Fast-track rehabilitation after colorectal surgery – prospective analysis of 100 consecutive patients.
The patients after colorectal surgery undergo complex rehabilitation postoperatively. A standard model of the postoperative rehabilitation covered complete mobilization of the patient on the second postoperative day and oral feeding 4 – 5 days after surgery. With this model mean time of postoperative hospitalization ranged between 6 – 10 days and the risk of postoperative… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Fast Tracking Suspected Colorectal Cancer Patients – Is It Time to Reflect Our Current Practice?
IntroductionEarly detection of colorectal cancer (CRC) can improve survival rate. To aid fast tracking suspected CRC referrals from primary to secondary care, National Institute of Clinical Excellence (NICE) guidelines (2005)^ were published in UK for these patients to be referred and seen in a secondary care centre within two weeks (TWR). However, not every patient… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Feasibility of Self-Appraisal in Assessing Operative Performance in Advanced Laparoscopic Colorectal Surgery
AimsAssessing surgical technical skills (TS) in a structured manner is a topical issue in the current surgical environment. To date there has been no attempt to comprehensively assess both generic and operation specific TS in live advanced laparoscopic colorectal surgery, in this study we aim to develop and validate a new tool which can assesses… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Gangliocytic Paraganglioma of the Appendix
Introduction: This is a case report of a 61 y/o male with a gangliocytic paraganglioma with focal carcinoid features of the appendix. A literature search was done and this appears to be the second reported case of gangliocytic paraganglioma of the appendix in the modern literature. A previous similar case report in 1999 was described… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Hand-Assisted Colon Resection: Better than standard laparoscopy?
Background: Hand-assisted laparoscopic colon resection (HALCR) is an approach which may lessen the need for conversion, shorten operative time, and decrease disposable costs while maintaining the benefits of minimally-invasive surgery. The aim of this study was to compare the clinical outcomes of patients who underwent colon or rectal resections for cancer/adenoma, diverticulitis, or inflammatory bowel… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Hand-Assisted Laparoscopic Colectomy for Colon Cancer: Early Clinical and Oncologic Outcomes Comparison with Case-Matched Open Colectomies.
Purpose: To evaluate short term clinical and oncologic outcomes of hand-assisted laparoscopic (HAL) colectomy for cancer compared with case matched open colectomies.Methods: All 168 HAL colorectal procedures performed at out institution between August 2002 and August 2006 were review. Rectal procedures and colectomies performed for benign disease were excluded. Thirty-seven colon cancers remained for analysis.… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Hand-Assisted Laparoscopic Hartmann’s Reversal is an efficacious and efficient procedure: A case control study
Background: laparoscopy may lower the mortality and morbidity rates of Hartmann’s procedure reversal. However, it remains difficult mainly due to adhesions of the small bowel and the rectal stump.Methods: Retrospective review of the charts of 44 patients who had laparoscopic hand-assisted Hartmann’s reversal (Group A) between 2000 and 2007. On a case-control basis, these patients… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Hand assisted laparoscopic surgery for severe ulcerative colitis in a semi-emergency setting
Background: Although minimally invasive approaches have been aggressively employed for ulcerative colitis (UC) in an elective setting, its use in a semi-emergency setting has been only sporadically reported. The objective of this study was to determine the current role of hand-assisted laparoscopic surgery (HALS) for severe UC in a semi-emergency setting.Methods: A retrospective study was… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
How should we divide the distal rectum in laparoscopic low anterior resection of the rectum?
INTRODUCTION: The risk of anastomotic leak in the laparoscopic colorectal resection with the Double Stapling Technique (DST) increases when the endo-linearstapler (ELS) is used more than three times in dividing the distal rectum. The anastomotic breakdown may be caused by the low blood perfusion at the site of gStaple on Stapleh. Therefore, it is important… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Identification of factors affected by a learning curve for laparoscopic rectal resection
Objective: The aim of this study was to identify factors affected by surgeon’s experience of laparoscopic resection for rectal cancer.Methods: A total of 200 consecutive resections between June1995 and August 2007 were analyzed in an attempt to define a learning curve. These resections were divided into three groups, which were operated on by surgeons with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Impact of conversion on the outcome and survival following laparoscopic resection of colorectal cancer
Background: Conversion to open surgery occurred in 12-29% of the patients who underwent laparoscopic colorectal resection. This study aimed to evaluate the impact of conversion on the operative outcome and prognosis of patients who underwent laparoscopic resection for colorectal cancer.Methods: The prospectively collected data of 473 patients who underwent laparoscopic colectomy between May 2000 and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Incidence of colonic polyps after bariatric procedures
Background: Colonic polyps have proven to be a premalignant stage in the development of colorectal cancer. Data have shown an increased risk of colorectal cancer in the obese population. The aim of this study was to evaluate the incidence of colonic polyps in patients who underwent bariatric surgery and compare this incidence to a population… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Initial results of omental pedicled shelf after rectal resection
Introduction: The incidence of bowel obstruction after rectal resection is approximately 6-10%. It may be an underestimate (detection bias). About half of them need laparotomy. We believe the dominant cause lies in pelvic incarceration of bowel loops. Greater omentum has been used for multiple indications in surgery however the data for its use in rectal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic approach of colonic perforation due to colonoscopy
Background: Iatrogenic perforation due to colonoscopy is the most serious complication of this procedure. Usually this complication requires segmental resection to be resolved. The laparoscopic approach could be an option to minimize the outcome of this complication.Objective: The aim of this study was to assess the effectiveness of the laparoscopic approach to treat colonic perforations… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Assisted Ileocolic Resection for Crohn’s Disease with Psoas Abscess
This is Video is about a 32 year old male with a relatively short history of Crohn's disease manifested by an ileo-psoas abscess, partial intestinal obstruction, and an undiagnosed ileo-transverse colon fistula. The technical aspects of performing an ileocolic resection in complicated Crohn's is demonstrated, including intracorporeal division of the fistula and drainage of the… Continue Reading
- Topic:
- Colorectal