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Hand-Assisted Left Colectomy

  • Steven Lee-Kong
  • Daniel L. FeingoldEmail author
Chapter

Abstract

The benefits of laparoscopic colectomy over open colectomy for colorectal disease including colon cancer have been firmly established by a number of prospective randomized-controlled trials. The hand-assisted technique offers additional advantages, making it a useful tool in the surgeon’s armamentarium. This chapter lays out the authors’ step-by-step systematic approach to hand-assisted left colectomy.

Keywords

Splenic Flexure Colorectal Anastomosis Energy Device Inferior Mesenteric Vein Omental Pedicle 
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 7.1

Hand-assisted left colectomy with focus on the IMA pedicle and anastomosis (MP4 84,362 kb)

Video 7.2

Hand-assisted left colectomy. Video by Sang Lee, MD (MP4 144,343 kb)

Video 7.3

Hand-assisted sigmoid colectomy for diverticulitis. Video by Sang Lee, MD (MPG 293,620 kb)

References

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    Clinical Outcomes of Surgical Therapy Study Group. A comparison of laparoscopically assisted and open colectomy for colon cancer. N Engl J Med. 2004;350:2050–9.CrossRefGoogle Scholar
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    Guillou PJ, Quirke P, Thorpe H, Walker J, Jayne DG, Smith AM, et al. Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicenter, randomized controlled trial. Lancet. 2005;365:1718–26.PubMedCrossRefGoogle Scholar
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    Marcello PW, Fleshman JW, Milsom JW, Read TE, Arnell TD, Birnbaum EH, Feingold DF, Lee SW, Mutch MG, Sonoda T, Yan Y, Whelan RL. Hand-assisted laparoscopic vs. laparoscopic colorectal surgery: a multicenter, prospective, randomized trial. Dis Colon Rectum. 2008;51(6):818–26.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  1. 1.Department of Surgery, New York Presbyterian HospitalColumbia UniversityNew YorkUSA

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