Lower Gastrointestinal Tract Surgery Vol1 Laparoscopic Procedures

This atlas, containing a wealth of clear operative images, is designed to enable trainee surgeons to visualise the surgical field for procedures specific to laparoscopic colorectal surgery, thereby facilitating understanding and learning of surgical techniques and avoidance of intra- and postoperative complications. Step-by-step guidance is provided for a wide range of procedures employed in patients with benign and malignant tumours, inflammatory bowel disease, diverticular disease, rectal prolapse and other conditions. Examples include right colectomy techniques, sigmoid colectomy, left hemicolectomy, total colectomy, panproctocolectomy, total mesorectal excision, Hartmann’s procedure and its reversal and rectopexy. Throughout, meticulous attention is paid to surgical anatomy. Whenever considered necessary, additional line drawings are included to aid comprehension of particular steps in the surgery. Readers seeking to improve their comprehension of surgical anatomy and how to perform these operative procedures will find the atlas to be an unparalleled source of information and assistance. A complementary book from the same authors focuses on open colorectal surgery.

The surgeon who desires an atlas of techniques covering operations on the colon and rectum almost surely prefers a concise volume rather than an encyclopedic compilation of the innumerable procedures that have been described in the literature. This book includes the operations that have proved to be useful and have survived the test of time. They now are in general use in the Massachusetts General Hospital. Space limitations have necessitated exclusion of detailed illustrations of a number of infrequently performed procedures, such as pelvic exenter ation for cancer of the rectum. In such instances bibliographic references have been provided for ready reference. The bibliography emphasizes recent contributions because they are easily available to the reader. Critical comments by the authors concerning certain technical pro cedures may be due to personal bias and certainly do not imply that the alternative methods are undesirable. Furthermore, the brevity of discus sion of anatomy, physiology, and pathology and the neglect of details of medical therapy of numerous colorectal diseases must be attributed to the fact that this volume is directed primarily toward the practicing surgeon. Thanks are due to the artists Mrs. Edith Tagrin and Mr. Robert Galla, and to Miss Evelyn Hall for help in the preparation of the manuscript. Claude E. Welch, M.D. Leslie W. Ottinger, M.D. John P. Welch, M.D. .

Laparoscopic surgery has been established as a safe, effective approach in the management of colorectal disease. Compared with open surgery, laparoscopy is associated with decreased postoperative analgesia requirements, faster return of bowel function and resumption of oral intake, shorter hospital stay, and better cosmetic repair. Now in its Second Edition, Operative Techniques in Laparoscopic Colorectal Surgery gives surgeons the learning tools they need to understand and successfully incorporate laparoscopic colorectal surgery into their practice. This edition goes to great lengths to cover every aspect of each procedure in great detail—including tips for avoiding potential pitfalls. • Detailed procedural descriptions help hone surgical technique and minimize error. • Coverage of potential intraoperative complications helps prepare readers to manage any challenge with confidence. • Full-color photographs assist with pattern recognition and highlight important anatomic landmarks. • Video clips offer a surgeon’s eye view of commonly performed procedures. NEW to the Second Edition... • All new major operative videos highlight relevant anatomy and provide indispensable visual guidance for each procedure. • Expanded list of colorectal procedures broadens therapeutic options. • New chapters address Mobilization of the Mesorectum, Handsewn Coloanal Anastomosis, Robotic Single-port Right Colonectomy, Single Port Total Colectomy with End Ileostomy, Robotic Low Anterior Resection 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.

This publication of the papers presented at the Workshop on Laparoscopic Colorectal Surgery that took place on 27-29 November 1995 in the European Surgical Institute in Norderstedt, Germany, is effectively a snapshot of the current state of knowledge in both the theory and the practice of minimally invasive colon surgery. This snapshot is a mosaic made up of the varied ex periences of individual surgeons. After a long period in which nothing much seemed to be happening, the recent growth in the use of minimally invasive surgery or video-controlled operative procedures in surgery of the abdominal and chest cavities has been unparalleled. More difficult operations have become increasingly possible as more and more new techniques have become available. Cholecystectomy should be regarded as the pacesetter for video-controlled procedures. Under defined conditions, it has now become the standard operation. Other operative procedures such as appendicectomy, hernior rhaphy, overs ewing of a perforated gastric or duodenal ulcer, vagotomy and fundoplication, operations on the spleen or adrenal, staging operations., and thoracic surgical procedures are becoming increasingly widely performed. Minimally invasive operations on the small and large bowel are currently still at the stage of individual reports.

