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Laparoscopic Surgical Techniques for Rectal Lesions >6cm from the Anal Verge. Eric M. Haas, MD, FACS, FASCRS Minimally Invasive Colon and Rectal Surgery. Minimally Invasive Colorectal Surgery. Conventional Laparoscopic Surgery. Hand-Assisted Laparoscopic Surgery. Robotic-Assisted

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laparoscopic surgical techniques for rectal lesions 6cm from the anal verge

Laparoscopic Surgical Techniques for Rectal Lesions >6cm from the Anal Verge

Eric M. Haas, MD, FACS, FASCRS

Minimally Invasive Colon and Rectal Surgery

minimally invasive colorectal surgery
Minimally Invasive Colorectal Surgery

Conventional Laparoscopic

Surgery

Hand-Assisted

Laparoscopic Surgery

Robotic-Assisted

LaparoscopicSurgery

Single-Incision

Laparoscopic Surgery

case selection
Case Selection
  • Hand-assisted laparoscopic surgery:
    • Initial minimally invasive cases
      • Overcoming learning curve
    • BMI >30
    • Bulky lesions
  • Conventional laparoscopic surgery
    • Low BMI and morbidity
  • Robotic-assisted laparoscopic surgery
    • Complex disease
    • Re-operative anatomy
  • Single-incision laparoscopic surgery
    • Low BMI and morbidity
    • Expert laparoscopist
port placement
Port placement

Conventional Laparoscopic

Surgery

Hand-Assisted

Laparoscopic Surgery

port placement1
Port placement

Robotic-Assisted

LaparoscopicSurgery

Single-Incision

Laparoscopic Surgery

left lateral steps
Left Lateral Steps

Medial-to-Lateral Dissection

eagle sign
“Eagle Sign”

Left Colic A.

Sup. Rectal A.

IMA

lap ar
Lap AR
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