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Steven D. Wexner James W. Fleshman MasterTechniques in General Surgery Also available in this series: Master Techniques in Breast Surgery December 2010 Kirby I. Bland, MD V. Suzanne Klimberg, MD Master Techniques in Colon and Rectal Surgery: Anorectal Operations November 2011 Steven D. Wexner, MD James W. Fleshman, MD Coming Soon Master Techniques in Hernia Surgery September 2012 Daniel Jones, MD Master Techniques in Stomach Surgery September 2012 Michael S. Nussbaum, MD Jeffrey H. Peters, MD Master Techniques in Hepatobiliary and Pancreatic Surgery December 2012 Keith Lillemoe, MD William Jarnagin, MD Master Techniques in Esophageal Surgery March 2013 James L uketich Y: Edited by Steven D. Wexner, James W. Fleshman, MD MD, FACS, FRCS, FRCS(Ed) Professor of Surgery at Washington University in St. Louis Chairman, Department of Colorectal Surgery Chief of Colon and Rectal Surgery Chief Academic Officer and Emeritus Chief of Staff Chief of Surgery Cleveland Clinic Florida Barnes Jewish West County Hospital Weston, Florida St.Louis, Miss~ Professor and Associate Dean for Academic Affe.irs Florida Atlantic UDiversity Boca Raton, Florida Series Editor Professor and Assistant Dean for Clinical Education Flarida International University College of Medicine Josef E. Fischer, MD Miami, Florida William V. McDermott P.rofassar of Surgery Professor of Surgery, Ohio Stata University Harvard Medical School Columbus, Ohio Chairman of Surgery, Emeritus Affiliate Professor Beth Israel Deaconess Hospital Department of Surgery, Division of General Surgery Boston, Massachusetts University of South Florida College of Medicine Chairman of Surgery Tampa, Florida Christian R. Holmes Professor of Surgery Emeritus Affiliate Professor of Surgery University ofCincimlati College ofMadiciDe University of Miami, Miller School of Medicine Cincimlati, Ohio Miami, Florida Illustrations by: BodyScientific International, u.c. I • . Wolters Kluwer Lippincott Williams & Wilkins Health Philadelphia • Baltimore • New York • London Buenos AlA!$ • Hong Kong • Sydney • Tokyo Acquisitions Editor: Brian Brown Product Manager: Brendan Huffman Production Manager: Bridgett Dougherty Senior Manufacturing Manager: Benjamin Rivera Marlreting Manager: Lisa La.wrenc:e Design Coordinator: Doug Smoc:k Production Service: Aptara, Inc:. © 2012 by I.JPPINCOTT WILLIAMS A: WILKINS, a WOLTERS KLUWER bU5iness Two Commerce Square 2001 Market Street Philadelphia, PA 19103 USA LWW.com All rights reserved. This book is protected by copyright. No part of this book may be reproduced in any form by any means, induding photocopying, or utilized by any information storage and retrieval system without written permission from the copyright owner, exc:ept for brief quota tions embodied in c:ritic:al articles and reviews. Materials appearing in this book prepared by individuals as part of their official duties as U.S. government employees are not covered by the above-mentioned copyright. Printed in China Library of Congress Cataloging-in-Publication Data Colon and rec:tal surgery: abdominal operations/ edited by Steven D. Wexner, James W. Fleshman, Josef E. Fischer. p. ; em. - (Master techniques in general surgery) Indudes bibliographical references and index. ISBN 978-1-80547-843-8 (hardback: alk. paper) I. Wexner, Steven D. II. Fleshman, James. III. Fischer, Josef E., 1937-IV. Series: Master techniques in general surgery. [DNLM: 1. Colon-surgery. 2. Rectum-surgery. 3. Abdomen-surgery. 