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Single-Access Laparoscopic Right Hemicolectomy

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Single-Access Laparoscopic Surgery

Abstract

Since the first laparoscopic colonic resection was reported in the early 1990s, laparoscopic colorectal surgery has evolved as skills, experience, and, not less important, technology have advanced tremendously.

Perfect standardization of the surgical technique, advanced instruments for dissection and coagulation, and modern laparoscopes with digital elaboration of the image have driven to a reduced number of ports and instruments needed. This trend toward making colorectal surgery more pleasing cosmetically has been further stimulated by the introduction of NOTES (natural orifice transluminal endoscopic surgery). However, the initial enthusiasm for this approach had to be faced with many drawbacks, particularly the requiring of an expensive and specialized equipment, longer operating time, extensive further training even for experienced laparoscopic surgeons, use of additional ports for introducing stapling devices, and also ethical issues concerning the access through the internal viscera or structures that have no direct relations to the targeted organ. As matters stand, NOTES colectomy probably has no clinical application.

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Correspondence to Cristiano Germano Sigismondo Hüscher .

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Hüscher, C.G.S. et al. (2014). Single-Access Laparoscopic Right Hemicolectomy. In: Pignata, G., Corcione, F., Bracale, U. (eds) Single-Access Laparoscopic Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-06929-6_8

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  • DOI: https://doi.org/10.1007/978-3-319-06929-6_8

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  • Online ISBN: 978-3-319-06929-6

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