These videos show our step-by-step technique for laparoscopic low anterior resection (LAR) for rectal cancer with total mesorectal excision (TME). The procedure starts in the usual fashion with a high central ligation of the inferior mesenteric vessels, complete excision of the mesorectum, fluorescence angiography for perfusion control and end-to-end anastomosis. The splenic flexure is not mobilized routinely, but just when it is necessary to perform a tension free anastomosis.
Laparoscopic anterior resection for cancer : a step-by-step technique / S. Macina, L. Baldari, E. Cassinotti, M. Della Porta, L. Boni. - (2019 Apr 16). [10.21037/ales.2019.03.08]
Laparoscopic anterior resection for cancer : a step-by-step technique
L. Baldari;E. Cassinotti;L. BoniUltimo
2019
Abstract
These videos show our step-by-step technique for laparoscopic low anterior resection (LAR) for rectal cancer with total mesorectal excision (TME). The procedure starts in the usual fashion with a high central ligation of the inferior mesenteric vessels, complete excision of the mesorectum, fluorescence angiography for perfusion control and end-to-end anastomosis. The splenic flexure is not mobilized routinely, but just when it is necessary to perform a tension free anastomosis.
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