Laparoscopic anterior resection for cancer: a step-by-step technique

被引:1
|
作者
Macina, Simona [1 ]
Baldari, Ludovica [1 ]
Cassinotti, Elisa [1 ]
Della Porta, Massimiliano [1 ]
Boni, Luigi [1 ]
机构
[1] Univ Milan, Osped Policlin Maggiore, Fdn IRCCS Ca Granda, Dept Surg, Milan, Italy
关键词
Rectal cancer; laparoscopic anterior resection; total mesorectal excision (TME); indocyanine green perfusion control (ICG perfusion control); SURVIVAL;
D O I
10.21037/ales.2019.03.08
中图分类号
R61 [外科手术学];
学科分类号
摘要
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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页数:4
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