Surgical strategy for splenic flexure cancer
Takeru Matsuda, Yasuo Sumi, Kimihiro Yamashita, Hiroshi Hasegawa, Masashi Yamamoto, Yoshiko Matsuda, Shingo Kanaji, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji. Kobe UniversityLaparoscopic surgery for splenic flexure cancer is technically challenging and not standardized yet. Our surgical strategy for splenic flexure cancer based on anatomy is described with figures. Our laparoscopic D3 dissection is… Continue Reading
- Topic:
- Colorectal
SIMULTANEOUS LAPAROSCOPIC LOW ANTERIOR RESECTION AND LATERAL SECTIONECTOMY FOR SYNCHRONOUS COLORECTAL LIVER METASTASIS: BENEFIT OF FLORESCENCE ENHANCE IMAGING
Siripong Cheewatanakornkul, MD, Nan-ak Wiboonkwan. Prince Of Songkla UniversityAnastomotic leakage is one of the most feared complications in colorectal surgery. Although, technical advancements have led to an overall reduction of other complications, anastomosis leakages still require an operation in 95 % of cases. Moreover, most patients, who have anastomosis leakage have to live with temporary… Continue Reading
- Topic:
- Colorectal
Various Techniques for Transvaginal Extraction in Laparoscopic Colectomy
Christina Y Koh, MD, Mehraneh D Jafari, MD, Alessio Pigazzi, MD. University of California Irvine Medical CenterThis video demonstrates various techniques for transvaginal extraction in laparoscopic colectomy. For the first case we show a laparoscopic right colectomy with a transvaginal extraction of the specimen through a posterior vaginotomy in a patient with a small uterus. … Continue Reading
- Topic:
- Colorectal
Robotic SILS Completion Proctectomy with Creation of Ileal Pouch Anal Anastomosis and Diverting Loop Ileostomy
Ravi N Ambani, MD, MBA, James McCormick, DO, Ari Reichstein, MD. Allegheny General HospitalIntroduction: In this video, we demonstrate the use of the existing ileostomy site to perform a robotic single incision (SILS) completion proctectomy with creation of an ileal pouch anal anastomosis (IPAA) and diverting loop ileostomy as a novel second stage of a… Continue Reading
- Topic:
- Colorectal
Laparoscopic Detorsion of Ileoanal J-Pouch
Philip E George, MD, Stewart Whitney, MD, Alexander Greenstein. Icahn School of Medicine at Mount SinaiBackground: Restorative Proctocolectomy with Ileal Pouch Anal Anastomosis has been the surgical treatment of choice for patients with Ulcerative Colitis who are medicine refractory or in those patients with dysplasia. Even with the advent of laparoscopy, complications are still present… Continue Reading
- Topic:
- Colorectal
Circular Stapler Malfunction with Retained Anvil during Ileoproctostomy Anastomosis
Armando Rosales, MD, Morris Sasson, MD, Giovanna Da Silva, MD, Steven D Wexner, MD, PhD (Hon), FACS, FRCS, FRCS(Ed). Cleveland Clinic FloridaThe use of circular stapling devices is now widespread in colorectal surgery and has become standard practice. Stapler malfunction and technical errors are a known and feared complication. We present the case of a… Continue Reading
- Topic:
- Colorectal
VAMIS-assisted rectocele repair: Expanding the applications of TAMIS
Marc Dakermandji, MD1, Ashley Althoff, DO2, Sam Atallah1. 1Florida Hospital, 2LECOMVaginal access minimally invasive surgery (VAMIS) utilizes a platform of transanal minimally invasive surgery (TAMIS) and places it transvaginally. Previously, our center has described the use of VAMIS for rectovaginal fistula repair and cadaver hysterectomy. To our knowledge, the use of the VAMIS platform for… Continue Reading
- Topic:
- Colorectal
Single Incision Laparoscopic Subtotal Colectomy with Ileorectal Anastomosis with a Suprapubic Extraction Site: A Novel Approach
