الفهرس 
Embryology & anatomyOnly 14 pages are availabe for public view
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Abstract
Laparoscopic colorectal surgery is the most significant technical development in colo-rectal surgery over the last decade.
Several issues were raised against the use of laparoscopy in cases of malignancy. One of these issues was the adequacy of the obtained specimens especially in those cases that are candidate for radical resection.
Taking the number of lymph nodes as an indicator for the radicality of the surgery done with the number of 12 lymph nodes being the target value as proposed by recent studies, we found that laparoscopic resection in cases of malignancy yields adequate samples that are comparable to those obtained by open surgery, if not better owing to the magnifying power given by laparoscopy.
However, adopting laparoscopic surgical techniques for malignant cases is a highly demanding task from all the members of the team i.e. the surgeon, the assistants, the nurses, the technician and the pathologist; each member has a task with certain requirements that should be met for the maximum benefit to be obtained from laparoscopy for the sake of the patient and the community on both the short and long run.
Detailed anatomy of the colon and pelvis is a must for a safe laparoscopic procedure. Also, understanding the physiological response of the body to pneumoperitonium is essential for a smooth intra-operative and post-operative management of patients.
It was also very clear that a successful management of a patient with colo-rectal cancer, and in the same manner any surgical patient, is a result of collaboration between different specialties adding another call for the importance of establishing multi-disciplinary teams where every member co-operates with others to take a decision putting the patient on the right track to reach the utmost benefit for the patient in comparison to the old concept of person`s own experience and preference. Indeed, surgeon`s old experience is very important, but, alone, the mission cannot be completed satisfactorily.
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