Colon, Rectum and Anus: Anatomic, Physiologic and Diagnostic by Carlo Ratto, Angelo Parello, Lorenza Donisi, Francesco Litta

By Carlo Ratto, Angelo Parello, Lorenza Donisi, Francesco Litta

This is the 1st quantity within the new Springer significant Reference paintings sequence entitled Coloproctology. The booklet covers key themes within the anatomy and body structure of the colon, rectum and anus and the prognosis of colorectal/anal ailments and issues. It therefore kinds a legitimate foundation for additional volumes within the sequence that might specialise in the therapy of extra particular scientific stipulations. the topics addressed within the quantity are the most important to potent sufferer administration and the publication highlights the truth that enough diagnostic evaluate of a given illness is considerably regarding the pathophysiologic interpretation of the pathologic strategy. the aim of the amount is to supply readers with up to date wisdom on colorectal and anal anatomy and body structure, really from a remedy viewpoint and to explain the method to be hired in determining the easiest diagnostic work-up in coloproctology.

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Colon, Rectum and Anus: Anatomic, Physiologic and Diagnostic Bases for Disease Management

This can be the 1st quantity within the new Springer significant Reference paintings sequence entitled Coloproctology. The ebook covers key issues within the anatomy and body structure of the colon, rectum and anus and the prognosis of colorectal/anal illnesses and issues. It hence types a legitimate foundation for additional volumes within the sequence that might concentrate on the therapy of extra particular scientific stipulations.

Additional info for Colon, Rectum and Anus: Anatomic, Physiologic and Diagnostic Bases for Disease Management

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Fig. 1 Identification of the ileocolic pedicle pedicles thus preventing any escape of tumor cells into the mesenteric circulation during tumor mobilization. The medial-to-lateral approach also allows preservation of the lateral colonic ligament till the end of the mobilization, which keeps the right colon fixed in place and thus limits the need for manipulation. Supporting the patient on the operating table is important to prevent patient slippage and allow for tilting of patient during procedures.

The left colic artery is also divided in a similar fashion in most patients. The sigmoid mesocolon is retracted anteriorly applying traction during dissection. The avascular plane between Toldt’s fascia and the sigmoid mesocolon can then be identified and easily divided. At this point, it is important to identify the rectosigmoid junction and the ureters. The dissection continues posteriorly and laterally toward Toldt’s line. The sigmoid colon is then completely freed, and the lateral attachments can then be divided using a lateral approach.

1007/978-3-319-09807-4_5 21 22 1 A. Vinci et al. Introduction Minimally invasive colorectal surgery has gained increasing popularity and is widely accepted in the surgical community as a superior alternative for procedures involving benign and malignant colorectal diseases. Minimally invasive surgery (MIS) offers several advantages over laparotomy. Pelvic and abdominal anatomy is magnified, allowing more precise identification and treatment of the disease adjacent to vital organs, blood vessels, and nerve structures.

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