David J Berler, MD, Riley K Kitamura, MD, Daniel A Popowich, MD, FACS, FACRS. Icahn School of Medicine at Mount SinaiThis is the case of a 23-year-old woman who presented with five years of constipation refractory to biofeedback and medications. She was found on workup consisting of an intestinal motility study, anorectal manometry, and MR… Continue Reading
- Topic:
- Colorectal
Video-assisted abdomino-perineal excision
Simone Arolfo, Marco Ettore Allaix, Alberto Arezzo, Mario Morino. University of TorinoAbdomino-perineal resection (APR) is the standard of care for very low rectal tumors. It is a huge operation, especially in fat men with narrow pelvis. Furthermore, morbidity of perineal wounds is very high, especially after chemoradiation therapy. Transperineal minimally invasive approach in APR was… Continue Reading
- Topic:
- Colorectal
Transanal Total Mesorectal Excision for Distal Rectal Cancer
Kevin M Izquierdo, Clinical Fellow, John H Marks, Chief Section of Colorectal Surgery. Lankenau Medical CenterThis narrated video demonstrates the transanal total mesorectal excision for distal rectal cancer with an emphasis on surgical technique and anatomy. Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 88488Program Number: V131Presentation Session: Colorectal 2 SessionPresentation Type: Video Continue Reading
- Topic:
- Colorectal
Step-by-step procedures of taTME according to pelvic anatomies for low rectal cancer
Masaaki Ito, Yuji Nishizawa, Yuichiro Tsukada, Takeshi Sasaki. National Cancer Center Hospital EastObjective: The purpose of this study was to establish step-by-step procedures of taTME and to avoid intraoperative complications. Methods: We experienced one-hundred thirty taTME operations for low rectal cancers since 2013. We divided whole procedure to nine parts according to the surgical anatomical… Continue Reading
- Topic:
- Colorectal
COMBINED ROBOTIC AND TRANSANAL APPROACH FOR LOCALLY ADVANCED RECTAL CANCER (CECIL APPROACH)
Beatriz Martin-Perez, MD, Ana Otero-Piñeiro, MD, F Borja De Lacy, MD, Victor Turrado-Rodriguez, MD, Raquel Bravo-Infantes, MD, Antonio M Lacy, MD. Hospital ClinicINTRODUCTION: Combined transabdominal and transanal approach for rectal cancer (Cecil approach) is establishing as the technical solution for the challenging mid and low rectal cancer, particularly on narrow, male, pelvis. Beyond these indications,… Continue Reading
- Topic:
- Colorectal
Failed colorectal anastomosis with complex rectovaginal fistula: Repair using a transanal endoscopic approach
Caitlyn Braschi, BA1, Patricia Sylla, MD2. 1Department of Medical Education, Icahn School of Medicine at Mount Sinai, New York NY, 2Division of Colorectal Surgery, Icahn School of Medicine at Mount Sinai, New York NYIntroduction: This video demonstrates transanal-assisted takedown of a complex rectovaginal fistula (RVF) and strictured colorectal anastomosis. Case description: The patient is a… Continue Reading
- Topic:
- Colorectal
TaTME with retroileal colorectal anastomosis: Combining old and new techniques
Nathalie Wong-Chong, MD1, Antonio Caycedo, MD, FRCSC, FACS2. 1Mcgill University, 2Health Sciences NorthThis video abstract demonstrates the combination of old and new techniques for colorectal surgery. We present the case of a 42 year old female with a low-lying rectal cancer treated with laparoscopic low anterior resection + transanal total mesorectal excision (TaTME). In order… Continue Reading
- Topic:
- Colorectal
Why Does Conversion From Laparoscopy to Open Surgery Occurr?
Rocco Ricciardi1, Caitlin Stafford1, Todd Francone1, Peter Marcello2, Patricia L Roberts2. 1MGH, 2Lahey Hospital & Medical CenterIntroduction: We studied the risk factors for laparoscopic (Lap) conversion across a group of subspecialist colorectal surgeons with expertise in minimally invasive techniques. Methods: We reviewed our prospective database for Lap conversion cases among all consecutive abdominopelvic procedures performed… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal