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Techniques in Minimally Invasive Rectal Surgery
Alessio Pigazzi
Editor
123
Techniques in Minimally Invasive Rectal Surgery
Editor
Techniques in Minimally Invasive Rectal Surgery
Editor
Alessio Pigazzi Division of Colon and Rectal Surgery University of California, Irvine Orange, CA, USA
Videos can also be accessed at http://link.springer.com/book/10.1007/978-3-319-16381-9.
ISBN 978-3-319-16380-2 ISBN 978-3-319-16381-9 (eBook) DOI 10.1007/978-3-319-16381-9
Library of Congress Control Number: 2017956212
© Springer International Publishing Switzerland 2018 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms 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 specific 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, express 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 affiliations.
Printed on acid-free paper
This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland

Contents

1 Training and Learning Curve in Minimally Invasive
Rectal Surgery ......................................................................................... 1
Deborah S. Keller and Eric M. Haas
2 Transanal Approaches: Transanal Endoscopic Surgery ..................... 17
Traci L. Hedrick and Joshua Bleier
3 Transanal Approaches: Transanal Minimally Invasive
Surgery (TAMIS) .................................................................................... 39
John P. Burke and Matthew R. Albert
4 Laparoscopic Procedures: Laparoscopic Low
Anterior Resection .................................................................................. 53
Skandan Shanmugan and Bradley J. Champagne
5 Laparoscopic Procedures: Single-Incision Laparoscopic
Colorectal Surgery .................................................................................. 73
Daniel P. Geisler and Deborah S. Keller
6 Laparoscopic Procedures: Laparoscopic Abdominoperineal
Resection .................................................................................................. 81
Jake D. Foster and Nader K. Francis
7 Robotic Low Anterior and Abdominoperineal Resection:
Hybrid Technique ................................................................................... 101
Mark H. Hanna and Alessio Pigazzi
8 Robotic Low Anterior Resection: Fully Robotic Technique ............... 115
Fabrizio Luca and Paolo Bianchi
9 Minimally Invasive Techniques for Inflammatory Bowel Disease ...... 131
Michael A. Valente and Tracy L. Hull
v
vi
10 Natural Orifice Specimen Extraction in Laparoscopic
Colorectal Surgery: Transanal Approach ............................................. 143
Morris E. Franklin Jr. and Miguel A. Hernández
11 Natural Orifice Approaches in Rectal Surgery:
Transanal Endoscopic Proctectomy ...................................................... 151
Uma M. Sachdeva and Patricia Sylla
12 Minimally Invasive Surgery for Rectal Prolapse:
Laparoscopic Procedures ....................................................................... 177
Pierpaolo Sileri, Luana Franceschilli, Ilaria Capuano, Federica Giorgi, and Gabriele Boehm
13 Minimally Invasive Surgery for Rectal Prolapse:
Robotic Procedures ................................................................................. 195
Joseph C. Carmichael and Zhobin Moghadamyeghaneh
14 Minimally Invasive Procedures for Rare Rectal Conditions:
Complex Rectourethral Fistulas and Retrorectal Tumors .................. 213
Alessio Vinci, Mark H. Hanna, and Alessio Pigazzi
15 Minimally Invasive Procedures for Rare Rectal Conditions:
Endometriosis .......................................................................................... 227
Vladimir Schraibman, Antonio Luiz de Vasconcellos Macedo, Marina Gabrielle Epstein, and Camila Campos Padovese
Contents
Index ................................................................................................................. 233

