Totally Laparoscopic Right Hemicolectomy with Transvaginal Specimen Extraction
We present our technique for totally laparoscopic right colectomy for locally advanced colon cancer with transvaginal specimen extraction. The patient was a 73 year old female who presented with a biopsy proven cecal adenocarcinoma. We performed a right hemicolectomy using a 4 port approach with the patient in modified lithotomy postion. Medial to lateral mobilization… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
A Comparison of Total Laparoscopic Hemi-colectomy Vs Assisted Laparoscopic and Laparotomy
A COMPARISON OF TOTAL LAPAROSCOPIC HEMI-COLECTOMY VS ASSISTED LAPAROSCOPIC AND LAPAROTOMYLozano-Dubernard G, Calva JJ, Ruiz-Healy F, Gil-Ortiz R, Rodriguez-Gonzalez M, Figueroa-Barkow S. Hospital Angeles del Pedregal, Mexico City, MexicoObjective. Our study aims to compare clinical outcomes from left total laparoscopic hemi-colectomy with trans-anal extraction and intra-abdominal anastomosis (TL), versus left hemi-colectomy by laparotomy (LPT) and… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Comparison of Intracorporeal Versus Extracorporeal Anastomosis in Laparoscopic Hemicolectomy
INTRODUCTION: The aim of this study was to determine short-term outcomes of an intra- vs extra-corporeal anastomosis in laparoscopic hemicolectomy.METHODS: Retrospective chart review of 105 consecutive patients who underwent laparoscopic hemicolectomy performed by a single surgeon from January 2006-August 2008. Pearson Chi-square and student’s t-test were used to test for significance.RESULTS: There were 105 patients… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Retrospective Analysis of Resected Primary Colorectal Cancer Revealed No Correlation Between Node Harvest and Node Involvement
Introduction: The study aims to analyze the correlation between lymph node harvest (LNH) and node involvement (LNI) in resected primary colorectal cancer specimens. Patients & methods: Retrospective analysis. The study period is Jan 2002 – Dec 2006 (5y). The data were obtained from medical records. The patient inclusion criteria were resection of primary CRC including… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Role of Initial Clinical Assessment in the Diagnosis of Acute Diverticulitis
Introduction: This paper aims to determine the diagnostic accuracy of initial clinical assessment in the diagnosis of acute diverticulitis (AD). Patients and methods: Retrospective analysis. Patients admitted to the surgical unit via A&E between Apr 2002 and March 2006 inc. (4y) were identified using the International Code of Diseases (ICD-10 version 2007) coding system. Exclusions… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Resection of Lymphangioma of the Small Bowel Mesentery in an Adult
A 32-year-old female presented for Colorectal Surgery consultation regarding an 18-month history of vague left-sided abdominal pain, intermittent bloating, frequent stools, and occasional passage of mucus. Her laboratory work-up was negative. CT scan of the abdomen and pelvis revealed a "mass in the small bowel mesentery". She had no chronic medical issues and had no… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Use of Alvarado Clinical Score for Acute Appendicitis to Direct Utilization of CT for Acute Appendicitis.
Introduction: CT is considered the ‘gold standard’ in the diagnosis of acute appendicitis (AA). The radiation dose associated with an abdominal CT has recently been revisited, leading to a reassessment of indications to perform CT for AA. The Alvarado score for AA, determined prior to CT, is compared to CT and pathology results and recommendations… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Management of Enterovesicle Fistulas in Crohn’s Disease
Introduction:In the past decade laparoscopic surgery for uncomplicated Crohn's disease (CD) was shown to be safe and feasible. Laparoscopic management of CD complicated by enteric fistulas is more controversial, with a higher reported conversion rate and postoperative complications. Methods:We retrospectively reviewed all patients who underwent elective laparoscopic surgery for CD complicated by enterovesicle fistula in… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Opportunity Cost in the Evaluation of Surgical Innovations: A Case Study of Laparoscopic Versus Open Colectomy
Introduction Opportunity cost is the value of an activity forgone to participate in some other activity. With respect to surgery, an innovation incurs an opportunity cost when it uses additional operating time that could otherwise be used in a productive way. Although fundamental to the economist’s view of costs, opportunity cost is infrequently used in… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Short and Long-term Outcome After Laparoscopic-Assisted Surgery for Stage III Colorectal Cancer: A Matched-case Control Study
Aim: The aim of this study was to clarify the short and long-term outcome after laparoscopic-assisted surgery for Stage III (Any T, N1-2, M0) colorectal cancer compared to open surgery.Methods: 50 patients underwent LAP for stage III colorectal cancer from 2000 to 2006, were compared with 50 patients underwent OPEN surgery matched for the age,… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
New Method of Rectal Irrigation and Cutting in Laparoscopic-low Anterior Resction for Rectal Cancer: Extracorporeal Hals method
(Aim) To evaluate a new method of rectal irrigation and cutting in laparoscopic-low anterior resection for rectal cancer(Apparatus) A clamp forceps for the rectal irrigation and the Y-shaped vinyl hood for the operation under airtight were made. The point of forceps is J character type, and the total length is 36cm. 22cm between the clamping… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Evaluation of the Short Term Outcome of Laparoscopic Colorectal Surgery
Aim: The outcome of 536 patients who underwent LAC during 1993-2007 were compared with that of 1140 patients of OC. Methods: We evaluated patient outcome in two phases; phase 1 (1993-2004) and phase 2 (2005-2007). Results: Operation time was significantly longer in LAC patients ( 254 min. v.s. 234 min.). Bleeding, postoperative hospital stay and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Restoration of Intestinal Continuity After Hartman’s Procedure
Laparoscopic restoration of intestinal continuity after Hartman’s procedure Objective :the aim of this study was to analyse the faisability and the outcome after laparoscopic reversal after Hartman’s procedure (LRH) Methods :we retrospectively reviewed the medical reports of patients who underwent LRH between january 2003 and February 2008. Data regarding demographics, surgical details and post-operativ course… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Accuracy of Preoperative Assessment and Clinical Outcome of T1 Colorectal Cancer
[Backgrounds] Since the first case of colon cancer surgery was reported, a laparoscopic treatment for colorectal cancer has become rapidly popular. A T1 colorectal cancer is thought to be a good indication for laparoscopic procedures because of the low risk of recurrence. However, since the lymph node metastasis rate of T1 colorectal cancer is around… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Simple Rectal Irrigation in Laparoscope-Assisted Resection for Colorectal Cancer
INTRODUCTION: The rectal irrigation in the laparoscopic operation for rectal cancer is very important to avoid recurrence of the anastomosis, but it is the present conditions not to yet establish certain technique. We devised the safety, simple and unique technique for rectal irrigation in the laparoscopic procedure. We present the new method using the clamp… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal