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

The concept of complete excision of the organ within its primitive mesentery associated with central transection of the supplying blood vessels is currently considered the step towards modern surgical oncology. In this key lecture, Dr. Zheng provides some tips and tricks for the laparoscopic complete mesocolic excision in a right colectomy.

Laparoscopic colon resection is a complex endeavour since it involves a good knowledge of the anatomy, surgical skills and many times a wide specimen extraction.
This video demonstrates the technique of laparoscopic left colectomy for treatment of malignant tumor with takedown of the splenic flexure using a laparoscopic approach.

This video demonstrates two cases of postoperative peritonitis following laparoscopic colectomy due to bowel perforation caused by unrecognised thermal injury during the original colectomy. The first case is a colonic perforation treated with primary closure and loop colostomy and the second is a small bowel perforation repaired primarily.

This video presents the case of a 62-year old Chinese woman with descending colon carcinoma. Preoperative histological exam through endoscopy revealed an adenocarcinoma.
The patient underwent a laparoscopic left hemicolectomy, using a medial to lateral approach. This technique allows for precise dissection, early identification of the inferior mesenteric artery, and identification of the left ureter through virgin planes.
The surgery was performed smoothly. Operative time was 3 hours 45 min, with a total blood loss of less than 100mL.
She was discharged on postoperative day 3 and final histology was pT3N0 (0 out of 19 lymph nodes).

To achieve a safe tension-free anastomosis during a laparoscopic left colonic resection, complete splenic flexure mobilization is mandatory. In this live interactive surgery, Dr. Salvador Morales-Conde performed a laparoscopic left colectomy with complete splenic flexure mobilization for diverticular disease showing his technical tips in each surgical step.

The video entitled "Hinchey II sigmoid diverticulitis with chronic abscess and sigmoidovesical fistula in a male patient: laparoscopic management", authored by J Leroy, D Ntourakis, D Mutter, and J Marescaux is analyzed by Barry Salky, MD, FACS (Mount Sinai Medical Center, New York, USA), sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.

The video entitled "Redo management of Crohn's disease after ileocaecal resection 20 years ago: new ileocolic laparoscopic resection", authored by J Leroy and J Marescaux, is analyzed by Dr. Barry Salky, MD, FACS (Mount Sinai Medical Center, New York, United States), sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.