Does the Learning Curve During Laparoscopic Colectomy Adversely Affect Costs?
Background: The aim of this study is to investigate whether the learning curve during laparoscopic colectomy (LC) is associated with increased costs when compared with the procedure after the learning curve has been achieved.Methods: Direct costs for patients undergoing LC during the learning curve (Group A) and after the attainment of proficiency by two colorectal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Totally Laparoscopic Right Hemicolectomy with Transvaginal Specimen Extraction
We present our technique for totally laparoscopic right colectomy for locally advanced colon cancer with transvaginal specimen extraction. The patient was a 73 year old female who presented with a biopsy proven cecal adenocarcinoma. We performed a right hemicolectomy using a 4 port approach with the patient in modified lithotomy postion. Medial to lateral mobilization… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
12 Months Results of Evaluation of Anal Sphincter Radiofrequency Remodeling.
BACKGROUND: The main doubt reducing enthusiasm for the radiofrequency remodeling technique (secca) was based on lack of physiological studies, which may explain the possible pathomechanism of improvement of symptoms.AIM: The aim of this study was clinical physiological evaluation of the anorectal function prior and during 12 months follow-up after the secca procedure.MATERIAL: 16 fecal incontinence… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Single Incison Laparoscopic Appendectomy Is Safe and Results in Excellent Cosmetic Outcomes
Objective: Single incision laparoscopic surgery (SILS) is a new advance wherein laparoscopic surgery is carried out through a single small incision hidden in the umbilicus. The use of this technique has been described for many urological and GYN procedures. However, the use of this procedure in general surgery so far has been largely limited to… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Clinical & functional results of transanal endoscopic local excision of rectal tumors
Transanal endoscopic excision of rectal tumors is an accepted sphincter preserving technique in rectum surgery. Detailed preoperative diagnostic procedures (histopathology, endosonography) and functional assessment (manometry, electromyography) are crucial for proper patients selection. Aim: To determine clinical and functional results of patients undergoing local excision for benign and malign lesions. Material and Methods: 90 patients (54… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Serrated Adenoma of the Appendix: A Risk for Colon Cancer?
Because of the association of serrated adenomas with microsatellite instability in concomitant colon polyps, a more vigilant surveillance may be needed to screen for colon cancer. This is an interesting case of a serrated adenoma of the appendix as a cause of acute appendicitis. This patient is a 70 year old male who presented with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Hospital Colectomy Volume As a Surrogate for Advanced Laparoscopy
Although laparoscopic colectomy has been reported to have favorable outcomes compared to open colectomy, it has yet to gain widespread acceptance in the United States. We sought to investigate whether hospital volume for colectomy was an important factor to predict the likelihood of having colectomy performed laparoscopically.Methods: Using the Nationwide Inpatient Sample (NIS) from 1998… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Gastrointestinal Recovery After Laparoscopic Partial Large Bowel Resection: Results of a Prospective, Observational, Multicenter Study
Introduction: A prospective, multicenter, observational study (14CL401) investigated gastrointestinal (GI) recovery, length of hospital stay (LOS), and postoperative ileus (POI)-related morbidity after laparoscopic bowel resection (LBR). Methods: Adult patients undergoing LBR with primary anastomosis performed by straight (SL) or hand-assisted (HAL) laparoscopy with scheduled postoperative intravenous patient-controlled analgesia were enrolled. The study design was similar… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
A Randomized Clinical Trial Comparing Cost and Effectiveness of Bipolar Vessel Sealers to Clips and Vascular Staplers in Straight Laparoscopic Colectomy
Introduction: This study compares the costs and effectiveness of two standard techniques for vascular control in straight laparoscopic colectomy.Methods: Patients scheduled for laparoscopic colectomy were randomized to bipolar vessel sealer (BVS; Ligasure Atlas, Covidien) or laparoscopic clips and vascular staplers (LCS). Time and ability to control the main vascular pedicles were recorded. Costs of disposable… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Visual Enhacement of Fascia Facilitates Laparoscpic Preparation
Introduction: Laparoscopic surgery for both benign and malign diseases of the colon is well established. The correct dissection of layers may impose some difficulties in patients who underwent surgical interventions before, who suffer from inflammatory diseases and for surgeons who are still in their learning phase of laparoscopy. The presented system encompassing both hardware and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
A Comparison of Total Laparoscopic Hemi-colectomy Vs Assisted Laparoscopic and Laparotomy
A COMPARISON OF TOTAL LAPAROSCOPIC HEMI-COLECTOMY VS ASSISTED LAPAROSCOPIC AND LAPAROTOMYLozano-Dubernard G, Calva JJ, Ruiz-Healy F, Gil-Ortiz R, Rodriguez-Gonzalez M, Figueroa-Barkow S. Hospital Angeles del Pedregal, Mexico City, MexicoObjective. Our study aims to compare clinical outcomes from left total laparoscopic hemi-colectomy with trans-anal extraction and intra-abdominal anastomosis (TL), versus left hemi-colectomy by laparotomy (LPT) and… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Totally Laparoscopic Right Hemicolectomy with Intracorporeal Anastamosis
Introduction: Laparoscopic right colonic resections has been performed with comparable results to open colectomies. Laparoscopic assisted approach, utilizing an access incision for ileocolic anastamosis is commonly performed for laparoscopic right colectomies. We report our right colon resections experience, using a totally laparoscopic approach utilizing an intracorporeal anastamosis. Methods: Fiftynine patients underwent a laparoscopic right colectomy… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Left Colonic Resection for Peritonitis Caused By Diverticulitis
PURPOSE: Purulent or fecal peritonitis is one of the most serious complications of acute diverticulitis. Up to one fourth of patients hospitalized for acute diverticulitis require an emergent operation for a complication including abscess, peritonitis, or stenosis. Open Hartmann’s procedure has been the operation of choice for these patients. The advantages of laparoscopy could be… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Ileostomy Reversal After Left Colonic or Rectal Resection for Cancer: Does the Initial Approach (laparoscopy Versus Laparotomy) Affect Outcome?
The aim of stoma in patients who had left colonic or rectal resection for cancer is to limit the consequences of anastomotic leakage. We retrospectively analyzed the short-term outcome of patients who had ileostomy reversal in this setting. Patients who had initial laparoscopic cancer resection were compared to those who had the same procedure openly.The… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Medial to Lateral Splenic Flexure Mobilization for Sigmoid Colectomy
In this video we show our technique for splenic flexure mobilization via a medial to lateral approach This is a 64 year old gentleman with two synchronous lesion in the sigmoid colon, one proximally and one distally as shown by the two tattoed areas.The key landmark for this approach is the inferior mesenteric vein (IMV)… Continue Reading
- Topic:
- Colorectal