Main description:

This unique guide describes colorectal surgery procedures using medical terminology and anatomical terms originating from embryology.

In the last decade, laparoscopic procedures in gastrointestinal surgery have been enhanced and their safety has significantly improved. With the number of cases of colorectal cancer surgery increasing and laparoscopic surgery no longer considered a specialized surgery, the recognition of the correct anatomy is vital in these procedures. Unfortunately, however, the understanding of clinical anatomy is frequently separate from that of basic surgical concepts. Initially, the dissecting layer should be presumed to derive from the fascial anatomy based on embryological recognition. Furthermore, the techniques currently being used by surgeons should be described in sufficient detail and the appropriate anatomical terms should always be used. In view of this, this valuable monograph benefits gastrointestinal surgeons and general surgeons who are involved in the treatment of colorectal cancer.

Contents:

Part 1. Basic Principles

1.- Definition of the terminology

2.- Peritoneal configuration, body wall, and intestinal rotation in foetal life

3.- Intestinal rotation and peritoneum

4.- Relationship between the stomach and transverse colon - Particular relationship at the centre of the transverse colon

5.- The presence of histological fascia

6.- Vascular anatomy and lymph node dissection of the colon

7.- Fascial anatomy of the umbilicus and the method for insertion of Hasson's cannula

Part 2. Basic Approach

8.- Basic approach for colorectal cancer

<9.- Basic approach for the operation

Part 3. Laparoscopic Sigmoidectomy

10.- Fundamentals related to the sigmoid colon

11.- Resection range and degree of the lymph node dissection

12.- Fascial composition and fusion fascia of the descending colon and sigmoid colon

13.- Operative procedures

14.- Dissection and mobilisation of the sigmoid colon with the lateral approach

15.- How to understand the fascial composition

Part 4. Laparoscopic Low Anterior Resection of the Rectum

16.- Resection range and degree of the lymph node dissection

17.- Fascial composition and fusion fascia of the rectum

18.- Operative procedures

19.- Intersphincteric resection of the rectum

20.- Fascial composition of the pelvis

Part 5. Laparoscopic Abdominoperineal Resecrion of the Rectum

21.- Stoma site marking and preoperative treatment

22.- Operative procedures

23.- Concept of abdominoperineal operation

Part 6. Laparoscopic Right Colectomy

24.- Resection range and degree of lymph node dissection

25.- Fascial composition of the right-side colon

26.- Operative procedure

27.- Clinical anatomy in the medial-retroperitoneal approach for right colon cancer

Part 7. Laparoscopic Left Colectomy

28.- Resection range and degree of the lymph node dissection

29.- Fascial composition and fusion fascia of the left colon and the splenic flexure of the colon

30.- Operative procedures

31.- Mobilisation of the splenic flexure of the colon

Part 8. Laparoscopic Subtotal Proctocolectomy

32.- Resection range and degree of lymph node dissection

33.- Operative procedures.