Fig. 26.1 Combined endo-laparoscopic polypectomy. Laparoscopic manipulation of the bowel wall allows invagination of the bowel wall (right) facilitating polypectomy Indications Current indications for CELS include large benign colon polyps…
Fig. 13.1 Port placement for a total proctocolectomy with IPAA Some flexibility in port placement is also important. In obese patients, the umbilicus may be significantly more caudal relative to…
Fig. 21.1 CT scan demonstrating a port-site hernia The Veress needle is an alternative to the open technique and can be used alone or in conjunction with an optical view…
Hybrid NOTES: A primarily NOTES procedure assisted by addition of a secondary modality such as laparoscopy NOSE: Natural orifice specimen extraction. The use of a natural orifice through which to…
Condition Examples Unstable coronary syndromes Unstable or severe angina (CCS class III or IV)a Recent MIb Decompensated heart failure (NYHA functional class IV, worsening or new-onset HF) Significant arrhythmias High-grade…
Fig. 30.1 Crohn’s disease of the terminal ileum The short-term benefits of MI surgery have been shown in randomized controlled trials and meta-analyses, although most trials had a limited sample…
Fig. 2.1 Outer port/cannula of a 10 mm dilating/non-cutting trocar All modern trocars generally include a gas-tight valve, which allows for removal and introduction of instruments without the loss of…
Cardiovascular ↑Plasma blood volume (40–50 %) ↑SV ↑CO (50 %) ↓SVR ↓BP, ↑HR Pulmonary ↔TLC ↓FRC ↑IC ↑MV Hematology ↑RBC volume ↓Hcta ↑Hypercoagulable state Gastrointestinal ↓Gastric emptying ↓GEJ tone …
Fig. 27.1 Port placement alternatives for emergent colorectal surgery Indications Colorectal Perforation Acute Colonoscopic Perforation Laparoscopic intervention can be a suitable approach for both acute and delayed colonoscopic perforations. The…
Fig. 36.1 (a) Laparoscopic view of a colovesical fistula. (b) Hand-assisted laparoscopic techniques allow for takedown of the fistula and demonstration of the abscess cavity Equipment The equipment available for…
