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Laparoscopic ileocecal resection in uncomplicated Crohns disease

 

Laparoscopic Surgery for Inflammatory Bowel Disease: Technical Issues


Points of interest:
Crohn’s disease described–27 sec
Crohn’s disease specimen slide–1:16
surgical dictum–1:35
operative indications–2:12
preparation of the patient–2:53
strategic planning–6:21
resection margins–7:36
citation–8:18 (provide link: https://www.ncbi.nlm.nih.gov/pubmed/8857860)
laparoscopic challenges–8:38
operative technique–10:00
trocar placement–11:33
resection types–14:09
recurrence after resection–16:33
long term follow up–17:11
reasons for conversion–17:27
conclusion–17:45


Keyword(s): 10 mm port, 100 cm stapler, 12 mmHg, 5 mm port, abdominal colorectal surgery, abdominal wall, abscess, acute ileitis, anastomotic complications, anemia, appendix, appropriate indications, ascending colon, assistant, Azathiaprine, bacterial contacts, benefits, bleeding, BM, body habitus, bypass, camera, carcinoma, cecum, chronic disease, clear identification of anatomical structures, clear margins, coagulation studies, complex, complication rate, contraindication, conversion rate, convert early, correct plane, cosmetic effect, cost-effective, countertraction, Crohns disease, decision making, dehydration, diarrhea, diffuse jejuno-ileitis, disease location, disease pattern, DRG, duodenum, DVT prophylaxis, earlier return to work, EBL, efficacy, elective cases, elective operation, electrolytes, enteral, enterotomies, exclude disease, exclusion criteria, exit strategy, experience, explore, extracorporeal anastomosis, failure of medical therapy, fibrostenotic obstructive symptomatology, Finney strictureplasty, fistula, flares, flatus, follow-up, gender ratios, GI tract, gold standard, growth retardation, hand sewn anastomosis, Heineke-Mikulicz, hemicolectomy, hemorrhage, hepatic flexure, hernia, hospital resource consumption, hypercoagulable, ileal resection, imagin modalities, imaging, immunosuppressants, infection, inferior rim of umbilicus, inflammatory process, inflmmation, initial surgery, intractability, intractable disease, isolated TI disease, IV antibiotics, John Alexander Williams, kidney, lap-assisted ileocecal resection, laparoscopic challenges, Laparoscopic ileocecal resection, laparoscopy, learning curve, lesions, less expense, ligament of Treitz, long term, LOS, lowest cost, male, malnourished, management of large phlegmons, manifestations, mass, mechanical bowel prep, medical service, mesentery, midline incision, midline structure, mobilisation, multifocal disease, multiple reoperations, no cure, nonhemorrhaging bowel, nonobstructing, nonobstructive disease, nursing care, nursing services, nutritional assessment, obstruction, obstructive symptoms, open surgery, open technique, operative technique, operative times, oral intake, pain, pain free, palliative treatment, palpate, parenteral, parenteral antibiotics, pediatric population, pelvic rim, percutaneous drainage, perforation, perinal abscess, perioperative antibiotics, periumbilical, Pfannenstiel, physical impairment, pneumoperitoneum, poorly controlled disease, potential disease, PRCT, pre-anastomotic ileum, pre-op, preserve stoma sites, primary anastomosis, prior surgery, process measures for Medicare, proximal disease, query the patient, randomized prospective trial, reasons for conversion, recurrent disease, reduced cost of care, reoperative surgery, repeat interventions, resect, resection margins, resection types, residual microscopic disease, retroperitoneum, return of bowel function, right colon, risk of recurrence, safest therapy, SCIP, segment, significant flare of disease, skill sets, small apthous ulcers, small bowel, small bowel follow through, small bowel resections, small incisions, small intestine, standard of life, stenotic disease, stoma marking, strategic planning, stricture, strictureplasty, strictures, stricturoplasty, subcuticular incision, surgical complications, surgical dictum, surgical intervention, surgical risks, surgical service, surgical situation, synchronous jejuno-ileal disease, terminal ileum, thinner patients, TI disease, Toldts faschia, toxicities from medical treatments, trocar placement, umbilical incision, umbilical trocar, umbilicus, uncomplicated, underlying disease status, unrecognized complications, upper GI series, ureter, ureteral stents, urologist, vascular pedicles, weight loss, wide margins, withdraw immunosuppressives, wound complications, wound infection, young patients

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Related

Video Uploaded By:
Anthony Senagore
Uploaded on
05/09/2011
Video Categories
Laparoscopic Surgery Inflammatory Bowel Dis., Other, PG Courses and Grand Rounds
Learning Themes
Colorectal
Presentation Types
Podium Presentation
Video Authors
Senagore A
Video Institutions
Case Western Reserve University School of Medicine--Cleveland OH, Cleveland Clinic--Cleveland OH, Michigan State University--Grand Rapids MI, Spectrum Health--Grand Rapids MI, University Hospital Parma Medical Center--Parma OH

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