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Table of Contents
Acknowledgements
Preface
Foreword
Pre-operative
Perioperative Assessment
Patient Positioning, Instrumentation, and Trocar placement
Surgical Anatomy
Right Colectomy: Straight Laparoscopic
Right Colectomy: Hand-Assist
Laparoscopic Left/Sigmoid Colectomy
Hand Assisted Left Colectomy
Total Abdominal Colectomy: Straight Laparoscopic Approach
Total Abdominal Colectomy: Hand Assisted Approach
Operative Details of Laparoscopic Rectal Resection for Cancer
Laparoscopic Hand-Assisted Low Anterior Resection
Laparoscopic Abdominoperineal Resection
Laparoscopic Proctocolectomy
Laparoscopic Rectopexy
Minimally Invasive Approach for Stoma Creation
Laparoscopic Stomal Reversal
Laparoscopic Parastomal Hernia Repair
Overcoming Technical Challenges: The Abdomen
Overcoming Technical Challenges: The Pelvis
Overcoming Technical Challenges: Reoperative Surgery
Overcoming Technical Challenges: Prevention and Managing Complications
Single-Incision Laparoscopic Approaches to Colorectal Disease
Natural Orifice Surgery (NOTES)
Robotic Surgery
Transanal Minimally Invasive Surgery (TAMIS): Operative Technique, Pitfalls, and Tips
Combined Endo-Laparoscopic Surgery (CELS)
Emergency Laparoscopic Colorectal Surgery
Laparoscopy in the Elderly Patient
Laparoscopic Colectomy in the Obese Patient
Minimally Invasive Surgery in Crohn's Disease Patients
Minimally Invasive Surgery in Ulcerative Colitis Patients
Minimally Invasive Approaches to Colon and Rectal Disease: Techniques and Best Practices : Pediatrics
Laparoscopy in Pregnant Patients
Economics of Laparoscopic Colectomy
Outcomes of Laparoscopic Surgery
Future Directions in Minimally Invasive Surgery.
Foreword; Preface; Internet Access to Video Clip; Acknowledgements; Contents; Contributors; Part I: Preoperative; 1: Perioperative Assessment; Physiologic Effects of Laparoscopy; Cardiovascular Effects; Pulmonary Effects; Renal Effects; Benefits of Laparoscopy; Preoperative Evaluation for Elective Patients; Laboratory Testing; Cardiac Evaluation; Pulmonary Evaluation; Special Patient Populations; The Elderly; Morbidly Obese Patients; Emergency Colorectal Surgery Patients; Reoperative Surgery; Preoperative Management; Bowel Preparation; Preoperative Fasting; Lesion Localization; Ostomy Marking
CorticosteroidsPerioperative Antibiotics; Analgesic Considerations; Consent; Intraoperative Management; Patient Monitoring; Patient Positioning; Venous Thromboembolism (VTE) Prevention; Urinary Drainage and Ureteral Stenting; Gastric Decompression; Availability of Endoscopy; Postoperative Care; ERAS; Summary; References; 2: Patient Positioning, Instrumentation, and Trocar Placement; Key Points; Introduction; Laparoscopic Instrumentation; Trocars; Instruments; Camera/Laparoscope; Insufflator; Graspers; Scissors; Laparoscopic Staplers; Other Laparoscopic Instrumentation; Energy Devices
Monopolar EnergyBipolar Energy; Ultrasonic Energy; Hand-Assisted Devices; Positioning; Padding; Gaining Access to the Peritoneal Space; Laparoscopic Entry Techniques; Veress Needle; Direct Trocar Insertion; Hasson (Open) Technique; Optical Trocar (Video 2.5); Re-operative Surgery and Its Implications; Trocar Positioning; Hand Assist; Pearls and Pitfalls; Avoiding Complications; Conclusion; References; 3: Surgical Anatomy; Introduction; Anatomy of Colonic Mesenteric Vasculature; Ileocolic, Middle Colic, and Right Colic Arteries (Figs. 3.1, 3.2 and 3.3); Gastrocolic Trunk
The Inferior Mesenteric Artery and Its BranchesSplenic Flexure; Embryologic Surgical Planes; The Ureter; The Gonadal Vessels; Anatomy of the Pelvis; Posterior and Lateral Compartments; Innervation; Anterior and Middle Compartments; Right Colectomy; Right Colectomy: Distinct Anatomy of Medial-to-Lateral Mobilization; Right Colectomy: Distinct Anatomy of Lateral-to-Medial Mobilization; Right Colectomy: Common Steps; Transverse Colectomy and the Middle Colic Vessels; Left Colectomy and Anterior Resection; Inferior Mesenteric Vein and Splenic Flexure Mobilization; Descending Colectomy
Low Anterior ResectionUterine Retraction; Perineal Dissection; Summary; References; Part II: Procedures; 4: Right Colectomy: Straight Laparoscopic; Key Points; Introduction; Patient Preparation; Setup; Clinical Anatomy; Objectives of the Laparoscopic Procedure; Medial Approach; Inferior Approach; Lateral Approach; Superior Approach; The Procedure; Mobilization of the Colon and Mesentery from the Retroperitoneum; Identification and Division of the Vascular Pedicles; Division of the Right Colon Attachments; Extended Right Colectomy; Exteriorization and Anastomosis
Preface
Foreword
Pre-operative
Perioperative Assessment
Patient Positioning, Instrumentation, and Trocar placement
Surgical Anatomy
Right Colectomy: Straight Laparoscopic
Right Colectomy: Hand-Assist
Laparoscopic Left/Sigmoid Colectomy
Hand Assisted Left Colectomy
Total Abdominal Colectomy: Straight Laparoscopic Approach
Total Abdominal Colectomy: Hand Assisted Approach
Operative Details of Laparoscopic Rectal Resection for Cancer
Laparoscopic Hand-Assisted Low Anterior Resection
Laparoscopic Abdominoperineal Resection
Laparoscopic Proctocolectomy
Laparoscopic Rectopexy
Minimally Invasive Approach for Stoma Creation
Laparoscopic Stomal Reversal
Laparoscopic Parastomal Hernia Repair
Overcoming Technical Challenges: The Abdomen
Overcoming Technical Challenges: The Pelvis
Overcoming Technical Challenges: Reoperative Surgery
Overcoming Technical Challenges: Prevention and Managing Complications
Single-Incision Laparoscopic Approaches to Colorectal Disease
Natural Orifice Surgery (NOTES)
Robotic Surgery
Transanal Minimally Invasive Surgery (TAMIS): Operative Technique, Pitfalls, and Tips
Combined Endo-Laparoscopic Surgery (CELS)
Emergency Laparoscopic Colorectal Surgery
Laparoscopy in the Elderly Patient
Laparoscopic Colectomy in the Obese Patient
Minimally Invasive Surgery in Crohn's Disease Patients
Minimally Invasive Surgery in Ulcerative Colitis Patients
Minimally Invasive Approaches to Colon and Rectal Disease: Techniques and Best Practices : Pediatrics
Laparoscopy in Pregnant Patients
Economics of Laparoscopic Colectomy
Outcomes of Laparoscopic Surgery
Future Directions in Minimally Invasive Surgery.
Foreword; Preface; Internet Access to Video Clip; Acknowledgements; Contents; Contributors; Part I: Preoperative; 1: Perioperative Assessment; Physiologic Effects of Laparoscopy; Cardiovascular Effects; Pulmonary Effects; Renal Effects; Benefits of Laparoscopy; Preoperative Evaluation for Elective Patients; Laboratory Testing; Cardiac Evaluation; Pulmonary Evaluation; Special Patient Populations; The Elderly; Morbidly Obese Patients; Emergency Colorectal Surgery Patients; Reoperative Surgery; Preoperative Management; Bowel Preparation; Preoperative Fasting; Lesion Localization; Ostomy Marking
CorticosteroidsPerioperative Antibiotics; Analgesic Considerations; Consent; Intraoperative Management; Patient Monitoring; Patient Positioning; Venous Thromboembolism (VTE) Prevention; Urinary Drainage and Ureteral Stenting; Gastric Decompression; Availability of Endoscopy; Postoperative Care; ERAS; Summary; References; 2: Patient Positioning, Instrumentation, and Trocar Placement; Key Points; Introduction; Laparoscopic Instrumentation; Trocars; Instruments; Camera/Laparoscope; Insufflator; Graspers; Scissors; Laparoscopic Staplers; Other Laparoscopic Instrumentation; Energy Devices
Monopolar EnergyBipolar Energy; Ultrasonic Energy; Hand-Assisted Devices; Positioning; Padding; Gaining Access to the Peritoneal Space; Laparoscopic Entry Techniques; Veress Needle; Direct Trocar Insertion; Hasson (Open) Technique; Optical Trocar (Video 2.5); Re-operative Surgery and Its Implications; Trocar Positioning; Hand Assist; Pearls and Pitfalls; Avoiding Complications; Conclusion; References; 3: Surgical Anatomy; Introduction; Anatomy of Colonic Mesenteric Vasculature; Ileocolic, Middle Colic, and Right Colic Arteries (Figs. 3.1, 3.2 and 3.3); Gastrocolic Trunk
The Inferior Mesenteric Artery and Its BranchesSplenic Flexure; Embryologic Surgical Planes; The Ureter; The Gonadal Vessels; Anatomy of the Pelvis; Posterior and Lateral Compartments; Innervation; Anterior and Middle Compartments; Right Colectomy; Right Colectomy: Distinct Anatomy of Medial-to-Lateral Mobilization; Right Colectomy: Distinct Anatomy of Lateral-to-Medial Mobilization; Right Colectomy: Common Steps; Transverse Colectomy and the Middle Colic Vessels; Left Colectomy and Anterior Resection; Inferior Mesenteric Vein and Splenic Flexure Mobilization; Descending Colectomy
Low Anterior ResectionUterine Retraction; Perineal Dissection; Summary; References; Part II: Procedures; 4: Right Colectomy: Straight Laparoscopic; Key Points; Introduction; Patient Preparation; Setup; Clinical Anatomy; Objectives of the Laparoscopic Procedure; Medial Approach; Inferior Approach; Lateral Approach; Superior Approach; The Procedure; Mobilization of the Colon and Mesentery from the Retroperitoneum; Identification and Division of the Vascular Pedicles; Division of the Right Colon Attachments; Extended Right Colectomy; Exteriorization and Anastomosis