Deciding on an IRA vs. IPAA for FAP
Familial adenomatous polyposis (FAP) is a dominantly inherited form of cancer predisposition due to a germline mutation in the colorectal cancer gateway gene, APC. The syndrome usually presents as colorectal adenomatous polyposis of varying severity, whic
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Neil Hyman Konstantin Umanskiy Editors
Difficult Decisions in Colorectal Surgery
Difficult Decisions in Surgery: An Evidence-Based Approach Series Editor Mark K. Ferguson
For further volumes: http://www.springer.com/series/13361
Neil Hyman • Konstantin Umanskiy Editors
Difficult Decisions in Colorectal Surgery
Editors Neil Hyman Medical Center University of Chicago Chicago, IL USA
Konstantin Umanskiy Medical Center University of Chicago Chicago, IL USA
ISSN 2198-7750 ISSN 2198-7769 (electronic) Difficult Decisions in Surgery: An Evidence-Based Approach ISBN 978-3-319-40222-2 ISBN 978-3-319-40223-9 (eBook) DOI 10.1007/978-3-319-40223-9 Library of Congress Control Number: 2016959469 © Springer International Publishing Switzerland 2017 This work is subject to copyright. All rights are reserved by the Publisher, whether the whole or part of the material is concerned, specifically the rights of translation, reprinting, reuse of illustrations, recitation, broadcasting, reproduction on microfilms or in any other physical way, and transmission or information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed. The use of general descriptive names, registered names, trademarks, service marks, etc. in this publication does not imply, even in the absence of a specific statement, that such names are exempt from the relevant protective laws and regulations and therefore free for general use. The publisher, the authors and the editors are safe to assume that the advice and information in this book are believed to be true and accurate at the date of publication. Neither the publisher nor the authors or the editors give a warranty, express or implied, with respect to the material contained herein or for any errors or omissions that may have been made. Printed on acid-free paper This Springer imprint is published by Springer Nature The registered company is Springer International Publishing AG The registered company address is: Gewerbestrasse 11, 6330 Cham, Switzerland
I dedicate this book to my sons EJ and Seth, who have been a never-ending source of pride and joy from the moment they were born, and always the reason for everything. Neil Hyman I dedicate this book to my parents Yakov and Eugenia. Konstantin Umanskiy
Preface
Colon and rectal surgery may very well be on the cusp of a golden age. Our specialty is thriving and our ACGME-approved training programs are extremely popular among the best and brightest general surgery residents. Breathtaking advances in minimally invasive surgery have occurred over the past quarter century including laparoscopic bowel resection, robotic surgery, endoscopic techniques such as endoscopic mucosal/submucosal resection, and transanal approaches such as transanal endoscopic microsurgery and transanal minimally invasive surgery. Innovation in these areas has made surgery safer for many of our patients, enabled sphincter preservation, and reduced the period of disability that many experien
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