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Operative Techniques in Single Incision Laparoscopic Colorectal Surgery pp 9–18Cite as

Patient Selection and General Patient Considerations

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Abstract

Colon and rectal surgery has witnessed a vast increase in both the use of and subsequent publications about single-incision laparoscopic surgery (SILS). While single-incision surgery goes by several different names, it is important to keep in mind that when learning any new approach, the operative procedure (with regard to safety and outcomes) should remain the same. Although there is a learning curve that each surgeon must complete and overcome in order to become proficient, the patient should not suffer in the interim. With regard to colon and rectal surgery, special populations such as those with inflammatory bowel disease, diverticulitis, large tumors, and other inflammatory disorders may present technical challenges for open as well as other minimally invasive approaches. Therefore, it is especially important when selecting the operative approach to match it to the individual patient at hand, as well as being realistic about one’s technical expertise and experience with a particular procedure. In this chapter, we will highlight the unique challenges of single-incision surgery, discuss general patient selection and consideration issues, and examine how this approach relates to those particular cohorts such as those with inflammatory bowel disease and obesity.

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Author information

Authors and Affiliations

  1. Department of Surgery, Madigan Army Medical Center, Building 9040A Fitzsimmons Drive, Tacoma, WA, 98431, USA

    Jason Bingham MD

  2. Division of Colorectal Surgery, University Hospitals Case Medical Center, Case Western Reserve University, 11100 Euclid Avenue, Cleveland, OH, 44106, USA

    Scott R. Steele MD, FACS, FASCRS

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  1. Jason Bingham MD
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Correspondence to Jason Bingham MD .

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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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Lighted ureteric stent in the left ureter (Courtesy of Scott R. Steele, MD) (MP4 35428 kb)

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Bingham, J., Steele, S.R. (2018). Patient Selection and General Patient Considerations. 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_2

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  • DOI: https://doi.org/10.1007/978-3-319-63204-9_2

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