Minimally Invasive Coloproctology

In this book, pioneers and distinguished masters of surgery describe novel minimally invasive colo- and anorectal procedures that have been developed in Asia but are of international applicability. The presented techniques are wide ranging in nature and relate to colon surgery, rectal surgery and the treatment of hemorrhoids, fistulas and chronic constipation. Each procedure is carefully described with the aid of high-quality color photographs and illustrations, drawing attention to many practical tips and tricks. In addition to the techniques themselves, state of the art technology is introduced that is now being applied clinically in China, Hong Kong, Asia-Pacific, and beyond. The book will enable readers both to grasp the concepts underlying these important new approaches and advances and to reproduce the techniques in their own surgical practice.

This text provides a clear, reproducible, step-by-step guide for each colorectal surgery operation. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. Each chapter includes both operative technical details as well as perioperative “tips and tricks” that the authors utilize in the management of these complex surgical patients. In addition, it addresses the optimal “next step” in dealing with more challenging situations such as pregnancy, emergent surgery, the elderly, and the obese patient. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with color illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, as well as key points of patient care inherent to that topic. Additionally, where appropriate, links to online or downloadable videos will give the reader an up-front look into technical aspects of traditional straight laparoscopic and hand-assisted minimally invasive surgery, as well as NOTES, transanal, robotic, single incision colectomy and combined laparoscopic-endoscopic resection. Minimally Invasive Approaches to Colon and Rectal Disease: Technique and Best Practices will be of great utility to colorectal, general and oncologic surgeons who want to learn or improve their minimally invasive skills in colorectal surgery. Furthermore, this text will be of particular interest to the surgeons-in-training, and the general and colorectal surgeon who is often called upon to manage a variety of colorectal surgery conditions through a minimally invasive approach.

​The first edition laid out the foundation with laparoscopic and robotic surgery utilizing the Da Vinci SI platform. Since then, many new advances in equipment and surgical techniques are becoming more popular. This second edition expands upon laparoscopic and endoscopic techniques and robotic surgery with the use of the new Da Vinci XI platform. This book bridges the gap between the practicing community of surgeons and the surgical innovators and provides a foundation for all classic and new techniques in minimally invasive colorectal surgery. By enhancing the surgical toolbox, the surgeon is able to progress from the novice to the master. Rather than describing the entire operative procedure by an individual author, this book compares operative steps of various technical difficulties throughout different chapters, thereby allowing the surgeon to tailor surgery to patient and surgeon`s own comfort level and experience. Chapters are written by a myriad of renowned experts in the field and discuss the major advances in advanced laparoscopic and endoscopic, robotic, and transanal minimally invasive surgical techniques. Great emphasis is placed on transanal total mesorectal excision (TaTME), which is dramatically changing the surgical approach to rectal resections. The second edition of Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery serves as a valuable resource to general surgeons, colon and rectal surgeons, minimally invasive surgeons, as well as residents and fellows.

This title encompass all current minimally invasive rectal procedures for a variety of benign and malignant indications and provides a compendium of the available data supporting each technique. Procedures are represented both photographically as well as through selected video clips. The video clips are hosted online and provide a valuable addition to the utility of the text. The text has a substantial pathologic emphasis delineating the conditions for which each technique is most suited. It includes established procedures such as laparoscopic proctectomy, but also describes novel approaches that are gaining the attention of professionals throughout the world, such as transanal endoscopic approaches that are being viewed as a bridge toward the natural orifice surgical interventions of the future. The first and only volume dedicated exclusively to advanced minimally invasive rectal surgery and will serve as a precious guide for professionals throughout the world.

This book examines the considerations, drawbacks, and advancements minimally invasive techniques have provided in the evaluation, management, and outcomes across a broad range of colorectal disease and procedures. For some readers of this book, a minimally invasive approach to colorectal disease may add a new dimension to the management of these patients. For others, it is the opportunity to learn helpful tips, specifics about a certain procedure, or to fine tune what has already become a routine part of their practice. Even if you have successfully overcome many of the technical challenges of minimally invasive surgery, the preoperative evaluation, perioperative decision-making, and management of postoperative complications can be demanding and consuming. Wherever you may be on this spectrum, Robotic Approaches to Colorectal Surgery is a useful resource to surgeons.

A concise, full-color, step-by-step guide to performing colorectal surgery This well-illustrated new book delivers succinct guidance on performing minimally invasive (laparoscopic and robotic) colon and rectal surgery, written primarily for an audience of general surgery residents and fellows in colorectal surgery and surgical oncology. The Handbook of Minimally Invasive Colorectal Surgery takes a high-yield, bulleted approach to describe how to get started with a procedure; how to perform common surgeries of the intestine, colon, and rectum; and how to manage common intraoperative problems in colorectal surgery. Alternatives to each step are discussed, along with common pitfalls and how to avoid them. Full-color illustrations and intraoperative images alongside narrated videos take readers step-by-step through the operations most often performed by general surgeons, colorectal surgeons, and surgical oncologists. This edition includes the latest innovations and procedures in minimally invasive and robotic colorectal surgery.

This book comprehensively covers minimally invasive laparoscopic and robotic surgical techniques suitable for use in abdominal operations. Chapters describe relevant techniques for abdominal wall reconstruction, esophageal, bariatric, hepatobiliary, and colorectal surgery. Detailed step-by-step procedural guidance is provided with relevant photographic illustrations. Techniques in Minimally Invasive Surgery is a vital resource for surgeons who perform minimally invasive gastrointestinal operations. The book is particularly addressed to trainees, fellows, and junior faculty.

This third edition text provides a completely revised and updated new version of this unique, modern, practical text that covers the strategic evaluation, specific approaches, and detailed management techniques utilized by expert colorectal surgeons caring for patients with complex problems–whether they result from underlying colorectal disease or from complications arising from previous surgical therapy. The format follows that of both a “how to” manual as well as an algorithm-based guide to allow the reader to understand the thought process behind the proposed treatment strategy. By making use of evidence-based recommendations, each chapter includes not only background information and diagnostic/therapeutic guidelines, but also provides a narrative by the author on his/her operative technical details and perioperative “tips and tricks” that they utilize in the management of these complex surgical challenges. Distinctive to this book, is the reliance on experts in the field including past presidents of the ASCRS, as well as multiple other national and internationally recognized surgeons, to lend their personal insight into situations where data may be more sparse, but individual and collective experience is paramount to making sound decisions and thereby optimizing patient outcomes. The text includes chapters on the assessment of risk and methods utilized to minimize perioperative complications. In addition, it incorporates sections covering the medical and surgical therapies for abdominal, pelvic and anorectal disease. Moreover, the technical challenges of managing complications resulting from the original or subsequent operations is addressed. The underlying focus throughout the text is on providing pragmatic and understandable solutions that can be readily implemented by surgeons of varying experience to successfully treat complex colorectal problems. However, it also goes beyond the technical aspects of colorectal surgery and includes special sections highlighting the essence of a surgeon; covering aspects involving the medical-legal, ethical, and economic challenges confronting surgeons. Throughout the text, each author provides an ongoing narrative of his/her individual surgical techniques along with illustrations and diagrams to “personally” take the reader through the crucial steps of the procedure, and key points of patient care inherent to that topic. Additionally, where appropriate, links to online videos give the reader an up-front look into technical aspects of colorectal surgery.