The much-anticipated revision of the second edition of The SAGES Manual: Fundamentals of Laparoscopy, Thoracoscopy, and GI Endoscopy, has been completely restructured, reorganized, and revised. The Manual has been split into two volumes for better portability. Volume I, Basic Laparoscopy and Endoscopy covers the fundamentals and procedures performed during surgical residency. Volume I will be the first volume used by students, residents, and allied healthcare professional trainees. Material has been added to these fundamentals and procedures that will also be of interest to experienced surgeons. Volume II, Advanced Laparoscopy and Endoscopy covers more advanced procedures, generally taught during fellowship. All of the sections have been reorganized with a critical eye to the needs of the modern minimal access surgeon. Two new editors have been added. Chapters have been revised by both new authors as well as many stalwart authors from previous editions. These portable handbooks cover all of the major laparoscopic and flexible endoscopic procedures in easy-to-read format. Indications, patient preparation, operative techniques, and strategies for avoiding and managing complications are included for the complete spectrum of both “gold standard” and emerging procedures in diagnostic and therapeutic laparoscopy, thoracoscopy, and endoscopy. The scope, detail, and quality of the contributions confirm and demonstrate the SAGES commitment to surgical education. This manual is sure to find a home in the pocket, locker or briefcase of all gastrointestinal endoscopic surgeons and residents.

Volume 1: Hamilton: BC Decker Inc., c2007.

Surgeries related to the upper gastrointestinal tract as well as the lower gastrointestinal tract are under the scope of gastrointestinal surgery. The practice of surgery whose focus of study is on the upper parts of the gastrointestinal tract is called upper gastrointestinal surgery or upper GI surgery. Lower gastrointestinal surgery or lower GI surgery is the type of surgery which is concerned with colorectal surgery and the surgery of the small intestine. The main operations performed by upper GI surgeons include liver resection, pancreaticoduodenectomy and esophagectomy, whereas, lower GI surgeons perform operations like colectomy and low or ultralow resections for rectal cancer. This book provides comprehensive insights into the field of gastrointestinal surgery. It includes some of the vital pieces of work being conducted across the world, on various topics related to gastrointestinal surgery. Those in search of information to further their knowledge will be greatly assisted by this book.

Gastrointestinal (GI) diseases are the clinical conditions affecting the organs of the gastrointestinal tract. It consists of the esophagus, liver, pancreas, gallbladder, stomach and intestine. The management and treatment of many of these disorders require surgery. Gastrointestinal surgery can be of two types- upper GI surgery and lower GI surgery. Liver resection, pancreaticoduodenectomy and esophagectomy are upper GI surgeries. Colorectal surgery, colectomy and resections for rectal cancer are lower GI surgeries. Some of the other gastrointestinal surgical procedures are appendectomy, biliopancreatic diversion, enterostomy, gastroplasty, hepatectomy, liver transplantation, pancreatectomy, etc. Appendicitis is a potentially fatal condition if left unresolved, but is easily managed with surgery. A minor procedure called colonoscopy can detect colon cancer at an early stage. This book is a valuable compilation of topics, ranging from the basic to the most complex advancements in gastrointestinal surgery. It presents this complex subject in the most comprehensible and easy to understand language. This book will help new researchers by foregrounding their knowledge in this field.

This atlas, containing a wealth of clear operative images, is designed to enable trainee surgeons to visualise the surgical field for procedures specific to open colorectal surgery, thereby facilitating understanding and learning of surgical techniques and avoidance of intra- and postoperative complications. Step-by-step guidance is provided for a wide range of procedures to the colon, rectum, pelvic floor, anus and anal canal, in each case paying meticulous attention to surgical anatomy. The full range of potential indications for open surgery is considered, including benign and malignant tumours, inflammatory bowel disease, appendicitis, diverticulitis, hemorrhoids, anal fistulas and rectal prolapse among others. Whenever considered necessary, additional line drawings are included to aid comprehension of particular steps in the surgery. Readers seeking to improve their understanding of surgical anatomy and how to perform these operative procedures will find the atlas to be an unparalleled source of information and assistance. A complementary book from the same authors focuses on laparoscopic colorectal surgery.