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Laparoscopic Surgical Techniques for Rectal Lesions >6cm from the Anal Verge

Laparoscopic Surgical Techniques for Rectal Lesions >6cm from the Anal Verge. Eric M. Haas, MD, FACS, FASCRS Minimally Invasive Colon and Rectal Surgery. Minimally Invasive Colorectal Surgery. Conventional Laparoscopic Surgery. Hand-Assisted Laparoscopic Surgery. Robotic-Assisted

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Laparoscopic Surgical Techniques for Rectal Lesions >6cm from the Anal Verge

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  1. Laparoscopic Surgical Techniques for Rectal Lesions >6cm from the Anal Verge Eric M. Haas, MD, FACS, FASCRS Minimally Invasive Colon and Rectal Surgery

  2. Minimally Invasive Colorectal Surgery Conventional Laparoscopic Surgery Hand-Assisted Laparoscopic Surgery Robotic-Assisted LaparoscopicSurgery Single-Incision Laparoscopic Surgery

  3. Case Selection • Hand-assisted laparoscopic surgery: • Initial minimally invasive cases • Overcoming learning curve • BMI >30 • Bulky lesions • Conventional laparoscopic surgery • Low BMI and morbidity • Robotic-assisted laparoscopic surgery • Complex disease • Re-operative anatomy • Single-incision laparoscopic surgery • Low BMI and morbidity • Expert laparoscopist

  4. Port placement Conventional Laparoscopic Surgery Hand-Assisted Laparoscopic Surgery

  5. Port placement Robotic-Assisted LaparoscopicSurgery Single-Incision Laparoscopic Surgery

  6. Patient Positioning

  7. Splenic Flexure Takedown

  8. Left Lateral Steps Medial-to-Lateral Dissection

  9. Vascular Control

  10. Vascular Control(IMA and IMV)

  11. Medial-to-Lateral Dissection

  12. “Eagle Sign” Left Colic A. Sup. Rectal A. IMA

  13. Pelvic Dissection

  14. Pelvic Dissection

  15. Lap AR • Video

  16. Thank You

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