Ab Prep a New Colon Cleansing
AB Prep: colon cleansing made easierWith the colonoscopy being the main procedure that evaluates and prevents colon cancer; efforts to make the experience tolerable and pleasant has always been a priority and a challenge.In the United States out of all the people meeting the criteria for screening colonoscopy only 35% of the people actually undergo… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
A Prospective Study Comparing the Surgical Outcomes Between Laparoscopic Surgery for Transverse and Descending Colon Cancer and Laparoscopic Surgery for Other Colon Cancers.
Introduction: Several prospective randomized trials have demonstrated the long-term oncological safety of laparoscopic surgery for colon cancer. However, transverse/descending colon cancers were excluded from prior randomized controlled trials, mainly because of technical difficulties. This study was designed to compare surgical outcomes between laparoscopic surgery for transverse/descending colon cancers and that for other colon cancers, in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Low Anterior Resection with Total Mesorectal Excision, 17 Years Experience with 590 Patients
IntroductionLaparoscopic surgery has been established as the procedure of choice for much intra-abdominal disease process. However laparoscopic colon surgery has been the focus of much criticism and debate, while surgical procedure per se has gained acceptance, the indications for surgery has been the center of controversy, primarily regarding the safety and efficacy of these minimally… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Long-term Follow-up of Laparoscopic Repair of Parastomal Hernia Using a Bi-layer Mesh with a Slit
Introduction: Open surgery for parastomal hernia has been associated with high morbidity and high recurrence rates exceeding 40-50%, in particular after suture closure of the fascial defect or stomal re-siting. Laparoscopic mesh repair, however, has shown promising results, but published series have been relatively small with a short follow-up.Methods and procedures: Since 1997 laparoscopic repair… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Subtotal Colectomy for Medically Refractory Ulcerative Colitis: The Time Has Come
Introduction:We hypothesized that laparoscopic subtotal colectomy (STC) is a safe alternative in patients with medically refractory ulcerative colitis (UC).Methods:This is a retrospective study of 85 medically refractory UC patients undergoing STC with end ileostomy since 2002. Patients with toxic megacolon were excluded. Results are presented as mean with confidence interval and compared using unpaired t-test… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Hospital Colectomy Volume As a Surrogate for Advanced Laparoscopy
Although laparoscopic colectomy has been reported to have favorable outcomes compared to open colectomy, it has yet to gain widespread acceptance in the United States. We sought to investigate whether hospital volume for colectomy was an important factor to predict the likelihood of having colectomy performed laparoscopically.Methods: Using the Nationwide Inpatient Sample (NIS) from 1998… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Gastrointestinal Recovery After Laparoscopic Partial Large Bowel Resection: Results of a Prospective, Observational, Multicenter Study
Introduction: A prospective, multicenter, observational study (14CL401) investigated gastrointestinal (GI) recovery, length of hospital stay (LOS), and postoperative ileus (POI)-related morbidity after laparoscopic bowel resection (LBR). Methods: Adult patients undergoing LBR with primary anastomosis performed by straight (SL) or hand-assisted (HAL) laparoscopy with scheduled postoperative intravenous patient-controlled analgesia were enrolled. The study design was similar… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
A Randomized Clinical Trial Comparing Cost and Effectiveness of Bipolar Vessel Sealers to Clips and Vascular Staplers in Straight Laparoscopic Colectomy
Introduction: This study compares the costs and effectiveness of two standard techniques for vascular control in straight laparoscopic colectomy.Methods: Patients scheduled for laparoscopic colectomy were randomized to bipolar vessel sealer (BVS; Ligasure Atlas, Covidien) or laparoscopic clips and vascular staplers (LCS). Time and ability to control the main vascular pedicles were recorded. Costs of disposable… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
A Comparison of the Clinical and Economic Outcomes for Open Versus Minimally Invasive Appendectomy and Colectomy: Evidence From a Large Commercial Payer Database
INTRODUCTION: Appendectomy and colectomy are commonly performed surgical procedures. Despite evidence demonstrating advantages to the minimally invasive surgical (MIS) approach, the prevalence of open procedures is higher. It remains controversial whether the MIS approach is safer or more cost effective. METHODS: A retrospective analysis was performed using a large commercial payer database. The data included… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
A Metastatic Colon Cancer Model Using Non-operative Trans-Anal Rectal Injection
(^) denotes superscript Background: This study was conducted to develop a non-invasive orthotopic model for metastasis of colon and rectal cancer using a trans-anal approach that is non-operative, reproducible, and easy to perform. Currently, the most accurate orthotopic representation of metastatic human colon cancer is a cecal injection. The trans-anal model allows for further examination… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Colectomy Is Safer Than Open Colectomy: A Propensity Score Matched, Risk-Adjusted Analysis From 183 Hospitals
INTRODUCTION: Though patient preference appears to drive the move to laparoscopic colectomy, it is uncertain whether surgeons should preferentially offer a laparoscopic approach over an open approach because of increased safety alone. There has not been adequate multi-institutional evidence comparing appropriate patient cohorts to answer this important question.METHODS: From 2005-2007, 183 hospitals participating in the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Transanal Abdominal Transanal (tata) Resection with Sphincter Preservation for Rectal Cancer of the Distal 3cm Following Neoadjuvant Therapy
Introduction: In a prospective rectal cancer management program, this study reports short and long term results of laparoscopic radical transanal abdominal transanal proctosigmoidectomy with coloanal anastomosis (TATA) after neoadjuvant therapy. Methods: From 1998 to 2008, in a prospective database, 102 rectal cancer patients were treated with laparoscopic TATA. Patients with distant metastasis at presentation, tumor… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Appendectomy Is As Cost Effective As Open Appendectomy
Introduction: The aim of this study is to compare the results of laparoscopic (LA) versus open (OA) approaches for appendectomy in a teaching community hospital.Methods: A retrospective analysis of 264 patients who underwent appendectomy over an 8-year period (155 Lap versus 109 Open). Two surgeons performed all LA procedures and all were initially approached for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Is Navigation Useful in Laparoscopic Colon Resction
An optical navigation system was adapted for abdominal surgical purposes, The feasibility and potential usefulness was investigated in 24 patients with a colorectal tumor or diverticulitis. The information from a preoperative CT scan was integrated in the real time live video images. Instruments were marked and identifiable during the navigation. All patients underwent a laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Single Port Access (spa) Colon Resection: a Comparison to Multiport Laparoscopic (mpl) Colectomy
The Single Port Access (SPA) technique was developed as an alternative to standard multiport laparoscopic (MPL) procedures. The initial advantage SPA surgery offers is the ability to perform standard laparoscopic dissection techniques through a single incision, thus offering improved cosmesis. It is important to compare this novel technique to the proven MPL technique in terms… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal