Abstract
We began applying laparoscopic techniques to colon and rectal surgery at the Cleveland Clinic Florida over 25 years ago. During those years, we have refined our approach and for many years have routinely employed minimally invasive techniques for proctectomy for rectal cancer. Our operative planning begins with a thorough preoperative assessment which includes a rectal cancer protocol synoptic report, pelvic MRI, and endoscopy to locally stage the tumor as well as a CT of the chest, abdomen and pelvis. All patients meet with an enterostomal therapy nurse for counseling and stoma marking as well as a colorectal nurse for preoperative education. All patients undergo a mechanical cathartic and oral and parenteral bowel prep.
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Wexner, S., Osborne, M. (2017). Surgical Technique and Difficult Situations from Steven Wexner (Laparoscopic). In: Korenkov, M., Germer, CT., Lang, H. (eds) Gastrointestinal Operations and Technical Variations. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49878-1_49
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DOI: https://doi.org/10.1007/978-3-662-49878-1_49
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