Fig. 9.1 Deconstructing the splenic flexure requires knowledge of the mesocolic vasculature as well as the critical retroperitoneal structures including the left renal vein (large arrow). The small arrow shows…
Fig. 10.1 Applying transabdominal sutures for retraction of the sigmoid colon Introduction In 1982, RJ Heald published and advocated the technique of total mesorectal excision (TME) for the surgical treatment…
Fig. 16.1 Intraoperative view of the Ligament of Trietz, Inferior Mesenteric Vein, and Left Colic Artery for the splenic dissection portion of the operation 3. Incise the peritoneum deep to…
Fig. 5.1 Olympus EndoEYE® Flex 3D Scope (Available online at http://medical.olympusamerica.com/products/laparoscopes/endoeye-flex-3d) Fig. 5.2 Example of laparoscopic camera with right-angle adaptor (From Stryker. Available online at: http://www.stryker.com/en-us/GSDAMRetirement/index.htmstellent/groups/public/documents/web_content/126633.pdf) Curved laparoscopic instruments were…
Fig. 12.1 Open a peritoneal window above and below the Ileocolic pedicle Fig. 12.2 Divide the Ileocolic artery 4. Open window below the pedicle (position is right side elevated, reverse…
Fig. 20.1 The transanal placement of a TAMIS port is shown; this platform provides three 10 mm cannulas and insufflation is established using standard laparoscopic insufflators, or a vave-less trocar…
Fig. 6.1 ‘Glove-port’ access device formed by use of conventional wound retractor, size 6 glove with three fingertips cut off and standard laparoscopic ports secured with non-absorbable suture ties Position,…
Series Studydesign Number of patients Included inflammatory disease? MeanBMI(kg/m2) Conversion multi-port laparoscopy (%) Conversion open (%) Mean operative time (Min) Length of stay (days) Morbidity (%) Mortality (%) Champagne et…
Fig. 7.1 Single-incision port insertion A bowel grasper lifts the sigmoid colon anteriorly, providing tension to the rectosigmoid mesentery. One or more “hanging stitches” of 2-0 silk suture can be…
Fig. 3.1 Ideal room setup for laparoscopic colorectal procedures. The unobstructed movement of the surgeon and assistant around the patient’s body is aided by maintaining the golden pathway illustrated below…
