Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery

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1 Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery

2

3 Ovunc Bardakcioglu Editor Advanced Techniques in Minimally Invasive and Robotic Colorectal Surgery

4 Editor Ovunc Bardakcioglu, MD, FACS, FASCRS Division of Colon and Rectal Surgery Department of Surgery University of Nevada School of Medicine Las Vegas, NV USA All text boxes (Tips and Caveats) are written by Dr. Ovunc Bardakcioglu Videos to this book can be accessed at ISBN ISBN (ebook) DOI / Springer New York Heidelberg Dordrecht London Library of Congress Control Number: Springer Science+Business Media New York 2015 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. Exempted from this legal reservation are brief excerpts in connection with reviews or scholarly analysis or material supplied specifically for the purpose of being entered and executed on a computer system, for exclusive use by the purchaser of the work. Duplication of this publication or parts thereof is permitted only under the provisions of the Copyright Law of the Publisher's location, in its current version, and permission for use must always be obtained from Springer. Permissions for use may be obtained through RightsLink at the Copyright Clearance Center. Violations are liable to prosecution under the respective Copyright Law. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. While the advice and information in this book are believed to be true and accurate at the date of publication, neither the authors nor the editors nor the publisher can accept any legal responsibility for any errors or omissions that may be made. The publisher makes no warranty, express or implied, with respect to the material contained herein. Printed on acid-free paper Springer is part of Springer Science+Business Media (

5 To my father, my fi rst mentor and most talented surgeon I know. O.B.

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7 Foreword Numerous colorectal textbooks have been authored, which generally include both open and minimally invasive approaches. This textbook, Advanced Techniques in Minimal Invasive and Robotic Colon and Rectal Surgery, is unique in that Dr. Ovunc Bardakcioglu has deftly amalgamated an impressive array of accomplished authors to meticulously review the gamut of minimally invasive approaches to colorectal disease. I am unaware of any other publication which so thoroughly and comprehensively addresses this exciting new arena. Furthermore, Dr. Bardakcioglu has managed to include a compendium of contents allowing the reader to share the data and information from a myriad of acknowledged content experts. Dr. Bardakcioglu has included an adequate number of chapters to deliberately offer the requisite amount of overlap for emphasis but avoid creating subject redundancy in the volume. The chapters are written in a very user-friendly, easy-to-review, and clinically relevant approach; the illustrated and descriptive operative steps and videos facilitate comprehension of the content. I highly commend Advanced Techniques in Minimally Invasive and Robotic Colon and Rectal Surgery to any surgeon who practices these techniques as well as to surgical residents and medical students who are in the process of acquiring these skills. I am also optimistic that after reading these chapters, this book will provide a resource with which to periodically refresh one s knowledge. I wish to congratulate Dr. Bardakcioglu for his tremendous artistry in creating the concept and expertly executing the work. Artistry because he has woven the fabric of this textbook into a beautifully blended product, a feat that is not necessarily easy when the individual contributory elements are authored by a myriad of people using a plethora of writing and illustrative styles. The end result of his labors is that this book is indeed very impressive and as such highly recommended. Weston, FL Steven D. Wexner, MD, PhD, FACS, FRCS, FRCS vii

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9 Preface Over the last decade, the field of colon and rectal surgery has evolved a plethora of new surgical minimal invasive techniques to address both benign and malignant diseases. HD laparoscopy, 3-D laparoscopy, robotic surgery, single-port laparoscopy (SPL), transanal endoscopic surgery (TES), and natural orifice transluminal endoscopic surgery (NOTES) all fall under the ever-growing umbrella of technological advances in colon and rectal surgery. These new developments may have started out in other fields but are a very active aspect of the field of colon and rectal surgery. Is the new primary surgical goal to achieve the ever more minimally invasive surgery until one day scarless surgery is achieved for all patients? The goal might be to provide the surgeon with a multitude of options, an array of tools, to use at his or her disposal as dictated by the complexities of a given patient s surgical disease and anatomy. Many textbooks on surgical procedures exist; however, one of the shortcomings of these textbooks is that a procedure is typically not described in all its existing variations and details that many different surgeons utilize. A chapter on a specific surgical procedure is usually only described based on the author s personal experience and technique and is often biased. Beginning early in my career, I have created my own scripts and summaries of procedures by learning from different surgeons during my training, learning from discussions with colleagues, reviewing procedural videos, which are available in textbooks, the Internet and conference presentations, and developing my own techniques. This led to the idea of this textbook to include many such described and utilized techniques for a specific colorectal surgical procedure. The authors of all chapters were therefore encouraged to think beyond their typical approach to a surgical procedure, and all chapters were revised and standardized to support this overall goal. The chapters include a breakdown of the procedures into standard operative steps, which are graded by technical difficulty. This grading can guide novice surgeons, residents, fellows, and their teachers to a stepwise approach to get familiar and master minimal invasive techniques in colon and rectal surgery. I have also included many technical tips, tricks, and caveats throughout the text to help with difficulties the surgeon might encounter. I wish this textbook will encourage surgeons not familiar with minimal invasive surgery to increasingly offer these approaches to their patients, and I hope the master surgeon will enjoy discovering new facets of the ever-evolving change to surgical procedures in colon and rectal surgery. Las Vegas, NV Ovunc Bardakcioglu, MD, FACS, FASCRS ix

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11 Contents Part I Introduction 1 Development of Minimally Invasive Colorectal Surgery: History, Evidence, Learning Curve, and Current Adaptation Kyle G. Cologne and Anthony J. Senagore 2 Preoperative Planning and Postoperative Care in Minimal Invasive Colorectal Surgery David J. Maron and Lisa M. Haubert 3 Operating Room Setup and General Techniques in Minimal Invasive Colorectal Surgery Saif A. Ghole and Steven Mills 4 Operating Room Setup and General Techniques for Robotic Surgery Seung Yeop Oh, Cristina R. Harnsberger, and Sonia L. Ramamoorthy Part II Right Hemicolectomy and Ileocecectomy 5 Right Hemicolectomy and Ileocecectomy: Laparoscopic Approach Joseph C. Carmichael and Michael J. Stamos 6 Right Hemicolectomy and Ileocecectomy: Hand-Assisted Laparoscopic Approach Julie Ann M.Van Koughnett and Eric G. Weiss 7 Right Hemicolectomy and Ileocecectomy: Single-Port Laparoscopic Approach Margret de Guzman, Inanc Bardakcioglu, and Ovunc Bardakcioglu 8 Right Hemicolectomy and Ileocecectomy: Laparoscopic Intracorporeal Anastomosis Morris E. Franklin Jr, Song Liang, and Miguel Angel Hernández Moreno 9 Right Hemicolectomy and Ileocecectomy: Robotic Approach Vamsi Ramana Velchuru and Leela M. Prasad 10 Right Hemicolectomy and Ileocecectomy: Single-Port Robotic Approach Vincent Obias and Scott Sexton 11 Right Hemicolectomy and Ileocecectomy: Robotic Intracorporeal Anastomosis Stephen M. Rauh, Margaret De Guzman, and Steven J. Ognibene xi

12 xii Contents 12 Transverse Colectomy: Laparoscopic Approach David E. Rivadeneira and Scott R. Steele Part III Sigmoid and Left Hemicolectomy, Hartmann s Reversal 13 Sigmoid Colectomy and Left Hemicolectomy: Laparoscopic Approach Charles B. Kim and Ovunc Bardakcioglu 14 Sigmoid Colectomy and Left Hemicolectomy: Hand-Assisted Laparoscopic Approach Danielle M. Bertoni and David A. Margolin 15 Sigmoid Colectomy and Left Hemicolectomy: Single-Port Laparoscopic Approach Rodrigo Pedraza, Chadi Faraj, and Eric M. Haas 16 Sigmoid Colectomy and Left Hemicolectomy: Robotic Approach Rodrigo Pedraza and Eric M. Haas Part IV Low Anterior Resection, Abdominoperineal Resection and Rectopexy 17 Proctectomy and Rectopexy: Laparoscopic Approach Kyle G. Cologne and Anthony J. Senagore 18 Proctectomy and Rectopexy: Hybrid Robotic Approach Monica T. Young, Joseph C. Carmichael, and Alessio Pigazzi 19 Proctectomy: Total Robotic Approach Jai Bikhchandani, Federico Perez Quirante, Anthony Firilas, and Jorge Alberto Lagares-Garcia Part V Total Colectomy with Ileorectal Anastomosis and Proctocolectomy with Ileoanal Pouch 20 Total Colectomy and Proctocolectomy: Laparoscopic Approach Jean A. Knapps and Anthony J. Senagore 21 Total Colectomy and Proctocolectomy: Hand-Assisted Laparoscopic Approach Marco Ettore Allaix, Mukta Katdare Krane, and Alessandro Fichera 22 Total Colectomy and Proctocolectomy: Single-Port Laparoscopic Approach M. Nicole Lamb and Ovunc Bardakcioglu Part VI Stoma Construction (Loop Ileostomy, Loop and End Colostomy) 23 Stoma Construction: Laparoscopic Approach Laurence R. Sands and Luis O. Hernandez 24 Stoma Construction: Single-Port Laparoscopic Approach Seth Felder and Phillip Fleshner

13 Contents xiii Part VII Transanal Endoscopic Surgery 25 Transanal Endoscopic Surgery (TES) Joseph E. Bornstein and Patricia Sylla 26 Transanal Endoscopic Microsurgery (TEM) Lee L. Swanstrom and Eran Shlomovitz 27 Transanal Minimally Invasive Surgery (TAMIS) Sergio W. Larach and Harsha V. Polavarapu Index

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15 Contributors Marco Ettore Allaix, MD Department of Surgery, University of Chicago Medicine, Chicago, IL, USA Inanc Bardakcioglu, MD Department of Surgery, Ambulantes OP Zentrum, Pulheim, Germany Danielle M. Bertoni, MD, MPH Colon and Rectal Surgery, The Ochsner Clinic Foundation, New Orleans, LA, USA Jai Bikhchandani, MD Division of Colon and Rectal Surgery, Mayo Clinic, Rochester, MN, USA Joseph E. Bornstein, MD, MBA Department of Surgery, Massachusetts General Hospital, Boston, MA, USA Joseph C. Carmichael, MD Department of Surgery, University of California, Irvine, Orange, CA, USA Kyle G. Cologne, MD Division of Colorectal Surgery, Keck Hospital of the University of Southern California, Los Angeles, CA, USA Margaret De Guzman, MD Department of Surgery, University of Nevada School of Medicine, Las Vegas, NV, USA Chadi Faraj, DO Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, The University of Texas Medical School at Houston, Houston, TX, USA Seth Felder, MD Department of Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA Alessandro Fichera, MD Department of Surgery, University of Washington, Seattle, WA, USA Anthony Firilas, MD Division Colon and Rectal Surgery, Department of Surgery, Charleston Colorectal Surgery, Roper Hospital, Charleston, SC, USA Phillip Fleshner, MD Colorectal Surgery, Cedars-Sinai Medical Center, Los Angeles, CA, USA Morris E. Franklin Jr, MD, FACS Department of Surgery, Mission Trail Baptist Hospital, San Antonio, TX, USA Saif A. Ghole, MD Division of Colon and Rectal Surgery, Department of Surgery, UC Irvine Medical Center, Orange, CA, USA Eric M. Haas, MD, FACS, FASCRS Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, The University of Texas Medical School at Houston, Houston, TX, USA xv

