WHAT IS THE LIMIT FOR SAFE LAPAROSCOPIC APPROACH IN COMPLICATED DIVERTICULITIS?
Aurelio Francisco Aranzana Gomez, Jara Hernandez Gutierrez, Beatriz Muñoz Jimenez, Juan S Malo Corral. CH ToledoIntroduction: The diverticular disease of the colon is a chronic entity with a variety of abdominal symptoms that can present with recurrent episodes of acute diverticulitis (AD). The prevalence of diverticulosis is not influenced by gender and increases with age, which,… Continue Reading
Watch and Wait Approach in Rectal Cancer – Endoscopic Response
Shruti Sevak, MD, Arman Erkan, MD, Alvaro Mendez, MD, Justin Kelly, MD, FRCS, George Nassif, DO, FACS, Teresa Debeche-Adams, MD, FACS, FASCRS, Matthew R Albert, MD, FACS, FASCRS, John Rt Monson, MD, FRCS, FACS, FACRS. AdventHealthPioneering studies from Brazil have suggested that surgery can be safely omitted in carefully selected patients with a clinical complete… Continue Reading
Validity of the I-FEED Score for Postoperative Gastrointestinal Function in Patients Undergoing Colorectal Surgery
Nourah Alsharqawi, MBBS, MSc, Mohsen Alhashemi, MD, MSc, Pepa Kaneva, MSc, Gabriele Baldini, MD, Julio Fiore Jr, PhD, Liane Feldman, MD, Lawrence Lee, MD, PhD. McGill UniversityBackground: Postoperative ileus(POI) is common after gastrointestinal surgery and is associated with significant morbidity and costs. However, POI is poorly defined. The I-FEED score is a novel outcome measure… Continue Reading
Trauma-Induced Cecal Bascule
Robin Osofsky, MD, Heesung Park, BS, Sarah Popek, MD. University of New MexicoIntro: Cecal bascule is a subtype of cecal volvulus characterized by anterior fold of the cecum into mid abdomen without any torsion, resulting in a closed loop obstruction. The infrequency with which it is encountered makes cecum bascule a challenging subject to study. Case… Continue Reading
Transanal total mesorectal excision (taTME) for rectal cancer in the US: Short-term outcomes at two centers beyond their learning curve
Anthony P D'andrea, MD, MPH1, Jordan M Cuevas, BS1, Deepika Bhasin, MPH1, Antoinette Bonaccorso, MD1, Motahar Basam, MD2, Vikram Attaluri, MD2, Elisabeth Mclemore, MD2, Randolph M Steinhagen, MD1, Patricia Sylla, MD1. 1Division of Colorectal Surgery, Department of Surgery, Icahn School of Medicine at Mount Sinai, 2Department of Surgery, Los Angeles Medical Center, Southern California Kaiser… Continue Reading
- Podium Presentations
Transanal total mesorectal excision for low rectal cancer: a case-matched study comparing TaTME versus standard laparoscopic TME
Magdalena Mizera, Grzegorz Torbicz, Natalia Gajewska, Jan Witowski, Mateusz Rubinkiewicz, MD, PhD, Mateusz Wierdak, MD, Magdalena Pisarska, MD, Piotr Major, MD, PhD, Piotr Malczak, MD, Michal Pedziwiatr, MD, PhD. 2nd Department of General Surgery, Jagiellonian University Medical College, Cracow, PolandBackground: Transanal total mesorectal excision (TaTME) is emerging as a novel alternative to laparoscopic total mesorectal excision… Continue Reading
Transanal total mesorectal excision for diffuse cavernous hemangioma of the rectum
Ziwei Zeng, Shuangling Luo, Liang Kang. the Sixth Affiliated Hospital, Sun Yat-sen UniversityAims: To evaluate the safety and feasibility of transanal total mesorectal excision (TaTME) for diffuse cavernous hemangioma of the rectum (DCHR). Methods: All DCHR patients who underwent TaTME in our hospital between January 2014 and June 2018 were reviewed. Results: A total of… Continue Reading
TRANSANAL MINIMALLY INVASIVE SURGERY FOR THE TREATMENT OF T1/T2 RECTAL CANCER IN ELDERLY PATIENTS
Yu Sato, MD, PhD, Takashi Oshiro, MD, PhD, Tomoaki Kitahara, MD, Yutaka Yoshida, MD, Tasuku Urita, MD, Ryuichi Takagi, MD, Kentaro Kawamitsu, MD, Kengo Kadoya, MD, Taiki Nabekura, MD, Shin-Ichi Okazumi, MD, PhD. Department of Surgery, Toho University Sakura Medical CenterIntroduction: In elderly patients with cancer, radical surgery is sometimes not selected because of their… Continue Reading
Transanal Extraction for Rectal Cancer after TME: Always, Never or Sometimes?
