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6. Generation of Working Space: Extraperitoneal Approaches

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Abstract

Laparoscopic instrumentation outside the peritoneal cavity has evolved as a means of addressing the extraperitoneal organs while avoiding potential complications inferred from entering the peritoneum. Standard laparoscopic techniques are equally applicable both within and outside the peritoneal cavity, but the generation of pneumoperitoneum and exposure to ensure adequate surgical view may be particularly challenging. In this chapter, we describe the anatomical challenges associated with extraperitoneal access and outline the initial laparoscopic approach to extraperitoneal structures.

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Author information

Authors and Affiliations

  1. Department of Surgery, Lahey Clinic, Burlington, MA, USA

    David M. Brams M.D.

  2. Department of General Surgery, Lahey Clinic, Burlington, MA, USA

    Amila Husic M.D.

Authors
  1. David M. Brams M.D.
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  2. Amila Husic M.D.
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Corresponding author

Correspondence to David M. Brams M.D. .

Editor information

Editors and Affiliations

  1. School of Medicine, Department of Surgery, Northwestern University Feinberg, Chicago, 60611, Illinois, USA

    Nathaniel J. Soper

  2. Clinics, Department of Surgery, University of Iowa Hospitals and, Iowa City, 52242, Iowa, USA

    Carol E.H. Scott-Conner

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© 2012 Springer Science+Business Media, LLC

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Brams, D.M., Husic, A. (2012). 6. Generation of Working Space: Extraperitoneal Approaches. In: Soper, N., Scott-Conner, C. (eds) The SAGES Manual. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-2344-7_6

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  • DOI: https://doi.org/10.1007/978-1-4614-2344-7_6

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-2343-0

  • Online ISBN: 978-1-4614-2344-7

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