General Technical Recommendations for Difficult Laparoscopic Cases

  • Andrew Godwin
  • David E. RivadeneiraEmail author


The surgeon will most likely encounter challenging and difficult cases, and this may occur with either open or laparoscopic approaches. Laparoscopy with its limited optical view, diminished tactile sensation, retraction/exposure difficulties, and instrument limitations can present significant obstacles for the surgeon during a difficult surgical situation. In this chapter we discuss several important steps the surgeon can take to improve the laparoscopic approach in difficult scenarios.


Laparoscopy Minimally invasive Complex Difficult 

Suggested Reading

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    Lee S, Ross H, Rivadeneira DE, Steele S, Feingold D. Advanced colonoscopy and endoluminal surgery. Cham: Springer; 2017.CrossRefGoogle Scholar
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    Ross H, Lee S, Mutch M, Rivadeneira D, Steele SR. Minimally invasive approaches to colon and rectal disease: technique and best practices. New York: Springer Publishing; 2015.Google Scholar
  3. 3.
    Ross H, Lee S, Champagne B, Pigazzi A, Rivadeneira DE. Robotic colorectal surgery. New York: Springer Publishing; 2015.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  1. 1.Northwell Health-Lenox Hill HospitalNew YorkUSA
  2. 2.Surgical Strategic InitiativesNorthwell HealthNew Hyde ParkUSA
  3. 3.Surgical Services and Colorectal SurgeryHuntington HospitalHuntingtonUSA
  4. 4.Hofstra University-Northwell School of MedicineHempsteadUSA

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