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. It includes techniques that 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 every book includes videos of key steps in the laparoscopic portions of the surgical procedures.
Table of Contents
Outcomes of Traditional Open Surgery-Postoperative 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 (DVD) 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 Bibliography