Abstract
Laparoscopic intervention for colorectal emergencies depends on both patient and surgeon factors. While mainly used for surgery complications of diverticulitis and cancer, a wide spectrum of applications is possible. Emergent laparoscopic colorectal surgery is safe and feasible in many cases, and permits exploration while limiting incision size, reducing overall morbidity. The ultimate success of emergent laparoscopic colorectal surgery lies in proper patient selection. In this chapter, we address the trends in utilization, indications, technical considerations, and pitfalls of emergent laparoscopic colorectal resection.
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Laparoscopic takedown of adhesions (MOV 22,517 kb)
Primary colorrhaphy of an acute colonoscopic perforation (MOV 78,696 kb)
Laparoscopic lavage for acute perforated diverticulitis (Hinchey 3). Lavage is performed in all four quadrants including perihepatic, perisplenic, right and left gutters, and pelvis. Often occult fluid collections are identified and attended to in this process. The diverticular perforation is walled off, but was successfully visualized. Occult fluid collections are identified after gently teasing of tissues around the perforation site (MOV 154,602 kb)
Laparoscopic evaluation and lysis of adhesions for a small bowel obstruction, Video by Toyooki Sonoda, MD (MP4 142,359 kb)
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Pedraza, R., Haas, E.M. (2015). Emergent Laparoscopic Colorectal Surgery. 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_27
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DOI: https://doi.org/10.1007/978-1-4939-1581-1_27
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