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Colonand RectalSurgery
AbdominalOperations
Colonand
Rectal
Surgery
Abdominal Operations
SECOND
EDITION
EDITEDBY
StevenD.Wexner,MD,PhD(Hon),FACS, FRCS,FRCS(Ed),FRCSI(Hon),FASCRS, FACG
Director,DigestiveDiseaseCenter Chair,DepartmentofColorectalSurgery ClevelandClinicFlorida Weston,Florida AffiliateProfessor FloridaAtlanticUniversityCollegeofMedicine BocaRaton,Florida ClinicalProfessor FloridaInternationalUniversityCollegeof
Medicine Miami,Florida AffiliateProfessor UniversityofSouthFloridaCollegeofMedicine Tampa,Florida ProfessorofSurgery OhioStateUniversity Columbus,Ohio
JamesW.Fleshman,MD,FACS,FASCRS
HelenBuchananandStanleyJosephSeeger
ProfessorandChairman DepartmentofSurgery BaylorUniversityMedicalCenter ProfessorofSurgery TexasA&MHealthSciences Dallas,Texas
SERIESEDITOR
JosefE.Fischer,MD,FACS,DM(Hon)
Lund,FRCS(E)(Hon)
WilliamV.McDermottDistinguishedProfessor
ofSurgery HarvardMedicalSchool ChristianR.HolmesProfessorofSurgeryand
Chair DepartmentofSurgery UniversityofCincinnatiCollegeofMedicine,
Emeritus Chair,DepartmentofSurgery BethIsraelDeaconessMedicalCenter,
Emeritus Boston,Massachusetts
AcquisitionsEditor:KeithDonnellan EditorialCoordinator:TimRinehart EditorialAssistant:LeviBentley MarketingManager:DanDressler SeniorProductionProjectManager:AliciaJackson DesignCoordinator:HollyMcLaughlin Artist/Illustrator:BodyScientificInternational,LLC ManufacturingCoordinator:BethWelsh PrepressVendor:S4CarlislePublishingServices
SecondEdition Copyright©2019WoltersKluwer. Copyright©2012LippincottWilliams&Wilkins,aWoltersKluwer business.Allrightsreserved.Thisbookisprotectedbycopyright.Nopart ofthisbookmaybereproducedortransmittedinanyformorbyany means,includingasphotocopiesorscanned-inorotherelectroniccopies, orutilizedbyanyinformationstorageandretrievalsystemwithout writtenpermissionfromthecopyrightowner,exceptforbriefquotations embodiedincriticalarticlesandreviews.Materialsappearinginthis bookpreparedbyindividualsaspartoftheirofficialdutiesasU.S. governmentemployeesarenotcoveredbytheabove-mentioned copyright.Torequestpermission,pleasecontactWoltersKluweratTwo CommerceSquare,2001MarketStreet,Philadelphia,PA19103,viaemail atpermissions@lww.com,orviaourwebsiteatlww.com(productsand services). 987654321 PrintedinChina
LibraryofCongressCataloging-in-PublicationData
Names:Wexner,StevenD.,editor.|Fleshman,JamesW.,editor. Title:Colonandrectalsurgery.Abdominaloperations/editedbySteven D.Wexner,JamesW.Fleshman. Othertitles:Abdominaloperations|Mastertechniquesinsurgery. Description:Secondedition.|Philadelphia,PA:WoltersKluwer,[2019]| Series:Mastertechniquesinsurgery|Includesbibliographicalreferences andindex. Identifiers:LCCN2017043474|ISBN9781496347237|eISBN: 9781496349002 Subjects:|MESH:Colon—surgery|Rectum—surgery|Abdomen— surgery|DigestiveSystemSurgicalProcedures—methods Classification:LCCRD544|NLMWI650|DDC617.5/547—dc23 LCrecordavailableathttps://lccn.loc.gov/2017043474 Thisworkisprovided“asis,”andthepublisherdisclaimsanyandall warranties,expressorimplied,includinganywarrantiesastoaccuracy, comprehensiveness,orcurrencyofthecontentofthiswork.  Thisworkisnosubstituteforindividualpatientassessmentbasedon
healthcareprofessionals’examinationofeachpatientandconsideration of,amongotherthings,age,weight,gender,currentorpriormedical conditions,medicationhistory,laboratorydata,andotherfactorsunique tothepatient.Thepublisherdoesnotprovidemedicaladviceor guidance,andthisworkismerelyareferencetool.Healthcare professionals,andnotthepublisher,aresolelyresponsiblefortheuseof thisworkincludingallmedicaljudgmentsandforanyresultingdiagnosis andtreatments.  Givencontinuous,rapidadvancesinmedicalscienceandhealth information,independentprofessionalverificationofmedicaldiagnoses, indications,appropriatepharmaceuticalselectionsanddosages,and treatmentoptionsshouldbemadeandhealthcareprofessionalsshould consultavarietyofsources.Whenprescribingmedication,healthcare professionalsareadvisedtoconsulttheproductinformationsheet(the manufacturer’spackageinsert)accompanyingeachdrugtoverify,among otherthings,conditionsofuse,warningsandsideeffectsandidentifyany changesindosagescheduleorcontraindications,particularlyifthe medicationtobeadministeredisnew,infrequentlyusedorhasanarrow therapeuticrange.Tothemaximumextentpermittedunderapplicable law,noresponsibilityisassumedbythepublisherforanyinjuryand/or damagetopersonsorproperty,asamatterofproductsliability, negligencelaworotherwise,orfromanyreferencetoorusebyany personofthiswork.
LWW.com

