Findings at Appendectomy
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…
GASTOINESTINAL SURGERY
Program Colorectal Pathway: Laparoscopic Left Colon Resection for Complex Inflammatory Bowel Disease
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….
Enhanced Recovery Protocols in Colorectal Surgery: Minimal Requirements for Maximum Benefit
Outcome Number of comparisons included Effect Length of stay 24 Mean difference: −2.62 days (95% CI −3.22, −2.02) Perioperative morbidity 19 Risk ratio: 0.66 (95% CI 0.54, 0.80) Mortality 22 Risk…
Role of Laparoscopy in the Management of Bowel Obstruction
Fig. 26.1 (a, b) Abdominal CT scan images and operative findings in a woman with an adhesive closed loop small bowel obstruction after low-anterior resection for rectal cancer. Given the…
Steps During Hartmann’s Procedures to Facilitate Minimally Invasive Hartmann’s Reversal
Fig. 20.1 (a, b) Intraoperative identification of the suture marking the rectal stump during laparoscopic Hartmann’s reversal. (a) The suture can be identified, but the rectal stump is tightly adherent…
Preparation in Colorectal Surgery: Impact on SSIs and Enhanced Recovery Protocols
Fig. 8.1 Graphic representation of practice patterns throughout the United States with regard to mechanical bowel preparation demonstrating that 24% of surgeons omit a mechanical bowel prep, 29% use MBP…
of Complete Mesocolic Excision for Colon Cancer
Fig. 11.1 Mesocolic lymph node stations according to the Japanese Society for Cancer of the Colon and Rectum. D1–D4 defined by colors: D1 red, D2 blue, D3 green, and D4 black. Right colic artery…
Versus Open Colorectal Surgery: How Strong Is the Evidence?
Study Type N Indications Endpoint Conclusion COST (2007) Fleshman et al. [7] RCT non-inferiority 872 Colon cancer Stage I–III Time to recurrence “Laparoscopic colectomy for curable colon cancer is not…
Endoscopic Pyloromyotomy (G-POEM) and Per-Rectal Endoscopic Myotomy (PREM)
Symptom None Very mild Mild Moderate Severe Very severe 1 Nausea (feeling sick to your stomach as if you were going vomit or throw up) 0 1 2 3…
for Endoscopic Suturing
Fig. 25.1 Demonstrations of the Overstitch endoscopic suturing device including (a) the Olympus double channel therapeutic gastroscope with needle driver attached, (b) OverStitch system with handle and needle driver (needle…
