The Impact of Opioid Utilization on Quality Outcomes and Costs in Laparoscopic Colorectal Surgery
Thais Reif De Paula, MD, Ravi P Kiran, MD, Deborah S Keller, MS, MD. Columbia University Medical CenterBackground: The use of laparoscopy is proven to improve patient outcomes and costs. Prior work showed that laparoscopy had higher daily opioid use than open colorectal surgery, with lower overall use from the shorter length of stay (LOS). With… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
LOCULA- A minimally invasive procedure for Pilonidal Sinus: Pilonidal disease management needs a paradigm shift from more to less
Pankaj Garg, MBBS, MS, FASCRS1, Sachi Singhal, MBBS2, Sachin B Jamma, MBBS, MS3, Suresh Vasistha, MBBS, MS4. 1Garg Fistula Research Institute, Panchkula, India, India, 2Dayanand Medical College, Ludhiana, Punjab, India, 3Ashwini Rural Medical College, Kumbhari, Solapur, Maharashtra, India, 4Mangalam Hospital, Gurgaon, IndiaPurpose: Pilonidal sinus disease (PND)(including acute abscess) is very much similar to any subcutaneous abscess… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Comparison of self-expandable metallic stents and transanal decompression tubes as a bridge to surgery for treating malignant colorectal obstruction
Masafumi Tomita, MD, Kouji Yasuda, Nozomi Kashu, Hiroyuki Yoshitake, Tomoya Takami, Koutaro Hatano, Naoki Kataoka, Tomoyuki Yamaguchi, Yoshiharu Shouno, Shinichiro Makimoto. Kishiwada Tokushukai HospitalBackground: Self-expandable metallic stents (SEMS) are widely accepted for treating malignant colorectal obstruction (MCO) in stenting procedures as a bridge to surgery (BTS). Transanal decompression tubes (TDT) for MCO are also used… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Compliance with ERAS protocol in colorectal surgery is associated with short-term outcomes and long-term survival benefit
Natalia Gajewska, Grzegorz Torbicz, Magdalena Mizera, Jan Witowski, Magdalena Pisarska, MD, Mateusz Rubinkiewicz, MD, PhD, Piotr Major, MD, PhD, Michal Pedziwiatr, MD, PhD. 2nd Department of General Surgery, Jagiellonian University Medical College, Cracow, PolandIntroduction: Better adherence to ERAS is associated with improved short-term outcomes and increased long-term survival. Enhanced recovery after surgery (ERAS) pathways have… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The perinephric fat thickness measured on computerized tomography predicts the technical difficulty of laparoscopic colectomy
Tomoyuki Ueki, Hiromichi Sonoda, Toru Miyake, Tomoharu Shimizu, Masaji Tani. Shiga University of Medical ScienceBackground: It is considered that high visceral fat volume affects the technical difficulty in laparoscopic surgery. However, complex software image processing is required to calculate the visceral fat by using computerized tomography. To predict the amount of visceral fat more easily,… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Can Statistical Process Control (SPC) to Drive Improvement in Length of Stay After Colorectal Surgery?
