Fig. 19.1 Patient placement and Trendelenburg testing Fig. 19.2 Alexis laparoscopic system The assistant uses atraumatic laparoscopic bowel graspers through the laparoscopic port. A zero-degree camera is used for the…

Fig. 17.1 Port configuration. C 5 or 12 mm camera port, L1 5 mm working port, 12 mm for endoscopic stapler, L2 5 mm working port, L3 and L4 5…

Operative steps Degree of technical difficulty (scale 1–10) 1. Port placement and exploratory laparoscopy 3 2. Identification and mobilization of bowel 4 3. Exteriorization of bowel 2 4. Ostomy maturation…

Fig. 27.1 High dorsal lithotomy position with surgeon and assistant sitting and viewing monitor in between the patient’s legs Prone Jackknife The surgeon and assistant stand on either side of…

Intestinal obstruction Bowel perforation Inflammatory bowel disease Proximal anastomotic protection Functional and motility bowel disorders (i.e., colonic inertia, incontinence) Infectious causes (i.e., necrotizing fasciitis) Congenital disorders (i.e., imperforate anus, Hirschsprung’s…

Fig. 13.1 Port configuration. C, 5 or 12 mm camera port; L1, 5 mm or 12 mm (for stapler) working port right hand; L2, 5 mm working port left hand;…

Fig. 3.1 Laparoscopes of different sizes and viewing angles facilitate visualization. (a) A 10-mm 30° angled tip laparoscope. (b) A 5-mm flexible-tip laparoscope A xenon (300 W) light source is…

Adenomas Carcinoid tumors Anastomotic stricture Anastomotic leak Rectovaginal and rectourethral fistula repair Retrorectal tumors Drainage of pelvic abscess Rectal foreign body removal Low-risk T1 rectal cancer Palliation of advanced rectal…

Fig. 8.1 Port configuration. C 5 mm or 12 mm camera port, L1 5 mm working port, L2 5 mm working port, 12 mm (for stapler) using side-to-side isoperistaltic anastomosis,…

Fig. 12.1 Port configuration. C: 5-mm or 12-mm camera port, L1-4: 5-mm working ports (inferior approach), L1-3: 5-mm working ports (superior approach) Box 12.2. Tip Placing another 5-mm trocar can…