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Laparoscopic Procedures: Single-Incision Laparoscopic Colorectal Surgery

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Techniques in Minimally Invasive Rectal Surgery

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Abstract

Laparoscopy was the greatest technological advance in colorectal surgery in the last quarter century. The first laparoscopic colon resection in the United States was performed in 1991. Since that time, the benefits of a minimally invasive approach for colorectal surgery have been well documented, including earlier return of bowel function, decreased analgesic requirement, faster recovery, superior cosmesis, and shorter length of stay without increasing readmission rates [1–10]. Despite proven benefits, there has been a limited adoption of traditional multiport laparoscopic colorectal surgery. Currently, the use of laparoscopic colorectal surgery is estimated in half of applicable elective cases [11] and even fewer colorectal cancer cases [12]. Reasons cited for limited use include the additional learning curve and added technical and ergonomic complexities of the surgery. Multiple minimally invasive variations have been devised to help increase adoption and penetrance, including hand-assisted and robot-assisted laparoscopic platforms. However, the paradigm of high-quality, high-satisfaction surgery has continued to progress toward less invasive modalities, such as reduced port and single-incision laparoscopic surgery (SILS).

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Authors and Affiliations

  1. Colorectal Physicians & Surgeons of Pennsylvania, Saint Vincent Health Center, Allegheny Health Network, 145 West 23rd St, Suite. 201, Erie, PA, 16544, USA

    Daniel P. Geisler M.D., F.A.S.C.R.S.

  2. Colorectal Surgical Associates, LLP, 7900 Fannin, Suite 2700, Houston, TX, 77054, USA

    Deborah S. Keller M.S., M.D.

Authors
  1. Daniel P. Geisler M.D., F.A.S.C.R.S.
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  2. Deborah S. Keller M.S., M.D.
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Corresponding author

Correspondence to Daniel P. Geisler M.D., F.A.S.C.R.S. .

Editor information

Editors and Affiliations

  1. Division of Colon and Rectal Surgery, University of California, Irvine, Orange, CA, USA

    Alessio Pigazzi

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Geisler, D.P., Keller, D.S. (2018). Laparoscopic Procedures: Single-Incision Laparoscopic Colorectal Surgery. In: Pigazzi, A. (eds) Techniques in Minimally Invasive Rectal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-16381-9_5

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  • DOI: https://doi.org/10.1007/978-3-319-16381-9_5

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-16380-2

  • Online ISBN: 978-3-319-16381-9

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