Presented by Cristiano Huscher at the Masters Series: Colorectal “The Road to Success – MIS approaches to the Sigmoid Colon and Upper Rectum” held during the 2017 SAGES Annual Meeting in Houston, TX on Wednesday, March 22, 2017
Keyword(s): abdominal cavity, abdominal wall, anastomosis, anvil, aorta, arcade, Bacon axilla, coagulation, colorectal, colorectal junction, confluence, cost-effective, CUSA, Denonvilliers fascia, dissect, energy forcep, gastrocolic ligament, gastroepiploic vein, Gerotas fascia, glue, grasper, gravity, Grubers ligament, high ligation, hypogastric nerves, iliac fossa, IMA, IMV, inferior mesenteric vein, inferior mesentery artery, internal hernia, Jonnesco Resex, lap colectomy, laparoscopic colectomy, left colectomy, left colic vein, lesser sac, linear stapler, masters series, mesentery, mesorectal, mini laparotomy, minimally invasive surgery, MIS, Mondor hilum, oncologic, open surgery, pancreas, prostate, radiofrequency, rectum, recurrence, reexploration, resection, safety, seminal vesicles, sigmoid colon, single port colectomy, specimen, spleen, splenic flexure, splenic vein, superior rectal artery, surgical trauma, takedown, taTME, teach, Toldt fascia, transanal TME, transection, transverse colon, Treitz, triangulation, trocar, ultrasound, wound protector
Rationale–3 sec
Energy forcep–3:43
Trocar position–4:12
Original technique–4:49
Lesser sac after gastrocolic ligament opening video clip–5:40
Gastrocolic division for splenic flexure takedown–6:29
Tips & tricks–7:04
Splenic flexure takedown video clip–7:32
Anatomical details/tips & tricks–10:20
IMV ligation & division at confluence into splenic vein video clip–10:58
Preservation of left colic vein at the confluence into the splenic vein–12:29
IMA ligation & division @ Bacon axilla with CUSA video clip–13:04
Left colic artery preservation video clip–13:41
IMA division tips & tricks–15:05
Anatomical details for IMA division–15:32
Dissection of Jonnesco Resex mandatory–16:17
Medial-lateral dissection between Gerota & Told fascia video clip–16:44
Rectum division at Mondor hilum video clip–18:43
Colorectal junction–20:01
Resection through a minilaparotomy video clip–20:25
Colorectal anastomosis video clip–20:45
Wound protector closure & abdominal reexploration video clip–21:39
Mesentery closure video clip–21:55