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Single Incision L APAROSCOPIC  S URGERY (SILS)   C OLORECTAL  Resection Nick Rieger Assoc Professor University of Adelaide
SILS ,[object Object],[object Object],[object Object],[object Object],[object Object]
SILS
SILS Colectomy and literature ,[object Object],[object Object],[object Object]
Colectomy ?? HOW ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SILS Colectomy
SILS Colectomy
Case Experience: Dr Rieger ,[object Object]
0/10 T2N0 Caecum 22 74 5 1/7 T2N1 Caecum 25 73 6 21 Benign (2 cm) Ascend 28 60 7 3/16 carcinoid Ileal Liver 2nd 24 69 4 26 Benign (5 cm) Caecum 23 76 3 0/12 T3N0 Splenic 21.5 63 2 0/10 T1N0 Caecum 23 83 1 Nodes Path Tumour BMI Age Patient
bacteraemia 11 115 5 Nil 4 80 6 Nil 5 88 7 Nil 6 75 4 Nil 4 90 3 Nil 4 75 2 Nil 4 100 1 Complication Stay Op Time Patient
SILS. Why Bother? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SILS: Indications ,[object Object],[object Object],[object Object],[object Object]
SILS: Ideal Indications ,[object Object],[object Object],[object Object]
SILS: Disadvantages ,[object Object],[object Object],[object Object],[object Object],[object Object]
Ink Impalpable Lesions
Operative Considerations ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SILS : Trocars ,[object Object],[object Object]
SILS : Instruments ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
SILS: Anastomosis
SILS: Oncologic principles
Port site hernia
SILS: Post Operative Care ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Conclusions ,[object Object],[object Object],[object Object]

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