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Intraoperative Conversions in Minimally Invasive Colorectal Surgery

  • Matthew Skancke
  • Vincent ObiasEmail author
Chapter

Abstract

Minimally invasive colon and rectal surgery has evolved in parallel with case complexity, and while advances in technology mitigate some degrees of complexity, intraoperative conversion to a “more invasive” surgery is sometimes necessary. A misconception has arisen that deviation from the initially planned minimally invasive approach should be viewed with a negative light. Intraoperative conversion, however, is an efficacious adjunct in the surgeon’s armamentarium that provides added benefit to the patient when used judiciously. This manuscript focuses on the incidence of intraoperative conversion, optimizing a minimally invasive approach to decrease the incidence of conversion, identifying when conversion should be considered, and outlining techniques to maximize patient benefit when conversion is performed.

Keywords

Single-incision laparoscopy Intraoperative conversion Multi-port laparoscopy Adhesions Bleeding Visualization 

Notes

Acknowledgment

Disclosure statements:

Dr. Skancke has no conflicts of interest or financial ties to disclose.

Dr. Obias is a consultant for Intuitive Surgical, Inc.

Supplementary material

Video 11.1

(WMV 42430 kb)

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Copyright information

© Springer International Publishing AG 2018

Authors and Affiliations

  1. 1.Department of SurgeryThe George Washington University School of MedicineWashington, DCUSA
  2. 2.Division of Colon and Rectal Surgery, Department of SurgeryThe George Washington University School of MedicineWashington, DCUSA

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