This atlas, containing a wealth of clear operative images, is designed to enable trainee surgeons to visualise the surgical field for procedures specific to laparoscopic colorectal surgery, thereby facilitating understanding and learning of surgical techniques and avoidance of intra- and postoperative complications. Step-by-step guidance is provided for a wide range of procedures employed in patients with benign and malignant tumours, inflammatory bowel disease, diverticular disease, rectal prolapse and other conditions. Examples include right colectomy techniques, sigmoid colectomy, left hemicolectomy, total colectomy, panproctocolectomy, total mesorectal excision, Hartmann's procedure and its reversal and rectopexy. Throughout, meticulous attention is paid to surgical anatomy. Whenever considered necessary, additional line drawings are included to aid comprehension of particular steps in the surgery. Readers seeking to improve their comprehension of surgical anatomy and how to perform these operative procedures will find the atlas to be an unparalleled source of information and assistance. A complementary book from the same authors focuses on open colorectal surgery.

Michael Parker qualified from Westminster Hospital Medical School in 1973. He acquired the FRCS and FRCS(Ed) in 1980 and MS (London) in 1987. A consultant surgeon in a district general hospital for over 20 years with a specialist interest in laparoscopic surgery, Professor Parker is a member of the Court of Examiners of the Royal College of Surgeons of England, past President of the Association of Coloproctology of Great Britain and Ireland, past President of the Surgical Section of the Royal Society of Medicine, past President of the Association of Laparoscopic Surgeons of Great Britain and Ireland, a former Council member of the Royal College of Surgeons of England and a current Trustee of the European Society of Coloproctology. In 2010 he initiated a programme of laparoscopic colorectal training in Denmark and in 2013, after over one hundred visits to Jutland, was conferred with an Honorary Chair from the University of Århus. This training programme is ongoing in Copenhagen and now also in Sweden. The programme has succeeded in raising the incidence of laparoscopic resection of bowel cancer in Denmark to over 90% which equates to the highest in Europe. Long term outcome results are amongst the best in the world.

Werner Hohenberger is Full Professor of Surgery, University of Erlangen-Nuremberg, Germany and Chair of the Surgical Department at the same university, where he obtained his degree in 1973. Beside his long teaching career, during which he also worked as visiting professor in many universities abroad, such as the Cleveland Clinic, Ohio, USA and the Peking University People's Hospital, China, he has been dedicating great efforts within scientific societies in the field of surgical oncology, which remains his chief clinical interest. He was President of the German Cancer Society, the German Cancer Congress and Member of the Executive Committee of the German Senologic Society.

1;Foreword;6 2;Preface;7 3;Acknowledgements;8 4;Contents;9 5;Contributors;11 6;1: The Anatomy of the Small Intestine;13 6.1;1.1 Duodenum;20 6.1.1;1.1.1 Vascular Supply, Lymphatic Drainage and Innervation of the Duodenum;24 6.1.1.1;1.1.1.1 Arteries;24 6.1.1.2;1.1.1.2 Veins;25 6.1.1.3;1.1.1.3 Lymphatic Drainage;26 6.1.1.4;1.1.1.4 Innervation;26 6.2;1.2 Jejunum;26 6.3;1.3 Ileum;26 6.4;1.4 Vascular Supply, Lymphatic Drainage and Innervation of the Small Bowel;26 6.4.1;1.4.1 Arterial Supply;26 6.4.2;1.4.2 Venous Drainage;27 6.4.3;1.4.3 Lymphatic Drainage;27 6.4.4;1.4.4 Innervation;27 6.5;References;38 7;2: The Anatomy of the Large Intestine;39 7.1;2.1 Midgut Region of the Large Intestine;44 7.1.1;2.1.1 Ileocolic Junction;44 7.1.2;2.1.2 Caecum;45 7.1.3;2.1.3 Appendix;46 7.1.4;2.1.4 Ascending Colon;48 7.1.5;2.1.5 Hepatic Flexure;49 7.1.6;2.1.6 Transverse Colon;50 7.1.7;2.1.7 Vascular Supply and Lymphatic Drainage of the Midgut;51 7.1.7.1;2.1.7.1 Arterial Supply;51 7.1.7.2;2.1.7.2 Venous Drainage;58 7.1.7.3;2.1.7.3 Lymphatic Drainage;59 7.1.8;2.1.8 Innervation;60 7.2;2.2 Hindgut Region of the Large Intestine;66 7.2.1;2.2.1 Splenic Flexure;66 7.2.2;2.2.2 Descending Colon;67 7.2.3;2.2.3 Mesocolon;69 7.2.4;2.2.4 Sigmoid Colon;76 7.2.5;2.2.5 Anorectum: Rectum and Anal Canal;78 7.2.5.1;2.2.5.1 Rectum;78 7.2.6;2.2.6 Mesorectum and Rectal Fasciae;80 7.2.7;2.2.7 Anal Canal;81 7.2.8;2.2.8 Vascular Supply and Lymphatic Drainage of the Hindgut;85 7.2.8.1;2.2.8.1 Arterial Supply;85 7.2.8.2;2.2.8.2 Venous Drainage;91 7.2.8.3;2.2.8.3 Lymphatic Drainage;93 7.2.9;2.2.9 Innervation;93 7.3;References;100 8;3: Laparoscopic Appendicectomy;102 8.1;3.1 Introduction;102 8.2;3.2 Anatomical Considerations;102 8.3;3.3 Operative Approach: Open Appendicectomy;105 8.3.1;3.3.1 Classic Gridiron Exposure;105 8.3.2;3.3.2 Incision in Peritoneum;107 8.3.3;3.3.3 Devascularisation of the Appendix;108 8.3.4;3.3.4 Burial of the Appendix Stump;108 8.4;3.4 Operative Approach: Laparoscopic Appendicectomy;111 8.4.1;3.4.1 Visualisation and Retraction of the Appendix;111 8.4.2;3.4.2 Entering the Avascular Window at the Base of the Mesentery;112 8.4.3;3.4.3 Transection of the Appendix;112 8.4.4;3.4.4 Transection of the Mesoappendix;112 8.4.5;3.4.5 Retrieval of the Appendix;115 8.5;3.5 Results;115 8.5.1;3.5.1 Laparoscopic Versus Open Appendicectomy;115 8.5.2;3.5.2 Have Surgical Trends Changed?;116 8.6;3.6 Conclusion;117 8.7;References;117 9;4: Laparoscopic Ileostomy and Colostomy for Faecal Diversion;118 9.1;4.1 Introduction;118 9.2;4.2 Preoperative Considerations;118 9.3;4.3 Operative Steps;119 9.3.1;4.3.1 Laparoscopic Loop Ileostomy;119 9.3.1.1;4.3.1.1 Aqueous Povidone Solution;119 9.3.1.2;4.3.1.2 Entry Technique and Port Placement;119 9.3.1.3;4.3.1.3 Locating Terminal Ileum;120 9.3.1.4;4.3.1.4 Ileal Loop Selection;120 9.3.1.5;4.3.1.5 Internal Loop Orientation;120 9.3.1.6;4.3.1.6 Creation of the Stoma Aperture;123 9.3.1.7;4.3.1.7 External Loop Orientation;125 9.3.1.8;4.3.1.8 Loop Ileostomy Formation;125 9.4;4.4 Laparoscopic End Ileostomy;126 9.5;4.5 Laparoscopic End Colostomy;127 9.5.1;4.5.1 Alcoholic Chlorhexidine Solution;127 9.5.2;4.5.2 Entry Technique and Port Placement;128 9.5.3;4.5.3 Dissection and Mobilisation;128 9.5.4;4.5.4 Transection Technique;129 9.5.5;4.5.5 Delivering the Proximal End of Bowel;129 9.5.6;4.5.6 Creation of the Stoma Aperture;130 9.6;4.6 Laparoscopic Loop Colostomy;133 9.7;4.7 Postoperative Management;133 9.7.1;4.7.1 High-Output Stomas;133 9.7.2;4.7.2 Parastomal Hernia;133 9.7.3;4.7.3 Mucocutaneous Separation;134 9.7.4;4.7.4 Stoma Retraction;134 9.7.5;4.7.5 Stomal Stenosis;134 9.7.6;4.7.6 Peristomal Pyoderma Gangrenosum;134 9.8;References;134 10;5: Oncological Right Colectomy by Laparoscopic Medial-to-Lateral Approach with Total Mesocolic Excision;136 10.1;5.1 Technique;136 10.1.1;5.1.1 General Considerations;136 10.1.2;5.1.2 Medial-to-Lateral Dissection: Five Steps;137 10.1.3;5.1.3 Side-to-Side Stapled Ileocolic Anastomosis: Three Steps;146 10.1.4;5.1