ICG image–guided laparoscopic complete mesocolic excision with central vascular ligation for transverse colon cancer using pincer manuever
Goutaro Katsuno, MD, PhD1, Yasuhiko Nakata, MD, PhD1, Nobuyuki Kubota, MD, PhD1, Teruo Kaiga, MD, PhD1, Takao Mamiya, MD1, Naoaki Shimamoto, MD1, Hidetaka Arima1, Shuichi Sakamoto, MD, PhD2. 1Mitsuwadai General Hospital, 2Sakamoto ClinicIntroduction: Laparoscopic (LAP) complete mesocolic excision (CME) with central vascular ligation (CVL) is technically difficult on transverse colon cancer. The main reason for… Continue Reading
- Topic:
- Colorectal
Laparoscopic Colovaginoplasty (Gender Affirmation) Using Right Colon
Yosef Nasseri, MD1, Ruoyan Zhu, BS2, Christine Sutanto, BS2. 1Cedars-Sinai Medical Center, 2Surgery Group of Los AngelesThis is a video of a novel approach to gender-affirming surgery, laparoscopic colovaginoplasty through the harvest of the right colon to function as the neo-vaginal graft. Gender-affirming surgery offers major psychological and quality of life improvements for transgender patients.… Continue Reading
- Topic:
- Colorectal
A Transanal Endoscopic Surgery (TES) Approach to the Management of a Colorectal Anastomotic Stricture
Allison J Pang, MSc, MD, FRCSC, Julio Faria, MD, FRCSC, Nancy Morin, MD, FRCSC, Gabriela Ghitulescu, MD, FRCSC, Carol-Ann Vasilevsky, MD, FRCSC, Marylise Boutros, MD, FRCSC. McGill UniversityAnastomotic strictures are complications of colorectal surgery with an incidence of 3-30% depending on the circumstance of the surgery. The underlying pathophysiology of anastomotic strictures are numerous, and… Continue Reading
- Topic:
- Colorectal
Laparoscopic subtotal colectomy with complete mesocolic excision for colonic adenocarcinoma in the setting of Chronic Ulcerative Colitis
David M Schwartzberg, MD1, Hermann Kessler, MD, PhD2. 1New York University Langone Health, 2Cleveland Clinic Foundation, OhioUlcerative colitis (UC) is a chronic mucosal inflammatory bowel disease of the colon and rectum. After 10 years of having the disease, there is a significant risk of dysplasia or cancer in the affected colorectum, and because of the… Continue Reading
- Topic:
- Colorectal
Laparoscopic lateral pelvic node dissection after neoadjuvant chemo-radiation for locally advanced rectal cancer (Wang’s approach)
Zheng Liu, Xishan Wang. National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeWe demonstrate the technique for laparoscopic lateral pelvic node dissection (LLPND) for rectal cancer patients with suspicion of LLN metastases after neoadjuvant chemo-radiation. The principle of this approach is en bloc resection with… Continue Reading
- Topic:
- Colorectal
Laparoscopic Transverse Colectomy for Mid-Transverse Colon Cancer
Jeff Conner, MD, Andrew Schlussel, MD. Madigan Army Medical CenterIntroduction: Oncologic resections for transverse colon cancer have traditionally been approached via extended right and left colectomy. While laparoscopic techniques have been validated to be an acceptable approach for colon cancer, segmental transverse colectomy is not the traditional described technique for treating transverse colon cancer. If… Continue Reading
- Topic:
- Colorectal
Laparoscopic Multivisceral Resection for Locally Advanced Splenic Flexure Cancer
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. AdventHealthLaparoscopic 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… Continue Reading
- Topic:
- Colorectal
Rectopexy with Magnet Retraction
Estefania Roldan, Leonard K Welsh, MD, Gerardo Davalos, MD, Ramon Diaz, MD, Dana Portenier, MD, Daniel Guerron, MD, Billy Lan, MD. Duke University Medical CenterLaparoscopic rectopexy for rectal prolapse is often complicated by the narrow working space of the pelvis as the sigmoid colon and uterus often obstruct visualization. Many approaches for effective retraction have… Continue Reading
