🎥 Laparoscopic sigmoid resection with D3 lymphadenectomy скачать в хорошем качестве

🎥 Laparoscopic sigmoid resection with D3 lymphadenectomy

At first glance, this is a standard procedure. But behind the word “standard” lie details that determine the patient’s long-term outcome. 💡 In patients with low BMI, the usual embryological planes are often absent. 👉 This makes mesocolectomy and lymphadenectomy technically more demanding: • fewer anatomical landmarks, • thin, “flattened” tissues, • higher risk of leaving the correct dissection plane. ⚠️ A poorly chosen dissection plane can compromise the circumferential resection margin — in particular, the mesocolic fascia. This fascia is the critical barrier for local tumor control. 📉 Its injury may lead to a compromised mesocolectomy and, ultimately, worse oncological outcomes. 🎯 That’s why even a “routine” operation becomes a work of surgical precision: staying in the correct embryological plane is the key to true oncological radicality.