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Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_1192_Библиотеки_им_академика_М_И_Перельмана

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Matthew P. Lungren Michael R.B. Evans
Editors
Clinical Medicine
Laparoscopic
Covertemplate
Colectomy
Subtitle for
A Step by Step Guide
Clinical Medicine Covers T3_HB
Sharon L. Stein
Second Edition
Regan R. Lawson
Editors
123
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Laparoscopic Colectomy
Sharon L. Stein • Regan R. Lawson
Editors
Laparoscopic Colectomy
A Step by Step Guide
Editors
Sharon L. Stein University Hospital Cleveland MedicalCenter Cleveland, OH USA
Regan R. Lawson Exponent Philadelphia, PA USA
ISBN 978-3-030-39557-5 ISBN 978-3-030-39559-9 (eBook)
https://doi.org/10.1007/978-3-030-39559-9
© Springer Nature Switzerland AG 2020 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on micro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. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specic statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, expressed or implied, with respect to the material contained herein or for any errors or omissions that may have been made. The publisher remains neutral with regard to jurisdictional claims in published maps and institutional afliations.
This Springer imprint is published by the registered company Springer Nature Switzerland AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
Preface
Minimally invasive surgery has become a standard approach to surgical prob­lems including colon and rectal surgery. While minimally invasive surgery provides signicant benets to the patient, appreciating the challenges of anatomy from a laparoscopic perspective has created new challenges for both educators and trainees. This book was designed specically to help equip new surgeons with the anatomical and technical knowledge to supplement hands­ on experience in minimally invasive colon and rectal surgery.
There are multiple colorectal surgeries which distinctly lend themselves to the use of the laparoscopic approach. To assist the junior surgeon who is embarking on a career in surgery, we enlisted the help of expert surgeons and educators in the eld of colon and rectal surgery from around the country to author the chapters included in this book. Our goal was to impart the mastery of these experts to help the junior surgeon optimize minimally invasive surgery.
We asked our authors to describe key elements of each surgery, including the order of surgery and when and how they created tension, rotated the patient, and optimized ow of the surgery. We turned to the adage “Skill comes from experience, but not all that experience needs to be yours.” In addition to the key elements of each surgery, the authors have provided the reader with tips and pitfalls to guide and warn the junior surgeon. These tips and pitfalls are the “trade secrets” that are not always explicitly presented when describing a surgical approach as they tend to be situational, not occur­ring in every surgery. It is our hope that the addition of such information, presented in separate text boxes, will arm junior surgeons with a diverse tool­kit in which to draw upon. Each chapter is also full of new illustrations to show the direction of traction, the line of dissection, and the anatomy of the colon and presents tools in a color-coded format to clearly distinguish between the surgeon and the assistant’s tools.
We hope that this book will be one that residents and junior attendings turn to often when mastering laparoscopic colon and rectal surgery– a book that conveys the experience of our talented authors and surgeons, as if they were in the room with you, guiding you through the surgery.
Cleveland, OH, USA SharonL.Stein Philadelphia, PA, USA ReganR.Lawson
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Acknowledgments
This book was an enormous effort and we would like to thank our authors for their time, experience, and expertise. It is not an easy task to translate the actions they engage in during their surgeries into text descriptions, and they have done tremendous and thoughtful work in presenting their approaches in a very accessible manner. We would also like to thank the illustrators who worked with us through multiple revisions in our attempt to provide you with the most informative representation of each surgery. We would like to thank our families and friends who supported us through this project, the challenges and triumphs. And we would like to thank each other for adding perspective and richness to this text and for the synergy that always seems to happen when we get together.
