Minimally invasive surgery has proven its efficacy for the surgical treatment of inflammatory bowel disease. The recent evolution of laparoscopic surgery combined with transanal techniques could further facilitate the approach for these complicated patients. We present the case of a inflammatory bowel disease patient with rectal cancer located on the rectal remnant, where the stump was to be resected transanally, the ileoanal pouch mobilized and a new anastomosis performed.

Intra-operative localization of small cancers and polyps during laparoscopic colorectal surgery is difficult due to reduced tactile feedback. Preoperative endoscopic tattooing is a safe and effective technique for intra-operative localization of colorectal lesions, improving the operative results of laparoscopic colorectal resections.

Thyroidectomy is a common surgical procedure with a well standardized technique. However, modifications to the technique are necessary when facing more difficult cases.  This video describes the technique for a total thyroidectomy with a partial sternotomy due to the presence of an endothoracic goiter.

When performing minimally invasive techniques, several skills must be fully mastered by every surgeon. One of the most important and difficult techniques is intracorporeal suturing, a skill that is essential in advanced laparoscopy. This Surgical Skills video presents the basics of laparoscopic intracorporeal suturing.

The AirSeal is an insufflator and smoke-evacuating device that makes it possible to maintain a constant pressure. Proper use of this instrument is essential to its proper function. The essentials of AirSeal use are highlighted in this video.

Laparoscopic surgery has become an accepted method for the treatment of colorectal diseases, resulting in superior short-term functional outcome and equivalent long-term oncologic outcomes in cancer cases. Despite these benefits, laparoscopic rectal surgery remains a challenging procedure with conversion rates as high as 30%. Robotic technology is especially suitable for dissection in confined spaces such as the pelvis, in which three-dimensional vision and increased dexterity help in the performance of delicate operations such as a total mesorectal excision or prostatectomy. In this video we will show a pure laparoscopic robotic total proctocolectomy with transabdominal robotic anal mucosectomy.

The transanal total mesorectal excision was first performed by Dr. Lacy and his team at the Hospital Clinic in Barcelona. Lateral dissection during the transanal approach in total mesorectal excision is claimed to be one of the most difficult steps during the transanal total mesorectal excision. Finding the areolar tissue of the holy plane can sometimes be challenging, especially in radiated patients. Training through videos, courses and proctoring, in addition to surgeons’ experience, are essential to identify the right plane of dissection during TaTME. Keep watching AIS Channel for new tips and tricks!!!

The main purpose of robotic surgery is to overcome the limitations of laparoscopic surgery. Its implementation is continuously expanding, with new indications reported every year.

Anastomotic leakage following total gastrectomy or esophagectomy is a complication associated with a significant increase in postoperative mortality. In this review we present the management options for anastomotic leaks, focusing on endoscopic stents and their complications.

The inclusion of Denonvilliers’ fascia is still a matter of debate among the surgical community, as it has functional consequences when taken during the total mesorectal excision. Some experts would agree on including it only for anterior tumors. Do you agree with these experts recommendations? Join our debate and enrich our surgical community!