Contributors

Matthew R. Albert, M.D., F.A.C.S., F.A.S.C.R.S. Department of Colon & Rectal
Surgery, Center for Colon and Rectal Surgery, Florida Hospital, Orlando, FL, USA
Paolo Bianchi, M.D. Division of General and Minimally Invasive Surgery, Misericordia Hospital, Grosseto, Italy
Joshua Bleier, M.D., F.A.C.S., F.A.S.C.R.S. Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA
Gabriele Boehm, M.D. Department of Surgery, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
John P. Burke, Ph.D., F.R.C.S.I. Center for Colon & Rectal Surgery, Florida Hospital, Orlando, FL, USA
Ilaria Capuano, M.D. Department of Surgery, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
Joseph C. Carmichael, M.D.
Irvine, Orange, CA, USA
Bradley J. Champagne, M.D., F.A.C.S., F.A.S.C.R.S. Division of Colorectal Surgery, Department of Surgery, St. John Medical Center, Digestive Health Institute, Community Gastroenterology and Quality Center, Cleveland, OH, USA
Marina Gabrielle Epstein, M.D. Department of General and Gastric Surgery, Albert Einstein Hospital, São Paulo, SP, Brazil
Jake D. Foster Department of Surgery, Yeovil District Hospital NHS Foundation Trust, Somerset, UK
Luana Franceschilli, M.D. Department of Surgery, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
Department of Surgery, University of California,
vii
viii
Contributors
Nader K. Francis, Ph.D. Department of Surgery, Yeovil District Hospital NHS Foundation Trust, Somerset, UK
Morris E. Franklin Jr., M.D., F.A.C.S. Department of Minimally Invasive Surgery, Texas Endosurgery Institute, San Antonio, TX, USA
Daniel P. Geisler, M.D., F.A.S.C.R.S. Colorectal Physicians & Surgeons of Pennsylvania, Saint Vincent Health Center, Allegheny Health Network, Erie, PA, USA
Federica Giorgi, M.D. Department of Surgery, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
Eric M. Haas, M.D., F.A.C.S., F.A.S.C.R.S. Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, The University of Texas Medical School at Houston, Houston, TX, USA
Mark H. Hanna, M.D. Department of Surgery, University of California, Irvine, Orange, CA, USA
Traci L. Hedrick, M.D., M.S., F.A.C.S., F.A.C.R.S. Department of Surgery, University of Virginia Health System, Charlottesville, VA, USA
Miguel A. Hernández, M.D. Department of Minimally Invasive Surgery, Texas Endosurgery Institute, San Antonio, TX, USA
Tracy L. Hull, M.D., F.A.C.S., F.A.S.C.R.S. Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA
Deborah S. Keller, M.S., M.D. Colorectal Surgical Associates, LLP, Houston, TX, USA
Fabrizio Luca, M.D., F.A.S.C.R.S. Division of Digestive Surgery, European Institute of Oncology, Milan, Italy
Antonio Luiz de Vasconcellos Macedo, M.D.
Department of General and Gastric
Surgery, Albert Einstein Hospital, São Paulo, SP, Brazil
Zhobin Moghadamyeghaneh, M.D. Department of Surgery, University of California, Irvine, Orange, CA, USA
Camila Campos Padovese, M.D. Department of General and Gastric Surgery, Albert Einstein Hospital, São Paulo, SP, Brazil
Alessio Pigazzi, M.D., Ph.D. Division of Colon and Rectal Surgery, University of California, Irvine, Orange, CA, USA
Uma M. Sachdeva, M.D., Ph.D. Department of Surgery, Massachusetts General Hospital, Boston, MA, USA
Contributors
ix
Vladimir Schraibman, M.D., Ph.D. Department of General and Gastric Surgery, Albert Einstein Hospital, São Paulo, SP, Brazil
Skandan Shanmugan, M.D. Division of Colon and Rectal Surgery, Perelman School of Medicine, Pennsylvania Hospital, University of Pennsylvania, Philadelphia, PA, USA
Pierpaolo Sileri, M.D., Ph.D. Department of Surgery, University of Rome Tor Vergata, Policlinico Tor Vergata, Rome, Italy
Patricia Sylla, M.D., F.A.C.S., F.A.S.C.R.S. Division of Colorectal Surgery, Department of Surgery, Mount Sinai Hospital, Icahn School of Medicine, Massachusetts General Hospital, New York, NY, USA
Michael A. Valente, D.O., F.A.C.S., F.A.S.C.R.S. Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic, Cleveland, OH, USA
Alessio Vinci, M.D., Ph.D. Division of Colon and Rectal Surgery, Department of Surgery, University of California, Irvine, Orange, CA, USA
Chapter 1
Training and Learning Curve in Minimally Invasive Rectal Surgery
Deborah S. Keller and Eric M. Haas

Introduction to Learning Curves in Minimally Invasive Surgery

The learning curve is a graphical demonstration of the number of cases a surgeon must perform to become proficient.
When learning a new procedure, performance is expected to improve with experi­ence, and graphically plotting performance against experience produces a learning curve [1–3]. The concept of a learning curve, where inexperienced clinicians improve with increasing experience, is particularly fitting for minimally invasive surgery, which requires a high degree of special dexterity and technical skills, and learning has potentially dramatic implications [4, 5]. The learning curve is a graphic represen­tation of the individual surgeon’s experience performing a procedure versus outcome variables of clinical interest, such as operative time, postoperative complications, and conversion rates [6–9] (Fig. 1.1). A technically demanding technique, such as minimally invasive rectal resection, is often termed as having a “steep learning curve.” This term has been described as a misnomer, as complex techniques are more likely to have gradual learning curves, with small improvements in outcome associ­ated with each case, and expertise possible only after significant experience [4].
D.S. Keller, M.S., M.D. Colorectal Surgical Associates, LLP, Houston, TX, USA
E.M. Haas, M.D., F.A.C.S., F.A.S.C.R.S. ( Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, The University of Texas Medical School at Houston, 7900 Fannin Street, #2700, Houston, TX 77054, USA e-mail: ehaasmd@houstoncolon.com
A. Pigazzi (ed.), Techniques in Minimally Invasive Rectal Surgery, DOI 10.1007/978-3-319-16381-9_1
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1© Springer International Publishing Switzerland 2018