4. Digestive System Surgical Procedures-methods. WI 650] 617.5'547-dc23 2011039286 Care has been taken to confirm the accuracy of the information presented and to describe gener ally accepted practices. However, the authors, editors, and publisher are not responsible for errors or omissions or for any consequences from application of the information in this book and make no warranty, expressed or implied, with respect to the currency, completeness, or accuracy of the contents of the publication. Application of the information in a particular situation remains the professional responsibility of the practitioner. The authors, editors, and publisher have exerted every effort to ensure that drug selection and dosage set forth in this text are in ac:cordanc:e with c:urrent recommendations and practice at the time of publication. However, in view of ongoing research, c:hanges in government regula tions, and the constant flow of information relating to drug therapy and drug reactions, the reader is urged to chec:k the pac:kage insert for eac:h drug for any c:hange in indications and dos age and for added warnings and precautions. This is particularly important when the recom mended agent is a new or infrequently employed drug. Some drugs and medic:al devices presented in the publication have Food and Drug Administration (FDA) dearance for limited use in restricted research settings. It is the responsi bility of the health care providers to ascertain the FDA status of each drug or device planned for use in their clinical practice. To purchase additional copies of this book, call our customer service department at (800) 638-3030 or fax orders to (301) 223-2320. International customers should call (301) 223-2300. Visit Lippincott Williams It Wilkins on the Internet: at LWW.com. Lippincott Williams It Wilkins customer service representatives are available from 8:30 am to 6:00 pm, EST. 10 9 8 7 6 5 4 3 2 1 Dedication Since books are tools by which teaching occurs, I dedicate this book to my loving sons, Wesley and Trevor who certainly taught me at least as many things as I have taught them. This book is also dedicated to that very special person who taught me the true meaning of life. Steven D. Wexner Contributors Harand Abcarian, MD, FACS Christopher LH. Chan, BSc (Hans), PhD, FRCS (Gen Surg) Chairman, Division of Colon and Rectal Surgery Senior Lecturer/Honorary Consultant Colorectal Surgeon John H. Stroger Hospital of Cook County Academic Surgical Unit, Barts and The London NHS Trust Professor of Surgery Institute Cellular & Molecular Science University of Illinois at Chicago Queen Mary's School of Medicine and Dentistry Chicago, Illinois University of London Edinburgh, United Kingdom Christine M. Bartus, MD, FACS, FACRS Associate Professor of Surgery Harter Yui Shan Cheung, FRACS University of Connecticut Department of Surgery Farmington, Connecticut Pamela Youde Nethersole Eastern Hospital Chai Wan, Hong Kong Badma Bashankaev, MD China Staff Surgeon, Department of Colorectal Surgery National Research Center of Surgery of Russian Academy of Chi Chiu Chung, FRCSEd Medical Sciences Department of Surgery Moscow, Russia Pamela Youde Nethersole Eastern Hospital Chai Wan, Hong Kong David E. Beck, MD China Chairman, Department of Colon and Rectal Surgery Ochsner Clinic Foundation Robert R. Cima, MD, MA New Orleans, Louisiana Mayo Clinic, Rochester Department of Surgery Edward Borrazzo, MD Division of Colon and Rectal Surgery Attending Surgeon Mayo Clinic Department of Surgery Consultant, Division of Colon and Rectal Surgery Fletcher Allen Health Care Associate Professor of Surgery Associate Professor of Surgery Mayo Clinic College of Medicine University of Vermont College of Medicine Rochester, Minnesota Burlington, Vermont Jeffrey L. Cahan, MD, FACS, FACRS Marylise Bautrase, MD, FRCS President of Connecticut Surgical Group Colorectal Fellow Clinical Professor of Surgery Colorectal Surgery University of