Laparoscopic left colectomy with a lateral to medial dissection

Laparoscopic resection of colorectal polyps is a safe and minimally invasive technique for the management of colorectal tumors. Thus, the laparoscopic approach to endoscopically not resectable polyps with suspicion of malignancy enriches the therapeutic spectrum.
The purpose of the video is to show the right colectomy technique for a caecal polyp with a possible degenerative disease. An oncological resection is therefore offered. The positioning of the trocars is no different than usual.

The video entitled "Laparoscopic three-trocar sigmoidectomy with transanal extraction and new Sonicision™ cordless ultrasonic dissection device", authored by J Leroy, B Barry, and J Marescaux, is analyzed by Dr. Ronan Cahill, MD, FRCS (Beaumont Hospital, Dublin, Ireland), sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.

The laparoscopic approach to colonic cancer will replace open surgery in the majority of cases. In this key lecture, Professor Okuda provides some tips and tricks to perform a total laparoscopic approach for right and left colectomy.

This video clearly demonstrates the laparoscopic performance of left hemicolectomy for cancer.

Laparoscopic surgery for colorectal cancer requires an abdominal incision to extract the resected specimen. Transanal extraction avoids the need to make any additional abdominal incisions for specimen retrieval. This video demonstrates various tricks for the removal of a huge specimen.

In this lecture, Dr. Navez discusses the interest of laparoscopic exploration in acute peritonitis.

When performing ‘traditional’ laparoscopic colectomy for left-sided colonic tumors, specimen retrieval requires a mini-laparotomy, which often is the cause and evil of postoperative pain, wound infection as well as other pain-related complications. Herein we describe a new technique of endo-laparoscopic anterior resection with no abdominal incision, in which specimen retrieval and colorectal anastomosis can be safely achieved with the use of the Transanal Endoscopic Operations (TEO) device.

This film demonstrates an oncologic colon resection in a 36-year-old male patient presenting with an adenocarcinoma of the splenic flexure. This operation was performed using a medial-to-lateral mesocolic excision approach and an intracorporeal anastomosis technique.

The video "Three-trocar laparoscopic sigmoidectomy and transanal extraction of the specimen for diverticular sigmoiditis" authored by J. Leroy and J. Marescaux is analysed by Dr. Barry Salky, MD, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.

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).