Presented by Conor P Delaney 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): 3D camera, abdominal perineal resection, ACOSOG trial, ALaCaRT trial, anal canal, anastomosis, anastomotic leak, anatomical planes, anatomy, anus, APR, ASCRS, atraumatic grasper, Babcock, bleeding, blood loss, BMI, body mass index, carbon dioxide, cephalad, circumferential margin, CLASICC trial, clinical outcomes, CO2, colon resection, Color II, colorectal, colostomy, complications, cost, cost effectiveness, CRM, Denonvilliers fascia, devascularization, DFS, disease free survival, disposable equipment, dissection, education, en bloc prostatectomy, energy devices, enhanced recovery, fan retractor, fellows, flexible instruments, follow-up, fundamentals, hook, ileostomy, IMA, inferior mesenteric artery, intramesenteric, laparoscopy, left colic artery, left lateral, Ligasure, local recurrence, Marcaine, masters series, medial-lateral dissection, mesorectum, minimally invasive procedure, MIS, MRI, multidisciplinary tumor boards, muscle, obese, obesity, oncologic, oncologic outcomes, open, open surgery, operative time, ostomy, panus, parietal fascia, pelvis, perineum, platform, port, ports, pTME resection, radiation, randomized control trial, RCT, rectal cancer, rectal surgery, rectosigmoid, rectum, reoperative, residents, retraction, retroperitoneum, robot, robotic, robotics, ROLARR trial, scissors, seminal vesicle, sigmoid colon, standardization, standards, stapler, TAP block, TaTME, teaching, TME, Toldts fascia, total mesorectal excision, traction, training, transection, tumor, umbilicus, ureter, uterus, visual pattern recognition
Norwegian data–48 sec Br J Surg 2009
Pre-op assessment of margin–1:19
Teaching TME–1:32 Colorectal Dis 2003
Which platform?–2:09
What does robotics offer?–2:31
Potential benefits of remote surgery–2:59
Standardized operative technique–3:42
Pt factors–4:13
Port placement–4:39
Traction & retraction–5:05
Inferior mesenteric vessels & lateral dissection–5:49
Upper mesorectal dissection–7:34
Mid-rectal transection–11:34
Lower mesorectal dissection–12:50
Low rectal transection–14:20
Lap LAR with BMI 42 video clip–15:09
TaTME upper mesorectal dissection–16:48
Citation–17:57 Br J Surg 2013
Meta-analysis of laparoscopy for rectal cancer–18:13 Colorectal Dis 2006
Color II trial–18:54 NEJM 2015
ACOSOG &Â ALaCaRT–19:27
ROLARR trial–20:18
Conclusion–21:09
Q&A session–21:46