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
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
VIDEO ENDOSCOPIC TREATMENT OF COMPLEX ANAL FISTULA-RESULTS OF SERIES OF 210 CASES.
Prof Subhash Khanna. Swagat Super Speciality Surgical InstituteTreatment of complex anal fistula has always been a nightmare for surgeonsby conventional means. Even the lowest and simple looking fistula at times comes out to be a complex one with high incidence of recurrence above 20 %. Most of the availability diagnostic including MRI is nit conclusive… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Video-assisted abdomino-perineal excision
Simone Arolfo, Marco Ettore Allaix, Alberto Arezzo, Mario Morino. University of TorinoAbdomino-perineal resection (APR) is the standard of care for very low rectal tumors. It is a huge operation, especially in fat men with narrow pelvis. Furthermore, morbidity of perineal wounds is very high, especially after chemoradiation therapy. Transperineal minimally invasive approach in APR was… 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
VAMIS-assisted rectocele repair: Expanding the applications of TAMIS
Marc Dakermandji, MD1, Ashley Althoff, DO2, Sam Atallah1. 1Florida Hospital, 2LECOMVaginal access minimally invasive surgery (VAMIS) utilizes a platform of transanal minimally invasive surgery (TAMIS) and places it transvaginally. Previously, our center has described the use of VAMIS for rectovaginal fistula repair and cadaver hysterectomy. To our knowledge, the use of the VAMIS platform for… Continue Reading
- Topic:
- Colorectal
Usefulness of indocyanine green (ICG) fluorescence system and thermography for evaluating bloodflow of intestine in laparoscopic anterior resection.
Jun Higashijima, PhD, Mitsuo Shimada, Professor, Kozo Yoshikawa, PhD, Takuya Tokunaga, PhD, Masaaki Nishi, PhD, Hideya Kashihara, PhD, Chie Takasu, PhD, Daichi Ishikawa, PhD. Department of Surgery, The University of TokushimaBackground: One of the important causes for anastomotic leakage (AL) in anterior resection is an insufficient blood flow of the stump. The HEMS (Hyper eye… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Use Carbon Nanoparticles to Trace Decision-making Lymph Nodes around Inferior Mesenteric Artery in Rectal Cancer
Kai Li, Jun Yan, Zhiyong Shen, Zhangyuanzhu Liu. Department of General Surgery, Nanfang Hospital, Southern Medical UniversityInferior mesenteric artery lymph nodes metastasis occurs in approximately 0.3 to 13.9% according to different T stage in rectal cancer, which is an important prognostic factor after curative resection for rectal cancer. Pre-operative or intra-operative identification of lymph nodes… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Transanal total mesorectal excision within the holy plane for rectal cancer
Shinichiro Mori, MD, PhD, Yoshiaki Kita, MD, PhD, Kan Tanabe, MD, PhD, Kenji Baba, MD, PhD, Masayuki Yanagi, MD, Takaaki Arigami, MD, PhD, Hiroshi Kurahara, Masahiko Sakoda, MD, PhD, Yasuto Uchikado, MD, PhD, Kosei Maemura, MD, PhD, Yuko Mataki, MD, PhD, Shoji Natsugoe, MD, PhD. Department of Digestive Surgery, Breast and Thyroid Surgery Graduate School… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Transanal Total Mesorectal Excision for Distal Rectal Cancer
Kevin M Izquierdo, Clinical Fellow, John H Marks, Chief Section of Colorectal Surgery. Lankenau Medical CenterThis narrated video demonstrates the transanal total mesorectal excision for distal rectal cancer with an emphasis on surgical technique and anatomy. Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 88488Program Number: V131Presentation Session: Colorectal 2 SessionPresentation Type: Video Continue Reading
- Topic:
- Colorectal
Transanal total Mesoractal Excision – Two Years experience.
Jacek Piatkowski, Md, PhD, Marek Jackowski, Prof. Clinic of General, Gastroenterological and Oncological SurgeryIntroduction: More than 10 years ago, laparoscopic technique was considered to be a fully accepted surgical method for treatment of rectal cancer. The following years are a further search for a new surgical method that reduces invasiveness and improves treatment outcomes. It… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Transanal Minimally Invasive Surgery (TAMIS) for Large Rectal Lesion
Christine Tat, MD, Joaquin Estrada, MD, Jan P Kaminski, MD, MBA. Advocate Illinois Masonic Medical CenterTransanal minimally invasive surgery (TAMIS) is an advanced laparoscopic procedure used to excise rectal lesions via the anus. TAMIS is an accessible procedure to general surgeons in the community as it utilizes standard laparoscopic instruments without additional specialized equipment. … Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Transanal Endoscopic Microsurgery (TEMS) for Mucosal Excisional Biopsy of Rectal Tumors of Uncertain Behavior – Case Report and Description of Technique
Kasim L Mirza, MD1, Andreas M Kaiser, MD, FACS, FASCRS2. 1Keck USC Dept of Surgery, 2Keck USC Dept of Surgery, Division of Colorectal SurgeryIntroduction: Transanal local excision is an excellent treatment choice for benign rectal lesions. For rectal cancer, however, local full-thickness excisions are fraught with high local recurrence rates - even if limited to… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
TOTAL LAPAROSCOPIC APPROACH FOR RECTAL CANCER RESECTION -A SINGLE CENTER EXPERIENCE.
Dr. Ranbir Singh, MS, FMUHS, MIS1, Shailesh Puntambekar2. 1Galaxy Care Laparoscopic Institute, Pune, India, 2Galaxy care Laparoscopic InstituteIntroduction: The role of minimal invasive surgery is well established. As regards rectal cancers particularly low lying rectal cancer studies are still going on for safety, feasibility and duplicability. A large prospective single institutional study aims to assess… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The use of a novel smart phone application and the quality of bowel preparation for colonoscopy, a randomized controlled trial
David Yu, MD, Sunil Patel, MD, FRSCS. Kingston General Hospital, Queen's UniversityBACKGROUND: Adequate visualization of the entire lumen of the large bowel is essential in detecting pathology and establishing diagnoses during colonoscopies. Patients are provided dietary instructions and medications in order to achieve adequate bowel preparation. Given the extensive amount of preparation required, some patients… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal