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Difficult Laparoscopic Rectal Dissection

  • Deborah S. Keller
  • Scott R. Steele
  • Daniel P. Geisler
Chapter

Abstract

Pelvic surgery brings about additional potential difficulties due to the fixed bony pelvis and the adjacent vascular, neurologic, and genitourinary structures. Further, patient- and disease-related factors such as large tumors, obesity, prior radiation, inflammation, and recurrent disease make a laparoscopic approach technically demanding. Here we will review how to approach the rectal dissection via minimally invasive surgery.

Keywords

Laparoscopy Rectal Proctectomy 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Deborah S. Keller
    • 1
  • Scott R. Steele
    • 2
    • 3
  • Daniel P. Geisler
    • 4
  1. 1.Department of SurgeryNew York-Presbyterian, Columbia University Medical CenterNew YorkUSA
  2. 2.Case Western Reserve University School of MedicineClevelandUSA
  3. 3.Department of Colorectal SurgeryCleveland ClinicClevelandUSA
  4. 4.NewYork-Presbyterian/Columbia, Department of Colorectal SurgeryNew YorkUSA

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