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Intraoperative Conversions in Minimally Invasive Colorectal Surgery

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Book cover Operative Techniques in Single Incision Laparoscopic Colorectal Surgery

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Abstract

Minimally invasive colon and rectal surgery has evolved in parallel with case complexity, and while advances in technology mitigate some degrees of complexity, intraoperative conversion to a “more invasive” surgery is sometimes necessary. A misconception has arisen that deviation from the initially planned minimally invasive approach should be viewed with a negative light. Intraoperative conversion, however, is an efficacious adjunct in the surgeon’s armamentarium that provides added benefit to the patient when used judiciously. This manuscript focuses on the incidence of intraoperative conversion, optimizing a minimally invasive approach to decrease the incidence of conversion, identifying when conversion should be considered, and outlining techniques to maximize patient benefit when conversion is performed.

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Acknowledgment

Disclosure statements:

Dr. Skancke has no conflicts of interest or financial ties to disclose.

Dr. Obias is a consultant for Intuitive Surgical, Inc.

Author information

Authors and Affiliations

  1. Department of Surgery, The George Washington University School of Medicine, Washington, DC, USA

    Matthew Skancke MD

  2. Division of Colon and Rectal Surgery, Department of Surgery, The George Washington University School of Medicine, Washington, DC, USA

    Vincent Obias MD, MS

Authors
  1. Matthew Skancke MD
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  2. Vincent Obias MD, MS
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Corresponding author

Correspondence to Vincent Obias MD, MS .

Editor information

Editors and Affiliations

  1. Saint Vincent Health Center, Colorectal Physicians & Surgeons of Saint Vincent Health Center, ERIE, USA

    Daniel P. Geisler

  2. Dept of Surg, Div of Colorectal Sur, Penn State Hershey Med Cntr Dept of Surg, Div of Colorectal Sur, Hershey, Pennsylvania, USA

    Deborah S. Keller

  3. Division of Minimally Invasive Colon and Rectal Surgery, Colorectal Surgical Associates LLP LTD Department of Surgery, Houston, Texas, USA

    Eric M. Haas

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Skancke, M., Obias, V. (2018). Intraoperative Conversions in Minimally Invasive Colorectal Surgery. In: Geisler, D., Keller, D., Haas, E. (eds) Operative Techniques in Single Incision Laparoscopic Colorectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-63204-9_11

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  • DOI: https://doi.org/10.1007/978-3-319-63204-9_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-63202-5

  • Online ISBN: 978-3-319-63204-9

  • eBook Packages: MedicineMedicine (R0)

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