Laparoscopic Surgery for Crohn’s Disease. an experience with more than 300 cases.
Laparoscopic resection for Crohn’s disease has had a slow adoption rate in gastrointestinal surgery. This is not unexpected considering the inflammatory nature of the disease process and the need for reoperative surgery. This study is a retrospective analysis of a prospective database from one surgeon at the Mount Sinai Hospital, New York, NY. Since 1993,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Does Increasing Experience with Laparoscopic Colorectal Surgery Influence the Outcome of Complex Cases?
OBJECTIVES: To define major risk factors for intraoperative complications (IOC) in laparoscopic colorectal surgery, and to assess whether surgeon experience influences the outcomes of complex cases.METHODS: Consecutive patients undergoing laparoscopic colorectal procedures from 1991-2005 were analyzed from a prospectively-collected database. All patients referred to the four surgeons involved in this study were offered a minimally… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Duodenojejunostomy for Superior Mesenteric Artery Syndrome
Introduction: Laparoscopy has become an invaluable part of the surgeon’s armamentarium. It has proven diagnostic and therapeutic benefits for a wide spectrum of disease. This video illustrates the role of laparoscopy for Superior Mesenteric Artery Syndrome. Methods: The aim of this video is to demonstrate key concepts associated with laparoscopic duodenojejunostomy. Management algorithms are discussed… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
What is the benefit of the laparoscopic approach to restorative proctocolectomy? a comparative study
Restorative proctocolectomy (RPC)is one of the more complex operations in colon and rectal surgery.It has evolved extensively and the most recent controversy is the adoption of the laparoscopic approach.There is limited short-term data comparing the open and laparoscopic approach for RPC.This is a comparative study for the short-term outcomes and impact on closure of loop… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Ladd’s procedure for treatment of adult presentation of congenital intestinal malrotation
Laparoscopic Ladd’s procedure for treatment of adult presentation of congenital intestinal malrotation. Authors: G. Arena, G. Sroka, H. Flageol, G. Fried Intestinal malrotation is a rare cause of abdominal pain among adults with an incidence estimated around 0.2%This condition presents with a combination of symptoms such as acute or chronic abdominal pain, nausea and postprandial… Continue Reading
- Topic:
- Colorectal
What is the definition of “conversion” in laparoscopic surgery among colorectal surgeons? a survey among SAGES and ASCRS
Background: Various definitions are used in the literature to define conversion, rendering comparison among studies difficult. A web-based and postal survey was conducted among colorectal surgeons representing the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the American Society of Colon and Rectal Surgeons (ASCRS) regarding their definition of conversion during laparoscopic colorectal surgery… 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
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
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
Successful one-stage laparoscopic operation using transanal ileus tube for obstructive colorectal cancer
BACKGROUND: Transanal ileus tube is introduced into obstructive colorectal cancer in October, 1997 in our hospital, and many cases of obstructing colorectal cancer successfully managed by preoperative lavage using transanal ileus tube. Moreover, because transanal ileus tube was originally developed, decompression tube was transanally inserted into the colon more safely than before. In addition, in… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
An Evaluation of Rectal Carcinoids: A Trend Towards Earlier Detection and Treatment
With increased regularity of diagnostic colonoscopies, it has been suggested that rectal carcinoids are being detected earlier with decreasing need for radical therapy. The purpose of our study was to evaluate our experience with rectal carcinoids, in particular, to identify trends towards earlier detection and minimally invasive treatment options.Rectal carcinoid patients identified from a pathology… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The Role of Palliative Intraluminal Stents for Large Bowel Obstruction in Patients with Advanced Pelvic Malignancy
PURPOSE: Malignant large bowel obstruction (LBO) is a common problem in patients with advanced or recurrent gynecologic malignancy. Studies reviewing palliative surgery have suggested variable short-term success with significant morbidity and diminished quality of life. The purpose of this study is to review our experience and examine the efficacy of intraluminal stents in the management… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Presentations of Young Colon Cancer Patients: A Comparative Study
Traditionally studies on colon cancer in younger patients have focused on treatment and outcomes. Less is known regarding younger patients’ symptoms at presentation and methods of diagnosis. The purpose of this study was to compare the presentations of colon cancer patients under 50 versus their over 50 cohorts.The tumor registry database was used to compare… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Comparison of the incidence of anastomotic leak following laparoscopic and open low anterior resection
OBJECTIVE: To compare the incidence of postoperative anastomotic leak following laparoscopic (LP) versus open (OS) lower anterior resection. METHODS: A retrospective review of cases were performed between September of 2000 and June of 2007. A total of 33 cases of LP and 31 cases of OS lower anterior resection were performed by the same surgeon.… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Extracorporeal versus intracorporeal anastomosis after laparoscopic left colectomy – does it matter?
PURPOSE: Means of anastomosis after laparoscopic colectomy may be extracorporeal(EC) or intracorporeal(IC). Since there is paucity of data reporting the effect of means of anastomosis on outcomes for patients undergoing laparoscopic left colectomy, we compare outcomes for patients undergoing EC and IC.METHODS: Patients undergoing anastomosis after laparoscopic left colectomy, sigmoidectomy and resection rectopexy, when either… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal