Article Abstract

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

Authors: Simona Macina, Ludovica Baldari, Elisa Cassinotti, Massimiliano Della Porta, Luigi Boni

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.