In your opinion, what are the best indications for laparoscopic hand-assisted surgery?

The objective of this film is to demonstrate a colectomy technique after laparoscopic rectal prolapse surgery that caused increased constipation in a female patient in her fifties. Indeed, a few months earlier, an indirect rectopexy had been performed with placement of subperitoneal strips; this was combined with a partial Douglasectomy. Following the study of transit times, a laparoscopic left colectomy was decided upon.

Peristomial hernia is a very common complication in gastrointestinal surgery. Some degree of peristomial herniation has been claimed to be an almost inevitable complication of any ostomy formation. A stepwise approach to perform a subperitoneal tunnel iliac colostomy is presented in an attempt to prevent its development.

This video demonstrates a total laparoscopic colectomy technique with a new single port device (S-Port™ from Karl Storz). After a brief description of this device, the authors outline their surgical strategy and present anatomical plane images of outstanding quality as well as the excellent ergonomics resulting from the S-Port™, the S-Portal™ instruments, and their respective use into port introduction sites.

Background: Single incision laparoscopic right hemicolectomy is a feasible procedure. Suprapubic access allows to offer satisfactory cosmetic results in case of extended scar due to a large tumor. Intracorporeal anastomosis is mandatory through a suprapubic access, because it prevents traction on the mesentery and on the transverse mesocolon.
Video: This video shows four different types of intracorporeal ileocolic anastomoses.
1) Linear mechanical side-to-side
2) Completely manual side-to-side
3) Completely manual end-to-side
4) Completely manual end-to-end
At the end of each type of anastomosis, mesenteric defect closure is mandatory, to prevent intestinal obstruction caused by internal hernia.
Results: After an appropriate learning curve, time to perform linear mechanical anastomosis is 25 minutes and manual anastomosis takes 40 minutes.
Conclusions: Different ileocolic anastomoses can be performed and the surgeon has to choose the appropriate one, case by case.
To watch the video demonstrating the entire right hemicolectomy, please click here.

This video demonstrates the key anatomic landmarks and steps in performing an oncologic resection of right colon using a medial approach to mesenteric mobilization. The surgical steps and anatomy are highlighted by use of artistic drawings. The mesenteric division is carried out intracorporeally and the stapled anastomosis is done extracorporeally through a small suprapubic incision used to remove the specimen.
This is an excellent introductory video for laparoscopic right hemicolectomy for cancer.

Laparoscopic resection of colorectal polyps is a safe and minimally invasive technique for the management of colorectal tumors. Thus, the laparoscopic approach to endoscopically not resectable polyps with suspicion of malignancy enriches the therapeutic spectrum.
The purpose of the video is to show the right colectomy technique for a caecal polyp with a possible degenerative disease. An oncological resection is therefore offered. The positioning of the trocars is no different than usual.

In this video, the laparoscopic treatment of a colonic perforation following a colonoscopic screening is presented. The procedure consisted in closure of the perforation accompanied by an omentoplasty.