Single-incision Laparoscopic Proctocolectomy with Ileal J-pouch-Anal Anastomosis
Laparoscopic assisted proctocolectomy and ileoanal pouch-anal anastomosis is performed with multiple ports and an extraction incision. When compared to the traditional open procedure, the laparoscopic approach shortens the postoperative recovery and reduces adhesion formation. To further reduce the number of incisions and abdominal wall trauma, we used a single-incision device to perform this operation. This… Continue Reading
- Topic:
- Colorectal
A New Strategy for Adhesive Bowel Obstructon Using Laparoscopic Surgery and Bioabsorbable Membrane
(Introduction) To construct a more effective operation for adhesive bowel obstruction, we introduced laparoscopic surgery and bioabsorbable membrane for operation of this disease. Recurrent adhesive bowel obstruction is supposed to be indication of operation. But it is undeniable that the new adhesion between damaged peritoneal areas and bowels may be constructed. Recently, efficacy of laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Dghal with Recto-Anal-repair Modification: Functional Evaluation and Safety Assessment of a New Minimally-invasive Method of Treatment of Advanced Hemorrhoidal Disease.
PURPOSE: The aim of this paper is to present 12-month follow-up results of functional evaluation and safety assessment of an innovative modification of hemorrhoidal artery ligation (DGHAL) called Recto-Anal-Repair (RAR) in the treatment of IIIrd and IVth grade hemorrhoidal disease (HD), conducted in the 3rd Department of General Surgery, Jagiellonian University. METHODS: A total of… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Single Incision Laparoscopic Total Proctocolectomy with Ileoanal Anastomosis: Initial Operative Experience
Introduction: Single incision laparoscopic surgery (SILS) has been described in the urologic, gynecologic, bariatric and, more recently, colorectal surgical literature. Single-port colectomies have only been described as case-reports. We herein describe our experience to date with the use of single incision laparoscopic surgery for total proctocolectomy with ileoanal anastomosis.Patients and Methods: All patients who have… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Defining Measurements of the Ileocolic and Inferior Mesenteric Vessels By Contrast-enhanced CT: Implications for Vascular Pedicle Ligation During Colectomy
Introduction: Recent technical refinements in laparoscopic colectomy include widespread use of energy devices to control the mesenteric vascular pedicle instead of sutures, clips or staplers. Available devices are approved to seal a variety of vessel sizes, but none is approved for vessels over 7mm, and the actual diameter of these vessels has not been well-defined… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Does the Presence of Laparoscopic Colorectal Surgery Capability Reflect Greater Presence of Other Hospital-level Structures of Care?
INTRODUCTION – Surgical treatment is the cornerstone of the management of colorectal cancer (CRC). However there is enormous variation in both the patterns of surgical care and patient-level outcomes. “Structures of care” are the resources and organizational arrangements in place where care is delivered, including the facilities, equipment, services, and manpower available. We explored whether… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Single Port Anterior Resection
Objective: To determine the technical feasibility and clinical outcomes of laparoscopic anterior resection using combined single-port and endoluminal technique.Methods: A single port was placed at the umbilicus. Sigmoid colon was retracted using transabdominal sutures. After adequate mobilization, the colon was stapled distal to the lesion using non-cutting endo-stapler, and the rectum was opened distal to… Continue Reading
- Topic:
- Colorectal
102 Consecutive Robotic Assisted Minimally Invasive Colectomies – an Outcome and Technical Update
Objective: The purpose of the study was to review 102 consecutive robotic-assisted laparoscopic colectomies at our institution. We evaluated the eight-year experience (2002–2009) of one minimally invasive surgery (MIS) fellowship trained surgeon using the da Vinci Telerobotic system. Colon procedures are 6th most commonly performed procedure of the senior author annually. Methods: An IRB approved… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Risk Factors for Anastomotic Leakagae After Laparoscopic Surgery for Rectosigmoidal and Rectal Cancer Using Stapling Technique
Introduction: Anastomotic leakage is the most important complication after low anterior resection for rectal cancer. Several studies have assessed the association between risk factors and anastomotic leakage in open surgery using a stapling technique. However, only a few studies have evaluated the risk factors for anastomotic leakage after laparoscopic surgery. This retrospective study evaluated risk… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Surgery in Colorectal Cancers: Experience with 118 Patients At Single Institution
INTRODUCTION: The aim of this study was to evaluate the results of patients laparoscopically treated for colorectal cancer at single institution (Surugadai Nihon University Hospital). PATIENTS AND METHODS: Between February 2005 and August 2009, 118 consecutive patients who had laparoscope-assisted resection due to colorectal cancer were evaluated retrospectively. Demographic data, such as age, gender and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Full Thickness Laparoendoscopic Excision (flex) Procedure for Lesions of the Colon and Stomach- A Novel Technique
OBJECTIVES: Currently colonic and gastric lesions unsuitable for endoscopic resection and some early cancers that may have been endoscopically incompletely excised are treated by segmental resection. However, if achievable, local full thickness excision alone may be sufficient and potentially could reduce immediate complications. A novel technique is presented describing this. PROCEDURE AND METHODS: With detailed… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Anterior Resection for Rectal Cancer; A Prospective Feasibility Study
Objectives: Laparoscopic colorectal surgery is widespread in the wourld, but the rate of rectal cancer, has increased more slowly than that of colon cancer. There are several technical problems in the performance of laparoscopic surgery for rectal cancer. It is technically difficult to precisely transect and anastomose the rectum in patients with a narrow intrapelvic… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Surgery for Dukes C Colorectal Cancer
[Backgrounds] Laparoscopic colorectal cancer surgery has been widely accepted because of less pain, faster recovery and good cosmetic results. Although several authors presented results of prospective studies which support advantages of laparoscopic colorectal cancer surgery, an oncological validity of this surgery is not well analyzed yet, specially for advanced cancer. The aim of this study… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Totally Laparoscopic Right Hemicolectomy for Cancer
Introduction:Feasibility and safety of laparoscopic onocological colectomy is now walidated. Aim ef this paper is to show technical details of totally laparoscopic right colectomy for cancer.Methods:The patient is in supine position with right arm alongside the body.Three troacars are used:One 10mm periumbilical port which a 30 degree camera is introduced after apropriate CO2 insuflation,two left… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Hartman\’s Colostomy Reversal
Background: Colostomy closure after a Hartmann’s procedure typically requires a laparotomy. It also carries the risk of significant morbidity including anastomotic leak, wound infection, and incisional hernia. The aim of this study was to review our experience with laparoscopic restoration of intestinal continuity after Hartmann’s procedure.Methods: we retrospectively reviewed the medical records of all patients… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal