Arman Erkan, MD, Alvaro Mendez, MD, Alberto Gonzalez, MD, Mercy Wagner, MD, Justin Kelly, MD, FRCS, John Rt Monson, MD, FACS, FRCS, FASCRS, Matthew R Albert, MD, FACS, FASCRS. AdventHealth
Laparoscopic approach has become the standard for elective colorectal resection and is associated with reduced postoperative pain, faster gastrointestinal recovery, and shorter hospital stay compared with open surgery. Adjacent organ invasion occurs in approximately 10% of all primary colon cancers. Surgical resection remains the only curative option for treatment of such advanced tumors. In such cases, multivisceral resection involving en-bloc removal of the tumor and adjacent infiltrated organs may be necessary to achieve negative surgical margins. Traditionally, the open approach has been employed for multivisceral resection but recent studies have demonstrated the safety and feasibility of laparoscopy in this setting. However, this requires technical expertise, standardization and a stepwise approach. This video demonstrates an operative technique for laparoscopic multivisceral resection in a patient with splenic flexure cancer involving the pancreas, slpeen and small bowel.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 93265
Program Number: V051
Presentation Session: Colorectal II – Neoplasia
Presentation Type: Video