Laparoscopic coloproctectomy with ileoanal pouch anastomosis for familial adenomatous polyposis (FAP)
Epublication WebSurg.com, Sep 2012;12(09). URL: http://websurg.com/doi/vd01en3746
Coloproctectomy is a challenging surgical procedure, whether open or laparoscopic, particularly when an ileoanal anastomosis with pouch is performed. The objective of this film is to provide some tricks to perform this surgical procedure laparoscopically. The main trick is probably the preservation of the right and ileocolic vessels and of the right Drummond marginal vascular arcade that later allows for a division of the superior mesenteric vessels, if necessary to gain a length of 2 to 3cm in the pelvis. The use of new sealing devices such as the Ligasure™ blunt tip facilitated the standardization of the procedure.