By Danny M. Takanishi MD, Fabrizio Michelassi MD (auth.), Carol E. H. Scott-Conner MD, PhD (eds.)
Colorectal surgical procedure is a rapidly-evolving surgical box. cutting edge techniques, together with complicated endoscopy and minimally invasive surgical procedure, are permitting surgeons to provide sufferers ever-improving treatments and higher surgical results than ever prior to. because the final variation of the whole quantity of Chassin’s Operative suggestions more often than not surgical procedure, laparoscopic colon surgical procedure has turn into the recent ordinary of care in lots of surgical facilities. hence, for Chassin’s Operative ideas in Colon and Rectal surgical procedure, we have now extra 4 new, formerly unpublished chapters to this new volume:
- laparoscopic correct hemicolectomy and laparoscopic left hemicolectomy;
- laparoscopic stoma building and closure;
- laparoscopic abdominoperineal resection; and
- total proctocolectomy with finish ileostomy.
These new chapters give you the reader with the newest recommendations in colorectal surgical procedure. as well as the transparent, finished textual content, those new chapters are more suitable through fifty two lavish new illustrations. whereas the textual content presents the reader a with transparent, step by step directions, the illustrations give you the visible orientation so very important to each surgeon's pre-operative preparations.
Read or Download Chassin’s Operative Strategy in Colon and Rectal Surgery PDF
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Extra resources for Chassin’s Operative Strategy in Colon and Rectal Surgery
Example text
Align the ileum and colon side by side and with heavy scissors excise a triangular 8 mm wedge from the antimesenteric margins of both ileum and colon (Fig. 2–18). Insert one of the two forks of the cutting linear stapling instrument into the lumen of the ileum and the other into the colon, hugging the antimesenteric border of each (Fig. 2–19). Neither segment of intestine should be stretched, as it may result in excessive thinning of the bowel, leaving inadequate substance for the staples to grasp.
Cancer 1993;71:3690. 50. Minsky BD. Sphincter preservation in rectal cancer. Preoperative radiation therapy followed by low anterior resection with coloanal anastomosis. Semin Radiat Oncol 1998;8:30. 51. Mendenhall WM, Bland KI, Copeland EM III, et al. Does preoperative radiation therapy enhance the probability of local control and survival in high-risk distal rectal cancer? Ann Surg 1992;215:696. 52. Vauthey JN, Marsh RW, Zlotecki RA, et al. Recent advances in the treatment and outcome of locally advanced rectal cancer.
Sepsis in the subhepatic, subphrenic, or pelvic areas is an occasional complication of anastomoses of the colon, even in the absence of leakage. CT of the abdomen generally provides the diagnosis, and percutaneous drainage is usually successful. Wound infection requires prompt removal of all overlying skin sutures to permit wide drainage of the entire infected area. REFERENCES Furstenberg S, Goldman S, Machado M, Jarhult J. Minilaparotomy approach to tumors of the right colon. Dis Colon Rectum 1998;41:997.