Lap Assisted Robotic LAR

Education event Sponsored by: Meril Life

Conference Name: LIVE Operative Workshop- Robotic LAR

Conducted by: Dr. Jagannath Dixit

Surgeon(s)/Speaker(s): Dr. Jagannath Dixit

Surgical Procedure: Colorectal-Anterior Resection

Location: HCG Cancer Centre Bengaluru

1. 1st position - Lloyd Davies low lithotomy position : Lloyd Davies low lithotomy position - max head low

2. Exposure of IMA root : Exposure of IMA root

3. Small bowels retracted out of the field : Small bowels retracted out of the field

4. TME started : TME started

5. Nerve exposed : Nerve exposed

6. Right lateral dissection done : Right lateral dissection done

7. IMA taken : IMA taken

8. Left ureter demonstrated : Left ureter demonstrated

9. Dissection along Toldt's line : Dissection along Toldt's line

10. Left mobilization done : Left mobilization done

11. Distal margins stapled : Distal margins stapled

12. Access incision taken : Access incision taken. Using wound protector specimen excised

13. Purse string taken and anvil placed : Purse string taken and anvil placed

14. Incision closed : Incision closed

15. End to end anastomoses with stapler : End to end anastomoses with EEA stapler

16. Leak test : Leak test

1. Port position for Lap AR : 4 ports

1. Mesic Ultrasonic Generator

2. MIRUS powered endocutter

3. 12 mm Trocar

4. 5 mm Trocar

5. Fundus Grasper with Ratchet

6. Harmonic Scalpel

7. Stapler

8. 30 degree 10mm telescope

9. Gas insufflation equipment

10. Bowel Grasper

11. Ultrasonic Shear

12. Suction Irrigation canula

13. Medium wound protector

14. Foley catheter