Connecticut Cleveland Clinic Florida Farmington, Connecticut Weston, Florida Canar P. Delaney, MD, PhD Susan M. Cera, MD, FACS, FASCRS Jeffrey L. Ponsky, MD, Professor of Surgical Education Physicians Regional Medical Group Chief, Division of Colorectal Surgery Colorectal Surgeon, Division of Colorectal Surgery Director, Institute of Colorectal Surgery Chief, Robotic Surgery Director, Institute of Surgical Innovation Chief of Endoscopy University Hospitals Case Medical Center Chief of Pharmacy and Therapeutics Cleveland, Ohio Director, Anorectal Physiology Lab Physicians Regional Medical Center Ashwin deSauza, MD, MRCSEd, DNB, FCPS, MNAMS Naples, Florida Fellow, Laparoscopic and Minimally Invasive Colon and Clinical Professor Rectal Surgery Department of Colorectal Surgery University of Illinois Medical Center Cleveland Clinic Chicago, Illinois Weston, Florida vii viii Contributors David W. Dietz, MD Jared C. Frattini, MD Vice-Chairman Assistant Professor of Surgery Department of Colorectal Surgery Department of Colon and Rectal Surgery Digestive Disease Institute University of South Florida Cleveland Clinic Tampa, Florida Cleveland, Ohio Joseph L. Frankel, MD Eric J. Dozois, MD Division of Colorectal Surgery Program Director, Colon and Rectal Surgery Lankenau Medical Center and Institute for Medical Professor of Surgery Research Mayo Clinic Wynnewood, Pennsylvania Rochester, :MN Makram Gedeon, MD David B. Earle, MD, FACS General Surgeon Director of Minimally Invasive Surgery Bristol Hospital Baystate Medical Center Bristol, CT Assistant Professor of Surgery Tufts University School of Medicine Hak Su Goh, BSc (Hons), MBBS (Lond), FRCS, FAMS Springfield, Massachusetts Consultant Surgeon Goh Hak Su Colon and Rectal Center Jonathan Edward Efron, MD Singapore Associate Professor of Surgery Chief of Ravitch Service Sarah W. Grahn, MD The Mark M. Ravitch, M.D. Endowed Professorship in Clinical Instructor Gastrointestinal Surgery Department of Surgery, Division of Colon and Rectal The Johns Hopkins Hospital Surgery Baltimore, MD University of California San Francisco, California C. Neal Ellis, MD, FACS, FASCRS. FACG Professor of Surgery Abdullah AI Haddad, MD Temple University Assistant Professor of Clinical Surgery System Director, Division of Colon and Rectal Surgery University of Miami, Miller School of Medicine West Penn Allegheny Health System Miami, Florida Pittsburgh, PA Jason F. Hall, MD Victor W. Fazio, AD, M B, MS, MD (Hon), FRACS, FRACS (Hon), Staff Surgeon FACS, FRCS, FRCS {Ed), FRCSI Department of Colon and Rectal Surgery Rupert B. 'furnbull Jr, MD, Chair Lahey Clinic Chairman Digestive Diseases Institute Burlington, Massachusetts Cleveland Clinic Foundation Assistant Professor of Surgery Cleveland, Ohio Department of Surgery Tufts University School of Medicine Alessandro Fichera, MD, FACS, FASCRS Boston, Massachusetts Associate Professor Program Director, Colon and Rectal Surgery Training Terry C. Hicks, MD Program Vice Chair Department of Surgery Department of Colon Rectal Surgery University of Chicago Medical Center Ochsner Clinic Foundation Chicago, Illinois New Orleans, Louisiana James W. Fleshman, MD Farah A. Husain, MD Professor of Surgery at Washington University in St. Louis Clinical Instructor at Emory University in Atlanta Chief of Colon and Rectal Surgery Minimally-Invasive Surgery and Endosurgery Chief of Surgery Emory University Barnes Jewish West County Hospital Atlanta, GA St. Louis, Missouri Nail Hyman, MD Morris E. Franklin Jr, MD, FACS Chief, Division of General Surgery Texas Endosurgery Institute Fletcher Allen Health Care San Antonio, Texas Samuel B. and Michelle D. Labow Professor of Surgery University of Vermont College of Medicine Burlington, Vermont