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

The objective of this film is to demonstrate a laparoscopic sigmoidectomy for acute sigmoid diverticulitis in a male patient, and more specifically to highlight all the errors that led to a ureteral injury, which was identified and managed immediately intraoperatively.

In this key lecture, Professor Martin Walz explains the medial appoach to the left (splenic) flexure of the colon.

In hand-assisted surgery, the surgeon can insert a hand through the small incision in the abdomen and inserts his/her hand into the patient’s body, using it for sensory perception and to guide surgical instruments. Hand-assisted laparoscopic surgery is the use of the non-dominant hand intra-abdominally. The objective of this film is to show the entirely hand-assisted intra-abdominal anastomosis technique between the transverse colon and the sigmoid colon after segmental resection of the splenic flexure.

Laparoscopic adrenalectomy is considered to be the standard of care for the surgical excision of the adrenal gland. Transperitoneal and retroperitoneal approaches are the two major laparoscopic routes to the adrenal gland. Although the transperitoneal approach is used more widely, the retroperitoneal approach offers distinct advantages which make it a valuable alternative route to the adrenal gland. This video describes a retroperitoneal laparoscopic adrenalectomy for colon cancer metastasis in a 65-year-old patient who underwent a left colectomy 3 years earlier.

This didactic video describes the principles of sigmoid colon resection. Different operative strategies are presented; contrasting the key steps in resection for neoplastic and non-neoplastic conditions. The vascular approach is emphasized, and super-selective vascular dissection of the inferior mesenteric artery (IMA) and its branches are shown.

The objective of this video is to demonstrate a sigmoid colectomy technique for a diverticular sigmoiditis with a transanal extraction of the resected colonic segment. The goal of this video is to demonstrate the feasibility of this technique by means of only 3 trocars to further reduce parietal damage. The author reveals his tips and tricks for a perfectly standardized minimally invasive operative technique. In addition to colonic extraction, the different stages of mechanical anastomosis are perfectly outlined. This team recommends that this type of intervention should be used for benign pathologies.

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.

Laparoscopic colorectal surgery comprises many different types of procedures for various diseases. In general, surgical complications can be divided into intraoperative and postoperative complications, and usually occur while the patient is still in the hospital. Over the recent decade, the improvement of different treatment strategies and technical inventions has been tremendous. This is mainly attributable to the increase use of the laparoscopic approach, which is now well-accepted for many procedures. Training of the surgeon, hospital volume, and learning curves are becoming increasingly more important to maximize patient safety, surgeon expertise, and cost-effectiveness. The standardization of perioperative care is essential to minimize postoperative complications. In this key lecture, Dr. Barry Salky provides an overview, namely how to identify and minimize intraoperative and postoperative complications.