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In this video, we present a robotic rectosigmoidectomy with ligation of the inferior mesenteric artery at its origin, identification of the hypogastric nerves and the left ureter, and performance of a partial cystectomy with primary repair. Additionally, we demonstrate the use of indocyanine green (ICG) to ensure the safety of the end-to-end colorectal anastomosis with a circular stapler. Timelapse: 00:09 Pelvic exposition 00:59 Inferior mesenteric artery dissection 03:09 Retroperitoneum dissection 05:52 Ureter and gonadal vessels 06:17 Toldt’s fascia dissection 09:27 Pelvic dissection - Posterior aspect 10:30 Anterior dissection - Bladder dissiection 15:09 Rectum dissection 20:13 Bladder Suture 22:20 Rectal stapling 22:55 Indocyanine green 23:24 Circular colorectal anastomosis 23:47 Gas testing 24:17 Drain Insertion 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: https://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 For those interested in surgical practice, continuing education and collaboration with experienced colleagues are invaluable. Let's continue the conversation and share our experiences and insights to advance the field of colorectal surgery together. #ColorectalSurgery #MesocolonExcision #LaparoscopicSurgery #SurgicalTechniques #RoboticSurgery #ColonCancer #AdvancedSurgery #SurgicalAnatomy #MinimalInvasiveSurgery #OncologicSurgery #CirurgiaColorretal #ExcisãoMesocolon #CirurgiaVideolaparoscópica #TécnicasCirúrgicas #CirurgiaRobótica #CâncerDeCólon #CirurgiaAvançada #AnatomiaCirúrgica #CirurgiaMinimamenteInvasiva #CirurgiaOncológica