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

Doody's Review Service
Reviewer: Scott Q Nguyen, MD (Mount Sinai School of Medicine)
Description: This is a well-written book on operative techniques in laparoscopic colorectal surgery.
Purpose: The purpose is to outline operative techniques in laparoscopic colorectal surgery, a worthy objective since laparoscopic surgery is quickly becoming the mainstay of colorectal surgery.
Audience: The book is targeted for residents, fellows, and surgeons who are at an early stage of integrating laparoscopic colorectal surgery into their practice.
Features: Among the highlights are the useful figures demonstrating locations of ports and instruments/cameras for each separate procedure. The diagrams of robotic setup and docking are of note and distinguish this book from other surgical atlases. The pictures are full color and high resolution, and demonstrate anatomy well. Careful attention is given to patient position for a particular procedure. Finally, single site surgery is also discussed, making this book relatively comprehensive in its description of minimally invasive techniques. The book also comes with access to an online library of surgical videos, which is particularly valuable to surgeons hoping to hone their technique. The videos are clearly narrated and the video resolution is high. Anatomy is demonstrated well. Residents and fellows would find this resource valuable to review before scrubbing on cases. For training programs, these videos would be well suited for didactics on operative technique.
Assessment: This is a quality book. It is a useful guide for surgeons in training and for experienced surgeons looking to adopt laparoscopic techniques in their practice.
From the Publisher

'useful figures demonstrating locations of ports and instruments/cameras for each separate procedure'
'diagrams of robotic setup and docking are of note and distinguish this book from other surgical atlases.'
'Careful attention is given to patient position for a particular procedure.'
'online library of surgical videos is valuable to surgeons hoping to hone their technique
'useful guide for surgeons in training and for experienced surgeons looking to adopt laparoscopic techniques in their practice.'
-Doodys Publishers' Club, Friday, June 27, 2014
Weighted Numerical Score: 93 - 4 Stars!
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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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