Fig. 2.1 Operating room setup Patient Positioning Steep position changes are often necessary to facilitate exposure and move small bowel out of the operative field, and it is imperative to…
Fig. 32.1 Lithotomy position Fig. 32.2 Shoulder support during laparoscopic surgery For laparoscopic right colectomy, a Veress needle insertion is used at Palmer’s point in the left upper quadrant to…
Fig. 13.1 Trocar positions , numbers indicate trocar sizes in mm Fig. 13.2 Opening of the peritoneum below the ileocolic vascular bundle Fig. 13.3 Medial-to-lateral dissection posterior to the right…
Fig. 28.1 Patient setup . Patient is placed in the split-leg position for all cases Port Placement Appropriate port placement is critical in facilitating exposure and anatomic definition. For a…
Fig. 33.1 Patient positioning and operating room setup. (Used with permission of Jeremy Moon) Operative Technique After the abdomen is prepped and draped, trocars are placed. The choice of sentinel…
Title Design Year Study Comparison # of institutions Pnts # (Op/Lap) Conversion rate (%) Complications LOS (Days) Rectal procedure studies CLASICC trial [15, 19] RCT 2007 Laparoscopic vs. open survival…
Fig. 21.1 Fecal peritonitis The morbidity associated with a traditional open Hartmann’s reversal has led many surgeons to explore minimally invasive options. However, there are significant inherent challenges to this…
Fig. 18.1 (a) Placement of a handsewn purse string in the colostomy. (b) Cinching down of the purse string with the stapling anvil in place It is at the surgeon’s…
Depth of invasion Lymphatic invasion Maximum tumor diameter (cm) ≤1 1.1–2 2.1–3 3.1–4 4.1–5 ≥5.1 pT1 SM1 No 3.0 3.6 4.4 5.4 6.6 8.1 Yes 5.2 6.4 7.7 9.4 11.4…
Fig. 4.1 (a–e) Embryonic bowel rotation . The embryologic bowel is extra-abdominal and undergoes counter-clockwise rotation to be sealed to the lateral attachments along the line of Toldt Fig. 4.2…
