Overcoming Technical Challenges: The Abdomen

  • Eric K. JohnsonEmail author


Laparoscopic colectomy presents several challenges to the surgeon. There are many specific steps in a procedure that may be associated with difficulty and pitfalls. The goal of this chapter is to clearly define technical challenges associated with the abdominal portion of various laparoscopic colectomy procedures, outline strategies to deal with these challenges, and make the reader aware of potential pitfalls associated with these challenges. Often, these tasks will require the use of more than one described method to achieve the final goal.


Transverse Colon Splenic Flexure Laparoscopic Colectomy Inferior Mesenteric Artery Energy Device 
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Supplementary material

Video 18.1

This video shows how the hand can be useful during dissection and retraction (M4V 36624 kb)

Video 18.2

Division of vascular splenic flexure attachments is depicted in this video (M4V 29389 kb)

Video 18.3

Hepatic flexure mobilization and the approach to the transverse colon are depicted in this film (M4V 57232 kb)

Video 18.4

The proper use of advanced energy to divide the inferior mesenteric artery is shown (M4V 7566 kb)

Video 18.5

Division of the middle colic artery is shown with a stapling device. The technique depicted is incorrect and bleeding results. Corrective action is shown (M4V 81024 kb)

Video 18.6

Use of hand assistance to determine the presence of an anastomotic volvulus is shown (M4V 41127 kb)


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Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Uniformed Services University of the Health Sciences and Madigan Army Medical CenterJoint Base Lewis, McChordUSA

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