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Description keyboard_arrow_down
Dr. Antonio Caycedo performs a Laparoscopic Total Proctocolectomy + TaTME with J- pouch Reconstruction to a 22-year-old male.

Technique Description:

  • 1. Laparoscopic proctocolectomy (medial-to-lateral approach)
  • 2. TaTME
  • 3. J-pouch creation
  • 3. Diverting loop ileostomy

Procedure Steps:

  • 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

Learning Points:

  • Medial to lateral dissection
  • Landmarks recognition
  • TaTME purse-string troubleshooting
  • Intra-corporeal J-pouch creation

Clinical History:

  • 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

Other History:

  • Investigations: Full colonoscopy: biopsies confirmed adenomatous polyps
Faculty keyboard_arrow_down
Dr. Antonio Caycedo MD, MSc, FRCS Chief of Colorectal Surgery at Orlando Health, Medical Director for the National Accreditation Program for Rectal Cancer (NAPRC), Professor of Surgery at the University of Central Florida, Adjunct Associate Professor of Surgery at Queen’s University, Associate Clinical Researcher at the Health Sciences North Research Institute (HSNRI), Orlando, USA Colorectal Surgery
AIS Ambassador
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