Discrimination between arterial and venous bowel ischemia by computer-assisted analysis of the fluorescent signal
Giuseppe Quero, MD1, Alfonso Lapergola, MD2, Vincent Agnus, PhD2, Paola Saccomandi, PhD1, Ludovica Guerriero, MD1, Didier Mutter, MD, PhD, FACS2, Jacques Marescaux, MD, FACS, HonFRCS, HonFJSES2, Michele Diana, MD2. 1IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France, 2IRCAD, Research Institute against Cancer of the Digestive System, Strasbourg, FranceBackground: The aim of this experimental study was to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Surgical strategy for splenic flexure cancer
Takeru Matsuda, Yasuo Sumi, Kimihiro Yamashita, Hiroshi Hasegawa, Masashi Yamamoto, Yoshiko Matsuda, Shingo Kanaji, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji. Kobe UniversityLaparoscopic surgery for splenic flexure cancer is technically challenging and not standardized yet. Our surgical strategy for splenic flexure cancer based on anatomy is described with figures. Our laparoscopic D3 dissection is… Continue Reading
- Topic:
- Colorectal
SIMULTANEOUS LAPAROSCOPIC LOW ANTERIOR RESECTION AND LATERAL SECTIONECTOMY FOR SYNCHRONOUS COLORECTAL LIVER METASTASIS: BENEFIT OF FLORESCENCE ENHANCE IMAGING
Siripong Cheewatanakornkul, MD, Nan-ak Wiboonkwan. Prince Of Songkla UniversityAnastomotic leakage is one of the most feared complications in colorectal surgery. Although, technical advancements have led to an overall reduction of other complications, anastomosis leakages still require an operation in 95 % of cases. Moreover, most patients, who have anastomosis leakage have to live with temporary… Continue Reading
- Topic:
- Colorectal
Various Techniques for Transvaginal Extraction in Laparoscopic Colectomy
Christina Y Koh, MD, Mehraneh D Jafari, MD, Alessio Pigazzi, MD. University of California Irvine Medical CenterThis video demonstrates various techniques for transvaginal extraction in laparoscopic colectomy. For the first case we show a laparoscopic right colectomy with a transvaginal extraction of the specimen through a posterior vaginotomy in a patient with a small uterus. … Continue Reading
- Topic:
- Colorectal
Robotic SILS Completion Proctectomy with Creation of Ileal Pouch Anal Anastomosis and Diverting Loop Ileostomy
Ravi N Ambani, MD, MBA, James McCormick, DO, Ari Reichstein, MD. Allegheny General HospitalIntroduction: In this video, we demonstrate the use of the existing ileostomy site to perform a robotic single incision (SILS) completion proctectomy with creation of an ileal pouch anal anastomosis (IPAA) and diverting loop ileostomy as a novel second stage of a… Continue Reading
- Topic:
- Colorectal
Laparoscopic Detorsion of Ileoanal J-Pouch
Philip E George, MD, Stewart Whitney, MD, Alexander Greenstein. Icahn School of Medicine at Mount SinaiBackground: Restorative Proctocolectomy with Ileal Pouch Anal Anastomosis has been the surgical treatment of choice for patients with Ulcerative Colitis who are medicine refractory or in those patients with dysplasia. Even with the advent of laparoscopy, complications are still present… Continue Reading
- Topic:
- Colorectal
Laparoscopic Parastomal Hernia Repair with Primary Fascial Closure and Keyhole Mesh Repair
Luanne Force, MD, Yuksel Altinel, MD, Samuel Szomstein, MD, Steven D Wexner, MD. Cleveland Clinic Florida, Weston, FLObjectives: To describe the technique for laparoscopic parastomal hernia repair with primary fascial closure and keyhole mesh underlay. Case: A 51-year-old male with a BMI of 30 kg/(m2) with a history of T3N0M1 distal rectal tumor was treated… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Single-port laparoscopic complete mesocolic excision and central vascular ligation for cecal cancer with apical lymph node metastasis
Sung Uk Bae, Woon Kyung Jeong, Seong Kyu Baek. Keimyung University and Dongsan Medical CenterAims: We present a video presentation of single-port laparoscopic complete mesocolic excision (CME) and central vascular ligation (CVL) for right-sided cancer Method: A 67-year-old man was referred to our department for treatment of a cecal colon cancer. Colonoscopy revealed a 4-cm,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
When EMR Won’t Do: Hybrid ESD for a Large Ascending Colon Polyp
Jennifer Hrabe, MD, Ipek Sapci, MD, Cigdem Benlice, MD, Emre Gorgun, MD. Cleveland Clinic FoundationEndoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD) are advanced techniques that can be used for large polyps on difficult locations. ESD provides a specimen involving the submucosa and allows pathological evaluation for submucosa invasion. A 79 year old female… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Why Does Conversion From Laparoscopy to Open Surgery Occurr?
