TY - JOUR
T1 - Three steps and a join
T2 - a simple guide to right- and left-sided medial to lateral laparoscopic colorectal surgery
AU - Rickard, M. J. F. X.
AU - Keshava, A.
AU - Toh, J. W. T.
PY - 2017/8/1
Y1 - 2017/8/1
N2 - 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.
AB - 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.
KW - Colorectal surgery
KW - Laparoscopic anterior resection
KW - Laparoscopic colectomy
KW - Laparoscopic ileocolic resection
KW - Laparoscopic right hemicolectomy
KW - Medial to lateral
UR - http://www.scopus.com/inward/record.url?scp=85028806134&partnerID=8YFLogxK
U2 - 10.1007/s10151-017-1672-2
DO - 10.1007/s10151-017-1672-2
M3 - Article
C2 - 28871343
AN - SCOPUS:85028806134
SN - 1123-6337
VL - 21
SP - 673
EP - 677
JO - Techniques in Coloproctology
JF - Techniques in Coloproctology
IS - 8
ER -