How Reliable Is Laparoscopic Colorectal Surgery Compared to Open Surgery for Octogenarians?
Background: Considering today’s increased longevity in the elderly population, and the increased size of that population major abdominal intervention is more frequently performed in octogenarians.Objective: To compare the surgical and postoperative outcomes of laparoscopic colorectal resections to open surgery in the octogenarian population. Methods: A retrospective analysis based on a prospectively maintained database of octogenarians… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Management of Generalized Peritonitis
LAPAROSCOPIC MANAGEMENT OF GENERALIZED PERITONITISJorge Fernàndez- Alvarez M.D., Omar Pichardo M.D., Armando Baqueiro M.D., Josè Manuel Gòmez M.D., Francisco Terrazas M.D., Iker Leòn M.D. Gonzalo Vargas MD Hospital Español de Mèxico. Objective: In the beginning of laparoscopic surgery, the presence of peritonitis was an absolute contraindication , actually there is controversy about this procedure in… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Self-expandable Metallic Stent Is a Good Alternative to Surgery in Colonic Obstruction
Introduction Self-expandable metallic stents (SEMS) have become an increasingly accepted minimally invasive alternative to surgery in patients with colorectal obstruction. The aim of this study was to compare the results of SEMS with patients undergoing surgery for acute colonic obstruction at our hospital during five years (August 2003-August 2008).Methods Patients with acute colonic obstruction or… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Teaching Residents Laparoscopic Colectomy; Experience with 1069 Cases
ABSTRACT: Teaching Residents Laparoscopic Colectomy: Experience with 1069 Cases. Candy Anim, Vanessa Malit, Eben Strobos, Steve Fassler, Mark Zebley. Abington Memorial Hospital, Abington, PA USA Background: This study was undertaken to compare the technical success and outcomes of laparoscopic colectomy performed by residents prior to 2004, with laparoscopic colectomies performed by residents after 2004, whose… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopy-Assisted Surgery for Recto-sigmoid Tumor: A Comparison of the Medial Approach and Lateral Approach.
Introduction: After spreading application of the technique, mobilization either by medial and lateral approach has been performed. However, the comparison of both techniques has not yet been well discussed. Methods: From May 1995 to May 2009, 150 patients with recto-sigmoid tumor were treated laparoscopically. Data were collected prospectively regarding background factors, operative factors, and postoperative… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Total Intracorporeal Colon Surgery Using the N.o.s.e. (natural Orifice Specimen Extraction) Technique.
Introduction: Laparoscopic surgery for colonic disease has experienced an increased utilization by surgeons owing to decreased morbidity, less pain, earlier ambulation, earlier bowel function, fewer complications, decreased narcotic use, and improved cosmesis compared with open colon surgery. The ability to perform a totally intracorporeal anastomosis will be an initial step to allow surgeons to perform… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Treatment of Crohn\’s Disease: A Resident Case?
IntroductionPatients with Crohn’s disease are most commonly afflicted in the region of the terminal ileum. In a university setting, patients often present to the surgeon with advanced disease that has been treated with multiple immunomodulators, and often have previous abdominal operations. MethodsA retrospective analysis of 50 patients with Crohn’s disease undergoing elective or semi-elective terminal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Plasma Levels of Placenta Growth Factor (plgf), a Proangiogenic Protein, Are Elevated for 3 Weeks After Minimally Invasive Colorectal Cancer Resection
Introduction: Placenta Growth Factor (PlGF) is a key protein in the “angiogenic switch” in the pathologic setting that stimulates tumor growth via modulation of VEGF’s effects and via inhibition of apoptosis. Plasma VEGF levels are elevated for weeks after minimally invasive colorectal resection (MICR) and may encourage residual tumor to grow. The purpose of this… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Gelpointtm Single Incision Intracorporeal Anastomotic Techniques
Introduction: With single incision laparoscopy becoming a viable alternative to conventional laparoscopy, many techniques are being developed for the accomplishment of familiar tasks. Bowel resection either for benign disease, or cancer, is a feasible outlet for single incision surgery. We present our experience with two techniques of bowel resection and intracorporeal anastomosis.Methods: Two patients, one… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Single Port Laparoscopic Sigmoidectomy for Sigmoid Volvulus
Single port surgery through the umbilicus has been proposed as an embryologic natural orifice surgical approach. For colorectal resection concerns regarding visualization and retraction have been raised when considering the feasibility of single port colon surgery. We present in this video the treatment of a sigmoid volvulus, via an umbilical single port laparoscopic sigmoidectomy, in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Single Incision Laparoscopic Right Hemicolectomy Using Standard Laparoscopic Instruments
INTRODUCTION: Single port laparoscopic approaches for colon resection confer potential benefits with regard to cosmesis and surgical site pain. One drawback is the potential need for costly proprietary instrumentation with many single port access systems. This video demonstrates a single port right hemicolectomy using standard laparoscopic equipment. METHODS AND PROCEDURES: With the patient in supine… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Oncologic and Perioperative Outcomes of Laparoscopic Assisted Vs Hand-Assissted Vs Open Resections for Rectal Cancer Resection: A Case Match Study.
Purpose: Advances in surgical techniques and improvements in laparoscopic instruments have enabled most colorectal procedures to be performed by using the laparoscopic approach.Laparoscopic surgery of colon cancer has been accepted to be oncologically adequate compared with open resection.However,the situation in rectal cancer remains unclear,because anatomy and complex surgical procedures.There have been only a few reports… Continue Reading
- Type:
- Posters of Distinction
- 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
Is Body Mass Index a Factor Affecting Peroperative and Early Postoperative Complications in Laparoscopic Rectal Cancer Surgery?
Objective of the study: Obesity is becoming widespread especially in developed countries. Besides its adverse effects, obesity could complicate the treatment of additional pathologies. Hereby, we have analyzed the effects of body mass index (BMI) on complication rate of peroperative and early postoperative period in laparoscopic rectal cancer surgery. Description of the methods: The patients… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
\”Incisionless\” Laparoscopic Proctectomy: An Ideal Natural Orifice and Laparoscopic Surgery Hybrid
Introduction: To evaluate the safety and efficacy of laparoscopic proctectomy with per-anal delivery of the specimen for rectal cancer, avoiding an incision for specimen extraction while accomplishing sphincter preservation we review our experience. Methods: Between 2001 and 2009, in a prospective database, 51 patients with invasive adenocarcinoma of the rectum underwent laparoscopic total mesorectal excision… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal