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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1170_Библиотеки_им_академика_М_И_Перельмана.pdf
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- •Foreword
- •Preface
- •Contributors
- •Contents
- •1: Development of Minimally Invasive Colorectal Surgery: History, Evidence, Learning Curve, and Current Adaptation
- •Introduction
- •History
- •Current Trends
- •Summary
- •References
- •2: Preoperative Planning and Postoperative Care in Minimal Invasive Colorectal Surgery
- •Preoperative Planning
- •Preoperative Work-Up
- •Bowel Preparation
- •Contraindications for Laparoscopic or Robotic Surgery
- •Postoperative Care
- •Fast-Track Recovery
- •Postoperative Nausea and Vomiting
- •Ileus
- •Analgesic Options
- •Pulmonary Impairment
- •Early Ambulation
- •Venous Thromboembolism Prophylaxis
- •Postoperative Complications
- •Summary
- •References
- •Evidence of Safety
- •Learning Curve
- •3: Operating Room Setup and General Techniques in Minimal Invasive Colorectal Surgery
- •Introduction
- •Equipment
- •Laparoscopes, Cameras, Light Source, and Monitor
- •Instruments
- •Hand-Assist Techniques
- •Single-Port Techniques
- •Robotic Techniques
- •General OR Setup for Minimal Invasive Colorectal Surgery
- •Patient Positioning
- •Laparoscopic Right Hemicolectomy
- •Laparoscopic Total Abdominal Colectomy, Left Hemicolectomy, Sigmoidectomy, Low Anterior Resection, and Abdominoperineal Resection
- •Robotic Right Hemicolectomy
- •Robotic Low Anterior Resection, Proctectomy
- •Obtaining Intraperitoneal Access
- •Veress Needle
- •Hasson (Open) Access
- •Optical Access Trocars
- •Single Port and Hand Assist
- •Techniques for Port Closure
- •Suture Closure of Fascia
- •Fascial Closure Devices
- •Summary
- •References
- •4: Operating Room Setup and General Techniques for Robotic Surgery
- •Introduction
- •Preparation for Robotic Surgery
- •Equipment
- •General OR Setup for Robotic Surgery
- •Patient Positioning
- •Docking
- •Instrument Insertion
- •Undocking
- •General Techniques
- •Navigating the Camera and the Surgical Instruments
- •Needle Holding, Suturing, and Knot Tying
- •Control of Electrocoagulation/Energy
- •Advanced Tools for Colorectal Surgery
- •Robotic Bipolar Vessel Sealer
- •Robotic Stapler
- •Avoiding Equipment Malfunction
- •Robotic Preoperative Checklist
- •References
- •5: Right Hemicolectomy and Ileocecectomy: Laparoscopic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 5.1)
- •Exploratory Laparoscopy
- •Mobilization of the Right Colon and Terminal Ileum
- •Mobilization of the Proximal Transverse Colon and Hepatic Flexure
- •Extracorporeal Anastomosis, Closure, and Reinspection
- •Intracorporeal Anastomosis
- •Approaches
- •Medial to Lateral Approach
- •Lateral to Medial Approach
- •Inferior to Superior Approach
- •Hand-Assisted Laparoscopic Right Hemicolectomy
- •Special Considerations and Complications
- •The Reoperative Abdomen
- •Morbid Obesity
- •Crohn’s Disease
- •Locally Advanced Cancer
- •Bleeding
- •Enterotomy and Duodenal Injury
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 6.1)
- •Exploratory Laparoscopy and Insertion of Hand Port
- •Dissection of the Retroperitoneal Plane and Duodenum
- •Mobilization of the Right Colon and Terminal Ileum
- •Mobilization of Proximal Transverse Colon and Hepatic Flexure
- •Extracorporeal Anastomosis, Closure, and Reinspection
- •Approaches
- •Lateral to Medial Approach
- •Summary
- •References
- •6: Right Hemicolectomy and Ileocecectomy: Hand-Assisted Laparoscopic Approach
- •Introduction
- •Background
- •Medial to Lateral Approach
- •Inferior to Superior Approach
- •Superior to Inferior Approach
- •Ileocecectomy
- •Special Considerations and Complications
- •The Reoperative Abdomen
- •Morbid Obesity
- •Crohn’s Disease
- •Locally Advanced Cancer
- •Bleeding
- •Enterotomy
- •Duodenal Injury
- •Inadequate Assistance
- •Summary
- •References
- •7: Right Hemicolectomy and Ileocecectomy: Single-Port Laparoscopic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 7.1)
- •Insertion of the Single Port and Exploratory Laparoscopy
- •Mobilization of the Right Colon and Terminal Ileum
- •Mobilization of the Proximal Transverse Colon and Hepatic Flexure
- •Extracorporeal Anastomosis, Closure, and Reinspection
- •Approaches
- •Medial to Lateral Approach
- •Special Considerations and Complications
- •Complications
- •Summary
- •References
- •8: Right Hemicolectomy and Ileocecectomy: Laparoscopic Intracorporeal Anastomosis
- •Introduction
- •Background
- •Preoperative Planning
- •Room Setup and Patient Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 8.1)
- •Exploratory Laparoscopy
- •Mobilization of the Right Colon and Terminal Ileum
- •Mobilization of the Proximal Transverse Colon and Hepatic Flexure
- •Intestinal Division and Specimen Bagging
- •Intracorporeal Anastomosis
- •Side-to-Side Retroperistaltic Anastomosis
- •Side-to-Side Isoperistaltic Anastomosis
- •Anastomotic Leak Testing with Colonoscope
- •Specimen Removal
- •Summary
- •References
- •9: Right Hemicolectomy and Ileocecectomy: Robotic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 9.1)
- •Exploratory Laparoscopy and Docking
- •Mobilization of the Right Colon and Terminal Ileum
- •Mobilization of the Proximal Transverse Colon and Hepatic Flexure
- •Extracorporeal or Intracorporeal Anastomosis, Closure and Reinspection
- •Approaches
- •Lateral to Medial Approach
- •Medial to Lateral Approach
- •Inferior to Superior Approach
- •Special Considerations and Complications
- •The Reoperative Abdomen
- •Morbid Obesity
- •Small Patient
- •Locally Advanced Cancer
- •Robotic Docking Complications
- •Bleeding
- •Enterotomy or Duodenal Injury
- •Summary
- •References
- •10: Right Hemicolectomy and Ileocecectomy: Single-Port Robotic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 10.1)
- •Single-port Insertion and Exploratory Laparoscopy
- •Single-Port Docking
- •Dissection of the Retroperitoneal Plane
- •Mobilization of the Proximal Transverse Colon and Hepatic Flexure
- •Mobilization of the Right Colon and Terminal Ileum
- •Extracorporeal Anastomosis
- •Summary
- •References
- •11: Right Hemicolectomy and Ileocecectomy: Robotic Intracorporeal Anastomosis
- •Introduction
- •Background
- •Room Setup and Patient Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 11.1)
- •Division of the Ileal Mesentery and Transverse Mesocolon
- •Intracorporeal Anastomosis
- •Commonalities of Constructing Intracorporeal Anastomoses
- •Antiperistaltic “V” Anastomosis
- •Isoperistaltic “I” Anastomosis
- •Isoperistaltic “M” Anastomosis
- •Common Steps Immediately Subsequent to Anastomotic Construction
- •Summary
- •References
- •12: Transverse Colectomy: Laparoscopic Approach
- •Introduction
- •Background
- •Preoperative Planning
- •Room Setup and Patient Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 12.1)
- •Exploratory Laparoscopy
- •Omental Division or Resection
- •Hepatic Flexure Mobilization
- •Splenic Flexure Mobilization
- •Extracorporeal Anastomosis, Closure, and Re-inspection
- •Summary
- •References
- •13: Sigmoid Colectomy and Left Hemicolectomy: Laparoscopic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 13.1)
- •Exploratory Laparoscopy
- •Mobilization of the Sigmoid Colon
- •Transection of the Sigmoid Colon
- •Anastomosis with Leak Test
- •Approaches
- •Medial to Lateral Approach
- •Lateral to Medial Approach
- •Superior to Inferior Approach
- •Laparoscopic Left Hemicolectomy
- •Laparoscopic Reversal of a Hartmann’s Resection
- •Surgical Technique
- •Special Considerations and Complications
- •The Reoperative Abdomen
- •Morbid Obesity
- •Diverticulitis
- •Locally Advanced Cancer
- •Bleeding
- •Inability to Identify Tumor
- •Inadequate Length of Colon for Tension-Free Anastomosis
- •Summary
- •References
- •14: Sigmoid Colectomy and Left Hemicolectomy: Hand-Assisted Laparoscopic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 14.1)
- •Exploratory Laparoscopy and Insertion of the Hand Port
- •Mobilization of the Sigmoid Colon
- •Mobilization of the Splenic Flexure
- •Transection of the Sigmoid Colon
- •Anastomosis with Leak Test
- •Approaches
- •Medial to Lateral Approach
- •Lateral to Medial Approach
- •Superior to Inferior Approach
- •Hand-assisted Laparoscopic Left Hemicolectomy
- •Hand-Assisted Laparoscopic Reversal of a Hartmann’s Resection
- •Special Considerations and Complications
- •The Reoperative Abdomen
- •Morbid Obesity
- •Diverticulitis
- •Locally Advanced Cancer
- •Bleeding
- •Enterotomy
- •Inability to Identify Tumor
- •Inadequate Length of Colon for Tension-Free Anastomosis
- •Summary
- •References
- •15: Sigmoid Colectomy and Left Hemicolectomy: Single-Port Laparoscopic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 15.1)
- •Insertion of the Single Port and Exploratory Laparoscopy
- •Transection of the Sigmoid Colon
- •Anastomosis with Leak Test
- •Approaches
- •Single-Port Laparoscopic Reversal of a Hartmann’s Resection
- •Surgical Technique
- •Summary
- •References
- •16: Sigmoid Colectomy and Left Hemicolectomy: Robotic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 16.1)
- •Exploratory Laparoscopy and Robotic Docking
- •Mobilization of the Sigmoid Colon
- •Transection of the Sigmoid Colon
- •Anastomosis with Leak Test
- •Hybrid Approach
- •Robotic Reversal of a Hartmann’s Resection
- •Summary
- •References
- •17: Proctectomy and Rectopexy: Laparoscopic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 17.1)
- •Exploratory Laparoscopy
- •Mobilization of the Sigmoid Colon
- •Rectal Mobilization
- •Transection of the Rectum
- •Anastomosis with Leak Test
- •Special Considerations and Complications
- •Anastomotic Leak
- •Bleeding
- •Nerve Injury
- •Abdominoperineal Resection (APR)
- •Surgical Technique
- •Rectopexy
- •Posterior Rectopexy Technique
- •Anterior Rectopexy Technique
- •Summary
- •References
- •18: Proctectomy and Rectopexy: Hybrid Robotic Approach
- •Introduction
- •Background
- •Preoperative Planning
- •Room Setup and Positioning
- •Port Setups and Extraction Sites
- •Operative Steps (Table 18.1)
- •Exploratory Laparoscopy
- •Mobilization of the Sigmoid Colon
- •Mobilization of the Descending Colon and Splenic Flexure
- •Rectal Mobilization
- •Transection of the Rectum
- •Anastomosis with Leak Test
- •Abdominoperineal Resection
- •Rectopexy
- •Summary
- •References
- •19: Proctectomy: Total Robotic Approach
- •Introduction
- •Background
- •Preoperative Planning
- •Room Setup and Positioning
- •Port Setups and Extraction Sites
- •Operative Steps (Table 19.1)
- •Exploratory Laparoscopy
- •Mobilization of the Sigmoid Colon
- •Rectal Mobilization
- •Transection of the Rectum
- •Anastomosis with Leak Test
- •Double Purse-String Robotic Stapled Anastomosis Technique
- •Intersphincteric Resection, Distal Mucosectomy, and Hand-Sewn Coloanal Anastomosis
- •Abdominoperineal Resection
- •Summary
- •References
- •20: Total Colectomy and Proctocolectomy: Laparoscopic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 20.1)
- •Exploratory Laparoscopy
- •Mobilization of the Cecum and Ascending Colon and Ligation of the Ileocolic Vessels
- •Mobilization of the Hepatic Flexure and Transverse Colon and Ligation of the Middle Colic Vessels
- •Mobilization of the Sigmoid Colon, Descending Colon, and Splenic Flexure and Ligation of the Inferior Mesenteric Artery
- •Transection of the Colon, Anastomosis, and Reinspection
- •Rectal Mobilization and Transection
- •Exteriorization and IPAA
- •References
- •21: Total Colectomy and Proctocolectomy: Hand-Assisted Laparoscopic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Port Placement and Extraction Sites
- •Operative Steps (Table 21.1)
- •Exploratory Laparoscopy and Insertion of the Hand Port
- •Mobilization of the Cecum, Ascending Colon, and Hepatic Flexure and Ligation of the Ileocolic Vessels
- •Mobilization of the Transverse Colon and Ligation of the Middle Colic Vessels
- •Mobilization of the Sigmoid Colon, Descending Colon, and Splenic Flexure and Ligation of the Inferior Mesenteric Artery
- •Transection of the Colon, Anastomosis, and Reinspection
- •Laparoscopic Hand-Assisted Proctocolectomy with Ileal Pouch Anal Anastomosis
- •Operative Steps (Table 21.2)
- •Rectal Mobilization
- •Transection of the Rectum and Ileal Pouch Anal Anastomosis
- •Summary
- •References
- •22: Total Colectomy and Proctocolectomy: Single-Port Laparoscopic Approach
- •Introduction
- •Background
- •Preoperative Planning
- •Room Setup and Patient Positioning
- •Operative Steps (Table 22.1)
- •Single-Port Insertion and Exploratory Laparoscopy
- •Mobilization of the Cecum, Ascending Colon, and Hepatic Flexure and Ligation of the Ileocolic Vessels
- •Mobilization of the Hepatic Flexure and Transverse Colon and Ligation of the Middle Colic Vessels
- •Mobilization of the Sigmoid Colon, Descending Colon, and Splenic Flexure and Ligation of the Inferior Mesenteric Artery
- •Transection of the Colon and Ileorectal Anastomosis
- •Rectal Mobilization, Transection of the Rectum, and IPAA
- •Summary
- •References
- •23: Stoma Construction: Laparoscopic Approach
- •Introduction
- •Background
- •Preoperative Planning
- •Room Setup and Positioning
- •Port Placement
- •Operative Steps (Table 23.2)
- •Exploratory Laparoscopy
- •Exteriorization of Bowel
- •Reinspection and Port Closure
- •Ostomy Maturation
- •Trephine Stoma and Endoscopic-Assisted Stoma
- •Gasless Laparoscopic Stoma
- •Single-Site Laparoscopic Stoma
- •References
- •24: Stoma Construction: Single-Port Laparoscopic Approach
- •Introduction
- •Background
- •Room Setup and Positioning
- •Operative Steps (Table 24.1)
- •Port Placement and Exploratory Laparoscopy
- •Exteriorization of the Bowel
- •Ostomy Maturation
- •Description of Alternative Operative Approach
- •Special Considerations and Complications
- •The Reoperative Abdomen
- •Morbid Obesity
- •Crohn’s Disease
- •Summary
- •References
- •25: Transanal Endoscopic Surgery (TES)
- •History and Evolution
- •Indications
- •Rectal Adenoma
- •Rectal Cancer
- •Palliation of Rectal Cancer
- •Carcinoid Tumors
- •Retrorectal Tumors
- •Rectovaginal and Rectourethral Fistulas
- •Anastomotic Leak
- •Pelvic Abscess
- •Benign Strictures
- •Advanced Applications (Advanced Resection and NOTES)
- •Patient Selection and Workup
- •Basic Operative Setup and Instrumentation
- •Procedural Technique
- •Postoperative Care and Complications
- •Summary
- •References
- •26: Transanal Endoscopic Microsurgery (TEM)
- •Introduction
- •Background
- •Patient Preparation
- •Room Setup and Positioning
- •Operative Platform Setup and Instrumentation
- •Holding System
- •Operative Proctoscope
- •Optics
- •Operating Instruments
- •Partial-Thickness Excision
- •Operative Steps (Table 26.1)
- •Establishing Access and Pneumorectum
- •Marking
- •Dissection and Excision
- •Removal of Specimen
- •Closure
- •Full-Thickness Excision
- •Operative Steps
- •Marking
- •Dissection and Excision
- •Removal of Specimen
- •Closure
- •Sleeve Resection
- •Operative Technique
- •Operative Technique
- •Summary
- •References
- •27: Transanal Minimally Invasive Surgery (TAMIS)
- •Introduction
- •Background
- •Patient Preparation
- •Room Setup and Positioning
- •High Dorsal Lithotomy
- •Prone Jackknife
- •Port Setup and Instrumentation
- •Port Systems
- •Operating Instruments
- •Operative Steps (Table 27.1)
- •Establishing Access and Pneumorectum
- •Marking
- •Dissection and Excision
- •Removal of Specimen
- •Closure
- •Summary
- •References
- •Index


xi
Contents
Part I Introduction
1 Development of Minimally Invasive Colorectal Surgery:
History, Evidence, Learning Curve, and Current Adaptation . . . . . . . . . . . . . . . . 3
Kyle G. Cologne and Anthony J. Senagore
2 Preoperative Planning and Postoperative Care in Minimal
Invasive Colorectal Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 7
David J. Maron and Lisa M. Haubert
3 Operating Room Setup and General Techniques in Minimal
Invasive Colorectal Surgery . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17
Saif A. Ghole and Steven Mills
4 Operating Room Setup and General Techniques for Robotic Surgery . . . . . . . . 25
Seung Yeop Oh, Cristina R. Harnsberger, and Sonia L. Ramamoorthy
Part II Right Hemicolectomy and Ileocecectomy
5 Right Hemicolectomy and Ileocecectomy: Laparoscopic Approach . . . . . . . . . . 37
Joseph C. Carmichael and Michael J. Stamos
6 Right Hemicolectomy and Ileocecectomy: Hand-Assisted
Laparoscopic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Julie Ann M.Van Koughnett and Eric G. Weiss
7 Right Hemicolectomy and Ileocecectomy: Single-Port
Laparoscopic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Margret de Guzman , Inanc Bardakcioglu, and Ovunc Bardakcioglu
8 Right Hemicolectomy and Ileocecectomy: Laparoscopic
Intracorporeal Anastomosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 69
Morris E. Franklin Jr , Song Liang , and Miguel Angel Hernández Moreno
9 Right Hemicolectomy and Ileocecectomy: Robotic Approach . . . . . . . . . . . . . . . 77
Vamsi Ramana Velchuru and Leela M. Prasad
10 Right Hemicolectomy and Ileocecectomy: Single-Port
Robotic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Vincent Obias and Scott Sexton
11 Right Hemicolectomy and Ileocecectomy: Robotic Intracorporeal
Anastomosis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93
Stephen M. Rauh , Margaret De Guzman, and Steven J. Ognibene

xii
12 Transverse Colectomy: Laparoscopic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . 99
David E. Rivadeneira and Scott R. Steele
Part III Sigmoid and Left Hemicolectomy, Hartmann’s Reversal
13 Sigmoid Colectomy and Left Hemicolectomy: Laparoscopic Approach . . . . . . 109
Charles B. Kim and Ovunc Bardakcioglu
14 Sigmoid Colectomy and Left Hemicolectomy: Hand-Assisted
Laparoscopic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 119
Danielle M. Bertoni and David A. Margolin
15 Sigmoid Colectomy and Left Hemicolectomy: Single-Port
Laparoscopic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 129
Rodrigo Pedraza , Chadi Faraj, and Eric M. Haas
16 Sigmoid Colectomy and Left Hemicolectomy:
Robotic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 143
Rodrigo Pedraza and Eric M. Haas
Part IV
Low Anterior Resection, Abdominoperineal Resection and Rectopexy
17 Proctectomy and Rectopexy: Laparoscopic Approach . . . . . . . . . . . . . . . . . . . . 151
Kyle G. Cologne and Anthony J. Senagore
18 Proctectomy and Rectopexy: Hybrid Robotic Approach . . . . . . . . . . . . . . . . . . 163
Monica T. Young , Joseph C. Carmichael, and Alessio Pigazzi
19 Proctectomy: Total Robotic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 173
Jai Bikhchandani , Federico Perez Quirante , Anthony Firilas,
and Jorge Alberto Lagares-Garcia
Part V Total Colectomy with Ileorectal Anastomosis
and Proctocolectomy with Ileoanal Pouch
20 Total Colectomy and Proctocolectomy: Laparoscopic Approach . . . . . . . . . . . 183
Jean A. Knapps and Anthony J. Senagore
21 Total Colectomy and Proctocolectomy: Hand-Assisted
Laparoscopic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 189
Marco Ettore Allaix , Mukta Katdare Krane, and Alessandro Fichera
22 Total Colectomy and Proctocolectomy: Single-Port
Laparoscopic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 199
M. Nicole Lamb and Ovunc Bardakcioglu
Part VI Stoma Construction (Loop Ileostomy, Loop and End Colostomy)
23 Stoma Construction: Laparoscopic Approach . . . . . . . . . . . . . . . . . . . . . . . . . . . 205
Laurence R. Sands and Luis O. Hernandez
24 Stoma Construction: Single-Port Laparoscopic Approach . . . . . . . . . . . . . . . . . 215
Seth Felder and Phillip Fleshner
Contents

xiii
Part VII Transanal Endoscopic Surgery
25 Transanal Endoscopic Surgery (TES) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 223
Joseph E. Bornstein and Patricia Sylla
26 Transanal Endoscopic Microsurgery (TEM) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 233
Lee L. Swanstrom and Eran Shlomovitz
