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Titlebook: Operative Techniques in Single Incision Laparoscopic Colorectal Surgery; Daniel P. Geisler,Deborah S. Keller,Eric M. Haas Book 2018 Spring

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Dissection Approaches,n laparoscopic surgery (SILS). As SILS is a means by which colorectal resections are performed, rather than a form of surgery in its own right, it is logical that SILS techniques mimic open surgical resection strategies. Therefore, this chapter places emphasis upon lateral-to-medial dissection appro
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High and Low Inferior Mesenteric Artery Ligation,igation should be performed before proceeding with its ligation. The decision requires technical, anatomic, and oncologic reasoning to inform the surgeon and will depend on the location and extent of disease that requires resection. Resection for colorectal cancer typically dictates the more extensi
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Mobilization of the Hepatic Flexure, be challenging in certain patient populations, such as the obese patients that had prior surgery in the right upper quadrant or patients with foreshortened mesentery or thick omentum. Given this, approaching the hepatic flexure in this stepwise fashion could help ensure a successful mobilization.
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Approaches to Splenic Flexure Mobilization,2013). Splenic flexure mobilization is an integral component of sigmoid, left colon, and rectal resections, and is required for total abdominal colectomy. A thorough understanding of the anatomy of the left upper quadrant, particularly its relation to the tail of the pancreas and spleen, is critical
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Intraoperative Conversions in Minimally Invasive Colorectal Surgery,mplexity, intraoperative conversion to a “more invasive” surgery is sometimes necessary. A misconception has arisen that deviation from the initially planned minimally invasive approach should be viewed with a negative light. Intraoperative conversion, however, is an efficacious adjunct in the surge
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