Attualità in tema di cancro del retto How I do: anastomosi coloanale Dr. Alberto Vannelli Struttura Complessa Chirurgia Colon-retto Istituto Nazionale Tumori di Milano XIX CONGRESSO NAZIONALE SPIGC Bologna 21-23 giugno 2006
ABDOMINAL SURGICAL TIME CLOUSURE OF THE IMA LYMPHOADENECTOMY HIPOGATRIC NERVE SPARING TOTAL MESORECTAL EXCISION
RATIONALE AND SURGICAL DETAILS: EXTENT OF LYMPHOADENECTOMY
N3 LN3 N2 N1 LN2
RATIONALE AND SURGICAL DETAILS: NERVE SPARING TECHNIQUE PRESERVING WHY?: ERECTION EIACULATION BLADDER FUNCTION
POUCH
PERINEAL SURGICAL TIME MUCOSECTOMY POUCH FIXING POUCH OPENING COLO-ENDOANAL ANASTOMOSIS DRAINAGE SETTING
1° SURGICAL STEP: MUCOSECTOMY
RATIONALE AND SURGICAL DETAILS TOTAL REMOVAL OF MUCOSA HISTOLOGICAL EXAMINATION OF DISTAL MUCOSA IMPROVED FUNCTIONAL RESULTS EASIER MANUAL ANASTOMOSIS
2° SURGICAL STEP: POUCH FIXING
RATIONALE AND SURGICAL DETAILS TO AVOID ANASTOMOSIS DISLOCATION TO FIX THE POUCH TO THE PELVIC FLOOR TO IMPROVE LONG TERM FUNCTIONAL RESULTS
3° SURGICAL STEP: POUCH OPENING
RATIONALE AND SURGICAL DETAILS OPENING NOT GREATER THAN 2 cm CONTROL OF LOCAL VASCULAR FLOW
4° SURGICAL STEP: COLO ENDOANAL ANASTOMOSIS
RATIONALE AND SURGICAL DETAILS SUTURE WITH 16-18 REABSORBABLE 3-0 STITCHES ANASTOMOSIS OF PECTINATE LINE MUCOSA WITH THE ENTIRE WALL OF THE POUCH
5° SURGICAL STEP: DRAINAGE SETTING
RATIONALE AND SURGICAL DETAILS TO MAINTAIN ADEQUATE ANASTOMOSIS CALIBER TO DREIN POUCH SECRETIONS AND BLOOD
VII International Symposium Sphincter Saving Surgery for Rectal Cancer ARECO Associazione per la Ricerca Europea in Chirurgia Oncologica VII International Symposium Sphincter Saving Surgery for Rectal Cancer Milano, 18-21 Novembre 2006 Informazioni: www.areco.it
MASTER IN CHIRURGIA COLORETTALE A.R.E.C.O. Associazione per la Ricerca Europea in Chirurgia Oncologica MASTER IN CHIRURGIA COLORETTALE Maggio-Giugno 2006 Ai precedenti Master sono stati attribuiti 50 CREDITI ECM WWW.ARECO.IT