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Updated: Aug 14, 2026

Robot-assisted Total Mesorectal Excision and Lateral Pelvic Lymph Node Dissection for Locally Advanced Middle-low Rectal Cancer
Published on: February 12, 2022
[Laparoscopic pelvic lymphadenectomy: role of the surgeon assistant]
1Hôpitaux universitaires de Strasbourg, service d'urologie, 1, place de l'Hôpital, 67091 Strasbourg. Christian.Saussine@chru-strasbourg.fr
Abstract:
Laparoscopy has emerged as a valid alternative to open surgery. Surgery assistance is a full part within the learning of Laparoscopy. Even more than in open surgery, efficient assistance facilitates the surgeon's work and helps shortening the intervention duration. Basic principles are detailed, such as the number and the position of trocars, or how to adequately manipulate optic and camera or suction devices. Specific gesture of the assistant during a pelvic Laparoscopic Lymphadenectomy is presented step by step, with the procedure undertaken by intra- or extra-peritoneal approach.