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Ovunc Bardakcioglu
Editor
Advanced Techniques in
Minimally Invasive and
Robotic Colorectal Surgery
123
Advanced Techniques in Minimally Invasive
and Robotic Colorectal Surgery
Ovunc Bardakcioglu
Editor
Advanced Techniques in
Minimally Invasive and
Robotic Colorectal Surgery
Editor
Ovunc Bardakcioglu, MD, FACS, FASCRS
Division of Colon and Rectal Surgery
Department of Surgery
University of Nevada School of Medicine
Las Vegas , NV
USA
All text boxes (Tips and Caveats) are written by Dr. Ovunc Bardakcioglu
Videos to this book can be accessed at
http://springerimages.com/videos/978-1-4899-7530-0
ISBN 978-1-4899-7530-0 ISBN 978-1-4899-7531-7 (eBook)
DOI 10.1007/978-1-4899-7531-7
Springer New York Heidelberg Dordrecht London
Library of Congress Control Number: 2014956901
© Springer Science+Business Media New York 2015
This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is
concerned, specifi cally the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction
on microfi lms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation,
computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this
legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifi cally
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Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the
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The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not
imply, even in the absence of a specifi c statement, that such names are exempt from the relevant protective laws and
regulations and therefore free for general use.
While the advice and information in this book are believed to be true and accurate at the date of publication, neither
the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may
be made. The publisher makes no warranty, express or implied, with respect to the material contained herein.
Printed on acid-free paper
Springer is part of Springer Science+Business Media (www.springer.com)
To my father, my fi rst mentor and most talented surgeon I know.
O.B.
vii
Numerous colorectal textbooks have been authored, which generally include both open and
minimally invasive approaches. This textbook, Advanced Techniques in Minimal Invasive and
Robotic Colon and Rectal Surgery, is unique in that Dr. Ovunc Bardakcioglu has deftly amalgamated an impressive array of accomplished authors to meticulously review the gamut of
minimally invasive approaches to colorectal disease. I am unaware of any other publication
which so thoroughly and comprehensively addresses this exciting new arena. Furthermore, Dr.
Bardakcioglu has managed to include a compendium of contents allowing the reader to share
the data and information from a myriad of acknowledged content experts. Dr. Bardakcioglu
has included an adequate number of chapters to deliberately offer the requisite amount of overlap for emphasis but avoid creating subject redundancy in the volume. The chapters are written
in a very user-friendly, easy-to-review, and clinically relevant approach; the illustrated and
descriptive operative steps and videos facilitate comprehension of the content. I highly commend Advanced Techniques in Minimally Invasive and Robotic Colon and Rectal Surgery to
any surgeon who practices these techniques as well as to surgical residents and medical students who are in the process of acquiring these skills. I am also optimistic that after reading
these chapters, this book will provide a resource with which to periodically refresh one’s
knowledge. I wish to congratulate Dr. Bardakcioglu for his tremendous artistry in creating the
concept and expertly executing the work. Artistry because he has woven the fabric of this textbook into a beautifully blended product, a feat that is not necessarily easy when the individual
contributory elements are authored by a myriad of people using a plethora of writing and
illustrative styles. The end result of his labors is that this book is indeed very impressive and as
such highly recommended.
Weston, FL Steven D. Wexner , MD, PhD, FACS, FRCS, FRCS
Foreword
ix
Over the last decade, the fi eld of colon and rectal surgery has evolved a plethora of new surgical minimal invasive techniques to address both benign and malignant diseases.
HD laparoscopy, 3-D laparoscopy, robotic surgery, single-port laparoscopy (SPL), transanal
endoscopic surgery (TES), and natural orifi ce transluminal endoscopic surgery (NOTES) all
fall under the ever-growing umbrella of technological advances in colon and rectal surgery.
These new developments may have started out in other fi elds but are a very active aspect of the
fi eld of colon and rectal surgery.
Is the new primary surgical goal to achieve the ever more minimally invasive surgery until
one day “scarless” surgery is achieved for all patients? The goal might be to provide the surgeon with a multitude of options, an array of tools, to use at his or her disposal as dictated by
the complexities of a given patient’s surgical disease and anatomy.
Many textbooks on surgical procedures exist; however, one of the shortcomings of these
textbooks is that a procedure is typically not described in all its existing variations and details
that many different surgeons utilize. A chapter on a specifi c surgical procedure is usually only
described based on the author’s personal experience and technique and is often biased.
Beginning early in my career, I have created my own scripts and summaries of procedures
by learning from different surgeons during my training, learning from discussions with colleagues, reviewing procedural videos, which are available in textbooks, the Internet and conference presentations, and developing my own techniques. This led to the idea of this textbook
to include many such described and utilized techniques for a specifi c colorectal surgical procedure. The authors of all chapters were therefore encouraged to think beyond their typical
approach to a surgical procedure, and all chapters were revised and standardized to support this
overall goal.
The chapters include a breakdown of the procedures into standard operative steps, which
are graded by technical diffi culty. This grading can guide novice surgeons, residents, fellows,
and their teachers to a stepwise approach to get familiar and master minimal invasive techniques in colon and rectal surgery. I have also included many technical tips, tricks, and caveats
throughout the text to help with diffi culties the surgeon might encounter.
I wish this textbook will encourage surgeons not familiar with minimal invasive surgery to
increasingly offer these approaches to their patients, and I hope the master surgeon will enjoy
discovering new facets of the ever-evolving change to surgical procedures in colon and rectal
surgery.
Las Vegas, NV Ovunc Bardakcioglu, MD, FACS, FASCRS