Fig. 7.1 Port placement for Hybrid LAR/APR . Circle: 12 mm laparoscopic trocars. Star: 8 mm robotic trocars. Rectangle: 5 mm assistant trocare Laparoscopic Mobilization The laparoscopic portion of the…
Fig. 6.1 Photograph of distal part of “traditional” APR specimen with “waisting” in the region of the levator muscle In response to such reports, Miles’ original description has recently been…
Fig. 15.1 shows trocar size and positions for robotic rectosigmoidectomy Fig. 15.2 shows pelvic site with uterine manipulator elevating the uterus and presenting a complex endometriotic lesion comprising the vagina…
Fig. 3.1 Utilizing a hybrid technique allows the surgeon all of the benefits of TAMIS for even the most distal lesions. The photo demonstrates a large villous adenoma extending from…
Fig. 12.1 Laparoscopic Orr-Loygue rectopexy: After a limited posterior and lateral rectal dissection, the rectum is fixed to the sacrum using a polypropylene trouser-shaped mesh Fig. 12.2 Laparoscopic Orr-Loygue rectopexy:…
Fig. 13.1 Port placement. Yellow ports are robotic ports with numbers corresponding to the robotic arm in the port. The blue ports are assistant ports. The red port is the…
Fig. 5.1 SILS port in use (GelPOINT® platform, Applied Medical, Rancho Santa Margarita, California, USA) Technical Pearls In the standardized approach, instruments are labeled as one, two, or three. The…
Series N Age (years)a Gender BMI (kg/m2)a Rectal stump length (cm)a Indication Abdominal assistance Procedure Transanal platform Complications McLemore et al. [25] 6 49.1 F (4) 30.2 (22–51) 10 (8–15)…
Fig. 10.1 Modified lithotomy position Fig. 10.2 Trocar placement configuration Fig. 10.3 Medial dissection and left ureter localization and visualization Fig. 10.4 Posterior and lateral dissection in the avascular presacral…
Fig. 2.1 Transanal endoscopic microsurgery . Includes image of working proctoscope with working ports and self-guided optics held in position with a stationary arm Indications and Contraindications Benign Indications Buess…
