Laparoscopic Colon Surgery: Milestones, Education, & Best Practice

170 Pages·2021·7.834 MB·English

by  Gregory Kouraklis, Eugenia (Jenny) Matsiota

Laparoscopic Colon
Surgery
Milestones, Education,
& Best Practice
Gregory Kouraklis
Eugenia (Jenny) Matsiota
Editors
123
Laparoscopic Colon Surgery
Gregory Kouraklis
Eugenia (Jenny) Matsiota
Editors
Laparoscopic Colon
Surgery
Milestones, Education, & Best Practice
Editors
Gregory Kouraklis Eugenia (Jenny) Matsiota
Department of Propaedeutic Surgery Public Administration and Liberal Arts
School of Medicine at the National and Hankuk University of Foreign Studies
Kapodistrian University of Athens Seoul
Athens Korea (Republic of)
Greece
ISBN 978-3-030-56727-9 ISBN 978-3-030-56728-6 (eBook)
https://doi.org/10.1007/978-3-030-56728-6
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Foreword
I am delighted to write the foreword for the first edition of the book Laparoscopic
Colon Surgery: Milestones, Education, & Best Practice. I hold high respect for the
editors of this book whose diversity, knowledge, and high caliber skills, each one in
their field of expertise, make an astonishing combination for producing a succinct
manuscript that can showcase the milestones, education, and best practices of lapa-
roscopic colon surgery.
There are still prevailing difficulties in endorsing the laparoscopic technique in
colon surgery. Although conventional laparoscopic procedures have a long history
and practice, laparoscopic colon surgery does not constitute the first choice for most
surgeons who would prefer open surgery despite sufficient clinical evidence show-
ing that laparoscopic technique in colon treatment has equal clinical results as open
surgery but is also a more efficient technique for the healthcare system with fewer
operating hours, fewer days of hospitalization, quicker recovery, and less pain and
trauma for the patient.
I have been an advocate of laparoscopic colon surgery almost since the begin-
ning of my career having a big record of cases of both benign and malignant dis-
eases. Through this vast experience I have succeeded to offer my patients the
benefits of a treatment that renders better quality of care and recovery. I also had the
pleasure and the privilege to educate and train novice surgeons in laparoscopic
colon surgery and guide them through the fundamental process of evaluating and
selecting the right patients, understand the anatomical challenges, and plan a sur-
gery accordingly.
This book will give readers the opportunity to understand the importance of
properly organizing and evaluating each step in a well-designed laparoscopic colon
surgery to achieve optimal results, not only for the patients but also for the health-
care system and its stakeholders. In contemporary healthcare organizations, cost-
effective treatment is a mandate. This book sheds plenty of light on many aspects
and considerations of laparoscopic colon surgery that can contribute to cost-effec-
tiveness. It highlights aspects of proper instrument selection, effective training,
effective anesthesia and surgical planning, accurate management of complications,
and adequate post-surgical follow-up. It advances knowledge by including a chapter
that elaborates on the characteristics, benefits, and concerns of robotic surgery in
colon cancer.
v
vi Foreword
The editors of this book have made an excellent choice in putting together the
thematic chapters and therefore information that can enhance knowledge and under-
standing, which can help novice or experienced surgeons to decide on career
advancement and specialization. Moreover, the book triggers thinking about educa-
tional curricula and training methods that can be used to enhance the employment
of laparoscopic colon surgery instead of open surgery. The use of simulators, in
addition to traditional methods of training, is extensively discussed encouraging
academicians to consider a paradigm shift in surgical training that can be more
effective and efficient, offering optimal results for patients but also for the health-
care organizations and the quality of care they pursue to offer.
This book represents a systematic attempt to explain the benefits of laparoscopic
colon surgery for patients, surgeons, surgical educators, and administrators.
September 10, 2020 Konstantinos M. Konstantinidis
Department of General Bariatric,
Laparoscopic and Robotic Surgery
Athens Medical Center
Athens, Greece
Ohio State University
Columbus, OH, USA
American College of Surgeons,
Greek Chapter (ACS-GC)
Chicago, IL, USA
Clinical Robotic Surgery
Association, (CRSA)
Chicago, IL, USA
International Board of Directors,
Society of Robotic Surgery, (SRS)
East Dundee, IL, USA
Preface
This book represents an effort to give the reader a succinct understanding of laparo-
scopic colon surgery (LCS). It is for both experienced and novice surgeons. The
authors aspire to offer an understanding of the main advantages, concerns, and areas
for improvement of LCS. Throughout the book, emphasis is placed in the need for
dedicated training and education that can expand the endorsement of LCS, offering
better results to the patients and improving the quality of care offered.
What is very distinct in this book is that not all authors are surgeons or medical
doctors. The emphasis on safety, education, quality of care, and cost of healthcare
has allowed diverse healthcare practitioners and scholars to contribute to this book,
sharing their ideas, opinions, and suggestions for the improvement and hopefully
the broader acceptance of LCS treatment.
The endeavor in this first edition is to fend off confusion and anxiety between
LCS and open colon surgery. By reading this book, surgeons should be able to iden-