Rocco Ricciardi1, Caitlin Stafford1, Todd Francone1, Peter Marcello2, Patricia L Roberts2. 1MGH, 2Lahey Hospital & Medical CenterIntroduction: We studied the risk factors for laparoscopic (Lap) conversion across a group of subspecialist colorectal surgeons with expertise in minimally invasive techniques. Methods: We reviewed our prospective database for Lap conversion cases among all consecutive abdominopelvic procedures performed… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Patient-Reported Outcomes Among Patients Undergoing Open and Laparoscopic Colorectal Surgery: A Pilot Study
Taryn E Hassinger, MD, MS, George Stukenborg, PhD, Charles M Friel, MD, Traci L Hedrick, MD, MS. University Of Virginia Table. Adjusted mean changes in PROMIS scores associated with laparoscopic vs. open surgery PROMIS Domain Coefficient 95% CI p value Depression -2.14 (-10.76 - 6.49) 0.62 Interest in sex 1.82 (-12.77 - 16.41) 0.80 Pain… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
A study of neoadjuvant modified FOLFOXIRI for locally advanced low rectal cancer
Shinsuke Masubuchi1, Tetsuji Terazawa2, Keitaro Tanaka1, Masashi Yamamoto1, Masatsugu Ishii1, Yoshihiro Inoue1, Takayuki Ki2, Masahiro Goto2, Junji Okuda3, Kazuhisa Uchiyama1. 1Department of General and Gastroenterological Surgery, Osaka Medical College, 2Department of Cancer Chemotherapy Center, Osaka Medical College, 3Department of Cancer Center, Osaka Medical CollegeTotal mesorectal excision(TME) with neoadjuvant chemoradiotherapy (NACRT) is standard treatment for rectal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Single incision vs multi-port laparoscopic complete mesocolic excision (CME) colectomy for colon cancer. A systematic review and meta-analysis
C Athanasiou1, A Athanasiou2, G Markides3. 1Ipswich Hospital NHS Trust, 2University of Texas, 3East Lancashire Hospitals NHS TrustAims: Increasing evidence suggest that CME may improve overall and disease free survival in colon cancer. Our aims were to investigate the safety and efficacy of single incision laparoscopic CME colectomy (SILCC) compared to multiport CME laparoscopic colectomy… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
DOES OBESITY CLASS IMPACT OUTCOMES OF TOTAL PROCTOCOLECTOMIES WITH ILEAL-POUCH ANAL ANASTOMOSIS? AN ACS-NSQIP ANALYSIS
Maria Abou Khalil1, Nancy Morin2, Carol-Ann Vasilevsky2, Gabriela Ghitulescu2, Jennifer Motter3, Marylise Boutros2. 1McGill University, Montreal, QC, Canada, 2Jewish General Hospital, Montreal, QC, Canada, 3Johns Hopkins Bloomberg School of Public Health, Baltimore MD, USAIntroduction: Obesity has been associated with increased morbidity following total proctocolectomies with ileal-pouch anal anastomosis (TPC-IPAA). However, the incremental added risk of… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Reduced port laparoscopic lymph node dissection around the inferior mesenteric artery with preservation of the left colic artery for the treatment of sigmoid and rectal cancer
Mari Shimada, MD1, Yasumitsu Hirano, MD, PhD2, Chikashi Hiranuma, MD, PhD1, Masakazu Hattori, MD, PhD1, Kenji Douden, MD, PhD1, Yasuo Hashizume, MD, PhD1. 1Fukui Prefectural Hospital, 2Teikyo University Mizonokuchi HospitalAim: In curatively intended resection of sigmoid and rectal cancer, many surgeons prefer to perform ligation of the root of the inferior mesenteric artery (IMA), high… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal