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Laparoscopy, Robotics, and Endoscopy

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Abstract

Implementing new technology into practice offers unique benefits for both colorectal surgeons and patients. Technology may offer improved patient outcomes, reducing postoperative pain, scarring, recovery time, hospital length of stay, and health-care utilization. These benefits have been proven in laparoscopy. For appropriate patients, robotic technology can take surgery beyond the limits of the human hand. Advances such as ESD, EMR, and CLER allow the possibility of treating neoplasia through minimally invasive and endoscopic approaches, minimizing the physical and emotional impact of surgery. However, these advances may not be appropriate for all patients and come with a learning curve and a potentially significant increase in cost.

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Author information

Authors and Affiliations

  1. Division of Colorectal Surgery, Department of Surgery, University Hospitals Case Medical Center, Case Western Reserve University, Cleveland, OH, USA

    Deborah S. Keller MD

  2. Division of Colorectal Surgery, Department of Surgery, University Hospitals Case Medical Center, Case Western Reserve University, 11100 Euclid Avenue, 7 Lakeside, Cleveland, OH, 44106, USA

    Conor P. Delaney MD, MCh, PhD, FRCSI, FACS, FASCRS

Authors
  1. Deborah S. Keller MD
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  2. Conor P. Delaney MD, MCh, PhD, FRCSI, FACS, FASCRS
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Corresponding author

Correspondence to Conor P. Delaney MD, MCh, PhD, FRCSI, FACS, FASCRS .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Madigan Army Medical Center, Fort Lewis, WA, USA

    Scott R. Steele MD

  2. Division of Colorectal Surgery Department of Surgery, UMass Memorial Medical Center University of Massachusetts Medical School, Worcester, MA, USA

    Justin A. Maykel MD

  3. Division of Colon and Rectal Surgery Department of Surgery, Case Western Reserve University School of Medicine University Hospitals, Cleveland, OH, USA

    Bradley J. Champagne MD

  4. Division of Colon and Rectal Surgery Department of Surgery, Louisiana State University Health Science Center LSU School of Medicine, New Orleans, LA, USA

    Guy R. Orangio MD

Electronic supplementary material

Below is the link to the electronic supplementary material.

Hand-assisted laparoscopic colectomy (right colon) (Video by Scott R. Steele, MD) (M4V 305636 kb)

Hand-assisted laparoscopic colectomy (left colon) (Video by Scott R. Steele, MD) (MOV 597663 kb)

SILS right hemicolectomy (Video by Virgilio George, MD) (WMV 55422 kb)

SILS hand-position placement (Video by Virgilio George, MD) (WMV 54890 kb)

Endoscopic submucosal dissection (Video by Peter Marcello, MD) (WMV 5233 kb)

Combined laparoscopic endoscopic polypectomy and tissue apposition system (MPG 55503 kb)

Combined laparoscopic and endoscopic resection of a sigmoid colon polyp (MPG 6931 kb)

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Keller, D.S., Delaney, C.P. (2014). Laparoscopy, Robotics, and Endoscopy. In: Steele, S.R., Maykel, J.A., Champagne, B.J., Orangio, G.R. (eds) Complexities in Colorectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-9022-7_32

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