Inside Surgery

SIS2025: Re-live procedure by Luigi Boni

EAES Season 5 Episode 4

In this episode, Professor Tan Arulampalam joins Professor Luigi Boni as he prepares for a real-life robotic-assisted low anterior resection on a 42-year-old patient with rectal cancer. He discusses the importance of patient selection, multidisciplinary planning, and precise surgical techniques. Professor Boni explains his hybrid approach—combining laparoscopy for the initial steps and robotics for pelvic dissection—to optimise outcomes. Key surgical insights include meticulous dissection, cross-stapling strategies, and the role of fluorescence-guided perfusion assessment to reduce anastomotic leaks. He emphasises the need for standardisation, patience, and attention to detail to achieve the best results in rectal cancer surgery.

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