What is the place of laparoscopy in colorectal surgery in China and also in your own practice?

This video demonstrates principles of laparoscopic sigmoidectomy for benign disease with preservation of superior rectal artery. In this case, the patient had several episodes of diverticulitis and the surgeon only resected the affected sigmoid colon after mobilization of the splenic flexure. The preservation of the superior rectal artery will ensure nerve preservation and is believed to reduce the possibility of anastomotic ischemia causing leaks or stenosis.

In this key lecture, Dr. Ambrosetti details different points of the elective laparoscopic approach for diverticular disease and focuses on the importance of IMA preservation.

This video demonstrates an ileocaecal resection for distal ileal Crohn’s disease. The expert’s surgical strategy is to separate the ileocaecum from the ileum and the ascending colon without freeing the posterior inflammatory attachments of the ileocaecum that will be freed subsequently. The ileocolic anastomosis is performed “in”. The expert shows the benefit of the 10mm Ligasure Atlas® device in dissecting the inflammatory tissue.

In this video, the author demonstrates the possibilities of an laparoscopic oncologic approach to perform a right colectomy in an obese patient.
After a primary vascular approach, the colon is freed from its posterior and lateral attachments prior to being resected. The intracorporeal anastomosis is beautifully described and substantiated here.
Finally, the author underlines the benefit of using dissection instruments recently developed by the medical device Industry (Sonicision™, V-Loc™, and Tri-Staple™ Technology by Covidien).

Laparoscopic colectomy is performed widely all around the world, and some institutions perform more laparoscopic operations than conventional open operations. Skin incision is required to remove the resected colon. This video shows a laparoscopic sigmoidectomy, which involves transanal specimen extraction.

In the current surgical practice, surgeons are increasingly faced with obese patients in different conditions. In this lecture, Dr. Nahas presents the challenge of obesity in colorectal surgery.

The video "Laparoscopic oncologic sigmoidectomy with transanal specimen removal: a step to NOTES or single port procedure", authored by J Leroy, F Costantino, P Allemann and J Marescaux, is analysed by Dr. Feza H Remzi, MD, FACS, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.

This video demonstrates a three trocar technique for mobilization and resection of the left colon for malignancy despite some considerable technical difficulty due to the patient’s body habitus. It concentrates in most detail on how to obtain the exposure necessary for radical oncology resection using this technique.