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Contents
1 Tools . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Kurt G. Davis and Lisa Coviello
2 Laparoscopic Right Colectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Raul M. Bosio and Sharon L. Stein
3 Laparoscopic Transverse Colectomy . . . . . . . . . . . . . . . . . . . . . . . 35
Govind Nandakumar and Tushar Samdani
4 Splenic Flexure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49
Kevin R. Kniery, Michael J. Mulcahy, and Scott R. Steele
5 Laparoscopic Sigmoid/Left Colectomy . . . . . . . . . . . . . . . . . . . . . 65
Todd D. Francone and Ron G. Landmann
6 Laparoscopic Proctectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 85
Jason S. Mizell
7 Abdominal Perineal Resection . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Bradley J. Champagne and Mark L. Manwaring
8 Subtotal Colectomy . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 125
Joshua I. S. Bleier and Skandan Shanmugan
9 Laparoscopic Proctocolectomy with the Construction
of an Ileal Pouch-Anal Anastomosis . . . . . . . . . . . . . . . . . . . . . . . 141
David B. Stewart
10 Laparoscopic Lysis of Adhesions and Bowel Obstruction . . . . . . 159
Meagan M. Costedio and Anthony L. DeRoss
11 Complications . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 171
Justin A. Maykel and Andrew T. Schlussel
Index . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 187
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Contributors
Joshua I. S. Bleier Department of Surgery, Division of Colon & Rectal Surgery, Perelman School of Medicine, Pennsylvania Hospital, Philadelphia, PA, USA
RaulM.Bosio Division of Surgery, ProMedica Health & Wellness Center, Sylvania, OH, USA
BradleyJ.Champagne Department of Surgery, Cleveland Clinic Fairview Hospital, Cleveland, OH, USA
MeaganM.Costedio Division of Colorectal Surgery, University Hospitals, Cleveland, OH, USA
Lisa Coviello Center for Colorectal Surgery, Tidewater Physicians Multi­specialty Group, Newport News, VA, USA
KurtG.Davis Section of Colon and Rectal Surgery, LSUHSC, LA, USA
Anthony L. DeRoss Pediatric Surgery, Cleveland Clinic, Cleveland, OH,
USA
ToddD.Francone Division of Colon & Rectal Surgery at Newton-Wellesley Hospital, Newton, MA, USA
KevinR. Kniery Department of Surgery, Madigan Army Medical Center, Tacoma, WA, USA
RonG.Landmann MD Anderson Cancer Center - Baptist Medical Center, Jacksonville, FL, USA
Colon and Rectal Surgery, Mayo Clinic, Jacksonville, FL, USA
Mark L. Manwaring Saint Thomas Medical Partners in Murfreesboro, Greenville, TN, USA
Justin A. Maykel Department of Colon and Rectal Surgery, University ofMassachusetts Medical School, Worcester, MA, USA
Jason S. Mizell University of Arkansas for Medical Sciences, Division ofColon and Rectal Surgery, Little Rock, AR, USA
MichaelJ.Mulcahy Tripler Army Medical Center, Honolulu, HI, USA
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Govind Nandakumar Department of Surgery, Weill Cornell Medical College NewYork, New York, NY, USA
Tushar Samdani Department of Surgery, Medstar Saint Mary’s Hospital, Leonardtown, MD, USA
AndrewT.Schlussel Division of Surgery, Madigan Army Medical Center, Tacoma, WA, USA
SkandanShanmugan Department of Surgery, Division of Colon & Rectal Surgery, Penn Presbyterian Medical Center, Philadelphia, PA, USA
Scott R. Steele Department of Colorectal Surgery, Digestive Disease andSurgery Institute, Cleveland Clinic, Cleveland, OH, USA
Sharon L. Stein Division of Colon and Rectal Surgery, Department of Surgery, University Hospital Cleveland Medical Center, Cleveland, OH, USA
David B. Stewart Colorectal Surgery, University of Arizona – Banner University Medical Center, Tucson, AZ, USA
Contributors
About the Editors
Content Editor and Contributing Author
Sharon L. Stein, M.D., is a board certied colon and rectal and general surgeon. She is Associate Professor of Surgery and the Murdough Master Clinician of Colon and Rectal Surgery at the University Hospital Cleveland Medical Center, Cleveland, Ohio. She serves as the Director of UH Research in Surgical Outcomes and Effectiveness (UH-RISES) and the Program Director of the Colon and Rectal Surgery Residency at university hospitals in Cleveland, OH.Dr. Stein has published over 100 articles, abstracts, and book chapters and is frequently invited to speak nationally and internationally about minimally invasive surgery. She is an active leader in multiple surgical societies including the American Society of Colon and Rectal Surgeons (ASCRS), American College of Surgeons, and Society of American Gastrointestinal and Endoscopic Surgeons and is the current President of the Association of Women Surgeons.
Educational Editor
Regan R. Lawson, Ph.D., has a doctorate in Applied Physiology with a focus on cognitive motor control and motor learning and Master of Arts in Secondary Science Education. She has spent over 25 years in the educational eld working with students of all ranges including undergraduate and gradu­ate neuroscience students. Her publications have focused on the motor learn­ing during prosthetic use. She has been invited to provide multiple lectures and presentations for neuroscience, science education, curriculum develop­ment, and teacher training. Regardless of the learner, her focus is on present­ing information in formats which capitalize on educational pedagogy and neuroscientic learning principles. She is an active member of the Society for Neuroscience and the Human Factors and Ergonomics Society. Dr. Lawson currently works at Exponent as a Human Factors Scientist providing consult­ing services in a variety of areas including those associated with improving how users learn to effectively and safely use a product.
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