Overcoming Technical Challenges: The Pelvis

  • M. Shane McNevinEmail author


With the advent of improved instrumentation and refinement of surgical technique, minimally invasive approaches to pelvic pathology are more commonplace. Working within the fixed pelvic space and adjacent to major vascular and pelvic anatomic structures makes laparoscopic pelvic surgery more challenging. Despite that, the same basic principles of exposure and precise anatomic definition common to both open and laparoscopic surgery are consistent. This chapter will review techniques for left colon mobilization, vascular division, and rectal dissection.


Splenic Flexure Inferior Mesenteric Vein Hypogastric Nerve Superior Rectal Artery Rectal Dissection 
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Supplementary material

Video 19.1

Laparoscopic proctectomy and IPAA. Video by Bradley J. Champagne, MD (MP4 86,645 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Sacred Heart HospitalSpokaneUSA

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