Laparoscopic Ultralow Anterior Resection with Intersphincteric Dissection for Low Rectal Cancer.
Title: Laparoscopic ultralow anterior resection with intersphincteric dissection for low rectal cancer.Objective: The aim of this video is to show a laparoscopic total mesorectal excision combined with intersphincteric dissection for the treatment of low rectal cancer.Methods: This is a 58-year-old male with diagnosis of a high grade rectal adenocarcinoma located 4 cm. from the anal… Continue Reading
- Topic:
- Colorectal
Title: Management of Intraoperative Complication During Laparoscopic Proctectomy for Submucosal Rectal Tumor
INTRODUCTION: This video demonstrates a laparoscopic proctectomy in a 51 year old female who presented with a symptomatic sub-mucosal anterior rectal lesion suspected of being a GIST tumour. The video illustrates work up, operative technique, and laparoscopic management of this patient; including two intra-operative complications that occurred during the pelvic dissection.PROCEDURE: This case presentation demonstrates… Continue Reading
- Topic:
- Colorectal
Laparoscopic Total Mesorectal Excision and Coloanal Anastomosis for Carpeting Villous Polyp of the Rectum
INTRODUCTION: This video demonstrates a step-by-step approach to laparoscopic total mesorectal excision and coloanal anastomosis. Emphasis is placed on the features that respect the same oncologic principles as open surgery.PROCEDUREThis case features a 38 year old man with a carpeting tubulovillous adenoma of the rectum extending from the dentate line to 20 cm from the… Continue Reading
- Topic:
- Colorectal
Single Incision Right Colon for Cancer
Single Incision Right Colectomy for Cancer Daniel J. Rosen MD, Kevin McGill MD, Julio A. Teixeira MD St. Luke's – Roosevelt Hospital Center, New York, NY We present a right colectomy performed on a 42-year-old woman with a recent diagnosis of a cecal mass and no significant prior history. The resection is done entirely through… Continue Reading
- Topic:
- Colorectal
Medial to Lateral Splenic Flexure Mobilization for Sigmoid Colectomy
In this video we show our technique for splenic flexure mobilization via a medial to lateral approach This is a 64 year old gentleman with two synchronous lesion in the sigmoid colon, one proximally and one distally as shown by the two tattoed areas.The key landmark for this approach is the inferior mesenteric vein (IMV)… Continue Reading
- Topic:
- Colorectal
Laparoscopic Completion Proctocolectomy and Ipaa
The patient is a 21 year old female status post laparoscopic subtotal colectomy with end ileostomy 7 months earlier for fulminant ulcerative colitis. She has been off steroids for 2 months. She presents now for elective takedown of end ileostomy, completion proctocolectomy, and J-pouch reconstruction. This video demonstrates the laparoscopic completion proctocolectomy and ileal pouch… Continue Reading
- Topic:
- Colorectal
Transanal Endoscopic Microsurgery (tem): Resection of a 3cm Polypoid Mass Above the 2nd Valve of the Rectum
Endoluminal surgery has enjoyed renewed interest in the age of NOTES. Transanal endoscopic microsurgery (TEM) represents the only established experience to date of endoluminal surgery. Demonstrated is a TEM submucosal, partial full thickness local excision of a 3cm polyp based on the 2nd valve. The resultant defect is closed primarily. Session: Podium Video Presentation Program… Continue Reading
- Topic:
- Colorectal
Retrospective Analysis of Resected Primary Colorectal Cancer Revealed No Correlation Between Node Harvest and Node Involvement
Introduction: The study aims to analyze the correlation between lymph node harvest (LNH) and node involvement (LNI) in resected primary colorectal cancer specimens. Patients & methods: Retrospective analysis. The study period is Jan 2002 – Dec 2006 (5y). The data were obtained from medical records. The patient inclusion criteria were resection of primary CRC including… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Role of Initial Clinical Assessment in the Diagnosis of Acute Diverticulitis
Introduction: This paper aims to determine the diagnostic accuracy of initial clinical assessment in the diagnosis of acute diverticulitis (AD). Patients and methods: Retrospective analysis. Patients admitted to the surgical unit via A&E between Apr 2002 and March 2006 inc. (4y) were identified using the International Code of Diseases (ICD-10 version 2007) coding system. Exclusions… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Resection of Lymphangioma of the Small Bowel Mesentery in an Adult
A 32-year-old female presented for Colorectal Surgery consultation regarding an 18-month history of vague left-sided abdominal pain, intermittent bloating, frequent stools, and occasional passage of mucus. Her laboratory work-up was negative. CT scan of the abdomen and pelvis revealed a "mass in the small bowel mesentery". She had no chronic medical issues and had no… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Use of Alvarado Clinical Score for Acute Appendicitis to Direct Utilization of CT for Acute Appendicitis.
Introduction: CT is considered the ‘gold standard’ in the diagnosis of acute appendicitis (AA). The radiation dose associated with an abdominal CT has recently been revisited, leading to a reassessment of indications to perform CT for AA. The Alvarado score for AA, determined prior to CT, is compared to CT and pathology results and recommendations… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Management of Enterovesicle Fistulas in Crohn’s Disease
Introduction:In the past decade laparoscopic surgery for uncomplicated Crohn's disease (CD) was shown to be safe and feasible. Laparoscopic management of CD complicated by enteric fistulas is more controversial, with a higher reported conversion rate and postoperative complications. Methods:We retrospectively reviewed all patients who underwent elective laparoscopic surgery for CD complicated by enterovesicle fistula in… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Opportunity Cost in the Evaluation of Surgical Innovations: A Case Study of Laparoscopic Versus Open Colectomy
Introduction Opportunity cost is the value of an activity forgone to participate in some other activity. With respect to surgery, an innovation incurs an opportunity cost when it uses additional operating time that could otherwise be used in a productive way. Although fundamental to the economist’s view of costs, opportunity cost is infrequently used in… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Short and Long-term Outcome After Laparoscopic-Assisted Surgery for Stage III Colorectal Cancer: A Matched-case Control Study
Aim: The aim of this study was to clarify the short and long-term outcome after laparoscopic-assisted surgery for Stage III (Any T, N1-2, M0) colorectal cancer compared to open surgery.Methods: 50 patients underwent LAP for stage III colorectal cancer from 2000 to 2006, were compared with 50 patients underwent OPEN surgery matched for the age,… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
New Method of Rectal Irrigation and Cutting in Laparoscopic-low Anterior Resction for Rectal Cancer: Extracorporeal Hals method
(Aim) To evaluate a new method of rectal irrigation and cutting in laparoscopic-low anterior resection for rectal cancer(Apparatus) A clamp forceps for the rectal irrigation and the Y-shaped vinyl hood for the operation under airtight were made. The point of forceps is J character type, and the total length is 36cm. 22cm between the clamping… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal