This full-color reference provides step-by-step instructions and illustrations for the major laparoscopic colorectal procedures, and describes complications and strategies for their resolution. The techniques are based on proven step-by-step approaches to laparoscopic colectomy.
Each chapter begins with a detailed description of the procedures, including intra-operative difficulties and complications. Remedies for complications are included throughout.
A DVD bound into the book includes videos of key steps in the laparoscopic portions of the surgical procedures.
Contents
Traditional Postoperative Management and Fast-Track Care Pathways
Development of Laparoscopic Colorectal Surgery
- Technical Advances Making Procedures Feasible
- Benign Versus Malignant Disease
- Training Systems and Initial Case Selection
Instrumentation and Set-Up
- Operative Room Requirements
- Surgical Instruments
- Financial Implications of Laparoscopic Colectomy
Key Operative Steps
- Positioning and Basic Port Insertion
- High Inferior Mesenteric Artery Ligation
- Low Inferior Mesenteric Artery Ligation
- Ligation of the Ileocolic Artery
- Division of the Upper Rectum and Mesorectum
- Laparoscopic Anastomotic Techniques
- Mobilization of the Splenic Flexure
- Mobilization of Hepatic Flexure
- Port Site Closure
- Ligation of Middle Colic Vessels
Operative Procedures
- Segmental Colectomy
Right Hemicolectomy
Ileocecectomy
Sigmoid Colectomy
- Rectal Surgery
Low Anterior Resection
Abdominoperineal Resection
Hartmann's Reversal
Resection Rectopexy
Well's Rectopexy
- Total Colectomy
Subtotal Colectomy and Ileorectal Anastomosis
Proctocolectomy and Ileal Pouch Anal Anastomosis
- Stoma Formation
Loop Sigmoid Colostomy
Loop Ileostomy
Dealing with Complications and Other Technical Tricks
- Hemorrhagic Problems
- Conversion Indications
- Port Site Problems
- Equipment Failure
- Organ Injury: Electrocautery and Tears
- Anastomotic Defects
Other Useful Techniques
- Entry Into the Lesser Sac
- Laparoscopic Suturing
- Testing the Bladder After Takedown of Colovesical Fistula
- Mobilization Hepatic Flexure
- Identification of Median Sacral Artery
- Snake Retractor
- Mobilisation of Sigmoid Colon: Lateral to Medial Approach
- Uterine Sling in Pelvic Dissection
Index
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