Indications and Contraindications

  • Jeffrey W. Milsom
  • Bartholomäus Böhm


This chapter outlines the principal indications and contraindications for laparoscopic surgery to treat diseases of the small intestine, the colon, and the rectum. Indications and contraindications may vary somewhat depending on the laparoscopic team’s experience and the patient being treated. Nonetheless, this chapter should be a helpful guide to surgeons at all levels of experience in laparoscopic surgery.


Laparoscopic Surgery Diverticular Disease Rectal Prolapse Laparoscopic Technique Laparoscopic Colorectal Surgery 
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.


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  1. 1.
    Safran D, Sgambati S, Orlando R III. Laparoscopy in high-risk cardiac patients. Gynecol Obstet. 1993; 176: 548–554.Google Scholar
  2. 2.
    Franklin ME, Dorman JP, Pharand D. Laparoscopic surgery in acute small bowel obstruction. Surg Laparosc Endosc. 1994; 4: 289–296.PubMedCrossRefGoogle Scholar
  3. 3.
    Sacclarides Ti, Ko ST, Airan M. Laparoscopic removal of a large colonic lipoma. Report of a case. Dis Colon Rectum. 1991; 34: 1027–1029.Google Scholar
  4. 4.
    Pezim ME, Nicholls RJ. Survival after high or low ligation of the interior mesenteric artery during curative surgery for rectal cancer. Ann Surg. 1984; 200: 729–733.PubMedCrossRefGoogle Scholar
  5. 5.
    Hojo K, Vernava AM, Sugihara K, Katumata K. Preservation of urine voiding and sexual function after rectal cancer surgery. Dis Colon Rectum. 1991; 34: 532–539.PubMedCrossRefGoogle Scholar
  6. 6.
    Enker WE, Laffer UT, Block GE. Enhanced survivial of patients with colon and rectal cancer based upon wide anatomic resection. Ann Surg. 1979; 190: 350–360.PubMedCrossRefGoogle Scholar
  7. 7.
    Goligher JC. Surgery of Anus, Rectum, and Colon. London: Bailliere Tindall, 1984.Google Scholar
  8. 8.
    Daly JM, Cady B. Atlas of Surgical Oncology. St. Louis, Mo.: Mosby Year Book; 1993: 455–600.Google Scholar
  9. 9.
    Stearns MW, Scottenfeld D. Techniques for the surgical management of colon cancer. Cancer. 1971; 28: 165–169.PubMedCrossRefGoogle Scholar
  10. 10.
    Turnbull RB, Kyle K, Watson FR, Spratt J. Cancer of the colon: the influence of the no-touch isolation technic on survial rates. Ann Surg. 1967; 166: 420–427.PubMedCrossRefGoogle Scholar
  11. 11.
    Dixon AR, Maxwell WA, Holmes TJ. Carcinoma of the rectum: a 10-year experience. Br J Surg. 1991; 78: 308–311.PubMedCrossRefGoogle Scholar
  12. 12.
    Sugarbaker PH, Corlew S. Influence of surgical techniques on survival in patients with colorectal cancer. Dis Colon Rectum. 1982; 25: 545–557.PubMedCrossRefGoogle Scholar
  13. 13.
    Jacobs M, Verdeja JC, Goldstein HS. Minimally invasive colon resection (laparoscopie colectomy). Surg Laparosc Endosc. 1991; 1: 144–150.PubMedGoogle Scholar
  14. 14.
    Monson JRT, Darzi A, Carey PD, Guillou Pi. Prospective evaluation of laparoscopic-assisted colectomy in an unselected group of patients. Lancet. 1992; 340: 831–833.PubMedCrossRefGoogle Scholar
  15. 15.
    Phillips EH, Franklin M, Carroll BJ, Fallas Mi, Ramos R, Rosenthal D. Laparoscopie colectomy. Ann Surg. 1992; 216: 703–707.PubMedCrossRefGoogle Scholar
  16. 16.
    Scott KW, Grace RH. Detection of lymph node metastases on colorectal carcinoma before and after fat clearance. Br J Surg. 1989; 76: 1165–1167.PubMedCrossRefGoogle Scholar
  17. 17.
    Milsom JW, Böhm B, Decanini C, Fazio VW. Laparoscopie oncologie proctosigmoidectomy with colorectal anastomosis. Surg Endosc. 1994; 8: 1117–1123.PubMedCrossRefGoogle Scholar
  18. 18.
    Decanini C, Milsom JW, Böhm B, Fazio VW. Laparoscopie oncologie abdominoperineal resection. Dis Colon Rectum. 1994; 37: 552–558.PubMedCrossRefGoogle Scholar
  19. 19.
    Cava A, Roman J, Gonzalez Quintela A, Martin F, Aramburo P. Subcutaneous metastasis following laparoscopy in gastric adenocarcinoma. Eur J Surg Oncol 1990;16:63 —67.Google Scholar
  20. 20.
    Walsh DCA, Wattchow DA, Wilson TG. Subcutaneous metastases after laparoscopic resection of malignancy. Austr J Obstet Gynaecol. 1993; 63: 563–565.Google Scholar
  21. 21.
    Clair DG, Lautz DB, Brooks DC. Rapid development of umbilical metastases after laparoscopic cholecystectomy for unsuspected gallbladder carcinoma. Surgery. 1993; 113: 355–358.PubMedGoogle Scholar
  22. 22.
    Landen SM. Laparoscopic surgery and tumorseeding. Surgery. 1993; 114: 131–132.PubMedGoogle Scholar
  23. 23.
    Miralles RM, Petit J, Gine L, Balaguero L. Metastatic cancer spread at the laparoscopic puncture site. Report of a case in a patient with carcinoma of the ovary. Case report. Eur J Gynaecol Oncol. 1989; 10: 442–444.PubMedGoogle Scholar
  24. 24.
    Wexner SD, Johansen OB, Nogueras JJ, Jagelman DG. Laparoscopic total abdominal colectomy. Dis Colon Rectum. 1992; 35: 651–655.PubMedCrossRefGoogle Scholar
  25. 25.
    Wexner SD, Cohen SM, Johansen OB, Nogueras JJ, Jagelman DG. Laparoscopic colorectal surgery: a prospective assessment and current perspective. Br J Surg. 1993; 80: 1602–1605.PubMedCrossRefGoogle Scholar
  26. 26.
    Watts JD, Rothenberger DA, Buts JC, Golberg S, Nivatvongs S. The management of procidentia. Dis Colon Rectum. 1985; 28: 96–102.PubMedCrossRefGoogle Scholar
  27. 27.
    Duthie GS, Bartolo DCC. Abdominal rectopexy for rectal prolapse: a comparison of techniques. Br J Surg. 1992; 79: 107–113.PubMedCrossRefGoogle Scholar
  28. 28.
    Sayfan J, Pinho M, Alexander-Williams J, Keighley MRB. Sutured posterior abdominal rectopexy with sigmoidectomy compared with Marlex rectopexy for rectal prolapse. Br J Surg. 1990; 77: 143–145.PubMedCrossRefGoogle Scholar
  29. 29.
    Ejerblad S, Krause U. Repair of rectal prolapse by rectosacral suture fixation. Acta Chir Scand. 1988; 154: 103–105.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1996

Authors and Affiliations

  • Jeffrey W. Milsom
    • 1
  • Bartholomäus Böhm
    • 2
  1. 1.Section of Colorectal Surgery Research, Department of Colorectal SurgeryThe Cleveland Clinic FoundationClevelandUSA
  2. 2.Universitätsklinik und Poliklinik für ChirurgieUniversitätsklinikums CharitéBerlinGermany

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