Colorectal Procedures

Abstract

Triangulation of ports and the creation of appropriate working space by tilting the table and using gravity for organ retraction are concepts now familiar to the reader. These principles govern the techniques of laparoscopic colorectal procedures. The surgeon uses both hands with the camera positioned between them, always positioned on the opposite side of the lesion. For both left and right colectomies, the first assistant stands facing the surgeon. The assistant is therefore watching the monitors in mirror fashion, and all his or her maneuvers are slowed down. That should be understood and accepted by the surgeon. The camera assistant stands on the left of the surgeon. It is necessary to use the traction countertraction concept, whereby the surgeon pulls on one side and the assistant asserts gentle traction on the opposite side to put the tissue under tension.