Checklist for Patients and OR Team in Preparation for Laparoscopic Colorectal Surgery

  • Samuel Eisenstein
  • Alexis L. Grucela


Careful planning for laparoscopic colorectal surgery is the key to ensuring optimal patient outcomes. This begins long before the patient ever enters the operating room. Many postoperative complications can be prevented simply by risk stratifying patients prior to surgery and ensuring they are medically optimized. Patients should be educated as to what to expect from their surgery, and stoma marking and education should be performed. On the day of surgery, prior to incision, preoperative checklists should be employed. Regional anesthetic modalities should be considered, and venous thromboembolism prophylaxis should be administered based on preoperative risk. The antibiotic regimen and dosing schedule, positioning, and equipment setup should also be verified. Urinary catheterization is generally used for laparoscopic colorectal procedures, and ureteral stenting should be considered in select cases as a useful measure if the patient is high risk for a ureteral injury. By ensuring careful preparation and planning for laparoscopic colorectal surgery, complications can be avoided, and the patient experience can be improved dramatically.


Preoperative Checklist Risk assessment Stoma marking Patient education Regional anesthesia Venous thromboembolism Antibiotics Positioning Ureteral stent Time-out 


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Copyright information

© Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) 2020

Authors and Affiliations

  • Samuel Eisenstein
    • 1
  • Alexis L. Grucela
    • 2
  1. 1.University of California San Diego Health Systems, Department of Surgery, Division of Colon and Rectal SurgeryLa JollaUSA
  2. 2.New York University Langone Health, New York University, Department of Surgery, Division of Colon and Rectal SurgeryNew YorkUSA

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