Laparoscopic Colostomy
Laparoscopic Colostomy H. David Vargas INTRODUCTION Fecal diversion or intestinal stoma creation may be indicated for a variety of pathologic conditions and may be temporary or permanent. Stomas can be…
GENERAL
Open Colostomy
Open Colostomy Linda Ferrari Alessandro Fichera INDICATIONS Despite advances in medical therapy and surgical techniques, temporary or permanent fecal diversion with a colostomy is still frequently indicated. The majority of…
Ileal Conduit Construction After Exenteration (Bricker Conduit)
Ileal Conduit Construction After Exenteration (Bricker Conduit) Yuxiang Wen Scott R. Steele INDICATIONS/CONTRAINDICATIONS Each year approximately 40,000 new cases of rectal cancer are diagnosed in the United States, comprising nearly…
Posterior Sacrectomy and Reconstruction with Alloderm
Posterior Sacrectomy and Reconstruction with Alloderm Aaron J. Quyn Peter M. Sagar INDICATIONS AND CONTRAINDICATIONS The ongoing evolution of surgical techniques for “higher and wider” multivisceral resections has been driven…
Lateral Lymph Node Dissection for Rectal Carcinoma
Lateral Lymph Node Dissection for Rectal Carcinoma Petr V. Tsarkov Inna Tulina INTRODUCTION/OBJECTIVES Recent progress in rectal cancer staging, development of surgical procedures including total mesorectal excision (TME) and nerve-sparing…
Anterior, Posterior, and Total Pelvic Exenteration
Anterior, Posterior, and Total Pelvic Exenteration Seth I. Felder Martin R. Weiser INDICATIONS/CONTRAINDICATIONS Pelvic exenteration is a radical approach to resecting pelvic disease, generally involving the rectum and pelvic viscera….
Laparoscopic Total Mesorectal Excision
Laparoscopic Total Mesorectal Excision Antonio M. Lacy Beatriz Martín-Pérez INDICATIONS/CONTRAINDICATIONS Total mesorectal excision (TME) is defined as the en bloc removal of the rectum and its entire mesentery as indicated…
Extended Extralevator Abdominoperineal Resection
Extended Extralevator Abdominoperineal Resection Torbjörn Holm INDICATIONS Extended extralevator abdominoperineal resection (ELAPE) may be indicated in low, advanced rectal cancer where a less extensive procedure is likely to be non-radical…
Hand-Assisted Laparoscopic Abdominoperineal Resection
Hand-Assisted Laparoscopic Abdominoperineal Resection Walter J. Peters Jr Winston M. T. Chan INDICATIONS/CONTRAINDICATIONS Advancements in surgical technique, improvements in neoadjuvant therapy, and a redefinition of what constitutes an adequate distal…
Robotic Abdominoperineal Resection (APR)
Robotic Abdominoperineal Resection (APR) Se-Jin Baek Seon-Hahn Kim INDICATIONS/CONTRAINDICATIONS Abdominoperineal resection (APR) has been a standard surgical treatment for rectal cancer since the first surgical case study was published by…
