Techniques in Minimally Invasive Rectal Surgery 1st Edition by Alessio Pigazzi ISBN 3319163817 9783319163819

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ISBN 10:  3319163817
ISBN 13: 978-3319163819
Author:      Alessio Pigazzi

Techniques in Minimally Invasive Rectal Surgery 1st Table of contents:

Chapter 1: Training and Learning Curve in Minimally Invasive Rectal Surgery

• Introduction to Learning Curves in Minimally Invasive Surgery
• Creating a Learning Curve
• Differences in Minimally Invasive Colon and Rectal Surgery
• The Learning Curve for Specific Minimally Invasive Rectal Surgery Techniques
  • Laparoscopic Rectal Resection
  • Single-Incision Laparoscopic Surgery
  • Hand-Assisted Laparoscopic Surgery
  • Robotic-Assisted Laparoscopic Surgery
  • Future Directions
• Transanal Approaches
• Training in Minimally Invasive Rectal Surgery
• Conclusions

Chapter 2: Transanal Approaches: Transanal Endoscopic Surgery (TES)

• Introduction
• Indications and Contraindications
  • Benign Indications
  • Malignant Indications
    • T1 Rectal Cancer
    • T2 Rectal Cancer
• Preoperative Workup
• Operative Details
• Postoperative Care
• Possible Complications
• Implications of Prior TEM on Radical Resection
• Follow-Up
• Tips and Tricks
• Future Directions

Chapter 3: Transanal Approaches: Transanal Minimally Invasive Surgery (TAMIS)

• Introduction
• Indications and Contraindications
• Preoperative Workup
• Operative Details
• Postoperative Care
• Complications
• Follow-Up
• Tips and Tricks
• Conclusions

Chapter 4: Laparoscopic Procedures: Laparoscopic Low Anterior Resection

• Introduction
• Indications and Contraindications
• Preoperative Workup
• Operative Details
  • Equipment
  • Patient Positioning and Preparation
  • Instrument Positioning and Port Insertion
  • Approach to and Division of the Inferior Mesenteric Vessels
  • Mobilization of the Lateral Attachments of the Rectosigmoid and Descending Colon
  • Mobilization of the Splenic Flexure
  • Rectal Mobilization
  • Rectal Division
  • Specimen Extraction and Anastomosis
  • Port Site Closure and Ileostomy
• Postoperative Care
• Complications
• Follow-Up
• Tips and Tricks

Chapter 5: Laparoscopic Procedures: Single-Incision Laparoscopic Colorectal Surgery

• Background
• Access Platforms and Equipment
• Technical Pearls
• Patient Positioning
• Conduct of the Operation
  • SILS TME
  • Port Placement
• Discussion

Chapter 6: Laparoscopic Procedures: Laparoscopic Abdominoperineal Resection

• Introduction
  • The Evolution of APR
  • Extra-levator APR
  • Laparoscopic APR
  • Laparoscopic ELAPR
• Indications and Contraindications
  • Indications
  • Contraindications
• Preoperative Workup
• Operative Details
  • Setup
  • Abdominal Phase
  • Laparoscopic Pelvic Dissection
  • Perineal Phase
  • Reconstruction of the Perineum
  • Perineal Reconstruction Using Tissue Flap
  • Perineal Reconstruction Using Mesh
• Postoperative Care
• Possible Complications
  • Operative Complications
  • Postoperative Complications
• Follow-Up
• Tips and Tricks

Chapter 7: Robotic Low Anterior and Abdominoperineal Resection: Hybrid Technique

• Introduction
• Indications and Contraindications
• Preoperative Workup
• Operative Details
  • Operating Room Organization
  • Positioning
  • Port Placement and Docking
  • Laparoscopic Mobilization
  • Robotic TME
  • Anastomosis and Specimen Extraction
  • Creation of Ileostomy
  • Robotic Abdominoperineal Resection
• Postoperative Care
• Possible Complications
• Follow-Up
• Tips and Tricks

Chapter 8: Robotic Low Anterior Resection: Fully Robotic Technique

• Operative Details
  • Fully Robotic “Single-Stage” Technique
  • Fully Robotic “Dual-Stage” Technique
• Indications and Contraindications

Chapter 9: Minimally Invasive Techniques for Inflammatory Bowel Disease

• Introduction
• Definitions of Laparoscopic Procedures
• Indications and Contraindications
  • Indications
    • Ulcerative Colitis
    • Indeterminate Colitis
  • Relative Contraindications
  • Contraindications
• Preoperative Workup
• Operative Details
  • Positioning
  • Port Placement
  • Colectomy
  • Proctectomy
• Postoperative Care
• Possible Complications
• Conclusion
• Suggested Readings

Chapter 10: Natural Orifice Specimen Extraction in Laparoscopic Colorectal Surgery: Transanal Approach

• Introduction
• Preoperative Planning
• Surgical Procedure
• Complications
• Postoperative Management

Chapter 11: Natural Orifice Approaches in Rectal Surgery: Transanal Endoscopic Proctectomy

• Introduction
• Indications and Contraindications for Transanal Endoscopic Proctectomy
  • Benign Indications
  • Rectal Cancer
    • Tumor Stage
    • Tumor Location
    • Anatomic Factors
• Preoperative Workup
• Operative Details
  • Hybrid Procedures
  • Transanal Endoscopic Completion Proctectomy, Proctocolectomy, and APR
  • Transanal Endoscopic-Assisted Restorative Proctectomy
  • Robotic Transanal Dissection
• Postoperative Care
• Possible Complications
• Follow-Up
• Tips and Tricks
  • Procedural Training
  • Operating Teams
  • Smoke Evacuation
  • Anterior Dissection for a Very Low Rectal Tumor in a Male

Chapter 12: Minimally Invasive Surgery for Rectal Prolapse: Laparoscopic Procedures

• Introduction
• Current Laparoscopic Procedures for the Treatment of Rectal Prolapse
  • Suture Rectopexy
  • Frykman-Goldberg Procedure
  • Mesh Rectopexy
  • Laparoscopic Orr-Loygue Rectopexy
  • Laparoscopic Ventral Mesh Rectopexy
  • Laparoscopic Ripstein Technique
  • Wells’ Technique
  • Pelvic Organs Prolapse Suspension
  • Robotic Rectopexy

Chapter 13: Minimally Invasive Surgery for Rectal Prolapse: Robotic Procedures

• Introduction
• Outcomes of Robotic Surgery for Rectal Prolapse
  • Ventral Rectopexy
• Indications and Contraindications
• Preoperative Workup
• Operative Details
  • Positioning
  • Port Placement and Robotic Docking
  • Rectal Mobilization
  • Mesh Placement
• Postoperative Care
• Possible Complications
  • Recurrent Prolapse
  • Mesh Complications
  • Constipation
  • Fecal Incontinence
• Treatment of Recurrent Rectal Prolapse

Chapter 14: Minimally Invasive Procedures for Rare Rectal Conditions: Complex Rectourethral Fistula

• Introduction
• Indications and Contraindications
  • Rectourethral Fistula
  • Retrorectal Tumors
• Preoperative Workup (Includes Imaging)
• Operative Details (with Photos)
  • Rectourethral Fistula
  • Retrorectal Tumors
• Postoperative Care
  • Rectourethral Fistula
  • Retrorectal Tumors
• Possible Complications
  • Rectourethral Fistula
  • Retrorectal Tumors
• Follow-Up
  • Rectourethral Fistula
  • Retrorectal Tumors
• Tips and Tricks

Chapter 15: Minimally Invasive Procedures for Rare Rectal Conditions: Endometriosis

• Introduction
• Indications and Contraindications
• Preoperative Workup
• Postoperative Care
• Possible Complications
• Follow-Up
• Tips and Tricks

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