Laparoscopic Colon and Rectal Surgery

This full-colour reference provides step-by-step instructions for the major laparoscopic colorectal procedures, and describes complications and strategies for their resolution. Each chaper begins with a detailed description of the procedures, including intra-operative difficulties and complications. The text is accompanied by a DVD which includes videos of key steps in the laparoscopic portions of the surgical procedures.

FEATURES:
• Step-by-step descriptions and full-colour illustrations of the major laparoscopic colorectal procedures
• Remedies for complications included throughout
• The techniques are based on proven step-by-step approaches to laparoscopic colectomy.
• This type of minimally invasive colorectal surgery, after a period of debate, has now been shown to improve patient outcomes. More and more surgeons are looking to master these procedures.
• DVD of procedures bound into every book

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