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Minimally Invasive Approaches to Colon and Rectal Disease pp 111–118Cite as

Operative Details of Laparoscopic Rectal Resection for Cancer

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Abstract

Laparoscopic proctectomy for cancer presents several technical challenges due to the bony confines of the pelvis, close proximity of adjacent structures, potential for large tumors, and limitations of currently available technology. By understanding the anatomy and utilizing a stepwise, reproducible technique, you can minimize the inherent difficulty and potential pitfalls associated with this procedure. In this chapter, I will describe a technique of laparoscopic proctectomy, highlight potential challenges you may encounter, and outline strategies to deal with them.

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References

  1. Bipat S, Glas AS, Slors FJ, Zwinderman AH, Bossuyt PM, Stoker J. Rectal cancer: local staging and assessment of lymph node involvement with endoluminal US, CT, and MR imaging—a meta-analysis. Radiology. 2004;232:773–83.

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Author information

Authors and Affiliations

  1. Department of Surgery, Memorial Sloan Kettering Cancer Center, 1275 York Avenue, New York, NY, 10065, USA

    Martin R. Weiser M.D.

Authors
  1. Martin R. Weiser M.D.
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Corresponding author

Correspondence to Martin R. Weiser M.D. .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery Department of Surgery, Temple University Health System, Philadelphia, Pennsylvania, USA

    Howard M. Ross MD FACS FASCRS

  2. Division of Colon and Rectal Surgery, Department of Surgery, Weill-Cornell Medical College, New York Presbyterian Hospital, New York, New York, USA

    Sang W. Lee MD, FACS, FASCRS

  3. Department of Surgery, Washington University School of Medicine, St. Louis, Missouri, USA

    Matthew G. Mutch MD, FACS, FASCRS

  4. North Shore-LIJ Health System, Huntington Hospital, Hofstra University School of Medicine, Huntington, New York, USA

    David E. Rivadeneira MD, MBA,FACS, FASCRS

  5. Department of Colon & Rectal Surgery, Madigan Army Medical Center, Olympia, Washington, USA

    Scott R. Steele M.D., FACS, FASCRS

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Straight laparoscopic proctectomy. Video by Sang Lee, MD (MP4 111,301 kb)

Laparoscopic transection of the distal rectum. Video by Brad Champagne, MD (MOV 17,720 kb)

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© 2015 Springer Science+Business Media New York

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Weiser, M.R. (2015). Operative Details of Laparoscopic Rectal Resection for Cancer. In: Ross MD FACS FASCRS, H., Lee MD, FACS, FASCRS, S., Mutch MD, FACS, FASCRS, M., Rivadeneira MD, MBA,FACS, FASCRS, D., Steele M.D., FACS, FASCRS, S. (eds) Minimally Invasive Approaches to Colon and Rectal Disease. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-1581-1_10

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  • DOI: https://doi.org/10.1007/978-1-4939-1581-1_10

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-1580-4

  • Online ISBN: 978-1-4939-1581-1

  • eBook Packages: MedicineMedicine (R0)

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