Abstract
Laparoscopic proctocolectomy is performed approximately 7,000 times per year in the United States, primarily for indications of ulcerative colitis, Crohn’s colitis, and familial adenomatous polyposis. The operation presents challenges, each of which can be overcome with careful preoperative planning and appropriate intraoperative maneuvers. In this chapter we review the decision-making and technical elements that are important to a successful operation.
“There are no big problems, there are just a lot of little problems.”
—Henry Ford
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Cecal mobilization (MPG 10437 kb)
Ascending colon mobilization (MPG 8330 kb)
Upper rectal mobilization with identification of the left ureter (MPG 6445 kb)
Left colon mobilization in a lateral-to-medial and counterclockwise fashion (MPG 6767 kb)
Splenic flexure mobilization (counterclockwise) (MPG 6041 kb)
Splenic flexure mobilization (clockwise) (MPG 8963 kb)
Completions splenic flexure mobilization of the retroperitoneal attachments (MPG 16256 kb)
Left side of the rectum mobilization (MPG 29725 kb)
Mobilization of the distal rectum (MPG 6511 kb)
Confirming proper orientation of the pouch prior to anastomosis (MPG 12645 kb)
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Etzioni, D.A., Young-Fadok, T.M. (2015). Laparoscopic Proctocolectomy. In: Ross MD FACS FASCRS, H., Lee MD, FACS, FASCRS, S., Mutch MD, FACS, FASCRS, M., Rivadeneira MD, MBA,FACS, FASCRS, D., Steele M.D., FACS, FASCRS, S. (eds) Minimally Invasive Approaches to Colon and Rectal Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1581-1_13
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DOI: https://doi.org/10.1007/978-1-4939-1581-1_13
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