Jonathan Josse, MD, Brigitte Anderson, BS, Henry Schoonyoung, MD, John Marks, MD. Lankenau Medical CenterIntroduction: TaTME has emerged as a new popular approach for rectal cancer surgery. An incision through the anus or rectum provides a natural orifice route to deliver the specimen and avoid an abdominal extraction site. Concerns regarding the applicability of this… Continue Reading
TRANSANAL ENDOSCOPIC MICROSURGERY – EXCISION OF A GIANT VILLOUS ADENOMA
Camylle St-Laurent, MD, FRCSC, MSHc, Francois Letarte, MD, FRCSC, MHSC. CHU de QuebecThis video presentation is about a transanal endoscopic microsurgery used for the excision of a giant villous adenoma. A 68 years old woman, with no previous medical history, presented in the emergency room with complaints of fatigue and dizziness. The blood tests revealed… Continue Reading
Trans anal endoscopic microsurgery for early rectal cancer and high grade dysplasia. Full thickness resection of flat lesions non resectable by endoscopic therapy.
Ayermin Vargas Salgueiro, MD1, Fernando Leal Hernandez, MD1, Ulises Barraza Reyes, MD1, Luis Leal Del Rosal, MD, FACS, FRCSC2. 1Christus Muguerza, 2UNIMECIDColorectal cancer is one of the leading cause of dead ando one of the most common cancers of the GI tract. Increasing detection of early stage colorectal cancers have demanded development of minimally invasive… Continue Reading
TO COMPARE THE OUTCOME OF GUM CHEWING VERSUS NO GUM CHEWING ON THE DURATION OF POST OPERATIVE ILEUS AND TOTAL LENGTH OF HOSPITAL STAY IN CASES OF RE LAPAROTOMY FOR STOMA CLOSURE IN A LOWER MIDDLE INCOME COUNTRY.
Samiullah Bhatti, Dr1, Shabbar H Changezi, Dr1, Awais A Malik, Dr2, Usman I Butt, Dr1, Waris Farooka, Prof1, Mahmood Ayyaz, Prof1. 1Services Hospital Lahore, 2Lahore General HospitalIntroduction: Postoperative ileus (POI) is generally referred to as the transient impairment of bowel motility after abdominal or other surgery. The potential complications of prolonged POI include increased postoperative… Continue Reading
The risk factors of recurrence stage II colorectal cancer
Sigeki Yamaguti, Professor, Yasumitu Hirano, PhD, Toshimasa Ishii, PhD, Hiroka Konndou, Kiyoka Hara, Asami Suzuki, Sinntarou Isikawa, Takuhisa Okada, Nao Obara, Sinyiti Sakuramoto, Kouzyun Okamoto, Isamu Koyama, Liming Wang. Saitama medical university international medical centerBackground: The risk factors of recurrence in patient with stage II colorectal cancer have not been clarified in Japan, and the… Continue Reading
THE READMISSION AFTER ACUTE DIVERTICULITIS (RAAD) SCALE: DETERMINING EARLY READMISSION RISK FOR ACUTE DIVERTICULITIS PATIENTS USING 145,325 PATIENTS FROM STATE INPATIENT DATABASE (SID) (2006-2011)
Abdul Waheed, MD, Kai Huang, MD, Furqan Haq, PhD, Subhasis Misra, MD, MS, FACS. Brandon Regional Medical CenterIntroduction: The diverticular disease accounts for 254,179 inpatient discharges and 1,493,865 outpatient clinic visits in the United States (US) annually. The annual treatment costs in the US for diverticular disease exceed 2.6 billion dollars at an estimated cost… Continue Reading
- Podium Presentations
The perinephric fat thickness measured on computerized tomography predicts the technical difficulty of laparoscopic colectomy
Tomoyuki Ueki, Hiromichi Sonoda, Toru Miyake, Tomoharu Shimizu, Masaji Tani. Shiga University of Medical ScienceBackground: It is considered that high visceral fat volume affects the technical difficulty in laparoscopic surgery. However, complex software image processing is required to calculate the visceral fat by using computerized tomography. To predict the amount of visceral fat more easily,… Continue Reading