27 Transanal Minimally Invasive Surgery (TAMIS) . . . . . . . . . . . . . . . . . . . . . . . . 243
Sergio W. Larach and Harsha V. Polavarapu
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 249
Contents


xv
Marco Ettore Allaix , MD Department of Surgery , University of Chicago Medicine ,
Chicago , IL , USA
Inanc Bardakcioglu , MD Department of Surgery, Ambulantes OP Zentrum , Pulheim ,
Germany
Danielle M. Bertoni , MD, MPH Colon and Rectal Surgery , The Ochsner Clinic
Foundation , New Orleans , LA , USA
Jai Bikhchandani , MD Division of Colon and Rectal Surgery , Mayo Clinic , Rochester ,
MN , USA
Joseph E. Bornstein , MD, MBA Department of Surgery , Massachusetts General Hospital ,
Boston , MA , USA
Joseph C. Carmichael , MD Department of Surgery , University of California, Irvine ,
Orange , CA , USA
Kyle G. Cologne , MD Division of Colorectal Surgery , Keck Hospital of the University
of Southern California , Los Angeles , CA , USA
Margaret De Guzman , MD Department of Surgery , University of Nevada School
of Medicine , Las Vegas , NV , USA
Chadi Faraj , DO Division of Minimally Invasive Colon and Rectal Surgery,
Department of Surgery , The University of Texas Medical School at Houston ,
Houston , TX , USA
Seth Felder , MD Department of Surgery , Cedars-Sinai Medical Center ,
Los Angeles , CA , USA
Alessandro Fichera , MD Department of Surgery , University of Washington ,
Seattle , WA , USA
Anthony Firilas , MD Division Colon and Rectal Surgery, Department of Surgery,
Charleston Colorectal Surgery , Roper Hospital , Charleston , SC , USA
Phillip Fleshner , MD Colorectal Surgery , Cedars-Sinai Medical Center , Los Angeles ,
CA , USA
Morris E. Franklin Jr , MD, FACS Department of Surgery , Mission Trail Baptist Hospital ,
San Antonio , TX , USA
Saif A. Ghole , MD Division of Colon and Rectal Surgery, Department of Surgery ,
UC Irvine Medical Center , Orange , CA , USA
Eric M. Haas , MD, FACS, FASCRS Division of Minimally Invasive Colon and Rectal
Surgery, Department of Surgery , The University of Texas Medical School at Houston ,
Houston , TX , USA
Contributors

xvi
Cristina R. Harnsberger , MD Department of General Surgery , University of California,
San Diego , San Diego , CA , USA
Lisa M. Haubert , MD, MS Department of Surgery, Cleveland Clinic Florida , Weston ,
FL , USA
Luis O. Hernandez , MD Department of Surgery , Jackson Memorial Hospital , Miami ,
FL , USA
Charles B. Kim , MD Division of Colon and Rectal Surgery , Department of Surgery,
University of Nevada School of Medicine , Las Vegas , NV , USA
Jean A. Knapps , MD Department of Surgery , Central Michigan University , Saginaw , MI , USA
Mukta Katdare Krane , MD Department of Surgery , University of Chicago Medicine ,
Chicago , IL , USA
Jorge Alberto Lagares-Garcia , MD, FACS, FASCRS Division Colon and Rectal Surgery,
Department of Surgery, Charleston Colorectal Surgery , Roper Hospital , Charleston , SC , USA
M. Nicole Lamb , MD Division of Colon and Rectal Surgery, Department of Surgery,
University of Nevada School of Medicine , Las Vegas , NV , USA
Sergio W. Larach , MD, FASCRS, FACS Department of Colon and Rectal Surgery , Florida
Hospital , Orlando , FL , USA
Song Liang , MD Department of Surgery , Mission Trail Baptist Hospital ,
San Antonio , TX , USA
David A. Margolin , MD, FACS, FASCRS Colon and Rectal Surgery , The Ochsner Clinic
Foundation , New Orleans , LA , USA
David J. Maron , MD, MBA Department of Colorectal Surgery , Cleveland Clinic Florida ,
Weston , FL , USA
Steven Mills , MD Department of Surgery , UC Irvine Medical Center , Orange , CA , USA
Miguel Angel Hernandez Moreno , MD Department of Surgery , Mission Trail Baptist
Hospital , San Antonio , TX , USA
Vincent Obias , MD Division of Colon and Rectal Surgery , George Washington University
Hospital , Washington , DC , USA
Steven J. Ognibene , MD, FACS, FASCRS Department of Surgery , Rochester General
Hospital, University of Rochester , Rochester , NY , USA
Seung Yeop Oh , MD Department of Surgery , Ajou University School of Medicine , Suwon ,
South Korea
Rodrigo Pedraza , MD Division of Minimally Invasive Colon and Rectal Surgery,
Department of Surgery , The University of Texas Medical School at Houston , Houston ,
TX , USA
Alessio Pigazzi , MD, PhD Division of Colorectal Surgery, Department of Surgery ,
University of California, Irvine School of Medicine , Orange , CA , USA
Harsha V. Polavarapu , MD Department of Colon and Rectal Surgery , Florida Hospital ,
Orlando , FL , USA
Leela M. Prasad , MD, FACS, FASCRS, FRCS Division of Colon and Rectal Surgery,
Department of Surgery , Advocate Lutheran General Hospital, UIC College of Medicine ,
Chicago , IL , USA
Contributors

xvii
Federico Perez Quirante , MD Division of Colon and Rectal Surgery,
Department of Surgery , Roper Hospital , Charleston , SC , USA
Sonia Ramamoorthy , MD, FACS, FASCRS UC San Diego Health System ,
Rebecca and John Moores Cancer Center , Sand Diego , CA , USA
Stephen M. Rauh , MD Division of Colon and Rectal Surgery, Department of Surgery ,
Rochester General Hospital, University of Rochester School of Medicine , Rochester ,
NY , USA
David E. Rivadeneira , MD, MBA, FACS, FASCRS Suffolk County Surgical Strategic
Initiatives , North Shore LIJ Health System , Huntington , NY , USA
Surgical Services, Huntington Hospital , Huntington , NY , USA
Colon and Rectal Surgery, Huntington Hospital , Huntington , NY , USA
Laurence R. Sands , MD, MBA Division of Colon and Rectal Surgery ,
University of Miami Miller School of Medicine , Miami , FL , USA
Anthony J. Senagore , MD, MS, MBA Department of Surgery , Central Michigan
University, School of Medicine , Saginaw , MI , USA
Scott Sexton , BS Department of Surgery, George Washington University Hospital ,
Washington , DC , USA
Eran Shlomovitz , MD, FRCSC, FRCPC Minimally Invasive Surgery Division , Providence
Portland Medical Center, The Oregon Clinic , Portland , OR , USA
Michael J. Stamos , MD Department of Surgery , University of California, Irvine , Orange ,
CA , USA
Scott R. Steele , MD, FACS, FASCRS Department of Surgery, Colon and Rectal Surgery ,
Madigan Army Medical Center , Fort Lewis , WA , USA
University of Washington , Seattle , WA , USA
Lee L. Swanstrom , MD, FACS Minimally Invasive Surgery Division , Providence Portland
Medical Center, The Oregon Clinic , Portland , OR , USA
Patricia Sylla , MD Division of Gastrointestinal Surgery, Department of Surgery ,
Massachusetts General Hospital, Harvard Medical School , Boston , MA , USA
Julie Ann M. Van Koughnett , MD, MEd Department of Colorectal Surgery , Cleveland
Clinic Florida , Weston , FL , USA
Vamsi Ramana Velchuru , MRCS, FRCS Department of Surgery , James Paget University
Hospitals , Gorleston, Great Yarmouth, Norfolk , UK
Monica T. Young , MD Department of Surgery , University of California,
Irvine School of Medicine , Orange , CA , USA
Eric G. Weiss , MD Department of Colorectal Surgery , Cleveland Clinic Florida , Weston ,
FL , USA
Division of Education, Department of Colorectal Surgery, Colorectal Surgery Residency
Program , Weston , FL , USA
Ovunc Bardakcioglu , MD, FACS, FASCRS Division of Colon and Rectal Surgery,
Department of Surgery , University of Nevada School of Medicine , Las Vegas , NV , USA
Contributors

P a r t I
Introduction

3
O. Bardakcioglu (ed.), Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery,
DOI 10.1007/978-1-4899-7531-7_1, © Springer Science+Business Media New York 2015
Introduction
Minimally invasive surgery has revolutionized the way surgeons practice colorectal surgery. It has resulted in decreased
lengths of stay and a marked decrease in wound infections
and has shown some evidence of an overall lower complication rate versus open surgery [
1 ]. This chapter will outline
the history of minimally invasive colorectal surgery, examine
evidence detailing its safety compared with open surgery,
discuss the learning curve required to achieve profi ciency,
and outline the extent of its current use.
