We use cookies to offer you an optimal experience on our website. By browsing our website, you accept the use of cookies.

You must be logged in to watch this video. Click here to access your account, or here to register for free!

Laparoscopic coloproctectomy with ileoanal pouch anastomosis for familial adenomatous polyposis (FAP)

J Leroy, MD, FRCS J Marescaux, MD, FACS, Hon FRCS, Hon FJSES, Hon FASA, Hon APSA
Epublication WebSurg.com, Sep 2012;12(09). URL: http://websurg.com/doi/vd01en3746

Ask a question to the author

You must be logged in to ask a question to authors. Click here to access your account, or here to register for free!
  • 2802
  • 75
  • 2012-09-11
Share it
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.