What is your experience of NOTES in Asia? Do you have or do you see any applications of NOTES in colorectal surgery?

The aim of this video is to show a tip involving the transmesenteric route of the transverse colon to perform a tension-free colorectal anastomosis following an extensive excision of the left colon.

The video "Mesenteric lengthening plasty with multiple vascular divisions to perform ileoanal anastomosis and J pouch reservoir", authored by J Leroy 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 presents a laparoscopic right colectomy performed with the aid of the new Ligasure Advance. The combination of advanced tissue fusion and division functionalities thanks to a dissecting electrode, allows for a more effective and a less time-consuming procedure.

In this key lecture, Dr. Parra Davila looks into the use of robotics for intracorporeal anastomosis in colon and rectal surgery.

In this lecture, Prof. Andre D’Hoore demonstrates the importance of the quality aspect of resection and lymph node dissection in colon cancer and its impact on survival. Technical details, review of the literature and video demonstrations are presented too.

The aim of the video is to describe the anatomical landmarks and the surgical technique for complete mesocolic excision during a laparoscopic right colectomy for cancer.
Preoperative high-resolution CT-scan and 3D printed models of the patient’s vascular anatomy is obtained to study the peculiar vessels distribution. Four ports are used, all located in the left flank as described in the video. Dissection between the visceral fascia which covers the posterior layer of the mesocolon and the parietal fascia covering the retroperitoneum (Toldt’s fascia) is carried out by means of monopolar electrocautery and combined advanced bipolar and ultrasonic dissection device. Caudocranial dissection of the mesocolon along the route of the superior mesenteric vein is performed, up to the inferior margin of the pancreas, exposing, ligating and dividing the ileocolic, the right and middle colic vessels at their origins. The gastrocolic trunk is fully dissected and the superior right colic vein clipped and divided. The transverse colon and terminal ileum are divided, the colon is mobilized and ileo-transverse intracorporeal stapled anastomosis is fashioned.
Between April 2017 and December 2018, 46 laparoscopic right hemicolectomies with CME were performed. There were no major vascular lesions. All intraoperative bleedings in the peripancreatic area were controlled with bipolar instruments and hemostatic devices, and there was no need for intraoperative blood cell transfusions.
Laparoscopic CME is feasible, but extensive knowledge of the vascular anatomy of the right colon as well as experience in advanced laparoscopic technique is required.

This video demonstrates the unusual procedure of segmental transverse colon resection performed for an adenocarcinoma in the distal part. All oncological principles are obeyed and a stapled colo-colic reconstruction is performed totally intracorporeally. This video is suitable for digestive surgeons.
The author opens the mesocolon in the shape of a V and uses the Harmonic scalpel to divide the mesocolic fat. Dissection proceeds from the base of the mesocolon towards the colon, where the author carefully isolates Drummond’s marginal artery. Attention then turns to complete the resection of the mesocolon on the right limb of the V. The author identifies the mesocolic vessels as they emerge from the superior mesenteric vessels. This approach requires care because of the number of major vessels in the area. The dissection continues upward to divide the mesocolon on the right side.

In this lecture, Professor John Rowat Monson revisits present-day indications and recommendations for laparoscopic resection in diverticular disease. The outcomes of randomized trials and results of metanalysis are also presented.