolectomy for Descending Colon Cancer: Retrospective Comparison with an Open Left Hemicolectomy.” Journal of the Korean Society of Coloproctology 26 (5): 347–53. doi:10.3393/jksc.2010.26.5.347.

Monson, John R. T., and Ara Darzi. 1995. Laparoscopic colorectal surgery. Oxford: Isis Medical Media.

Netter, Frank H. 2014. Atlas of human anatomy. Philadelphia, PA: Saunders/Elsevier.

Pappas, Theodore N., Aurora D. Pryor, and Michael P. Harnisch. 2007. Atlas of laparoscopic surgery. Philadelphia: Current Medicine.

Vecchio, R, V Gelardi, G Alongi, E Swehli, S Vicari, S Marchese, and E Intagliata. 2010. “Laparoscopic Left Colectomy: From the Perfect Knowledge of Surgical Anatomy to the Proper Surgical Technique.” G. Chir. 31 (5): 568–74.

Zollinger, Robert Milton, and Robert M. Zollinger. 1988. Atlas of surgical operations. New York: Macmillan.