Laparoscopic IPAA surgery reduces abdominal and pelvic adhesions
Objectives: Adhesions after open abdominal operations cause >75% of cases of small bowel obstruction. We evaluated adhesions to the anterior abdominal wall and adnexae after laparoscopic ileal pouch anal anastamosis (IPAA).Methods: Patients who underwent laparoscopic proctocolectomy, IPAA and diverting loop ileostomy for Ulcerative Colitis had laparoscopic evaluation of adhesions at closure of ileostomy to assess… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Right Hemicolectomy for Colon Diseases: Clinical Studies on Intracorporeal and Extracorporeal Anastomosis in 423 Consecutive Cases
INTRODUCTION:Totally laparoscopic or laparoscopic-assisted (LA) right hemicolectomies (RHC) have been reported as acceptable procedures for both benign and malignant colon diseases. Laparoscopic RHC either with a totally intracorporeal or extracorporeal anastomosis has been performed for the treatment of ascending colon diseases including cancer, polyps, chronic inflammatory bowel diseases, AVM. However, research has not been conducted… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Fast Tracking Suspected Colorectal Cancer Patients – Is It Time to Reflect Our Current Practice?
IntroductionEarly detection of colorectal cancer (CRC) can improve survival rate. To aid fast tracking suspected CRC referrals from primary to secondary care, National Institute of Clinical Excellence (NICE) guidelines (2005)^ were published in UK for these patients to be referred and seen in a secondary care centre within two weeks (TWR). However, not every patient… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Mesh Repair of Pelvic Organ Prolapse
The laparoscopic repair of rectal prolapse has been well described. Patients with rectal prolapse often, if properly evaluated, will have a concomitant anterior pelvic dysfunction. We present the video of a 69-year-old female with a history of rectal prolapse that underwent a perineal proctectomy only to recur within a year of surgery. On exam she… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Single surgeon surgery: 3 trocar technique for colon resection
Introduction: Laparoscopic colon resection has been demonstrated to be safe and feasible. Despite proven patient benefits, adoption of the technique has been slow. A significant hurdle for adoption has been the technical challenge and need for 1 or 2 (highly) skilled assistants. We present our experience with a single surgeon, 3 trocar technique for colon… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The Role of Laparoscopic colon resection for diverticulitis
Introduction: Laparoscopic treatment of diverticulitis is challenging because of its inflammatory nature. In the United States, many surgeons advocate a hand-assisted laparoscopic approach routinely for the treatment of these cases. We present the experience with a laparoscopic approach using hand-assisted surgery as needed, focusing on completion rate, morbidity, mortality and patient outcomes. Methods: Since 1996,… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Versus Open Appendectomy: A Cost Analysis for Treatment of Socially-insured Patients in an Urban Medical Center
Introduction: Since its introduction nearly thirty years ago, laparoscopic appendectomy (LA) has gained wide acceptance. We sought to analyze the costs of the LA procedure and to compare these to those resulting from open appendectomy (OA).Methods and Procedures: A retrospective cohort of subjects undergoing both LA and OA at our institution, a 165-bed urban teaching… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
CT Scans and Acute Appendicitis; A Five Year Analysis From a Rural, Teaching Hospital
INTRODUCTION: Studies conducted in urban centers examining the relationship between CT scans, negative appendectomies and appendiceal perforation are not applicable to rural centers due to higher proportion of older adults, difficult access and absence of management algorithms at most centers.METHODS AND PROCEDURES: Retrospective analysis of all patients who underwent appendectomies from January 2000 to June… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Current Status of Laparoscopy-Assisted Surgery for Colorectal Cancer in Cancer Institute Hospital in Japan
Introduction: Laparoscopic surgery was introduced for the treatment of colorectal cancer about 15 years ago in Japan and now has been rapidly widespread. The objective of this study was to demonstrate the safety and feasibility of laparoscopy-assisted surgery for colorectal cancer in aspects of treatment results and expenses as compared to open surgery.Patients and Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic intramesorectal proctectomy and ileal pouch-Anal anastomosis for ulcerative colitis
We present a case of intramesorectal laparoscopic completion proctectomy and ileal pouch-anal anastomosis in a 34 y/o female who had undergone previous subtotal colectomy, Brooke ileostomy and preservation of rectosigmoid stump for severe ulcerative colitis. She had completed her family and was not concerned about fertility.Intramesorectal dissection has been proposed in open surgery as a… Continue Reading
- Topic:
- Colorectal
Laparoscopic resection of a duodenal polyp
Introduction: Duodenal polyps are rare lesions traditionally excised using endoscopic or open techniques. Laparoscopic resection is a useful approach for large lesions or in patients not suitable for laparotomy. Methods: A 56 year-old morbidly obese female (BMI = 60) with anemia was found to have a 3 cm sessile polyp at the junction of the… Continue Reading
- Topic:
- Colorectal
The Value of Laparoscopy in Management of Penetrating Rectal Injuries
The basic tenet in management of penetrating rectal injuries is diversion of feces after other injuries are excluded. Laparoscopy may offer expeditious work-up and diversion all in one setting with comparable safety and benefits of a minimally invasive approach. To support this hypothesis, we reviewed all patients with suspected rectal injuries in last 2 years.Method:… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Feasibility of Self-Appraisal in Assessing Operative Performance in Advanced Laparoscopic Colorectal Surgery
AimsAssessing surgical technical skills (TS) in a structured manner is a topical issue in the current surgical environment. To date there has been no attempt to comprehensively assess both generic and operation specific TS in live advanced laparoscopic colorectal surgery, in this study we aim to develop and validate a new tool which can assesses… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic colon resections in elderly. A community hospital experience and comparison.
As life expectancy increases so will the number of elderly people with correctable diseases. Laparoscopic surgery appears ideal choice with shorter hospitalization and faster recovery. Age older than 70 years is an independent predictor of increased postoperative complications, in- hospital mortality and length of hospital stay. Therefore, surgical interventions in elderly patients are associated with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Total Abdominal Colectomy for Severe Ulcerative Colitis
INTRODUCTION: The patient is an 18 year-old female with severe ulcerative colitis refractory to medical management. At presentation her hematocrit was 15 and her albumin was 2.1. Our practice is perform a total abdominal colectomy with end ileostomy as the initial procedure in ulcerative colitis patients who are malnourished and immunocompromised. This is followed by… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal