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Robotic transvaginal natural orifice specimen extraction sigmoidectomy with extended D3 lymph node dissection for cancer — a video vignette

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Pneumoperitoneum was established by Veress needle approach and the Da Vinci Si Robotic System was installed with its arms settled in position. The first step was to identify the right… Click to show full abstract

Pneumoperitoneum was established by Veress needle approach and the Da Vinci Si Robotic System was installed with its arms settled in position. The first step was to identify the right common iliac artery and to start the D3 lymph nodes dissection along the aorta. Then we performed an isolation of the inferior mesenteric artery and its branches. First and second sigmoid arteries arising from left colon artery were clipped and cut. A medial to lateral mobilization of mesocolon was carried out. Inferior mesenteric vein was clipped and cut at the level of the left colic artery. This article is protected by copyright. All rights reserved.

Keywords: natural orifice; specimen extraction; robotic transvaginal; dissection; orifice specimen; transvaginal natural

Journal Title: Colorectal Disease
Year Published: 2019

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