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Laparoscopic Proctocolectomy

  • David A. EtzioniEmail author
  • Tonia M. Young-Fadok
Chapter
  • 5.3k Downloads

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.

Keywords

Ulcerative Colitis Familial Adenomatous Polyposis Handsewn Anastomosis Ileoanal Pouch Permanent Ileostomy 
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 13.1

Cecal mobilization (MPG 10437 kb)

Video 13.2

Ascending colon mobilization (MPG 8330 kb)

Video 13.3

Upper rectal mobilization with identification of the left ureter (MPG 6445 kb)

Video 13.4

Left colon mobilization in a lateral-to-medial and counterclockwise fashion (MPG 6767 kb)

Video 13.5

Splenic flexure mobilization (counterclockwise) (MPG 6041 kb)

Video 13.6

Splenic flexure mobilization (clockwise) (MPG 8963 kb)

Video 13.7

Completions splenic flexure mobilization of the retroperitoneal attachments (MPG 16256 kb)

Video 13.8

Left side of the rectum mobilization (MPG 29725 kb)

Video 13.9

Mobilization of the distal rectum (MPG 6511 kb)

Video 13.10

Confirming proper orientation of the pouch prior to anastomosis (MPG 12645 kb)

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Division of Colon and Rectal SurgeryMayo Clinic College of MedicinePhoenixUSA

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