Dedication

Thisbookisdedicatedtomyfamily:tomylatefatherIraandmymother Arlene,foralloftheguidancethattheyhavegivenmethroughoutmylife. InadditiontomysonsWesleyandTrevorforalthoughIhavehopefully impartedknowledgetothem,Ihavealsoacquiredaninordinateamount ofinsightfromthem.Furthermoretomylife-partnerDr.MarianaBerho, forherwisdom,counsel,andespeciallylove.Thisdedicationwouldbe incompletewithoutthankingpeoplebesidesmyfamily.Thankyou,Jim Fleshman,fordecadesoffriendshipduringwhichwehavecollaborated onmanyendeavorsincludingthisbook.Thankstothehundredsof alumniwhohaveallowedmetotrytohelpthemhelptheirpatients.I hopethatthisbookfurthersyoureducationandremindsyouofyourtime atClevelandClinicFlorida.Thank-youtomyexecutiveassistant,Debbie Holton,andmypublicationsassistant,ElektraMcDermott,foryour patience,indulgence,assistance,andperseveranceinthisprojectandin manyothersbeforeit.
StevenD.Wexner
Onecanneverrepaycompletelytheincrediblegiftthatmyfriends, colleagues,andacquaintanceshavecontributedtothissetofbooks.As timegoeson,Iwouldliketothinkthattheywillalllookbackwithpride toseethatisindeedagreatcontributiontothetrainingandpracticeof colorectalsurgery.Thank-youisnotenoughbutissincerelygiventoeach oneofyou.ThankstoSteveWexnerforincludingmeinthiseffortandto Dr.JosefFischerforhistrust.Iwouldliketodedicatethisbooktomy wifeLinda,whohastoleratedmymentalabsencesthroughoutmanyof thelastyear’sweekendsandeveningstoeditthesechapters.WhileIam sureshewillneverreadthesebooks,shehascontributedsupportand tolerance.JenniferHernandez,inourdepartmentatBaylorUniversity MedicalCenter,deservesspecialmentionforherabilityandpatienceto readmyeditsoneachmanuscriptandforkeepingtrackofthewhole process.Thankstoyou.
JamesW.Fleshman

Contributors

PiyushAggarwal,MD
Fellow AdvancedColorectalOncology DepartmentofSurgery MemorialSloanKetteringCancerCenter NewYork,NewYork
AzahA.Althumairi,MD
Professor DepartmentofSurgeryandUrology ExecutiveViceChair ChiefDivisionofColorectalSurgery DepartmentofSurgery JohnsHopkinsUniversity Baltimore,Maryland
DonatoF.Altomare,MD
AssociateProfessorofSurgery DepartmentofEmergencyandOrganTransplantation UniversityAldoMoroofBari AssociateProfessorofSurgery DepartmentofEmergencyandOrganTransplantation AziendaOspedalieroUniversitariaPoliclinicoBari Bari,Italy
VikramAttaluri,MD,FACS,FASCRS
Partner,SCPMG SouthernCaliforniaPermanenteMedicalGroupKaiserPermanenteLos
AngelesMedicalCenter
LosAngeles,California
Se-JinBaek,MD,PhD
ClinicalAssistantProfessor DivisionofColorectalSurgery,DepartmentofSurgery KoreaUniversityCollegeofMedicine
ClinicalAssistantProfessor DivisionofColorectalSurgery,DepartmentofSurgery KoreaUniversityAnamHospital Seoul,Korea
DebbieBakes,MD
ClinicalFellow DepartmentofColonandRectalSurgery UniversityofMiami—MillerSchoolofMedicine Miami,Florida
DavidE.Beck,MD,FACS,FASCRS
ProfessorandChairmanEmeritus DepartmentofColonandRectalSurgery OchsnerClinic TheUniversityofQueenslandSchoolofMedicine OchsnerClinicalSchool NewOrleans,Louisiana
CigdemBenlice,MD
DepartmentofGeneralSurgery ClevelandClinicFoundation Cleveland,Ohio
RobertD.Bennett,MD
Fellow,ColonandRectalSurgery DepartmentofColonandRectalSurgery UniversityofLouisvilleSchoolofMedicine Fellow,ColonandRectalSurgery DepartmentofColonandRectalSurgery UniversityofLouisvilleHospital Louisville,Kentucky
GretaV.Bernier,MD
AssistantProfessor DepartmentofSurgery UniversityofWashington Seattle,Washington
MitchellBernstein,MD,FACS,FASCRS
AssociateProfessor DepartmentofSurgery NYULangoneSchoolofMedicine Chief DivisionofColonandRectalSurgery NYULangoneMedicalCenter NewYork,NewYork
EdwardBorrazzo,MD,FACS
AssociateProfessorofSurgery DepartmentofSurgery LarnerCollegeofMedicine,UniversityofVermont Chief,DivisionofGeneralandGastrointestinalSurgery DepartmentofSurgery UniversityofVermontMedicalCenter Burlington,Vermont
CharlesE.Butler,MD,FACS
ProfessorandChairman DepartmentofPlasticSurgery UniversityofTexasMDAndersonCancerCenter Houston,Texas
WinstonM.T.Chan,MD
FellowinColorectalSurgery BaylorUniversityMedicalCenter Dallas,Texas
ManishChand,MBBS,BSc,MBA,FRCS,PhD
AssociateProfessor DivisionofSurgeryandInterventionalSciences UniversityCollegeLondon Consultant GIServices UniversityCollegeLondonHospital London,UnitedKingdom
WilliamC.ChapmanJr.,MD
ResearchFellow DepartmentofSurgery