Advertisement

Overcoming Technical Challenges: The Pelvis

  • M. Shane McNevinEmail author
Chapter
  • 5.3k Downloads

Abstract

With the advent of improved instrumentation and refinement of surgical technique, minimally invasive approaches to pelvic pathology are more commonplace. Working within the fixed pelvic space and adjacent to major vascular and pelvic anatomic structures makes laparoscopic pelvic surgery more challenging. Despite that, the same basic principles of exposure and precise anatomic definition common to both open and laparoscopic surgery are consistent. This chapter will review techniques for left colon mobilization, vascular division, and rectal dissection.

Keywords

Splenic Flexure Inferior Mesenteric Vein Hypogastric Nerve Superior Rectal Artery Rectal Dissection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Supplementary material

Video 19.1

Laparoscopic proctectomy and IPAA. Video by Bradley J. Champagne, MD (MP4 86,645 kb)

References

  1. 1.
    Greenblatt DY, Rajamanickam V, Pugely AJ, Heise CP, Foley EF, Kennedy GD. Short term outcomes after laparoscopic-assisted proctectomy for rectal cancer: results from the ACS NSQIP. J Am Coll Surg. 2011;212(5):844–54.PubMedCentralPubMedCrossRefGoogle Scholar
  2. 2.
    Lee SH, Lakhtaria P, Canedo J, Lee YS, Wexner SD. Outcome of laparoscopic rectopexy versus perineal rectosigmoidectomy for full thickness rectal prolapse in elderly patients. Surg Endosc. 2011;25(8):2699–702.PubMedCrossRefGoogle Scholar
  3. 3.
    Kiran RP, El-Gazzaz GH, Vogel JD, Remzi FH. Laparoscopic approach significantly reduces surgical site infections after colorectal surgery: data from national surgical quality improvement program. J Am Coll Surg. 2010;211(2):232–8.PubMedCrossRefGoogle Scholar
  4. 4.
    Nivatvongs S, Gordon PH. Surgical anatomy, principles and practice of surgery of the colon, rectum and anus. 3rd ed. 2007;Ch 1. p. 3–38.Google Scholar
  5. 5.
    Jorge JMN, Habr-Gama A. Anatomy and embryology, The ASCRS textbook of colon and rectal surgery. 2nd ed, 2011;Ch 1. p. 1–22.Google Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Sacred Heart HospitalSpokaneUSA

Personalised recommendations