Identification of factors affected by a learning curve for laparoscopic rectal resection
Objective: The aim of this study was to identify factors affected by surgeon’s experience of laparoscopic resection for rectal cancer.Methods: A total of 200 consecutive resections between June1995 and August 2007 were analyzed in an attempt to define a learning curve. These resections were divided into three groups, which were operated on by surgeons with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Retrospective study comparing laparoscopic and open resection for transeverse colon cancer
BackgroundAlthough the large randomized trials are going about laparoscopic-assited colectomy(LAC) versus open colectomy(OC) for cancer, all of thease excluded patients with transverse colon cancer. Our study aimed to compare efficacy and safty of LAC and OC for treatment of transverse colon cancer in terms of morbidity and tumor recurrence and survivals.MethodsFrom February,1995,to March 2007, all… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
How should we divide the distal rectum in laparoscopic low anterior resection of the rectum?
INTRODUCTION: The risk of anastomotic leak in the laparoscopic colorectal resection with the Double Stapling Technique (DST) increases when the endo-linearstapler (ELS) is used more than three times in dividing the distal rectum. The anastomotic breakdown may be caused by the low blood perfusion at the site of gStaple on Stapleh. Therefore, it is important… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The impact of the liberal use of CT in the work up of acute appendicitis
Background:Acute appendicitis has historically been considered a clinical diagnosis, necessitating a CT scan only in the face of equivocal signs and symptoms. The purpose of this study is to determine whether or not the liberal use of CT in the work up of acute appendicitis results in a decreased negative appendectomy rate (NAR). Methods:The medical… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Systematic literature review to evaluate economic outcomes of the electrothermal bipolar vessel sealing system (LigaSure™) versus other methods for surgical hemostasis
Objective: To systematically review the literature to assess electrothermal bipolar vessel sealing system EBVS (LigaSure™, Covidien Energy-based Devices, Boulder, CO) versus other methods for surgical hemostasis.Methods: A search was conducted of the National Library of Medicine's Medline & Cochrane Library databases from 1/1/2000-8/14/07 for prospective, randomized, clinical, comparative trials (RCTs) of EBVS. Initial search identified… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
A clinical trial of a tool removing the small intestine from the pelvic space using a new concept
Laparoscopic intrapelvic operation, such as gynecological, urological and rectal operations, are often interrupted by the phenomenon of the small intestine flowing into the pelvic space. This phenomenon makes intrapelvic laparoscopic operations difficult. Although, patients are placed in an extreme head down position to keep the pelvic space wide to prevent this interruption of the small… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Totally Laparoscopic Proctocolectomy with Intracorporeal Ileal Pouch -Anal Anastomosis Followed By \’natural Orifice Specimen Extraction\’ (n.o.s.e)
Introduction:Totally laparoscopic proctocolectomy with intracorporeal pouch-anal anastomosis has been rarely reported. In this video, we present a totally laparoscopic proctocolectomy with pouch-anal anastomosis and a novel method of specimen extraction. Methods: We retrospectively studied 7 female patients from 2004-2007. A totally laparoscopic proctocolectomy with ileal pouch-anal anastomosis was successfully performed for all cases. The operating… Continue Reading
- Topic:
- Colorectal
Laparoscopic transverse colon cancer resection with lymphadenectomy
Background: Transverse colon cancer resection with lymphadenectomy is relatively difficult. The reasons of this are; 1) there are anatomical varieties of middle colic vessels, 2) the middle colic artery and vein do not run together around their origins, 3) transverse mesocolon attaches with pancreas head and some vein communicate to the pancreas, and so on.Purpose:… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Lap-assisted restorative proctocolectomy with IPAA
Open restorative proctocolectomy with ileal pouch-anal anastomosis was first Described in 1978 and since that time has gained popularity in the surgical management of patients with ulcerative colitis and familial polyposis. A laparoscopic proctocolectomy with ileal pouch-anal anastomosis represents the latest development in the evolution of surgical treatment of these conditions. This approach aims to… Continue Reading
- Topic:
- Colorectal
A multicenter study on 1057 cases of laparoscopic surgery for rectal cancer
Background: The purpose of this study is to clarify of the safety and the feasibility of the short-term and long-term results of the laparoscopic surgery for patients with rectal cancer from the accumulated data of 28 leading hospitals in Japan.Methods: From May 1994 to February 2006, this study group comprised 1057 patients with rectal cancer… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Secure and uniform transection / anastomosis in the laparoscope-Assisted anterior resection of rectal cancer: Comparison of three methods
[Background] Even in the up to date laparoscopic colorectal surgery, transection and anastomosis of the rectum in the narrow pelvic cavity might be challenging. In this study, we compared three methods to find out the best way to do safe and effective laparoscopic surgery for rectal cancer.[Patients and methods] Between April 1993 and August 2007,… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Effect of Yoga exercises on outcome of Stapled Hemorrhoidectomy: Results of a Prospective Randomized Controlled Study.
Objectives of study-The aim of this study was to evaluate the effect of yoga exercsies on outcome of stapled hemorrhoidectomy, a safe, popular, day care procedure for prolapsing hemorrhoids (PPH).Methods and Procedures-Consecutive patients with indications for PPH were randomized into Yoga exercises (YE) i.e. study group and no Yoga exercise (NYE) i.e. control group.PPH was… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Surgery for advanced rectal cancer
Background: The laparoscopic approach is accepted as an alternative to open surgery for colon cancer. However, it has not been determined whether laparoscopy can be used in the setting of rectal cancer. Moreover laparoscopic surgery for advanced rectal cancer demands technical experience and needs longer learning time. This study evaluated the peri-operative clinical outcomes and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Evaluation of learning curve relating to short-term oncologic parameters for laparoscopic surgery in patients with recto-sigmoid carcinoma
INTRODUCTION: Previous studies analyzing the learning curves in laparoscopic colorectal surgery have focused mainly on non-oncologic outcomes or consisted predominantly of patients with colon cancer. The aim of this study was to analyze the learning curve with particular reference to short-term oncologic outcomes for the laparoscopic approach to recto-sigmoid carcinoma (RSC). MATERIALS AND METHODS: A… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Sigmoidectomy (ls). Inmediate Outcome in Relation to Primary Disease.
LS is feasible and reproducible and it means the best example of MIS for colon disease. However technical difficulty as well outcome would depend on the initial diagnosis. The aim of this paper has been to asses the outcome differences in relation to the diverse indications for LS. Material and methods. We retrieved from a… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal