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Laparoscopic sigmoidectomy for sigmoiditis with transanal specimen extraction
The objective of this video is to demonstrate a sigmoid colectomy technique for a diverticular sigmoiditis with a transanal extraction of the resected colonic segment. The goal of this video is to demonstrate the feasibility of this technique by means of only 3 trocars to further reduce parietal damage. The author reveals his tips and tricks for a perfectly standardized minimally invasive operative technique. In addition to colonic extraction, the different stages of mechanical anastomosis are perfectly outlined. This team recommends that this type of intervention should be used for benign pathologies.
J Leroy, J Marescaux
Хирургические операции
6 лет назад
2484 просмотра
51 лайк
1 комментарий
21:57
Laparoscopic sigmoidectomy for sigmoiditis with transanal specimen extraction
The objective of this video is to demonstrate a sigmoid colectomy technique for a diverticular sigmoiditis with a transanal extraction of the resected colonic segment. The goal of this video is to demonstrate the feasibility of this technique by means of only 3 trocars to further reduce parietal damage. The author reveals his tips and tricks for a perfectly standardized minimally invasive operative technique. In addition to colonic extraction, the different stages of mechanical anastomosis are perfectly outlined. This team recommends that this type of intervention should be used for benign pathologies.
Laparoscopic sigmoidectomy for benign disease: how I do it
Dr. Michael LI (Pamela Youde Nethersole Eastern Hospital, Hong Kong) demonstrates his approach to laparoscopic sigmoidectomy in a case of sigmoid diverticulitis with an audience made up of renowned experts in colorectal surgery. Discussions around appropriate strategies for the management of non-oncologic disease between the operating surgeon and the experts are moderated by Professor Nicolas Demartines (Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland). A brand-new dissecting instrument, the Sonicision™ cordless ultrasonic dissection device (Covidien, Valleylab) is also used during specific steps of the procedure.
M Li, J Marescaux
Хирургические операции
7 лет назад
5165 просмотров
107 лайков
0 комментариев
19:36
Laparoscopic sigmoidectomy for benign disease: how I do it
Dr. Michael LI (Pamela Youde Nethersole Eastern Hospital, Hong Kong) demonstrates his approach to laparoscopic sigmoidectomy in a case of sigmoid diverticulitis with an audience made up of renowned experts in colorectal surgery. Discussions around appropriate strategies for the management of non-oncologic disease between the operating surgeon and the experts are moderated by Professor Nicolas Demartines (Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland). A brand-new dissecting instrument, the Sonicision™ cordless ultrasonic dissection device (Covidien, Valleylab) is also used during specific steps of the procedure.
Three trocar sigmoidectomy for diverticulitis with transanal extraction
The combination of laparoscopy and specimen extraction through a natural orifice has the potential to decrease wound complications and to improve postoperative recovery.
The objective of this film is to demonstrate the possibilities of specimen extraction of a sigmoid diverticulitis transanally with reduction of abdominal openings that may sometimes induce incisional hernias and postoperative pain.
In this case, a laparoscopic three-port technique is performed: one 12mm optical port situated in the umbilicus, and two right iliac fossa ports (one 5mm port placed in the right flank, and a 12mm port in the right iliac fossa for introduction of staplers).
J Leroy, J Marescaux
Хирургические операции
10 лет назад
274 просмотра
24 лайка
0 комментариев
09:26
Three trocar sigmoidectomy for diverticulitis with transanal extraction
The combination of laparoscopy and specimen extraction through a natural orifice has the potential to decrease wound complications and to improve postoperative recovery.
The objective of this film is to demonstrate the possibilities of specimen extraction of a sigmoid diverticulitis transanally with reduction of abdominal openings that may sometimes induce incisional hernias and postoperative pain.
In this case, a laparoscopic three-port technique is performed: one 12mm optical port situated in the umbilicus, and two right iliac fossa ports (one 5mm port placed in the right flank, and a 12mm port in the right iliac fossa for introduction of staplers).
Laparoscopic sigmoidectomy for sigmoid diverticulitis in an obese (BMI=39) female patient
This video demonstrates the laparoscopic approach to sigmoid resection following previous attacks of diverticulitis. The medial vascular approach is employed, although in this case the inferior mesenteric artery is preserved. Obesity presents particular problems of reduced space and difficulty in identification of structures because of visceral adiposity. This video is suitable for advanced laparoscopic digestive surgeons.

The authors use the medial vascular approach, preserving the inferior mesenteric artery. The obese patient presents the dual challenge of reduced space and difficulty in identifying structures. The authors gain exposure of the mesosigmoid, and initially incise the peritoneum to divide the vessels, respecting the superior rectal vessels. They divide only the sigmoid vessels to preserve the superior rectal artery and vein.
J Leroy, J Marescaux
Хирургические операции
12 лет назад
1361 просмотр
11 лайков
0 комментариев
21:15
Laparoscopic sigmoidectomy for sigmoid diverticulitis in an obese (BMI=39) female patient
This video demonstrates the laparoscopic approach to sigmoid resection following previous attacks of diverticulitis. The medial vascular approach is employed, although in this case the inferior mesenteric artery is preserved. Obesity presents particular problems of reduced space and difficulty in identification of structures because of visceral adiposity. This video is suitable for advanced laparoscopic digestive surgeons.

The authors use the medial vascular approach, preserving the inferior mesenteric artery. The obese patient presents the dual challenge of reduced space and difficulty in identifying structures. The authors gain exposure of the mesosigmoid, and initially incise the peritoneum to divide the vessels, respecting the superior rectal vessels. They divide only the sigmoid vessels to preserve the superior rectal artery and vein.
Laparoscopic sigmoidectomy for sigmoid diverticulitis in an obese (BMI=30) male patient
This is a didactic video demonstrating laparoscopic sigmoidectomy for diverticular disease. A combined medial and lateral approach is employed in the dissection of the sigmoid vessels, preserving the IMA. The use of the LigaSure device greatly facilitates the dissection. This approach is suitable for general and digestive surgeons.

The authors use a medial approach to divide the branches of the sigmoid vessels. In performing the medial resection for cancer, the authors caution to avoid contact with the colon. The approach may involve a combination of medial and lateral techniques. Monopolar shears help carry out the dissection using traction. Freeing the vessels laterally enables visualization of the mesocolon.
J Leroy
Хирургические операции
12 лет назад
1032 просмотра
23 лайка
0 комментариев
17:22
Laparoscopic sigmoidectomy for sigmoid diverticulitis in an obese (BMI=30) male patient
This is a didactic video demonstrating laparoscopic sigmoidectomy for diverticular disease. A combined medial and lateral approach is employed in the dissection of the sigmoid vessels, preserving the IMA. The use of the LigaSure device greatly facilitates the dissection. This approach is suitable for general and digestive surgeons.

The authors use a medial approach to divide the branches of the sigmoid vessels. In performing the medial resection for cancer, the authors caution to avoid contact with the colon. The approach may involve a combination of medial and lateral techniques. Monopolar shears help carry out the dissection using traction. Freeing the vessels laterally enables visualization of the mesocolon.