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surgical intervention video

Splenic flexure mobilization is technically challenging. However, it is necessary to achieve a tension-free anastomosis for any low rectal cancer resections or for a shortened sigmoid colon. In this live interactive surgical video, Dr. Armando Melani (Brazil) demonstrates a medial-to-lateral approach to splenic flexure mobilization for laparoscopic low anterior resection. He defines the main points of his procedure in a stepwise approach and provides technical tips to facilitate exposure and prevent any potential risks of splenic or vascular injuries.

LIVE INTERACTIVE SURGERY: colorectal splenic flexure mobilization

CIRURGIA INTERATIVA AO VIVO: mobilização colorretal da flexura esplênica


CHIRURGIE LIVE INTERACTIVE: mobilisation colorectale de l'angle colique gauche 


LIVE хирургия: мобилизация селезёночного изгиба ободочной кишки

CIRUGÍA INTERACTIVA EN VIVO: mobilización colorrectal de la flexura esplénica


实时交互式手术：大肠脾曲动员


In this educational video, Dr. Armando Melani briefly demonstrates the main principles of laparoscopic sigmoidectomy for cancer in a 67-year-old female patient in a live interactive surgery. He highlights the technical aspects, anatomical landmarks, and key steps of lesser sac opening, vascular identification and division, splenic flexure mobilization, lateral mobilization, mesorectal transection, suprapubic incision for specimen removal, and end-to-end anastomosis (EEA).

 Laparoscopic sigmoidectomy for cancer

Sigmoidectomia laparoscópica para câncer


Sigmoidectomía laparoscópica para cáncer


Sigmoïdectomie laparoscopique pour cancer


Лапароскопическая сигмоидэктомия по поводу рака

腹腔镜乙状结肠切除术治疗癌症


腹腔镜乙状结肠癌切除术 - 批判性分析P. Sylla，MD


Sigmoidectomia laparoscópica para câncer - uma análise crítica do Dr. P. Sylla


Sigmoidectomía laparoscópica para cáncer - un análisis crítico del Dr. P. Sylla


Лапароскопическая сигмоидэктомия по поводу рака - критический анализ P. Sylla, MD

Sigmoïdectomie laparoscopique pour cancer - une analyse critique de P. Sylla, MD


Dr. P Sylla, MD (Massachusetts General Hospital, Boston, USA) provides a running comment on a laparoscopic sigmoidectomy for cancer performed by Dr. A Melani, MD, Scientific Director of IRCAD America Latina training centers in Barretos and Rio de Janeiro (Brazil). Dr. P Sylla provides an authoritative analysis of this colorectal procedure, with a large amount of tips and tricks.

 Laparoscopic sigmoidectomy for cancer - a critical analysis by P. Sylla, MD

Sigmoidectomía laparoscópica para diverticulitis


Sigmoidectomia laparoscópica para diverticulite


In this interactive live video, Dr. Melani briefly demonstrates the main principles, technical aspects, and key steps of a laparoscopic sigmoidectomy in a 34-year-old male patient presenting with diverticulitis. He describes the key maneuvers for correct plane dissection, mesenteric dissection preserving the vessels and the ureter, mobilization of colon, the EEA (end-to-end anastomosis) stapler technique, as well as complications. Dr. Melani also mentions his personal experience.

 Laparoscopic sigmoidectomy for diverticulitis

腹腔镜乙状结肠切除术治疗憩室炎


Лапароскопическая сигмоидэктомия по поводу дивертикулита

Sigmoïdectomie laparoscopique pour diverticulite 


Ректальная аденокарцинома: ректальная ампутация и предбрюшинная стома

直肠腺癌：直肠截肢和腹膜前造口


In this live interactive video recorded during an IRCAD colorectal course, Dr. Armando Melani briefly demonstrates the key steps and technical aspects of abdominoperineal stoma surgery in a 65-year-old female patient with rectal adenocarcinoma attached to the lower third of the vagina. Dr. Melani highlights the main principles of vascular dissection, mobilization, dissection and transection of colon for colostomy, and perineal dissection.

Rectal adenocarcinoma: rectal amputation and preperitoneal stoma

Adenocarcinoma rectal: amputación rectal y estoma preperitoneal


Adénocarcinome rectal: amputation rectale et stomie prépéritonéale 


Adenocarcinoma retal: amputação retal e estoma pré-peritoneal


Трансанальная ТМЕ (ТаТМЕ) с платформой TEO™ в режиме реального времени

TME transanal interactiva en vivo (TaTME) con la plataforma TEO™


实时交互式经 TME（TaTME）和TEO™平台


TME transanale live interactive (TaTME) avec la plateforme TEO™


Randomized clinical trials such as COLOR II, COREAN and CLASICC, have shown better results for laparoscopic total mesorectal excision (TME), in terms of short-term and long-term outcomes, when compared with open TME.

Laparoscopic TME presents some limitations such as low rectal cancer which has a high risk of leaving a positive circumferential resection margin (CRM) and a narrow pelvis. Conversion to open procedures remains unsatisfactory.

Transanal TME (taTME) has been proposed to give a new option in cases where laparoscopic TME is difficult. 

In this video, we present the case of a transanal approach with the TEO™ platform for low rectal cancer.

Live interactive transanal TME (TaTME) with the TEO™ platform

TME transanal interativa ao vivo (TaTME) com a plataforma TEO™


Лапароскопическая колоректальная хирургия - рак прямой и сигмовидной кишки


Laparoscopic Colorectal Surgery - Management of Sigmoid and Rectal Cancer

Chirurgie colorectale laparoscopique - traitement du cancer rectal et sigmoïdien