To provide a personalized approach to D3 lymph node dissection (LND) in right colon cancer using a proper analysis and interpretation of CT angiography of superior mesenteric vessels. 

Personalized evaluation of D3-lymph node dissection complexity for right colorectal cancer considering anatomy of superior mesenteric vessels

: Conventional descriptions portray abdominal anatomy as dauntingly complex. These are peritoneal based. They do not match clinical observations and are not aligned with clinical practice. They have prevailed as the standard description for the past century. Recent advances in our understanding of the anatomy of the abdomen show this is simpler than previously thought. These advances demonstrate that the conventional description of abdominal anatomy should be replaced by the new description as the standard description of abdominal anatomy. The new description is mesenteric based and explains the positional anatomy of all abdominal contents. It is far simpler than the conventional description. The aim of this article is to explain how we now understand abdominal anatomy, and how that understanding can be applied to all branches of clinical practice. The article shows that the new understanding of abdominal anatomy provides a basis for all scientific and clinical practice related to the abdomen. 

Abdominal anatomy—the foundation of clinical practice

Background: The advent of robotic surgery has aimed to assist surgeons in the challenges posed by open and laparoscopic approaches. Implementation of any new technology that involves a multidisciplinary team can take time. The aim of this study was to assess the perioperative and short-term outcomes of a robotic colorectal surgery service over time. 

AB037. SOH23ABS_176. Evolution of robotic colorectal surgery: a 6-year single institutional experience

Background: Recent clarification of the anatomy of the mesentery has enabled its digital reconstruction and characterization. This capacity enables the generation of new normative standards in abdominal anatomy. This is important as the mesentery corresponds to visceral adiposity. We determined the characteristics of the mesentery and compared these with those of the liver. 

AB036. SOH23ABS_162. The mesentery (i.e., visceral adiposity) is the largest organ by volume

Background: The gold standard of colorectal surgery has now shifted from open to minimally invasive surgery. Within the realm of minimally invasive surgery, there has been multiple studies comparing between robotic versus laparoscopic surgery as well as intracorporeal versus extracorporeal anastomosis. This is a single-centre study looking at short-term post operative outcomes between laparoscopic, robotic extracorporeal and robotic intracorporeal anastomosis right hemicolectomy. 

AB009. SOH23ABS_171. Single-centre comparison of short term post-operative outcomes between laparoscopic, robotic extracorporeal and robotic intracorporeal anastomosis right hemicolectomy

Prospective single-arm clinical trial examining short-term outcomes following extended mesenteric resection for Crohn’s disease

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