The impact of the liberal use of CT in the work up of acute appendicitis
Background:Acute appendicitis has historically been considered a clinical diagnosis, necessitating a CT scan only in the face of equivocal signs and symptoms. The purpose of this study is to determine whether or not the liberal use of CT in the work up of acute appendicitis results in a decreased negative appendectomy rate (NAR). Methods:The medical… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
A multicenter study on 1057 cases of laparoscopic surgery for rectal cancer
Background: The purpose of this study is to clarify of the safety and the feasibility of the short-term and long-term results of the laparoscopic surgery for patients with rectal cancer from the accumulated data of 28 leading hospitals in Japan.Methods: From May 1994 to February 2006, this study group comprised 1057 patients with rectal cancer… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Effect of Yoga exercises on outcome of Stapled Hemorrhoidectomy: Results of a Prospective Randomized Controlled Study.
Objectives of study-The aim of this study was to evaluate the effect of yoga exercsies on outcome of stapled hemorrhoidectomy, a safe, popular, day care procedure for prolapsing hemorrhoids (PPH).Methods and Procedures-Consecutive patients with indications for PPH were randomized into Yoga exercises (YE) i.e. study group and no Yoga exercise (NYE) i.e. control group.PPH was… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic IPAA surgery reduces abdominal and pelvic adhesions
Objectives: Adhesions after open abdominal operations cause >75% of cases of small bowel obstruction. We evaluated adhesions to the anterior abdominal wall and adnexae after laparoscopic ileal pouch anal anastamosis (IPAA).Methods: Patients who underwent laparoscopic proctocolectomy, IPAA and diverting loop ileostomy for Ulcerative Colitis had laparoscopic evaluation of adhesions at closure of ileostomy to assess… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Mesh Repair of Pelvic Organ Prolapse
The laparoscopic repair of rectal prolapse has been well described. Patients with rectal prolapse often, if properly evaluated, will have a concomitant anterior pelvic dysfunction. We present the video of a 69-year-old female with a history of rectal prolapse that underwent a perineal proctectomy only to recur within a year of surgery. On exam she… Continue Reading
- Type:
- Podium Presentations
- 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
Laparoscopic Total Abdominal Colectomy for Severe Ulcerative Colitis
INTRODUCTION: The patient is an 18 year-old female with severe ulcerative colitis refractory to medical management. At presentation her hematocrit was 15 and her albumin was 2.1. Our practice is perform a total abdominal colectomy with end ileostomy as the initial procedure in ulcerative colitis patients who are malnourished and immunocompromised. This is followed by… 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
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 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
Multicenter study of laparoscopic surgery for colon cancer in Japan
Objective: To evaluate short and long-term results of laparoscopic surgery for colon cancer, we conducted a nationwide survey and prospective randomized controlled trial (RCT) in Japan, supported by Grants for Clinical Cancer Research from the Ministry of Health, Labor and Welfare in Japan.A retrospective nationwide survey: The study group comprised 2036 patients undergoing laparoscopic surgery… Continue Reading
- Type:
- Podium Presentations
- 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
Minimally invasive colon resection is associated with increased sVEGFR1 and decreased sVEGFR2 plasma levels early after surgery; the net impact is decreased binding of free VEGF which may account for increased plasma VEGF levels early post surgery
Introduction: Plasma VEGF levels are increased after minimally invasive colorectal resection (MICR) for both benign and malignant disease. VEGF, which is critical to both wound healing and tumor growth, induces angiogenesis by binding to endothelial cell bound VEGF-Receptor 1 (VEGFR1) and VEGF-Receptor 2 (VEGFR2). Soluble VEGF-Receptor-1 (sVEGFR1) and soluble VEGF-Receptor-2 (sVEGFR2), which are not capable… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Restorative Proctocolectomy
Introduction: Although many studies have demonstrated good results with laparoscopic proctocolectomy in patients with ulcerative colitis (UC), most surgical procedure require al least one additional incision bigger than 5 cm to complete the surgery. The aim of this video is to show a laparoscopic proctocolectomy with ileoanal J pouch with complete intracorporeal dissection using 4… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Assisted Surgery for Rectal Cancer. Our Experience and Results in 430 Cases.
Introduction: Laparoscopic assisted surgery for rectal cancer is still a challenge for surgeons. Actually colorectal surgeons believe that total mesorectal excision provides favorable oncologic results for the treatment of rectal cancer and more and more believe that laparoscopic approach is a good and safe approach to do it. The present study is a feasibility study… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal