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Operative Details of Laparoscopic Rectal Resection for Cancer

  • Martin R. WeiserEmail author
Chapter

Abstract

Laparoscopic proctectomy for cancer presents several technical challenges due to the bony confines of the pelvis, close proximity of adjacent structures, potential for large tumors, and limitations of currently available technology. By understanding the anatomy and utilizing a stepwise, reproducible technique, you can minimize the inherent difficulty and potential pitfalls associated with this procedure. In this chapter, I will describe a technique of laparoscopic proctectomy, highlight potential challenges you may encounter, and outline strategies to deal with them.

Keywords

Total Mesorectal Excision Inferior Mesenteric Artery Inferior Mesenteric Vein Sacral Promontory Endoscopic Stapler 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 10.1

Straight laparoscopic proctectomy. Video by Sang Lee, MD (MP4 111,301 kb)

Video 10.2

Laparoscopic transection of the distal rectum. Video by Brad Champagne, MD (MOV 17,720 kb)

References

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    Bipat S, Glas AS, Slors FJ, Zwinderman AH, Bossuyt PM, Stoker J. Rectal cancer: local staging and assessment of lymph node involvement with endoluminal US, CT, and MR imaging—a meta-analysis. Radiology. 2004;232:773–83.PubMedCrossRefGoogle Scholar
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    Paty PB, Nash GM, Baron P, et al. Long-term results of local excision for rectal cancer. Ann Surg. 2002;236:522–9.PubMedCentralPubMedCrossRefGoogle Scholar
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    Bretagnol F, Rullier E, George B, Warren BF, Mortensen NJ. Local therapy for rectal cancer: still controversial? Dis Colon Rectum. 2007;50:523–33.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of SurgeryMemorial Sloan Kettering Cancer CenterNew YorkUSA

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