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Techniques in Coloproctology
Published in: Techniques in Coloproctology 8/2017

01-08-2017 | Multimedia Article

Three steps and a join: a simple guide to right- and left-sided medial to lateral laparoscopic colorectal surgery

Authors: M. J. F. X. Rickard, A. Keshava, J. W. T. Toh

Published in: Techniques in Coloproctology | Issue 8/2017

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Abstract

Background

To provide a standardised ‘medial to lateral’ approach to laparoscopic colorectal surgery.

Methods

Both right- and left- sided laparoscopic colorectal procedures were simplified into three well-defined steps and a join. An instructional video and procedural guide provides the important pearls and pitfalls in performing laparoscopic colorectal surgery.

Results

During a 10-year period (2006–2016) at a single institution, 20 senior colorectal trainee surgeons and 20 general surgery registrars were trained in the ‘three steps and a join’ technique. Five hundred and sixty-eight laparoscopic anterior resections using this technique were performed. There were 5 (0.9%) leaks. Five hundred and forty-three laparoscopic right-sided resections were performed. There were 3 (0.6%) anastomotic leaks requiring reoperation and loop ileostomy.

Conclusions

This step-by-step instructional video and procedural guide provides a simple and standardised approach which may be incorporated into a training pathway for laparoscopic right- and left-sided colorectal surgery.
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Metadata
Title
Three steps and a join: a simple guide to right- and left-sided medial to lateral laparoscopic colorectal surgery
Authors
M. J. F. X. Rickard
A. Keshava
J. W. T. Toh
Publication date
01-08-2017
Publisher
Springer International Publishing
Published in
Techniques in Coloproctology / Issue 8/2017
Print ISSN: 1123-6337
Electronic ISSN: 1128-045X
DOI
https://doi.org/10.1007/s10151-017-1672-2

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