Large right colon polyps can be difficult to manage endoscopically and patients often require colectomy for removal. However, avoidance of colectomy in large right colon polyps can improve patient outcomes. Combined endoscopic laparoscopic surgery (CELS) is a technique to avoid colectomy by simultaneously utilizing endoscopy and laparoscopy for polyp removal. Laparoscopic colon mobilization, colon tenting/stretching and colonic invagination are techniques that can help position difficult right-s
We present the case of a 34 year old man who presented with signs and symptoms consistent with a left-sided paraduodenal hernia. We include pertinent historical, clinical, and radiographic findings and the laparoscopic management of such cases.
Background Laparoscopic colorectal surgery has become the gold standard in the therapy of benignant and malignant colorectal pathologies. Anastomotic leakage is still a reason for emergency laparotomy; and performing a diverting stoma or a Hartman’s procedure is a common outcome [1, 2]. Laparoscopic treatment of an early detected anastomotic leakage is suggested from other authors [3, 4]. In our video we demonstrate a combined minimal invasive transabdominal and transanal treatment concept in
Background: Low ligation of the inferior mesenteric artery (IMA), in which the IMA is ligated caudal to the origin of the left colic artery (LCA), has been reported to have several advantages including allowing for in¬creased blood supply to the left colon and the preservation of the au¬tonomic nerve at the IMA origin. In laparoscopic surgery, this procedure is technically demanding and requires a long time to complete. By integrating intraoperative near infrared fluorescence (INIF) imaging into
Adenomatous polyps have malignant potential and removal of these by an endoscopic mucosal resection (EMR) or endoscopic submucosal dissection is a common practise. These techniques may be difficult or unsuccessful due to several factors including poor bowel preparation, excessive tortuosity of the colon, and patient discomfort due to prolonged procedures. Also, there is a risk of iatrogenic injury including haemorrhage and colonic perforation. In cases of failure of polypectomy endoscopically, s