What is the definition of “conversion” in laparoscopic surgery among colorectal surgeons? a survey among SAGES and ASCRS
Background: Various definitions are used in the literature to define conversion, rendering comparison among studies difficult. A web-based and postal survey was conducted among colorectal surgeons representing the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the American Society of Colon and Rectal Surgeons (ASCRS) regarding their definition of conversion during laparoscopic colorectal surgery… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
What is the benefit of the laparoscopic approach to restorative proctocolectomy? a comparative study
Restorative proctocolectomy (RPC)is one of the more complex operations in colon and rectal surgery.It has evolved extensively and the most recent controversy is the adoption of the laparoscopic approach.There is limited short-term data comparing the open and laparoscopic approach for RPC.This is a comparative study for the short-term outcomes and impact on closure of loop… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
What is the appropriate level of the regional lymph node dissection, when we perform the laparoscopic surgery for T1 colorectal cancer?
[Background] Laparoscopic colorectal cancer surgery came to be performed widely, but the oncological validity of this surgery has not been well analyzed. Especially for pathological T1 (pT1) colorectal cancer, the level of lymph nodes (LN) dissection is not clear. [Patients and Method] The study group consists of 321 patients who underwent laparoscopic colorectal resection since… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Use of Routine Intraoperative Endoscopy in Elective Laparoscopic Colorectal Surgery – Can It Further Avoid Anastomotic Failure?
Background: Anastomotic leakage, bleeding and local recurrence remain serious complications of laparoscopic colorectal surgery. We aimed to study the usefulness of routine intraoperative endoscopy (RIOE) in elective laparoscopic colorectal surgery with distal anastomosis to predict postoperative anastomotic failure. Method: A retrospective review of 244 consecutive patients between January 2004 and May 2007 was performed. While… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Totally Laparoscopic Proctocolectomy with Intracorporeal Ileal Pouch -Anal Anastomosis Followed By ‘natural Orifice Specimen Extraction’ (n.o.s.e)
Introduction:Totally laparoscopic proctocolectomy with intracorporeal pouch-anal anastomosis has been rarely reported. In this video, we present a totally laparoscopic proctocolectomy with pouch-anal anastomosis and a novel method of specimen extraction. Methods: We retrospectively studied 7 female patients from 2004-2007. A totally laparoscopic proctocolectomy with ileal pouch-anal anastomosis was successfully performed for all cases. The operating… Continue Reading
- Topic:
- Colorectal
The Value of Laparoscopy in Management of Penetrating Rectal Injuries
The basic tenet in management of penetrating rectal injuries is diversion of feces after other injuries are excluded. Laparoscopy may offer expeditious work-up and diversion all in one setting with comparable safety and benefits of a minimally invasive approach. To support this hypothesis, we reviewed all patients with suspected rectal injuries in last 2 years.Method:… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The Role of Palliative Intraluminal Stents for Large Bowel Obstruction in Patients with Advanced Pelvic Malignancy
PURPOSE: Malignant large bowel obstruction (LBO) is a common problem in patients with advanced or recurrent gynecologic malignancy. Studies reviewing palliative surgery have suggested variable short-term success with significant morbidity and diminished quality of life. The purpose of this study is to review our experience and examine the efficacy of intraluminal stents in the management… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The Role of Laparoscopic colon resection for diverticulitis
Introduction: Laparoscopic treatment of diverticulitis is challenging because of its inflammatory nature. In the United States, many surgeons advocate a hand-assisted laparoscopic approach routinely for the treatment of these cases. We present the experience with a laparoscopic approach using hand-assisted surgery as needed, focusing on completion rate, morbidity, mortality and patient outcomes. Methods: Since 1996,… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The impact of the liberal use of CT in the work up of acute appendicitis
Background:Acute appendicitis has historically been considered a clinical diagnosis, necessitating a CT scan only in the face of equivocal signs and symptoms. The purpose of this study is to determine whether or not the liberal use of CT in the work up of acute appendicitis results in a decreased negative appendectomy rate (NAR). Methods:The medical… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Systematic literature review to evaluate economic outcomes of the electrothermal bipolar vessel sealing system (LigaSure™) versus other methods for surgical hemostasis
Objective: To systematically review the literature to assess electrothermal bipolar vessel sealing system EBVS (LigaSure™, Covidien Energy-based Devices, Boulder, CO) versus other methods for surgical hemostasis.Methods: A search was conducted of the National Library of Medicine's Medline & Cochrane Library databases from 1/1/2000-8/14/07 for prospective, randomized, clinical, comparative trials (RCTs) of EBVS. Initial search identified… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Surgical Treatment of Appendicitis with Peritonitis
Objective: This study aims to know which access is chosen in case of appendicitis with localised or diffused peritonitis and to evaluate the intra operative and postoperative complications.Technique: Prospective analysis including all patients admitted with appendicular peritonitis. Open appendectomy is undertaken through iliac or midline laparotomy. Laparoscopic appendectomy is undertaken through 3 or 4 trocars.Patients:… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Successful one-stage laparoscopic operation using transanal ileus tube for obstructive colorectal cancer
BACKGROUND: Transanal ileus tube is introduced into obstructive colorectal cancer in October, 1997 in our hospital, and many cases of obstructing colorectal cancer successfully managed by preoperative lavage using transanal ileus tube. Moreover, because transanal ileus tube was originally developed, decompression tube was transanally inserted into the colon more safely than before. In addition, in… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Single surgeon surgery: 3 trocar technique for colon resection
Introduction: Laparoscopic colon resection has been demonstrated to be safe and feasible. Despite proven patient benefits, adoption of the technique has been slow. A significant hurdle for adoption has been the technical challenge and need for 1 or 2 (highly) skilled assistants. We present our experience with a single surgeon, 3 trocar technique for colon… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Sentinel Node Navigation for Colorectal Cancer Including Laparoscopic Approach : Adoption of More Practical Methods
Introduction: Sentinel lymph node (SLN) mapping can improve the accuracy of colorectal cancer staging. However, previously described methods, when it comes to laparoscopic procedure in particular, are both time-consuming and annoying because they require additional procedure. The aim of this study is to evaluate the accuracy of modified in-vivo lymphatic mapping, which can be done… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Secure and uniform transection / anastomosis in the laparoscope-Assisted anterior resection of rectal cancer: Comparison of three methods
[Background] Even in the up to date laparoscopic colorectal surgery, transection and anastomosis of the rectum in the narrow pelvic cavity might be challenging. In this study, we compared three methods to find out the best way to do safe and effective laparoscopic surgery for rectal cancer.[Patients and methods] Between April 1993 and August 2007,… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal