| Description |
1 online resource (195 pages) |
| Contents |
Intro -- Preface -- Acknowledgments -- Contents -- Contributors -- About the Editors -- Content Editor and Contributing Author -- Educational Editor -- 1: Tools -- Introduction -- Preoperative Preparation -- Bowel Prep -- Patient Setup -- Lines and Tubes -- Accessing the Abdomen -- Open Hassan Technique -- Veress Entry -- Visual Entry System -- Trocars -- Changing Ports in the Obese/Large Patient/Tall Patient/Redundant Pannus -- Techniques for Surgery -- Types of Bowel Graspers -- Running of the Bowel -- Energy Instrumentation -- Intraoperative Endoscopy -- Endoscopy -- Wound Protectors |
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Incisions/Wound Protectors -- Wound Closure -- 2: Laparoscopic Right Colectomy -- Introduction -- Patient Positioning for Laparoscopic Laparoscopic Right Colectomy -- Operative Strategy -- Step 1: Port Placement -- Step 2: Laparoscopic Staging (if Indicated) and Restoration of Normal Anatomy -- Step 3: Identification of Pathology -- Step 4: Identification and Transection of the Ileocolic Pedicle -- Step 5: Dissection of the Retroperitoneal Plane -- Step 6: Identification and Transection of the Middle Colic Arteries (MCA) -- Step 7: Transverse Colon Mesenteric Transection |
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Step 8: Entry into the Lesser Sac -- Step 9: Hepatic Flexure Mobilization -- Step 10: Lateral Mobilization -- Step 11: Attachments to the Terminal Ileum -- Step 12: Externalization of Specimen -- Step 13: Anastomosis -- Step 14: Closure -- Special Considerations -- Varying the Approach -- Top-Down Approach -- Bottom-Up Approach -- A Lateral to Medial Approach -- Crohn's Disease -- Intracorporeal Anastomosis -- Steps of Intracorporeal Anastomosis -- Preparation of the Colon and Small Bowel (Fig. 2.12) -- Transection of the Colon and Small Bowel -- Placement of Stabilizing Suture (Stay Suture) |
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Creation of Enterotomy -- Stapling of the Anastomosis -- Suturing the Common Enterotomy -- 3: Laparoscopic Transverse Colectomy -- Introduction -- Patient Positioning for Laparoscopic Laparoscopic Transverse Colectomy -- Operative Strategy -- Step 1: Port Placement (Fig. 3.1) -- Step 2: Intraoperative Staging -- Step 3: Identification of Pathology and Determination of Operative Plan -- Step 4: Extent of Resection -- Step 5. Continuation of the Right Colectomy: Middle Colic Vessels -- Step 6: Medial Middle Colic Vessel Ligation -- Step 7: Top-Down Approach: Entering the Lesser Sac |
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Step 8: Omental Resection -- Step 9: Hepatic Flexure Mobilization -- Step 10: Splenic Flexure Mobilization -- Step 11: Transection of the Inferior Mesenteric Vein (IMV) and Ascending Branch of the Left Colic Artery for Splenic Flexure Tumor -- Step 12: Identification and Transection of the Middle Colic Pedicle, Top-Down Approach -- Step 13: Specimen Exteriorization and Anastomosis -- 4: Splenic Flexure -- Introduction -- Indications -- Operative Approaches -- Operative Steps -- Patient Positioning for Laparoscopic Splenic Flexure -- Operative Strategy -- Anterior (Lesser Sac) Approach (Fig. 4.2) |
| Summary |
This book is designed specifically to help equip new surgeons with the anatomical and technical knowledge to supplement hands on experience in minimally invasive colon and rectal surgery. There are multiple colorectal surgeries which distinctly lend themselves to the use of the laparoscopic approach. To assist the junior surgeon who is embarking on a career in surgery, expert surgeons and educators in the field of colon and rectal surgery from around the country authored the chapters included in this book. Chapters describe key elements of each surgery, including the order of surgery, when and how the surgeon created tension, rotated the patient, and optimized flow of the surgery. Chapters also contain tips and pitfalls that are not always explicitly presented when describing a surgical approach in order to provide readers with a diverse toolkit. Each chapter is also full of new illustrations that show the direction of traction, the line of dissection, and the anatomy of the colon. The illustrations also present tools in a color-coded format to clearly distinguish between the surgeons and the assistants tools. Laparoscopic Colectomy: A Step by Step Guide is a valuable resource to residents and junior attendings who wish to master laparoscopic colon and rectal surgery |
| Notes |
Patient and Surgeon Positioning |
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Print version record |
| Subject |
Colectomy.
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Colectomy
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General surgery.
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Gastrointestinal & colorectal surgery.
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Medical -- Surgery -- General.
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Medical -- Surgery -- Colon & Rectal.
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Colectomy
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Cirurgia laparoscòpica.
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Colostomia.
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| Genre/Form |
Llibres electrònics.
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| Form |
Electronic book
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| Author |
Stein, Sharon L., editor.
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Lawson, Regan R., editor.
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| ISBN |
9783030395599 |
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3030395596 |
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