Fecal Incontinence Quality of Life After Transanal Endoscopic Microsurgery (tem)
INTRODUCTION: TEM is a natural orifice minimally invasive treatment option used to excise a variety of rectal lesions. The procedure requires dilatation of the anal canal to allow placement of the 40mm operating scope, which has the potential for overstretching the sphincter musculature. This combined with partial resection of the rectum and the subsequent loss… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Gastrointestinal Recovery After Laparoscopic Partial Large Bowel Resection: Results of a Prospective, Observational, Multicenter Study
Introduction: A prospective, multicenter, observational study (14CL401) investigated gastrointestinal (GI) recovery, length of hospital stay (LOS), and postoperative ileus (POI)-related morbidity after laparoscopic bowel resection (LBR). Methods: Adult patients undergoing LBR with primary anastomosis performed by straight (SL) or hand-assisted (HAL) laparoscopy with scheduled postoperative intravenous patient-controlled analgesia were enrolled. The study design was similar… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Hand-Assisted Laparoscopic Pelvic Nerve Sparing Resection of Rectal Cancer: Preoperative Chemoradiation Influences Conversion Rate
Introduction: We hypothesize that gender, BMI and preoperative chemoradiation may influence the ability to perform a hand-assisted laparoscopic (HAL) resection for patients with rectal cancer.Methods: We performed retrospective analysis of patients who underwent HAL resection of rectal cancer. Four trocars and a standard 7 cm incision length were used. We abstracted clinical and pathological variables… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
HAL vs laparoscopic TPC IPAA
PURPOSE: This study was designed to compare short-term outcomes after hand-assisted laparoscopic vs. straight laparoscopic total proctocolectomy with ileoanal pullthrough. METHODS: A retrospective study was performed on all TPC IPAA at a single institution by a single surgeon between July 2002 to July 2008. The study was powered to detect a 30-minute reduction in operative… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Hospital Colectomy Volume As a Surrogate for Advanced Laparoscopy
Although laparoscopic colectomy has been reported to have favorable outcomes compared to open colectomy, it has yet to gain widespread acceptance in the United States. We sought to investigate whether hospital volume for colectomy was an important factor to predict the likelihood of having colectomy performed laparoscopically.Methods: Using the Nationwide Inpatient Sample (NIS) from 1998… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Ileostomy Reversal After Left Colonic or Rectal Resection for Cancer: Does the Initial Approach (laparoscopy Versus Laparotomy) Affect Outcome?
The aim of stoma in patients who had left colonic or rectal resection for cancer is to limit the consequences of anastomotic leakage. We retrospectively analyzed the short-term outcome of patients who had ileostomy reversal in this setting. Patients who had initial laparoscopic cancer resection were compared to those who had the same procedure openly.The… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Impact of Gender on Early Surgical Outcomes After Laparoscopic Surgery for Rectal Carcinoma.
Introduction: Controversies still persist regarding the appropriateness of laparoscopic surgery in patients with rectal carcinoma because of the uncertainty of long-term outcome, and of concerns over the safety of the procedure. Recently, several studies analyzing the risk factors of laparoscopic surgery for rectal carcinoma have been reported, and in some reports, male gender has been… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Impact of Laparoscopic Anterior Resection on Postoperative Bowel Function
yBackgroundzLaparoscopic anterior resection would be beneficial not only cosmetic aspect and less invasiveness but also for postoperative bowel function compared to those of open surgery.yMethodszTwenty patients had laparoscopic anterior resection (LAP) and pre- andpostoperative anorectal physiologic investigation by patientsf questionnaire andmanometry. These factors were compared with 25 open anterior resection candidate(OP) in the same period.… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Impact of Visceral Obesity on Laparoscopic Surgery for Colorectal Cancer
Introduction: Body mass index (BMI) has been used as one of the most reliable anthropometric indices of obesity. However, laparoscopic surgical techniques may be influenced by intra-abdominal anatomic and physical conditions. It has been suggested that visceral obesity, indicating an altered intra-abdominal environment, may be more practical for the assessment of laparoscopic surgery compared with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Initial Experience in Single-port Laparoscopic Appendectomies
OBJECTIVES: Single port access surgery is an emerging technique in laparoscopic surgery. Currently outcome data is limited for a majority of procedures. We present the largest series of single port appendectomy performed for acute appendicitis.METHODS: Over a 5 month period, ten consecutive patients presenting with appendicitis underwent single-port appendectomy using the Tri-Port multiport (Advanced Surgical).… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Is a Laparoscopic Approach Useful for Treating Complications After Primary
PURPOSE: Although the use of laparoscopy for the management of postoperative complications has been previously well documented for different pathologies, there is scarce information regarding its use after laparoscopic colorectal surgery.METHODS: Data were prospectively collected from all patients undergoinglaparoscopic colorectal surgery between June 2000 to October 2007. Patients were divided into two groups according to… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Is Navigation Useful in Laparoscopic Colon Resction
An optical navigation system was adapted for abdominal surgical purposes, The feasibility and potential usefulness was investigated in 24 patients with a colorectal tumor or diverticulitis. The information from a preoperative CT scan was integrated in the real time live video images. Instruments were marked and identifiable during the navigation. All patients underwent a laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Is Pfannenstiel Better? Surgical Site Infections Following Laparoscopic-Assisted Colorectal Surgery
INTRODUCTION: Colorectal surgery has classically been associated with a high rate of surgical site infection (SSI) due to the contaminated nature of the operations. The most recent National Nosocomial Infections Surveillance (NNIS) System Report indicates overall rates of 11.3%. However, other investigators have reported rates as high as 26%. It has been proposed that the… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Anterior Resections Use Fewer Defunctioning Stomas.
Aims:It is our contention that with the improved visualization of the operating field afforded by laparoscopic surgery, that during laparoscopic anterior resection fewer drains and defunctioning stomas are being utilized. We assessed a single consultant surgeon’s anterior resectional practice. Methods:A retrospective study compared all laparoscopic anterior resections (LAR) versus open anterior resections (OAR) conducted by… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Appendectomy Is As Cost Effective As Open Appendectomy
Introduction: The aim of this study is to compare the results of laparoscopic (LA) versus open (OA) approaches for appendectomy in a teaching community hospital.Methods: A retrospective analysis of 264 patients who underwent appendectomy over an 8-year period (155 Lap versus 109 Open). Two surgeons performed all LA procedures and all were initially approached for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal