By William C S Meng, Hester Y S Cheung, David T Y Lam, Simon S M Ng
In this booklet, pioneers and unusual masters of surgical procedure describe novel minimally invasive colo- and anorectal methods which were built in Asia yet are of foreign applicability. The provided strategies are extensive ranging in nature and relate to colon surgical procedure, rectal surgical procedure and the remedy of hemorrhoids, fistulas and persistent constipation. every one strategy is thoroughly defined by means of top of the range colour pictures and illustrations, drawing realization to many sensible counsel and methods. as well as the innovations themselves, state-of-the-art expertise is brought that's now being utilized clinically in China, Hong Kong, Asia-Pacific, and past. The ebook will let readers either to know the strategies underlying those vital new ways and advances and to breed the concepts of their personal surgical practice.
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Extra resources for Minimally Invasive Coloproctology: Advances in Techniques and Technology
Colorectal Dis. 2010;12(4):287–95. 5. Chung CC, Ng DC, Tsang WW, et al. Hand-assisted laparoscopic versus open right colectomy: a randomized controlled trial. Ann Surg. 2007;246(5):728–33. 6. Tjandra JJ, Chan MK, Yeh CH. Laparoscopic- vs. hand-assisted ultralow anterior resection: a prospective study. Dis Colon Rectum. 2008;51(1):26–31. 7. 俞金龙, 黄宗海, 吴爱国, 等. 直接手助腹腔镜与开 腹直肠癌根治的疗效比 较. 世界华人消化杂志. 2007;15(15):1769–71. 8. 申占龙, 王秋生, 刘隆, 等. 腹腔镜辅助或手助结直 肠癌根治术. 中国微创外 科杂志. 2006;6(7):513–5. 9. 黄元媛, 黄宗海, 俞金龙, 等.
The wound for the hand port can be flexibly used for dissection and ligation of mesocolic vessels under direct vision. Attention should be paid to the following: Fig. 1 Port insertion • The insufflation channel on the hand port is akin to a big trocar. J. L. Liu 30 triangulation with the laparoscope and other instruments. • The hand port incision should not be too close to the operative site in order to avoid the forearm from obstructing the view. When deciding on where to make the hand port site, consideration should be made to the possibility of conversion.
This chapter focuses on the technique and evidence of SILS colectomy. 2 Patient Selection and Preoperative Preparation Patient selection criteria are similar to that of CLS. Studies have shown body mass index (BMI) of over 25 kg/m2 could increase SILS difficulty [11–13], although studies have shown SILS is still feasible for patients with BMI up to 40 kg/m2 . For SILS, the size of the lesion should not exceed 4 cm, as beyond that, a larger incision has to be used to retrieve the specimen and hence the benefit of SILS diminished.
Minimally Invasive Coloproctology: Advances in Techniques and Technology by William C S Meng, Hester Y S Cheung, David T Y Lam, Simon S M Ng