- Topic:
- Colorectal
Laparoscopic radical rectosigmoid cancer resection with left lateral pelvic lymph nodes dissection in a en-bloc resection manner
Wei Wang, Wenjun Xiong, Xiaofeng Zhu, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineThis was a patient diagnosed with advanced rectosigmoid adenocarcinoma and was identified with enlarged lateral pelvic lymph node by computed tomography and magnetic resonance examination. The clinical TNM stage was T3N2M0 (with left lateral pelvic lymph nodes metastasis) according to the AJCC… Continue Reading
- Topic:
- Colorectal
Laparoscopic right colectomy following an ileal orthotopic neo-bladder
Krystle Lange, DO1, Shankar Raman, MD2. 1SwedishAmerican Hospital a Division of UW Health, Rockford, IL, 2Mercy Medical Center, Des Moines, IAWe present a video of a laparoscopic right colectomy following an ileal orthotopic bladder substitute constructed close to 20 years ago. The challenges associated with performing a right colectomy after a Studor pouch include lysing… Continue Reading
- Topic:
- Colorectal
A creative solution to a difficult colorectal anastomosis during TaTME
Allison J Pang, MSc, MD, FRCSC, Sender Liberman, MD, FRCSC, Lawrence Lee, MD, PhD, FRCSC. McGill UniversityObtaining a negative circumferential resection margin (CRM) in rectal cancer is crucial to the control of local recurrence. The adoption of a total mesocolic excision (TME) has greatly impacted oncologic outcomes by significantly decreasing local recurrence rates. Despite neoadjuvant… Continue Reading
- Topic:
- Colorectal
Robotic Sigmoidectomy with Takedown of Colovesical Fistula and Natural Orifice Extraction
Elizabeth R Raskin, MD. Loma Linda UniversityThis abstract demonstrates the surgical management of a 57-year-old woman with a colovaginal fistula,resulting from complicated diverticulitis. da Vinci robotic technology was used to perform a sigmoid resection with colovaginal fistula takedown, utilizing natural orifice technique for intracorporeal anastomosis creation and specimen extraction. Presented at the SAGES 2017 Annual Meeting… Continue Reading
- Topic:
- Colorectal
ESD and TAMIS: An Adaptive Customized Approach
Ipek Sapci, Emre Gorgun. Cleveland ClinicIn this case we demonstrate the hybrid approach with endoscopic submucosal dissection and TAMIS of a 60 mm rectosigmoid polyp. Using ESD followed by TAMIS, the lesion was resected in an en bloc fashion and the patient was discharged home the same day with no complications.Intraoperative challenges with either technique, for… Continue Reading
- Topic:
- Colorectal
Laparoscopic right colectomy with co-axial port setting
Takeshi Naitoh, MD, Shinobu Ohnuma, MD, Hideaki Karasawa, MD, Atsushi Kohyama, MD, Kazuhiro Watanabe, MD, Hideyuki Suzuki, MD, Fuyuhiko Motoi, MD, Takashi Kamei, MD, Takanori Ishida, MD, Michiaki Unno, MD. Dept of Surg, Tohoku University Graduate School of MedicineDuring laparoscopic surgery, in order to recognize the 3-D positional relationship of the surgeons instruments and to… Continue Reading
- Topic:
- Colorectal
Complex Polypectomy in The Sigmoid Colon May Be Expedited Using a Novel Double Balloon Overtube (Dilumen)
Talal Alzghari, MD, Kota Momose, MD, PhD, Yohei Kono, MD, PhD, Parul Shukla, MD, Kelly Garrett, MD, FACS. Weill Cornell Medicine/NewYork Presbyterian HospitalINTRODUCTION: Challenging endoluminal large bowel therapies may be due to intrinsic lesion factors such as size, anatomical location or whether on a fold or around a bend. Regarding sigmoid colon lesions, these may be… Continue Reading
- Topic:
- Colorectal