tify the criteria that can lead their choices for the most suitable surgical treatment,
and healthcare decision-makers can get an understanding of the training needs of
their institutions, as well as the wise allocation of resources that can potentially
offer cost-effective solutions to enhance competitiveness and sustainability.
This book assumes familiarity with basic healthcare terms and basic knowledge
of surgical practices. It is not meant to stand alone but in conjunction with other
books of general laparoscopy and surgical treatment.
Finally, the editors and the notable authors of this book wish that this work can
trigger new thoughts about best surgical practices that will result from adequate and
continuous learning and training. The ultimate goals are to enhance quality of care,
patient satisfaction, and cost-containment; critical factors of healthcare that
decision-m akers in any institution should consider to stay abreast with the needs
and requirements of contemporary systems.
Athens, Greece Gregory Kouraklis
Seoul, Republic of Korea Eugenia (Jenny) Matsiota
vii
Contents
1 Milestones in Laparoscopic Colon Surgery . . . . . . . . . . . . . . . . . . . . . . 1
Eugenia (Jenny) Matsiota and Phillip L. Davidson
2 Types of Colon Surgery and Anatomy . . . . . . . . . . . . . . . . . . . . . . . . . . 15
Dimitrios Mantas, Ioannis D. Kostakis, and Zoi Garoufalia
3 Preoperative Evaluation and Selection of Patients . . . . . . . . . . . . . . . . 41
Konstantinos Bramis and George Bagias
4 Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57
Ioannis Makris, Vasileios Papaziogas, and Eugenia (Jenny) Matsiota
5 Surgical Techniques . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83
Sotirios George Panousopoulos and Constantinos S. Mavrantonis
6 Complications in Laparoscopic Colorectal Surgery . . . . . . . . . . . . . . . 101
Chrysanthi Aggeli, Alexander-Michael Nixon,
and Georgios N. Zografos
7 Robotic Colon Surgery and Quality of Life . . . . . . . . . . . . . . . . . . . . . . 121
A. Wilson Mourad and D. Daniel León
8 Laparoscopic Colon Surgery: Education and Best Practices . . . . . . . . 137
Theodore G. Troupis, Adamantios Michalinos,
George P. Skandalakis, Phillip L. Davidson,
Petros Mirilas, and Panayiotis N. Skandalakis
9 Anesthesia in Laparoscopic Colorectal Surgery . . . . . . . . . . . . . . . . . . 153
Amalia Douma, Alexander-Michael Nixon,
and Ifigeneia Grigoriadou
Acronyms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 165
ix
Contributors
Chrysanthi Aggeli Third Department of Surgery, General Hospital of Athens
“G. Gennimatas”, Athens, Greece
George Bagias 1st Propaedeutic Surgical Department, Hippokration Hospital,
University of Athens, Athens, Greece
Konstantinos Bramis Aretaieio Hospital of Athens, National and Kapodistrian
University of Athens, Athens, Greece
D. Daniel León CDD Las Mercedes, Caracas, Venezuela
Phillip L. Davidson, PhD Doctoral Program Faculty for Business Management in
Organizational Leadership and IST, University of Phoenix, College of Doctoral
Studies, Phoenix, AZ, USA
Amalia  Douma Department of Anaesthesiology, General Hospital of Athens
“G. Gennimatas”, Athens, Greece
Zoi Garoufalia Faculty of Medicine, 2nd Propedeutic Surgical Department, Laiko
General Hospital, National and Kapodistrian University of Athens, Athens, Greece
Ifigeneia  Grigoriadou Department of Anaesthesiology, General Hospital of
Athens “G. Gennimatas”, Athens, Greece
Ioannis D. Kostakis Faculty of Medicine, 2nd Propedeutic Surgical Department,
Laiko General Hospital, National and Kapodistrian University of Athens,
Athens, Greece
Gregory Kouraklis Department of Propaedeutic Surgery, School of Medicine at
the National and Kapodistrian University of Athens, Athens, Greece
Ioannis  Makris Professor Emeritus (Retired), School of Medicine, Aristotle
University of Thessaloniki, Thessaloniki, Greece
Dimitrios Mantas Faculty of Medicine, 2nd Propedeutic Surgical Department,
Laiko General Hospital, National and Kapodistrian University of Athens,
Athens, Greece
xi
xii Contributors
Eugenia (Jenny) Matsiota Visiting Professor, Public Administration and Liberal
Arts, Hankuk University of Foreign Studies, Seoul, Republic of Korea
Constantinos S. Mavrantonis, MD, PhD, FACS 6th Department of Surgery—
SRC Center of Excellence for Colorectal Surgery, Hygeia Hospital, Athens, Greece
Chairman, NoDE Institute, Athens, Greece
Adamantios Michalinos Department of Anatomy, Faculty of Medicine, European
University of Cyprus, Nicosia, Cyprus
Petros Mirilas ‘Aghia Sophia’ Children’s Hospital, Athens, Greece
University Paris ΧΙΙΙ- Léonard de Vinci, Courbevoie, France
Surgical Anatomy & Technique, Emory University, Atlanta, GA, USA
Alexander-Michael Nixon Third Department of Surgery, General Hospital of
Athens “G. Gennimatas”, Athens, Greece
Sotirios George Panousopoulos, MD, PhD 6th Department of Surgery—SRC
Center of Excellence for Colorectal Surgery, Hygeia Hospital, Athens, Greece
Director, Simulation Center—NoDE Institute, Athens, Greece
Vasileios Papaziogas Director of 2nd Surgery Clinic of AUTH, Professor of
Surgery AUTH, School of Medicine, Aristotle University of Thessaloniki,
Thessaloniki, Greece
University of Munich, Munich, Germany
George P. Skandalakis Department of Anatomy, Faculty of Medicine, National
and Kapodistrian University of Athens, Athens, Greece
Panayiotis  N.  Skandalakis Anatomy and Surgical Anatomy, National and
Kapodistrian University of Athens, Athens, Greece
Theodore G. Troupis Department of Anatomy, Faculty of Medicine, National and
Kapodistrian University of Athens, Athens, Greece
A. Wilson Mourad CDD Las Mercedes, Caracas, Venezuela
Georgios N. Zografos Third Department of Surgery, General Hospital of Athens
“G. Gennimatas”, Athens, Greece