Presented by John H Marks 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): anastomosis, anatomy, anterior resection, aorta, APR, avascular plane, bladder, bleeding, blood supply, brachial injury, cadaver dissection, camera, coloanal, colorectal, colorectal surgery, CR surgery, descending colon, duodenum, embryology, gastrocolic ligament, gastroepiploic vessels, Gerotas fascia, gonadal vessels, greater omentum, GYN surgery, gynecological surgery, Hartmanns reversal, hemorrhoidal, hindgut, hypogastric nerve, iliac vessels, IMA, IMV, inferior mesenteric artery, inferior mesenteric vein, inframesocolic approach, jejunal junction, kidney, laparoscopy, LAR, left colectomy, left colic artery, left colic vein, left renal vein, lesser sec, Ligasure, line of Toldt, low anterior resection, M sign, marginal artery, mesentery, mesorectum, middle colic artery, mobilization, morbidly obese, multiport left colectomy, pancreas, pelvis, perforators, pneumodissection, pubic symphysis, radiation, rectum, reoperation, retraction, retractor, retroperitoneum, reverse Trendelenburg, robotic, sacral promontory, shoulder, sigmoid colon, skeletonize, small bowel, specimen removal, spleen, splenic capsule, splenic flexure release, splenic injury, split leg, stapler, stomach, supramesocolic approach, suprapubic port, TATA, teamwork, tension, TME, transanal, transection, transverse colon, umbilicus, ureteral stents, ureters, vessel sealing, wound
Left colectomy procedures–1:40
How to avoid problems–3:18
Vasculature of left colon–4:08
Anatomy in play: Areas of danger–6:09
Video clip of normal anatomy–6:40
Pt positioning for left colectomy–7:36
Left colectomy port placement–8:23
9 steps of left colectomy–9:32
Performance & teaching of lap CR surgery–10:24
Splenic flexure release–11:20
Embryology of hindgut–12:08
Perforators of greater omentum video clip–12:25
Attachments of splenic capsule–13:35
Inferior border of pancreas schematic–14:10
Pancreatic tail video clip–14:20
Inframesocolic approach video clip–16:06
Repositioning of table: Gravity as a retractor–17:18
IMA/IMV danger areas–18:47
Releasing small bowel adhesions to expose left colon video clip–18:53
Opening sacral promontory video clip–19:20
Identifying IMA/IMV video clip–20:02
Nerve/vessel relationships towards the pelvis–21:35
Hypogastric nerves video clip–22:00
Left ureter identification video clip–23:01
M sign video clip–23:51
Freeing final attachments/checking length–24:09
Mesorectal transection video clip–24:40
Specimen removal video clip–25:32
Q&A session–26:48