102 Consecutive Robotic Assisted Minimally Invasive Colectomies – an Outcome and Technical Update
Objective: The purpose of the study was to review 102 consecutive robotic-assisted laparoscopic colectomies at our institution. We evaluated the eight-year experience (2002–2009) of one minimally invasive surgery (MIS) fellowship trained surgeon using the da Vinci Telerobotic system. Colon procedures are 6th most commonly performed procedure of the senior author annually. Methods: An IRB approved… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
3d CT Navigation for Single Umbilical Incision Laparoscopic Appendectomy
Introduction: Laparoscopic appendectomy is generally performed with 3 ports system. We have performed single umbilical incision laparoscopic appendectomy (SUILA) using a wound retractor without ports from the year 2006. We studied the cases of three-dimensional CT (3DCT) to demonstrate the anatomical location of appendix clearly and made use of 3DCT for SUILA. Materials and Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
A Case Control Comparison of Laparoscopic (LX) and Open (OP) Approach for the Surgical Management of Small Bowel Obstruction (SBO)
Background: LX offers enhanced recovery and better cosmesis. Reduction in postoperative adhesions and incisional hernia rates are potential long term benefits. Previous studies have shown that laparoscopic management of SBO is feasible and associated with acceptable morbidity. However, rates of conversion to OP are higher than in other laparoscopic procedures. Data comparing short and long… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
A New Strategy for Adhesive Bowel Obstructon Using Laparoscopic Surgery and Bioabsorbable Membrane
(Introduction) To construct a more effective operation for adhesive bowel obstruction, we introduced laparoscopic surgery and bioabsorbable membrane for operation of this disease. Recurrent adhesive bowel obstruction is supposed to be indication of operation. But it is undeniable that the new adhesion between damaged peritoneal areas and bowels may be constructed. Recently, efficacy of laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Adult Incidental Intussusception – Single Institute Experience
INTRODUCTION: Intussusception occurs when a proximal segment of bowel telescopes into the lumen of an adjacent distal segment and can occur anywhere within the gastrointestinal tract. With the advent of multislice CT scanner, more cases of intussusception are reported. The purpose of this study was to determine the clinical presentation in cases of adult intussception… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Alvimopan Can Reduce Postoperative Ileus and Hospital Length Stay in Laparoscopic Colon Surgery
Introduction: Post-Operative Ileus (POI) is a common complication of abdominal surgeries leading to increased hospital stay and healthcare costs. Alvimopan is a novel agent in which competitively binds to peripheral mu-opioid receptor in the gastrointestinal tract. Following oral administration, alvimopan antagonizes the peripheral effects of opioids on gastrointestinal motility. Use of this drug during laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
An Unusual Case of Intussusception Masquerading As Rectal Prolapse.
Case: A 30-year old previously well, nulliparous woman presented to Emergency complaining of a mass intermittently protruding from her anus. After confirming her story with a self-taken cellular phone picture of the mass, a provisional diagnosis of rectal prolapse was made. She also described a one-month history of intermittent rectal bleeding, left lower quadrant abdominal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Assessment of the Outcomes of Hand-Assisted Laparoscopy Vs. Laparoscopy in Elective Colorectal Surgery in Obese Patients – Are There Advantages?
Introduction: Obesity has been challenging for both laparoscopic (LA) surgery and hand-assisted laparoscopic (HAL) surgery. The aim of this study was to compare the outcomes of LA and. HAL colorectal surgery in obese patients. Methods and procedures: An IRB approved retrospective chart review of a prospectively maintained database was conducted to identify obese patients (BMI>30)… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Circular Stapled Transanal Rectal Resection, a Useful Technique in Treating Rectal Intussusception and Rectocele. Our Experience of a Single Center with 23 Cases.
Objectives: Rectocele and rectal intussusception can lead to mechanical obstruction with difficulty or inability to void formed faeces. Rectocele and intussusception are widespread, often asymptomatic and coexisting with other pelvic alterations like enterocele, hyperdescending perineum and genital prolapsed. The role of each alteration in Obstructed Defecation Syndrome (ODS) is unclear. The Circular Stapled Transanal Rectal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Colon Resections in an Era of Nonagenarians: Nsqip Predictors of Mortality
BACKGROUND Nonagenariansare a growing population often viewed as high-risk surgical candidates. This study aims to review mortality and predictors of adverse outcome in nonagenarians undergoing colon resection.The National Surgical Quality Improvement Project (NSQIP) database was used for the analysis. METHODSThe 2005-2008 NSQIP databases were reviewed for all patients over ninety years old who underwent colon… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Colonic Volvulus: Not Only a Disease of the Elderly
Introduction: Colonic volvulus is a rare cause of intestinal obstruction typically described in the elderly. The purpose of this study was to evaluate a single institution twenty-year experience with volvulus and to compare differences between age groups. Methods: This study describes a retrospective review of all adult patients who were evaluated for colonic volvulus between… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Colorectal Cancer Risk Reduction in Inflammatory Bowel Disease with Aminosalicylate Therapy: A Meta-Analysis and Comparison to Colorectal Cancer Risk in the General Population
BackgroundWorldwide, the incidence rates for inflammatory bowel disease (IBD) vary from 0.5 to 24.5 per 100,000 people (0.012%). It has been estimated that the risk of CRC in IBD patients increases by 0.5% per year after eight years of the disease. Many recent studies proposed aminosalicylates as chemopreventive agents for colorectal cancer (CRC) development in… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Combined Laparoscopic and Intraoperative Enteroscopic Management of Benign Intestinal Polyposis in Peutz-jeghers Syndrome – a Case Series
Introduction: Peutz-Jeghers syndrome is a rare, inherited benign intestinal polyposis syndrome that has historically required multiple laparotomies throughout the patient’s lifetime. Frequent endoscopic screening and resection of the hamartomatous polyps reduces the risk of local complications such as intestinal obstruction or intussusception. In certain situations, an endoscopic polypectomy may not be technically possible and a… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Comparison of Short-term and Long-term Outcomes of the Colon-lifting Method and Standard 5-ports Laparoscopic Colectomy for Colorectal Cancer: A Case-matched Control Study
BACKGROUND : A standard laparoscopic-assisted surgery for colorectal cancer is often performed with five ports. We developed the colon-lifting method (CLM) in 2000, and were able to perform the laparoscopic-assisted colectomy with total 3 or 4 ports by using CLM.PURPOSE : To evaluate the utility of CLM, the outcomes of it were compared with standard… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Comparison of Short Term & Long Term Functional Outcomes After Laparoscopic Vs Open Surgery for Ulcerative Colitis – Restorative Proctocolectomy Ileal Pouch Anal Anastomosis
Background : Restorative proctocolectomy with ileal pouch anal anastomosis( RPC IPAA ) is gold stardard surgery for patients with ulcerative colitis. With advancement in laparoscopic surgery, now it is feasible & safe to perform RPC IPAA surgery laparoscopically. Aim: To evaluate & compare short term results & long term functional outcome after surgery for ulcerative… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal