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  • Book
    Sharon L. Stein, Regan R. Lawson, editors.
    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.

    About the Editors
    Content Editor and Contributing Author
    Educational Editor
    1: Tools
    Preoperative Preparation
    Bowel Prep
    Patient Setup
    Lines and Tubes
    Accessing the Abdomen
    Open Hassan Technique
    Veress Entry
    Visual Entry System
    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
    Wound Protectors Incisions/Wound Protectors
    Wound Closure
    2: Laparoscopic Right Colectomy
    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 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) Creation of Enterotomy
    Stapling of the Anastomosis
    Suturing the Common Enterotomy
    3: Laparoscopic Transverse Colectomy
    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 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
    Operative Approaches
    Operative Steps
    Patient Positioning for Laparoscopic Splenic Flexure
    Operative Strategy
    Anterior (Lesser Sac) Approach (Fig. 4.2) Patient and Surgeon Positioning
    Digital Access Springer 2020