Establishing the Learning Curve for Transanal Minimally Invasive Surgery (TAMIS) for Local Excision of Rectal Neoplasms
Lawrence Lee, MD, PhD1, Deborah Keller, MD2, George Nassif, DO1, Teresa deBeche-Adams, MD1, John Monson, MD1, Matthew R Albert, MD1, Sam Atallah, MD1. 1Florida Hospital, 2Houston Methodist HospitalIntroduction: Transanal minimally invasive surgery (TAMIS) is an advanced endoscopic platform for local excision of rectal neoplasms. This new technique is a valuable minimally invasive tool, but may… Continue Reading
- Topic:
- Colorectal
Evaluation for stoma obstruction after defunctioning ileostomy and skin extension by pneumoperitoneum
Shintaro Akamoto1, Yuma Fukumoto1, Yusuke Konishi1, Kazuhiko Nakagawa1, Tetsuji Fukuhara1, Kazuyasu Kobayashi1, Toshihito Hanaoka1, Yasuyuki Suzuki2. 1Sumitomo Besshi Hospital, 2Kagawa UniversityBackground: Although the use of defunctioning ileostomy is a common practice in colorectal surgery, stoma obstruction is sometimes encountered by surgeons, especially after laparoscopic surgery. Purpose: The aim of this study was to assess the… Continue Reading
- Topic:
- Colorectal
Evaluation of a critical pathway application to improve colorectal cancer outcomes: A propensity scoring matching analysis
Hyun Woo Bae, Jeonghee Han, Byung Soh Min. Department of Surgery, Severance Hospital, Yonsei University College of MedicineBackground: In recent years, critical pathway (CP) has been applied to the majority of the colorectal cancer patient who has minimal invasive surgery (laparoscopic surgery, robot assisted surgery). The aim of this study is to evaluate the advantage… Continue Reading
- Topic:
- Colorectal
Evaluation of bacterial contamination in intracorporeal anastomoses created during laparoscopic colectomy
Tetsuo Ishizaki, Kenji Katsumata, Masanobu Enomoto, Takaaki Matsudo, Hiroshi Kuwabara, Akihiko Tsuchida. Tokyo Medical UniversityPurpose: Intracorporeal anastomosis (IA) are commonly created during laparoscopic colectomy. However, there is concern regarding the possibility of intra-abdominal infections caused by the leakage of digestive liquid. In this study, we evaluated the bacterial contamination in IA during laparoscopic colectomy. Materials… Continue Reading
- Topic:
- Colorectal
Feasibily and Safety of Laparoscopic Lateral Pelvic Lymph Node (LPLN) Dissection for Locally Recurrent Rectal Cancer and Risk Factor for Re-recurrence
Momoko Ichihara, Masataka Ikeda, Mamoru Uemura, Masakazu Miyake, Takuya Hamakawa, Sakae Maeda, Naoki Hama, Kazuhiro Nishikawa, Atsushi Miyamoto, Michihiko Miyazaki, Motohiro Hirao, Shoji Nakamori, Mitsugu Sekimoto. National Hospital Organization Osaka National HospitalBackgrounds: Lateral pelvic lymph node (LPLN) metastasis has been considered as distant metastasis and often treated by systemic chemotherapy. However, complete radical resection of… Continue Reading
- Topic:
- Colorectal
Five cases of laparoscopic surgery for mucocele of the appendix
Tomoko Horie, MD, Yu Sato, MD, PhD, Yasutaka Shuno, MD, PhD, Yoshimasa Gohda, MD, Hideaki Yano, MD, PhD. National Center for Global Health and MedicineMucocele of the appendix is an uncommon condition where luminal distention by mucin, usually results from either benign (hyperplasia or mucinous cystadenoma) or malignant (mucinous cystadenocarcinoma) epithelial proliferation. Standard therapy is… Continue Reading
- Topic:
- Colorectal
Fluorescence-Guided Ureter Identification during Robotic Sigmoid Resection
Lindsay M Kranker, MD1, Minia Hellan, MD, FACS2. 1Wright State University Boonshoft School of Medicine, 2Wright State University, Division of Surgical OncologyThis video portrays a novel technique for ureter identification using fluorescence imaging. Multiple near-infrared fluorescence video cameras are commercially available, including Firefly (Intuitive Surgical, Inc., Sunnyvale, CA) and Pinpoint (Novadaq Technologies Inc., Bonita Springs,… Continue Reading
- Topic:
- Colorectal
half circumferential stapler hemorrhoidopexy in grade 4 gangrenous hemorrhoids with maggots
Jaya Maheshwari, M, S. jyoti hospitalmale aged 32 years admitted with complain of swelling , bleeding and pain perianal region since three days.On examination ,there were gangrenous hemorrhoids prolapsed outside the anal canal with maggot infestation.Supportive therapy with intravenous dextrose, antibiotics ,analgesic and anti inflammatory drugs started, along with perianal care, for the infected hemorrhoids.… Continue Reading
- Topic:
- Colorectal
How Accurate Is Preoperative Colonoscopic Localization of Colorectal Neoplasms?
Laura Fernandez, MD, Rowaa N Ibrahim, MD, Ido Mizrahi, MD, Giovanna DaSilva, MD, Steven D Wexner, MD. Cleveland Clinic Florida, Weston, FLINTRODUCTION: Pre-operative colonoscopic localization with or without tattoo as a guide for resection has been extensively used with variable accuracy. Difficulty in intraoperative identification of the lesion may lead to resection of an incorrect… Continue Reading
- Topic:
- Colorectal
Hybrid approach using laparoscopy/transanal minimally invasive surgery to treat rectal cancer with invasion
Takuya Yamaguchi1, Minoru Imai, MD1, Dai Uematsu2. 1Mimihara General Hospital, 2Saku advanced care centerWe treated a 64-year-old man for rectal cancer with direct invasion to the seminal vesicles and no distant metastases by complete resection with laparoscopy and transanal minimally invasive surgery (TAMIS). We inserted the TAMIS device into the anal canal to above the… Continue Reading
- Topic:
- Colorectal
Identification of Patient Subgroups Associated with Unfavorable Long-term Outcome in the Laparoscopic Surgery for Colon Cancer Compared with Open Surgery: Subanalysis of a RCT Comparing Open and Laparoscopic Surgery for Colon Cancer (jcog0404)
Shuji Saito, MD1, Masafumi Inomata, MD2, Hiroshi Katayama, MD3, Masashi Wakabayashi3, Tomonori Akagi, MD2, Kentaro Nakajima, MD2, Seiichiro Yamamoto, MD4, Masaaki Ito, MD5, Yusuke Kinugasa, MD1, Shoichi Fujii, MD6, Fumio Konishi, MD7, Yoshihisa Saida, MD8, Masahiko Watanabe, MD9, Yasuhiro Shimada, MD10, Yoshihiro Moriya, MD4, Seigo Kitano, MD2. 1Division of Colon and Rectal Surgery, Shizuoka Cancer… Continue Reading
- Topic:
- Colorectal
Incidence of Incisional Hernia in the Specimen Extraction Site for Laparoscopic Colorectal Surgery: Systematic Review and Meta-analysis
Maria Abou-Khalil, MD, MSc1, Lawrence Lee, MD, PhD1, Sender Liberman, MD1, Marylise Boutros, MD2, Gerald M Fried, MD1, Liane S Feldman, MD1. 1McGill University Health Centre, 2Sir Mortimer B Davis Jewish General HospitalINTRODUCTION: The incidence of incisional hernia(IH) after laparoscopic colorectal surgery has not decreased compared to open surgery. However, IH may be affected by… Continue Reading
- Topic:
- Colorectal
Initial single institutional experience of ultra-low anterior resection without routine covering ileostomy
C Palanivelu, MS, FACS, FRCSEd, DSc, S Rajapandian, MS, FRCS, FMAS, R Parthasarathi, MS, FMAS, P Senthilnathan, MS, FMAS, DNB, Senthil Ganapathy, MS, Manish Jain, MS. GEM Hospital & Research CentreIntroduction: Defunctioning ileostomy, practiced routinely for ultra low anterior resections (ULAR) has its own complications and decrease the quality of life. With experience, the leak… Continue Reading
- Topic:
- Colorectal
Interim review of ESD/EMR vs Wedge vs Segmental resection study results for large sessile adenomas: Lengthy learning curve, need for ex-vivo training programs, and reliability of “non lifting” sign as marker for cancer.
Erica Pettke, Vesna Cekic, Abhinit Shah, Brett Howe, Xiaohong Yan, Shantha Kumara, Nipa Gandhi, Richard Whelan. Mount Sinai WestIntroduction: Endoscopic Submucosal Dissection (ESD) is the gold standard for the removal of large sessile adenomas in Japan. Adoption rates in the U.S. have been low and colectomy remains the most commonly used treatment. Seven years ago,… Continue Reading
- Topic:
- Colorectal
Intracorporeal anastomosis in laparoscopic colectomy for StageI colon cancer
Kenji Baba, MD, PhD, Shinichiro Mori, MD, PhD, Yoshiaki Kita, MD, PhD, Kan Tanabe, MD, Tetuya Ijichi, MD, Masayuki Yanagi, MD, Yasuto Uchikado, MD, PhD, Hiroshi Kurahara, MD, PhD, Yoshikazu Uenosono, MD, PhD, Yuko Mataki, MD, PhD, Masahiko Sakoda, MD, PhD, Akihiro Nakajo, MD, PhD, Kosei Mawmura, MD, PhD, Shoji Natsugoe, MD, PhD. Kagoshima UniversityOBJECTIVE:… Continue Reading
- Topic:
- Colorectal