16 xvi Contributors Cristina R. Harnsberger, MD Department of General Surgery, University of California, San Diego, San Diego, CA, USA Lisa M. Haubert, MD, MS Department of Surgery, Cleveland Clinic Florida, Weston, FL, USA Luis O. Hernandez, MD Department of Surgery, Jackson Memorial Hospital, Miami, FL, USA Charles B. Kim, MD Division of Colon and Rectal Surgery, Department of Surgery, University of Nevada School of Medicine, Las Vegas, NV, USA Jean A. Knapps, MD Department of Surgery, Central Michigan University, Saginaw, MI, USA Mukta Katdare Krane, MD Department of Surgery, University of Chicago Medicine, Chicago, IL, USA Jorge Alberto Lagares-Garcia, MD, FACS, FASCRS Division Colon and Rectal Surgery, Department of Surgery, Charleston Colorectal Surgery, Roper Hospital, Charleston, SC, USA M. Nicole Lamb, MD Division of Colon and Rectal Surgery, Department of Surgery, University of Nevada School of Medicine, Las Vegas, NV, USA Sergio W. Larach, MD, FASCRS, FACS Department of Colon and Rectal Surgery, Florida Hospital, Orlando, FL, USA Song Liang, MD Department of Surgery, Mission Trail Baptist Hospital, San Antonio, TX, USA David A. Margolin, MD, FACS, FASCRS Colon and Rectal Surgery, The Ochsner Clinic Foundation, New Orleans, LA, USA David J. Maron, MD, MBA Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA Steven Mills, MD Department of Surgery, UC Irvine Medical Center, Orange, CA, USA Miguel Angel Hernandez Moreno, MD Department of Surgery, Mission Trail Baptist Hospital, San Antonio, TX, USA Vincent Obias, MD Division of Colon and Rectal Surgery, George Washington University Hospital, Washington, DC, USA Steven J. Ognibene, MD, FACS, FASCRS Department of Surgery, Rochester General Hospital, University of Rochester, Rochester, NY, USA Seung Yeop Oh, MD Department of Surgery, Ajou University School of Medicine, Suwon, South Korea Rodrigo Pedraza, MD Division of Minimally Invasive Colon and Rectal Surgery, Department of Surgery, The University of Texas Medical School at Houston, Houston, TX, USA Alessio Pigazzi, MD, PhD Division of Colorectal Surgery, Department of Surgery, University of California, Irvine School of Medicine, Orange, CA, USA Harsha V. Polavarapu, MD Department of Colon and Rectal Surgery, Florida Hospital, Orlando, FL, USA Leela M. Prasad, MD, FACS, FASCRS, FRCS Division of Colon and Rectal Surgery, Department of Surgery, Advocate Lutheran General Hospital, UIC College of Medicine, Chicago, IL, USA

17 Contributors xvii Federico Perez Quirante, MD Division of Colon and Rectal Surgery, Department of Surgery, Roper Hospital, Charleston, SC, USA Sonia Ramamoorthy, MD, FACS, FASCRS UC San Diego Health System, Rebecca and John Moores Cancer Center, Sand Diego, CA, USA Stephen M. Rauh, MD Division of Colon and Rectal Surgery, Department of Surgery, Rochester General Hospital, University of Rochester School of Medicine, Rochester, NY, USA David E. Rivadeneira, MD, MBA, FACS, FASCRS Suffolk County Surgical Strategic Initiatives, North Shore LIJ Health System, Huntington, NY, USA Surgical Services, Huntington Hospital, Huntington, NY, USA Colon and Rectal Surgery, Huntington Hospital, Huntington, NY, USA Laurence R. Sands, MD, MBA Division of Colon and Rectal Surgery, University of Miami Miller School of Medicine, Miami, FL, USA Anthony J. Senagore, MD, MS, MBA Department of Surgery, Central Michigan University, School of Medicine, Saginaw, MI, USA Scott Sexton, BS Department of Surgery, George Washington University Hospital, Washington, DC, USA Eran Shlomovitz, MD, FRCSC, FRCPC Minimally Invasive Surgery Division, Providence Portland Medical Center, The Oregon Clinic, Portland, OR, USA Michael J. Stamos, MD Department of Surgery, University of California, Irvine, Orange, CA, USA Scott R. Steele, MD, FACS, FASCRS Department of Surgery, Colon and Rectal Surgery, Madigan Army Medical Center, Fort Lewis, WA, USA University of Washington, Seattle, WA, USA Lee L. Swanstrom, MD, FACS Minimally Invasive Surgery Division, Providence Portland Medical Center, The Oregon Clinic, Portland, OR, USA Patricia Sylla, MD Division of Gastrointestinal Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA Julie Ann M. Van Koughnett, MD, MEd Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA Vamsi Ramana Velchuru, MRCS, FRCS Department of Surgery, James Paget University Hospitals, Gorleston, Great Yarmouth, Norfolk, UK Monica T. Young, MD Department of Surgery, University of California, Irvine School of Medicine, Orange, CA, USA Eric G. Weiss, MD Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, FL, USA Division of Education, Department of Colorectal Surgery, Colorectal Surgery Residency Program, Weston, FL, USA Ovunc Bardakcioglu, MD, FACS, FASCRS Division of Colon and Rectal Surgery, Department of Surgery, University of Nevada School of Medicine, Las Vegas, NV, USA

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