Patient Selection Indications And Contraindications

We have taken the approach that laparoscopic colectomy can be broadly applied to col-orectal pathology so all patients are considered potential candidates for a laparoscopic approach. However, after initial visualization of the abdominal cavity a determination is quickly made regarding the appropriateness of proceeding. This could be based upon a larger than expected mass or worse than anticipated adhesions. Exclusions from an attempted laparoscopic colectomy are body mass index >35, and prior major abdominal surgeries (exclusive of hysterectomy, cholecystectomy, or appendectomy).

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