Minimally Invasive Approaches to Colon and Rectal Disease

Technique and Best Practices
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Howard M. Ross, MD, FACS, FASCRSHoward M. Ross, MD, FACS, FASCRS Chief, Division of Colon and Rectal SurgeryProfessor of SurgerySurgical Director, Digestive Diseases CenterTemple University School of MedicinePhiladelphia, Pennsylvania USASang W. Lee, MD, FACS, FASCRS Associate Professor of Surgery and Associate Attending SurgeonNewYork-Presbyterian/Weill Cornell Medical CenterVice Chief of Colon & Rectal SurgeryWeill Cornell Medical College New York, New York USA Matthew G. Mutch, MD, FACS, FASCRS Associate Professor of Surgery Section of Colon and Rectal SurgeryWashington University School of MedicineDepartment of SurgerySt. Louis, Missouri USA David E. Rivadeneira, MD, MBA, FACS, FASCRSVice Chair of Suffolk County Surgical Strategic Initiatives for North Shore LIJ Health SystemDirector of Surgical Services at Huntington HospitalDirector of Colon & Rectal Surgery at Huntington HospitalProfessor of Surgery, Hofstra School of Medicine Huntington Hospital/North Shore-LIJHuntington, New York Scott R. Steele, M.D., FACS, FASCRSChief, Colon & Rectal Surgery Madigan Army Medical Center, Fort Lewis, WAClinical Associate Professor of SurgeryUniversity of Washington, Seattle, WAOlympia, Washington USA
Authors provide an ongoing narrative of his/her individual surgical techniques and perioperative "tips and tricks"
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.

This text provides a clear, reproducible, step-by-step guide for each colorectal surgery operation. The format follows that of both a "how to" manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. Each chapter includes both operative technical details as well as perioperative "tips and tricks" that the authors utilize in the management of these complex surgical patients. In addition, it addresses the optimal "next step" in dealing with more challenging situations such as pregnancy, emergent surgery, the elderly, and the obese patient. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with color illustrations and diagrams to "personally" take the reader through the crucial steps of the procedure, as well as key points of patient care inherent to that topic. Additionally, where appropriate, links to online or downloadable videos will givethe reader an up-front look into technical aspects of traditional straight laparoscopic and hand-assisted minimally invasive surgery, as well as NOTES, transanal, robotic, single incision colectomy and combined laparoscopic-endoscopic resection.

Minimally Invasive Approaches to Colon and Rectal Disease: Technique and Best Practices will be of great utility to colorectal, general and oncologic surgeons who want to learn or improve their minimally invasive skills in colorectal surgery. Furthermore, this text will be of particular interest to the surgeons-in-training, and the general and colorectal surgeon who is often called upon to manage a variety of colorectal surgery conditions through a minimally invasive approach.

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