History
Laparoscopy is not a new invention. Its fi rst use was described
long before we think of contemporary surgery. In fact, Aulus
Cornelius Celsus (25 B.C.–50 A.D.) was the fi rst to describe
the use of percutaneous devices (now called trocars) to “drain
evil humors” [ 2 ]. The term “trocar” was coined in 1706 and
was thought to be derived from the term “ trochartortroise -
quarts ,” a three-faced instrument consisting of a perforator
enclosed in a metal cannula. The fi rst use of a device used to
peer inside the abdominal cavity was in 1901 by George
Kelling, a German surgeon, who used a cystoscope to examine the abdominal viscera of a dog after insuffl ating the peritoneal cavity with air. In 1910, Jacobeus performed the fi rst
laparoscopic drainage of ascites in humans in Sweden [ 3 ]. In
1911, Bertram Bernheim published his series from Johns
Hopkins entitled “Organoscopy: Cystoscopy of the
Abdominal Cavity” [ 4 ]. As technology improved, so did the
capability of laparoscopic procedures. In 1929, Heinz Kalk, a
German gastroenterologist, developed a 135-degree lens system and a dual-trocar approach. Ten years later, he published
his experience of 2,000 liver biopsies performed using local
anesthesia without a single mortality [ 5 ].
Early laparoscopy was not without its problems. The
combination of a high rate of trocar injury to bowel, lack of
an alternative to unipolar cautery (which caused a number of
additional bowel and other organ injuries), and lack of a regulator to prevent high insuffl ation pressures meant that many
surgeons deemed laparoscopy as too high risk. In addition,
visualization was extremely poor because there was no good
method to illuminate the abdominal cavity, and the eyepiece
limited the fi eld of vision to a narrow area. It was not until
1952 when Fourestier, Gladu, and Valmiere developed a new
lighting system that revolutionized endoscopy. They utilized
a quartz rod to transmit an intense light beam distally along
a telescope and permitted the light intensity to be concentrated enough to photograph images [ 6 ]. In 1960, German
gynecologist Kurt Semm invented an automatic insuffl ator
that solved the insuffl ation pressure problem [ 7 ]. Finally, in
the early 1980s, the fi rst solid-state camera was introduced
that allowed video laparoscopy. Prior to this, an eyepiece
was required that only allowed a single observer to visualize
the abdominal cavity.
Despite these advances, it took a long time for more complex laparoscopic surgeries to be considered. Mühe performed the fi rst laparoscopic cholecystectomy in the
mid-1980s, several years after the development of video
laparoscopy [ 8 , 9 ]. The single most important invention that
allowed laparoscopic colorectal surgeries to be performed
was the laparoscopic stapler. This allowed the fi rst colorectal
procedures to be performed.
The fi rst laparoscopic colonic resection was a right hemicolectomy performed by Moises Jacobs in Miami, Florida, in
June of 1990. Dennis Fowler performed the fi rst laparoscopic
sigmoid resection in October of 1990. Joseph Uddo performed a laparoscopic colostomy closure on November 14,
1990 (anastomosis was constructed with a circular stapling
Development of Minimally Invasive Colorectal Surgery: History, Evidence, Learning Curve, and Current Adaptation
Kyle G. Cologne and Anthony J. Senagore
1
K. G. Cologne , MD (*)
Division of Colorectal Surgery , Keck Hospital of the University
of Southern California , Los Angeles , CA , USA
e-mail:
kyle.cologne@med.usc.edu
A. J. Senagore , MD, MS, MBA
Department of Surgery , Central Michigan University,
School of Medicine , Saginaw , MI , USA
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