Laparoscopic Sigmoidectomy for Cancer (youtube.com)
Laparoscopic sigmoidectomy with CME for cancer is becoming the gold-standard worldwide. The first step, after exposure, is the primary vascular approach. Personally, I always begin by the IMA dissection for controlling better the quality of the vascularization of the descending colon. I’m also proposing a customization of the splenic flexure mobilization. Lateral mobilization is enough in 80% of cases particularly in Asiatic patients with long compliant sigmoid loop. ICG vascular evaluation is not necessary if we respect basic tips and tricks I’m giving in this film. All my pupils adopted this surgical strategy with success. What do you think about?