with Dr. Antonio Caycedo
Dr. Antonio Caycedo performs a Laparoscopic Total Proctocolectomy + TaTME with J- pouch Reconstruction to a 22-year-old male.
Clinical Background
1. Laparoscopic proctocolectomy (medial-to-lateral approach)
2. TaTME
3. J-pouch creation
3. Diverting loop ileostomy
Technique Description
1. Splenic flexure takedown
2. Right colon dissection
3. Transverse colon dissection
4. Left colon dissection
5. Pelvic dissection
6. Trans-anal "disconnection"
7. Division of terminal ileum
8. Trans-anal extraction
9. J-Pouch construction
10. Hand-sewn anastomosis
Medial to lateral dissection
Landmarks recognition
TaTME purse-string troubleshooting
Intra-corporeal J-pouch creation
22-year-old male, previously healthy
3 months’ history of frequent bloody BMS
Found to have carpeting polyposis throughout his colon
No family history of FAP or any genetic conditions
Investigations: Full colonoscopy: biopsies confirmed adenomatous polyps
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