Fig. 22.1 (a–d) Endorectal ultrasound in rectal cancer staging. The sonographic 5-layer structure of the rectal wall consists of 3 hyperechoic layers (interface between the balloon and mucosa, submucosa, and perirectal…
Fig. 10.1 Palmer’s point : two fingerbreadths below the left costal margin in the midaxillary line Regardless of the technique chosen for entry, the first step following port placement should…
Fig. 17.1 Left colectomy anatomy Fig. 17.2 Laparoscopic left colectomy ports The first step after establishing pneumoperitoneum and port placement is to explore the abdomen to rule out any metastatic…
Prophylactic colonic stent placement Stent bridge to elective surgery Stent as palliation of malignant colonic obstruction ASGE, 2013 “Colonic SEMS may also be used as a ‘bridge to surgery’…
Fig. 25.1 Preoperative tattooing At the onset of a laparoscopic procedure, an initial diagnostic laparoscopy should be performed. This entails a general inspection of the peritoneal cavity, liver, and pelvis…
Fig. 3.1 (a, b) Splaying of the taeniae In addition to providing an adequate resection, a principle of left/sigmoid resection for benign disease is to avoid a high ligation of…
Fig. 40.1 (a, b) Patient positioning: modified Lloyd-Davies position The surgeon should plan their operative strategy – i.e., site of specimen extraction, site of rectal transection, and creation of a well-perfused…
Fig. 1.1 MASTERS Program logo Fig. 1.2 MASTERS Program clinical pathways Fig. 1.3 MASTERS Program progression Table 1.1 MASTERS Program colorectal curriculum outline Curriculum elements Competency Anchoring procedure – Competency 2…
Fig. 12.1 Peritoneal implant Appendiceal adenocarcinoma is a rare cancer with an estimated incidence of 2.6 per one million per year. These tumors are thought to arise from adenomas and…
Fig. 5.1 (a, b) Examples of colocutaneous fistula in patients with inflammatory bowel disease Fig. 5.2 CT scan of patient with colovesical fistula . Note air in the bladder Fig….
