One of the main surgical complications is operative bleeding. It is often caused by injury to blood vessels, and severe hemorrhage coming from major vascular structures. But it can also occur in wrong dissection planes or layers during the procedure. Anatomical knowledge and identifying anatomical landmarks remain crucial factors in preventing operative bleeding. Effective exposure of visual fields is a key strategy for preventing severe bleeding during surgery. The concept of Complete Mesocolic Excision comes with a more meticulous D3 dissection, seeking apical lymph nodes with Central vascular ligation (CVL). This technique is thought to have oncologic advantages, but also a higher risk of vascular injuries. All the more reason to have detailed vascular anatomical knowledge and a sound surgical technique. Understanding the tissue, device and technology interaction, particularly an energy device, play key roles in operations. But even though these devices are mainstays when performing a procedure and also used to reduce blood loss, they can, however, also be the cause of inadvertent injury if not properly handled. Left colectomy with selective vascular preservation will be demonstrated, giving some tips and tricks of oncologic principles and on the identification of key structures and planes to carry out the procedure.
PROGRAM
Clinical Background
Welcome and Introduction - Dr. Marks (USA) and Dr. Cajucom (Philippines)
Surgical procedure discussion US perspective - Dr. Marks (USA) and Dr. Cajucom (Philippines)
Surgical procedure discussion Philippines perspective - Dr. Cajucom (Philippines) and Dr. Marks (USA)
Closing Remarks - Dr. Marks (USA) and Dr. Cajucom (Philippines)
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