Category: Colorectal

Laparoscopic abdominoperineal resection

In terms of oncological clearance and long-time survival, results of laparoscopic approach are comparable to conventional open method

Suggested reading

Zhang X, Wu Q, Hu T et al. Laparoscopic Versus Conventional Open Abdominoperineal Resection for Rectal Cancer: An Updated Systematic Review and Meta-Analysis. J Laparoendosc Adv Surg Tech A. 2018; 28:526-539.

Right hemicolectomy by Initial Retrocolic Endoscopic Tunnel Approach (IRETA)

Learnt this technique from Prof C. Palanivelu and team during fellowship course in year 2018, at GEM Hospital Coimbatore- the mecca of laparoscopic surgery.

Not only safe, this technique also gives desired oncological results for right sided colonic cancers.

Suggested Reading

  • Subbiah R  et al. Initial retrocolic endoscopic tunnel approach (IRETA) for complete mesocolic excision (CME) with central vascular ligation (CVL) for right colonic cancers: Technique and pathological radicality. Int J Colorectal Dis 2016;31:227-33. 
  • Gureh M, Gupta S, Attri AK. Initial retrocolic endoscopic tunnel approach: A promising technique for radical right hemicolectomy. J Minim Access Surg. 2021 Jun 17.

Laparoscopic appendectomy for mucocele of the appendix

In select cases, lap appendectomy is safe for mucocele of the appendix

Suggested Reading

Kim TK, Park JH, Kim JY et al. Safety and feasibility of laparoscopic surgery for appendiceal mucocele: a multicenter study. Surg Endosc. 2018 Nov;32(11):4408-4414.