Ileoanal pouch excision: How multiple technical failures can lead to pouch dysfunction—a video vignette

Abstract

We describe herein robotic complete splenic flexure mobilization using a standardized step by step approach.Splenic flexure mobilization is one of the essential steps in colorectal surgery to achieve a safe tension-free well-perfused anastomosis. Robotic complete splenic flexure mobilization can be technically demanding either due to external arm collisions or to the limited range of motion of the arms. Unique to this technique are: (1) single docking, (2) a standardized inferior mesenteric vein (IMV)-first sub-mesocolic approach and (3) lesser