Abdominal Key

Fig. 26.1 U-shaped articulating holding system Operative Proctoscope The operating proctoscope is available in a standard 4 cm diameter. A variety of lengths are available (i.e., 7.5, 15, and 20…

Fig. 18.1 Port configuration. C 12-mm camera port, L1 and L2 5-mm assistant ports, L1 is 12 mm if endoscopic stapler is used, R1, R2, and R3 8-mm working ports…

Fig. 15.1 External instrument conflict and clashing resulting in awkward surgeon/assistant positioning during single-incision laparoscopic colectomy Room Setup and Positioning The operating room equipment requirements are identical to those for…

Fig. 4.1 Robotic surgeons console and hand console. For Fig. 4.1: provided here exclusively for promotion and/or media coverage of Intuitive Surgical and its products. This notification serves as an…

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;…