RT Book, Section
A1 Pendlimari, Rajesh
A1 Nelson, Heidi
A2 Zinner, Michael J.
A2 Ashley, Stanley W.
SR Print(0)
ID 57015451
T1 Chapter 37. Laparoscopic Colorectal Procedures
T2 Maingot's Abdominal Operations, 12e
YR 2013
FD 2013
PB The McGraw-Hill Companies
PP New York, NY
SN 978-0-07-163388-8
LK accesssurgery.mhmedical.com/content.aspx?aid=57015451
RD 2024/04/20
AB The  practice  of  minimally  invasive  surgery  has  rapidly  grown  over  the  past  two  decades  to  the  point  that  laparoscopic  surgery  has  replaced  open  surgery  for  several  abdominal  procedures  (such  as  cholecystectomy)  and  gained  acceptance  and  implementation  for  many  other  procedures  (such  as  colectomy).1  For  many  surgical  practices  laparoscopic  techniques  have  become  common  place  for  the  patient-related  advantages  they  offer  (Table  37-1).  In  part,  the  introduction  of  hand-assisted  laparoscopic  surgery  (HALS)  and  the  early  exposure  of  trainees  to  diverse  laparoscopic  techniques  have  facilitated  the  availability  of  laparoscopic  surgery  to  more  practitioners  and  patients.2  Knowledge  and  experience  gained  from  the  evolving  practice  over  the  past  nearly  two  decades  has  provided  clarity  on  indications,  contraindications,  and  technical  advancements.  This  chapter  provides  a  review  of  the  principles  behind  the  practice  of  laparoscopic  colon  and  rectal  surgery.  It  also  provides  a  brief  review  of  the  special  considerations  for  cancer  of  the  colon  and  the  rectum  and  focuses  on  providing  a  contemporary  description  of  the  technical  approaches  to  laparoscopic  and  HALS  approaches  to  segmental  resections  of  the  colon  and  the  rectum,  and  the  combined  resections  of  the  colon  and  rectum  with  creation  of  pelvic  pouches.  Finally,  a  perspective  on  NOSE  (natural  orifice  specimen  extraction),  NOTES  (natural  orifice  transluminal  endoscopic  surgery),  and  robotic  surgery  is  offered  at  the  conclusion  of  this  chapter.