On September 4th, 2015 Alberto Arezzo representing UNITO and Marco Allaix, representing EAES, visited the Institute for Medical Science and Technology (IMSaT) of the University of Dundee, Dundee, Scotland, directed by Prof. Andreas Melzer.
During a 4-hour session, they tested the suitability of two male cadavers models to perform a laparoscopic total mesorectal excision (TME) under the vision of the STIFF FLOP optics that is scheduled for October 13th, 2015. The center, as you certainly know, is an outstanding research center, leader in the development and testing of minimally invasive therapy technology. The center is capable of embalming cadavers of people who offered their body to science, with sophisticated techniques that allow extremely realistic results.
Before starting the session, each cadaver was positioned and safely secured to a mobile operating table, and the entire instrumentation was checked. Then, a 10-mm trocar was placed transumbilically to get access to a 30° camera and to create a stable pneumoperitoneum. The gross anatomy of the abdominal cavity and the compliance of the abdominal wall to the CO2 insufflation were evaluated. The following step included the placement of three 5-mm trocars in the right flank, right iliac fossa and in the left flank. At that point, the consistence of both bowel and mesocolic fatty tissue was carefully checked. Lastly, the surgeons mobilized the left colon from the splenic flexure down to the pelvis, and checked the feasibility of mesenteric vessel dissection.
At the end of this procedure, both cadavers were judged suitable for a laparoscopic TME which will be attempted next October as planned, with the aid of a STIFF-FLOP camera for visualization. A debreefing was then chaired by Prof. A. Melzer to plan the incoming tests that will take place at the IMSaT in the next October, in presence of the BBC.