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Good evening, everyone. In this video, we will demonstrate a full and complete surgery, without cuts, of the technique for a complete mesocolon excision and right colectomy. Notice that in this case, we encountered some bleeding, which was controlled without any harm or increased morbidity for the patient. This surgery is technically demanding and requires a thorough understanding of anatomical and vascular structures, including the region of Gilot, the gastrocolic trunk of Henle, and the anatomy of the superior mesenteric vein. I hope you find the technical aspects of the surgery insightful. Timelapse: 00:12 Exposition 01:24 Bottom up ileo dissection 05:54 Ileocecal vessel and superior mesenteric vein dissection 18:29 Ligation of ileocecal vessels in its origins 30:18 Duodenum dissection 34:17 Dissection of Henle Trunk 41:28 Retroperitoneal dissection 47:00 Ileal transection 50:00 Right lateral and Toledo’s fascia dissection 01:00:00 Ligation of the right branch of the medial colic vessels 01:03:00 Transverse colon preparation for stapling 01:05:13 Gastroepiploic ligament transection 01:06:30 Hepatic flexure takedown 01:12:21 Transverse colon transection 01:17:21 Intracorporeal anastomosis Description: In this detailed surgical video, we present a full mesocolon excision followed by intracorporeal anastomosis using laparoscopic techniques for the management of right-sided colon cancer. This procedure emphasizes the importance of meticulous dissection and precision in colorectal cancer surgery. 🔍 What You'll Learn: Key principles of mesocolon excision for optimal oncologic outcomes. Step-by-step guide to performing intracorporeal anastomosis. Strategies for managing complex cases in minimally invasive surgery. Tips to avoid common pitfalls and enhance patient recovery. With over a decade of experience in colorectal surgery, I aim to provide valuable insights that can enhance your practice, whether you are a seasoned surgeon or refining your laparoscopic techniques. 💡 Who Should Watch: Colorectal Surgeons General Surgeons with a focus on oncology Surgical Residents and Fellows 📈 Key Takeaways: The critical role of complete mesocolon excision in colorectal cancer treatment. Techniques for achieving a secure and effective intracorporeal anastomosis. The benefits of laparoscopic surgery in improving postoperative recovery. Watch the full, unedited surgical video to see these techniques in action, and gain deeper insights into the nuances of advanced laparoscopic surgery. Don't forget to like, subscribe, and turn on notifications for more in-depth surgical tutorials and expert insights! Dr.Rafael Vaz Pandini- Colorectal Surgeon CRMSP 171262 University of São Paulo, Brazil -Hospital das Clínicas da Faculdade de Medicina USP Robotic Surgery certified by Albert Einstein Israelite Hospital RLPandini Clinic : Center for Colorectal Cancer, Diverticulitis, Endometriosis, Piles , Constipation , Fistula , Fissure , Prolapse and Hernias. Centre of Minimal invasive Surgery and Pelvic Floor Disorders like Incontinence and Prolapse. Equipped with advanced manometry, biofeedback, Connect with us on: São Paulo, Brazil : a) +55 11 5572-1421 b) +55 11 91400-1421 [email protected] Visit: www.drrafaelpandini.com.br For more information regarding our treatments for colorectal diseases [email protected] Visit: https://www.clinicarlpandini.com.br Video is for educational purposes only #ColorectalSurgery #MesocolonExcision #LaparoscopicSurgery #SurgicalTechniques #RoboticSurgery #ColonCancer #AdvancedSurgery #SurgicalAnatomy #MinimalInvasiveSurgery #OncologicSurgery #CirurgiaColorretal #ExcisãoMesocolon #CirurgiaVideolaparoscópica #TécnicasCirúrgicas #CirurgiaRobótica #CâncerDeCólon #CirurgiaAvançada #AnatomiaCirúrgica #CirurgiaMinimamenteInvasiva #CirurgiaOncológica