Operative Techniques in Laparoscopic Colorectal Surgery

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The Second Edition of Operative Techniques in Laparoscopic Colorectal Surgery is designed to give surgeons the learning tools they need to understand and successfully incorporate laparoscopic colorectal surgery into their practice.

Because of the steep learning curve for this technique, this edition goes to great lengths to cover every aspect of each procedure in great detail — even including the pitfalls to avoid. To help the reader with pattern-recognition, detailed, four-color photographs of important landmarks have been incorporated for them to review. Plus, an edited video is included to provide clear, step-by-step instruction of each procedure.

Surgeons need appropriate training before incorporating laparoscopic colorectal surgery into their practice. This book will be a useful resource for residents, fellows in training, and surgeons who are either attending courses in laparoscopic colorectal surgery or are at an early stage of integrating this technique into their practice. 


  • Chapters contain a detailed textual description of  proceduralsteps and common pitfalls
  • Includes sections on management of intraoperative complications and other useful tips
  • All new major operative videos
  • Includes an expanded list of colorectal procedures
  • New chapters include Mobilization of the Mesorectum, Handsewn Coloanal Anastomosis, Robotic Single-port Right Colonectomy, Single Port Total Colectomy with End Ileostomy, Robotic Low Anterior Resection

This full-color 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.

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Editorial Reviews

From The Critics
Reviewer: Carol Scott-Conner, MD, PhD (University of Iowa Hospitals and Clinics)
Description: This slim volume is best considered as an accompaniment to the extensive DVD library of procedural videos. It attempts to provide a comprehensive guide to laparoscopic colorectal surgery.
Purpose: The authors state that this book is intended to "complement programs that teach laparoscopic colectomy," facilitating that by "helping students of laparoscopic colectomy develop the pattern-recognition skills required to perform this technique safely and successfully." These are worthy objectives and are admirably addressed by the DVD. The book, considered as an accompaniment, assists in that process. The more traditional learner who attempts to read the book without viewing the DVD may be baffled.
Audience: The book is written for trainees and for surgeons who wish to incorporate these procedures into their operative repertoire. The authors are highly credible authorities.
Features: The DVD is extremely complete and lovingly edited. The quality of the videos is superb. The book helps by showing trocar sites and so on. Unfortunately, the organization of the book is confusing, with multiple duplications of a basic figure showing a patient in stirrups, and a chapter titled "Key Operative Steps" which actually describes a specific procedure in detail. I wish that the editors had edited the book as carefully as the video, and used the text to incorporate more information about the procedures.
Assessment: The DVD is superb and will be of value to trainees. This is a valuable contribution to the field. Unfortunately, the book which accompanies the DVD does not live up to the quality of the video.
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Product Details

  • ISBN-13: 9780781766340
  • Publisher: Lippincott Williams & Wilkins
  • Publication date: 8/28/2006
  • Pages: 224
  • Product dimensions: 8.60 (w) x 11.00 (h) x 0.50 (d)

Table of 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
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


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