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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