G Nicholson1, J Knol2, B Houben2, C Cunningham1, S Ashraf1, R Hompes1. 1. Department of Colorectal Surgery, Oxford University Hospitals NHS Trust, Oxford, UK. 2. Department of Visceral Surgery, Jessa Hospital, Hasselt, Belgium.
Abstract
AIM: The new approach of transanal total mesorectal excision is technically challenging and demands a stable field of dissection with optimal view of anatomical landmarks. We aimed to describe and demonstrate a modification of both the insufflation of carbon dioxide and smoke evacuation, in order to optimize dissection. METHOD: The comparison of standard insufflation to an AirSeal platform demonstrates a clear difference. This is shown in the accompanying video-recordings. RESULTS: A more stable pneumorectum and better smoke evacuation as well as more convenient and precise dissection were achieved with the AirSeal platform. CONCLUSION: Using the technique outlined, the operating surgeon is able to perform the surgical dissection in a stable operating environment with increased visibility compared to the standard approach. Colorectal Disease
AIM: The new approach of transanal total mesorectal excision is technically challenging and demands a stable field of dissection with optimal view of anatomical landmarks. We aimed to describe and demonstrate a modification of both the insufflation of carbon dioxide and smoke evacuation, in order to optimize dissection. METHOD: The comparison of standard insufflation to an AirSeal platform demonstrates a clear difference. This is shown in the accompanying video-recordings. RESULTS: A more stable pneumorectum and better smoke evacuation as well as more convenient and precise dissection were achieved with the AirSeal platform. CONCLUSION: Using the technique outlined, the operating surgeon is able to perform the surgical dissection in a stable operating environment with increased visibility compared to the standard approach. Colorectal Disease
Authors: M-P Bernardi; A L A Bloemendaal; M Albert; M Whiteford; A R L Stevenson; R Hompes Journal: Tech Coloproctol Date: 2016-10-01 Impact factor: 3.781