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Laparoscopic Colectomy in the Obese Patient

  • Arida Siripong
  • H. David VargasEmail author
Chapter

Abstract

Laparoscopic colectomy offers patients improved clinical outcomes and reduced morbidity when compared to open colectomy. However, challenges of this technique exist related to patient factors, pathologic factors, and clinical presentation. The obese patient represents one of the most challenging patient-related factors. Generally, as in open surgery, laparoscopic colectomy results in worse outcomes hallmarked by higher complication rates and increased operative times in this specific cohort, as well as the addition of higher conversion rates with a minimally invasive approach. However, when successfully performed, a minimally invasive approach will allow obese patients to benefit in both the perioperative and recovery periods. The following chapter will identify the relevant technical issues and provide specific practical tips for the successful performance of laparoscopic colectomy in the obese patient.

Keywords

Obese Patient Visceral Adipose Tissue Laparoscopic Colectomy Left Colectomy Hand Port 
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 29.1

Patient positioning (MP4 14050 kb)

Video 29.2

Securing the patient to the table (WMV 36693 kb)

Video 29.3

Dissection of the IMA with an energy device (WMV 141748 kb)

Video 29.4

Uterine sling (WMV 63333 kb)

Video 29.5

Laparoscopic pelvic dissection and colonic J-pouch (WMV 431092 kb)

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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Colon and Rectal SurgeryOchsner ClinicNew OrleansUSA

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