Classification Definition Non-severe WBC <15 and Cr <1.5 Severe WBC ≥15 and/or Cr ≥1.5 Fulminant Hypotension, shock, ileus, megacolon Data from: McDonald et al. [8] Given the poor outcomes with…
Anastomosis appearance on endoscopy Grade 1: No ischemia or congestion Grade 2: <30% ischemia or congestion Grade 3: >30% ischemia or congestion Patients 92 10 4 Leaks (%) 9…
Fig. 22.1 (a–d) Endorectal ultrasound in rectal cancer staging. The sonographic 5-layer structure of the rectal wall consists of 3 hyperechoic layers (interface between the balloon and mucosa, submucosa, and perirectal…
Fig. 10.1 Palmer’s point : two fingerbreadths below the left costal margin in the midaxillary line Regardless of the technique chosen for entry, the first step following port placement should…
Fig. 17.1 Left colectomy anatomy Fig. 17.2 Laparoscopic left colectomy ports The first step after establishing pneumoperitoneum and port placement is to explore the abdomen to rule out any metastatic…
Prophylactic colonic stent placement Stent bridge to elective surgery Stent as palliation of malignant colonic obstruction ASGE, 2013 “Colonic SEMS may also be used as a ‘bridge to surgery’…
Fig. 25.1 Preoperative tattooing At the onset of a laparoscopic procedure, an initial diagnostic laparoscopy should be performed. This entails a general inspection of the peritoneal cavity, liver, and pelvis…
Fig. 3.1 (a, b) Splaying of the taeniae In addition to providing an adequate resection, a principle of left/sigmoid resection for benign disease is to avoid a high ligation of…
Fig. 40.1 (a, b) Patient positioning: modified Lloyd-Davies position The surgeon should plan their operative strategy – i.e., site of specimen extraction, site of rectal transection, and creation of a well-perfused…
Fig. 1.1 MASTERS Program logo Fig. 1.2 MASTERS Program clinical pathways Fig. 1.3 MASTERS Program progression Table 1.1 MASTERS Program colorectal curriculum outline Curriculum elements Competency Anchoring procedure – Competency 2…
