How to improve the quality and the results


Presented by Kirk Ludwig, MD at SAGES/ISLCRS 2013 Postgraduate Course MIS Colorectal

key factors for a safe pelvic anastomosis–39 sec
mobilizing the proximal bowel–1:23
mobilizing the transverse mesocolon–4:30
dividing the vessels–6:38
routing the proximal bowel to the pelvis-

Keyword(s): blood supply, circular staple gun, colic artery, colonic J-pouch, dead bowel, distal donut, diverting loop ileostomy, dog-ear, DRE, hand assisted, IMV, ISLCRS, lap CRA, leak test, marginal vessel, mesentery, MIS, nuisance bleeding, procto, proximal bowel mobilization, rectum, retro-ileal routing, Toldts fascia, transverse mesocolon, transverse staple line

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