Operative Details of Laparoscopic Rectal Resection for Cancer
Laparoscopic proctectomy for cancer presents several technical challenges due to the bony confines of the pelvis, close proximity of adjacent structures, potential for large tumors, and limitations of currently available technology. By understanding the anatomy and utilizing a stepwise, reproducible technique, you can minimize the inherent difficulty and potential pitfalls associated with this procedure. In this chapter, I will describe a technique of laparoscopic proctectomy, highlight potential challenges you may encounter, and outline strategies to deal with them.
KeywordsTotal Mesorectal Excision Inferior Mesenteric Artery Inferior Mesenteric Vein Sacral Promontory Endoscopic Stapler
Straight laparoscopic proctectomy. Video by Sang Lee, MD (MP4 111,301 kb)
Laparoscopic transection of the distal rectum. Video by Brad Champagne, MD (MOV 17,720 kb)