Thais Reif, MD, Deborah S Keller, MS, MD, Guanying Yu, MD, Haiqing Zhang, MD, Laura Hyde, MD, Ahmed Al-Mazrou, MD, Ravi P Kiran, MD. Columbia University Medical CenterBackground: New methods of improving surgical quality are needed. A key quality outcome measure is lengthof stay(LOS), as it’s linked to complications and costs. A novel method to reduce LOS… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The challenging case of non-cutaneous Kaposi’s Sarcoma presenting as recurrent rectal abscesses
Steven Schulberg, DO, Kevin Bain, DO, Josef Shehebar, MD. NYU Langone Hospital - BrooklynIntroduction: Kaposi’s sarcoma is a fatal disease that typically presents with cutaneous manifestations in immunocompromised individuals. There are a small number of documented cases where patients diagnosed with this disease present without cutaneous lesions. Case Presentation: 35 year-old male presented with two… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
ROBOTIC AND LAPAROSCOPIC COLON SURGERY: A SINGLE CENTER EXPERIENCE
Daisy Dan1, Ian Reight, MD2. 1Colby College, 2Maine General Medical CenterIntroduction: Robotic-assisted minimally invasive colon surgery has been increasingly used for the treatment of various benign and neoplastic diseases in the past few years. Recent research has provided evidence that robotic assistance in surgeries offers more degrees of freedom, three-dimensional visualization, and possible better surgical… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
BARRIERS TO ADHERENCE WITH A POST-OPERATIVE ENHANCED RECOVERY PROGRAM IN COLORECTAL SURGERY
Richard Hu, Juan Mata, MD, Nicolo Pecorelli, MD, Pepa Kaneva, MSc, Lawrence Lee, MD, PhD, Barry L. Stein, MD, A. Sender Liberman, MD, Patrick Charlebois, MD, Julio Flavio Fiore Junior, PhD, Liane Feldman, MD. McGill UniversityIntroduction: Enhanced recovery programs (ERP) are perioperative evidence-based care bundles that improve morbidity and length of stay in colorectal surgery patients.… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
A Comparative Effective Analysis of Perioperative Outcomes of Open, Laparoscopic and Robotic Abdominoperineal Resections for Rectal Cancer
Dakota T Thompson, MD, Paolo Goffredo, MD, Alan F Utria, MD, Jennifer Hrabe, MD, Muneera R Kapadia, MD, Irena Gribovskaja-Rupp, MD, Sajida Ahad, MD, Imran Hassan, MD. University of IowaIntroduction: Abdominoperineal resections (APR) using laparoscopic and robotic platforms are being increasingly utilized for surgically managing rectal cancer (RC). We hypothesized that laparoscopic and robotic APR would… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Colon surgery in Texas: a comparison of open, laparoscopic and robotic surgeries with regards to cost and utilization using a large administration database.
Benjamin Clapp, MD, Evan Liggett, MD, William Klingsporn, MD, Ira L Swinney, MS, Mallory Schenk, BS, Alan Tyroch, MD, Brian Davis, MD, Christopher Dodoo, MS. Texas Tech HSC Paul Foster School of MedicineIntroduction: Laparoscopic surgery has become the standard of care for the most common surgical procedures performed. However, laparoscopic techniques have not reached this… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The Effect of Enhanced Recovery After Surgery (ERAS) Protocol on Colorectal Surgery Outcomes in a Metropolitan Community Hospital
Young Lee, MD, MSc, Greg Zielinski, MD, Jasmine Bhinder, BS, Victoria Agramonte, RN, MSN, Ritha Belizaire, MD, Pratibha Vemulapalli, MD, FACS. The Brooklyn Hospital CenterIntroduction: The enhance recovery after surgery (ERAS) protocol was developed by incorporating evidence based medicine into patient care to improve post-operative outcomes and cost. ERAS programs envelop a set of recommendations focusing… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Oncological and clinical safety of single-incision laparoscopic surgery for colon cancer with previous abdominal surgery: a propensity score-matched comparison.
Yasumitsu Hirano1, Chikashi Hiranuma, MD, PhD2, Masakazu Hattori2, Kenji Douden2, Shigeki Yamaguchi1. 1Saitama Medical University International Medical Center, 2Fukui Prefectural HospitalIntroduction: Previous abdominal surgery (PAS) may affect the operative time and intra-operative bowel injury, and can also influence the postoperative complications including postoperative bowel obstruction and paralytic ileus. At the beginning of laparoscopic experience, PAS… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic right hemicolectomy with intracorporeal anastomosis and Pfannenstiel extraction facilitated by intuitively-controlled articulating device: a novel technique
Mercedes Pilkington, MD1, Christa N Grant, MD2, Jose Diaz-Miron, MD1, James D Geiger, MD1. 1University of Michigan, Pediatric Surgery Section, 2Penn State Hershey Children's HospitalIntroduction: A new technique for laparoscopic right hemicolectomy (LRH) was adopted at our pediatric institution that utilized an intuitively-controlled articulating device. This facilitated an intracorporeal anastomosis with a Pfannenstiel extraction site with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Negative Pressure Wound Therapy is Beneficial in the Treatment of Pilonidal Disease
Elisa Bianchi, MD, Titi Adegboyega, MD, Shirley Shih, MD, Cici Zhang, MD, David E Rivadeneira, MD, MBA. Huntington Hospital-Northwell HealthThere are multiple surgical approaches to the treatment of Pilonidal Sinus Disease (PSD). All are associated with wound complications including surgical site infections (SSI), dehiscence, and recurrence. Negative Pressure Wound Therapy (NPWT) has been reported to… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal