Gangliocytic Paraganglioma of the Appendix
Introduction: This is a case report of a 61 y/o male with a gangliocytic paraganglioma with focal carcinoid features of the appendix. A literature search was done and this appears to be the second reported case of gangliocytic paraganglioma of the appendix in the modern literature. A previous similar case report in 1999 was described… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Risk Factors for Postoperative Bleeding After Laparoscopic Appendectomy – Staple Size Matters
It is estimated that approximately 250,000 cases of appendicitis occur annually in the United States, with a lifetime risk of over 8% in males and 6% in females. Since the first description of laparoscopic appendectomy by Semm in 1983, multiple studies have validated its use in the treatment of acute appendicitis. The most common complication… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Does Incision Length Have Any Impact on Short Term Benefits of Laparoscopic Colon Surgery?
INTRODUCTION: With the recent introduction of hand-assist devices in laparoscopic colorectal surgery, there is renewed interest in the impact of incision length. The aim of this study is to define the impact of incision length on short-term postoperative outcomes.METHODS: Consecutive patients undergoing laparoscopic left-sided colorectal resection by 4 surgeons from 4 different academic centers from… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Use of Routine Intraoperative Endoscopy in Elective Laparoscopic Colorectal Surgery – Can It Further Avoid Anastomotic Failure?
Background: Anastomotic leakage, bleeding and local recurrence remain serious complications of laparoscopic colorectal surgery. We aimed to study the usefulness of routine intraoperative endoscopy (RIOE) in elective laparoscopic colorectal surgery with distal anastomosis to predict postoperative anastomotic failure. Method: A retrospective review of 244 consecutive patients between January 2004 and May 2007 was performed. While… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Hand-Assisted Colon Resection: Better than standard laparoscopy?
Background: Hand-assisted laparoscopic colon resection (HALCR) is an approach which may lessen the need for conversion, shorten operative time, and decrease disposable costs while maintaining the benefits of minimally-invasive surgery. The aim of this study was to compare the clinical outcomes of patients who underwent colon or rectal resections for cancer/adenoma, diverticulitis, or inflammatory bowel… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
What is the definition of \”conversion\” in laparoscopic surgery among colorectal surgeons? a survey among SAGES and ASCRS
Background: Various definitions are used in the literature to define conversion, rendering comparison among studies difficult. A web-based and postal survey was conducted among colorectal surgeons representing the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) and the American Society of Colon and Rectal Surgeons (ASCRS) regarding their definition of conversion during laparoscopic colorectal surgery… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Extracorporeal versus intracorporeal anastomosis after laparoscopic left colectomy – does it matter?
PURPOSE: Means of anastomosis after laparoscopic colectomy may be extracorporeal(EC) or intracorporeal(IC). Since there is paucity of data reporting the effect of means of anastomosis on outcomes for patients undergoing laparoscopic left colectomy, we compare outcomes for patients undergoing EC and IC.METHODS: Patients undergoing anastomosis after laparoscopic left colectomy, sigmoidectomy and resection rectopexy, when either… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Comparison of the incidence of anastomotic leak following laparoscopic and open low anterior resection
OBJECTIVE: To compare the incidence of postoperative anastomotic leak following laparoscopic (LP) versus open (OS) lower anterior resection. METHODS: A retrospective review of cases were performed between September of 2000 and June of 2007. A total of 33 cases of LP and 31 cases of OS lower anterior resection were performed by the same surgeon.… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Presentations of Young Colon Cancer Patients: A Comparative Study
Traditionally studies on colon cancer in younger patients have focused on treatment and outcomes. Less is known regarding younger patients’ symptoms at presentation and methods of diagnosis. The purpose of this study was to compare the presentations of colon cancer patients under 50 versus their over 50 cohorts.The tumor registry database was used to compare… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The Role of Palliative Intraluminal Stents for Large Bowel Obstruction in Patients with Advanced Pelvic Malignancy
PURPOSE: Malignant large bowel obstruction (LBO) is a common problem in patients with advanced or recurrent gynecologic malignancy. Studies reviewing palliative surgery have suggested variable short-term success with significant morbidity and diminished quality of life. The purpose of this study is to review our experience and examine the efficacy of intraluminal stents in the management… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
An Evaluation of Rectal Carcinoids: A Trend Towards Earlier Detection and Treatment
With increased regularity of diagnostic colonoscopies, it has been suggested that rectal carcinoids are being detected earlier with decreasing need for radical therapy. The purpose of our study was to evaluate our experience with rectal carcinoids, in particular, to identify trends towards earlier detection and minimally invasive treatment options.Rectal carcinoid patients identified from a pathology… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Successful one-stage laparoscopic operation using transanal ileus tube for obstructive colorectal cancer
BACKGROUND: Transanal ileus tube is introduced into obstructive colorectal cancer in October, 1997 in our hospital, and many cases of obstructing colorectal cancer successfully managed by preoperative lavage using transanal ileus tube. Moreover, because transanal ileus tube was originally developed, decompression tube was transanally inserted into the colon more safely than before. In addition, in… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Impact of conversion on the outcome and survival following laparoscopic resection of colorectal cancer
Background: Conversion to open surgery occurred in 12-29% of the patients who underwent laparoscopic colorectal resection. This study aimed to evaluate the impact of conversion on the operative outcome and prognosis of patients who underwent laparoscopic resection for colorectal cancer.Methods: The prospectively collected data of 473 patients who underwent laparoscopic colectomy between May 2000 and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Fast-track rehabilitation after colorectal surgery – prospective analysis of 100 consecutive patients.
The patients after colorectal surgery undergo complex rehabilitation postoperatively. A standard model of the postoperative rehabilitation covered complete mobilization of the patient on the second postoperative day and oral feeding 4 – 5 days after surgery. With this model mean time of postoperative hospitalization ranged between 6 – 10 days and the risk of postoperative… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Assisted Ileocolic Resection for Crohn\’s Disease with Psoas Abscess
This is Video is about a 32 year old male with a relatively short history of Crohn's disease manifested by an ileo-psoas abscess, partial intestinal obstruction, and an undiagnosed ileo-transverse colon fistula. The technical aspects of performing an ileocolic resection in complicated Crohn's is demonstrated, including intracorporeal division of the fistula and drainage of the… Continue Reading
- Topic:
- Colorectal