Operative Techniques in Laparoscopic Colorectal Surgery

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
Hartmanns Reversal
Resection Rectopexy
Wells 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

Bibliography