Stapled Transanal Rectal Resection (starr) for Obstructive Defecation Syndrome – a Prospective Study with 6 Months Follow Up
Objectives of StudyStapled transanal rectal resection (STARR) is emerging as a standard of care procedure for the management of obstructed defecation syndrome (ODS). Efficacy of the STARR procedure is promised upon correction of structural abnormality of lower rectum by resecting the lower third rectal segment of about 5 cms. This resection may raise concerns about… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Our Experience of Trans Umbilical Laparoscopic Appendectomy.
INTRODUCTION: In the modern era of cosmetic awareness, there is increasing demand to perform surgery with minimal scarring. Laparoscopic appendectomy, although first described more than 25 years ago, has still not been accepted as the Gold Standard in most hospitals. The standard technique involves three small incisions. The end result for the patient means three… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Single Incision Laparoscopic Colectomy (silc) for Colon Cancer
Background/Purpose: Laparoscope-assisted colectomy (LAC) has become popular for the treatment of colorectal cancer. Single incision laparoscopic surgery (SILS) has also rapidly emerged and applied to cholecystectomy, appendectomy, bariatric procedures and so on. We report our early experience of Single Incision Laparoscopic Colectomy (SILC) for right colon cancer.Materials and Methods: Since May 2009, SILC was attempted… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Do Dietary Spices Impair the Patient Reported Outcomes in Stapled Hemorrhoidopexy ? a Randomized Controlled Study
Objectives of StudyPostoperative pain is a deterrent for patients seeking hemorrhoid surgery. Stapled hemorrhoidopexy an effective, safe, day care procedure has become popular due to better short term patient reported outcomes (PRO), the index being pain. Post Hemorrhoidectomy patients are usually advised a bland (spice free) diet lest the spices caused evacuatory / post-evacuatory pain… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Effect of Pre-operative Rectal Preparation By Different Methods on Operative and Clinical Outcomes of Stapled Hemorrhoidopexy – a Randomized Controlled Study
Objectives of StudyStapled hemorrhoidopexy has become a popular, safe, day care, standard of care procedure for properly selected cases of symptomatic hemorrhoids. A clean, faeces free rectum is desirable for optimum results. There is no unanimity on the extent and type of ideal rectal preparation. A clean rectum should facilitate operative manoeuvres and minimize any… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Is Mechanical Bowel Preparation Necessary for Laparoscopic Colon Surgery
Several randomized controlled studies have shown that bowel prep is unnecessary in open colectomy.1,2, 3 Laparoscopic colectomy is a viable alternative to open colectomy for most disease conditions, and offers significant benefits of decreased pain, length of stay, and faster recovery. The use of bowel prep in laparoscopic colectomy has not been examined in a… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Intraoperative Colonoscopies with Laparoscopic Assistance Reduces Unnecessary Bowel Resections and Hospitilization
Objective of the StudyColonic polyps found during colonoscopy are typically biopsied or removed using cold or hot snares. At times it is very difficult to remove these polyps because they may be large or flat, risking bowel perforation in the process. In addition, access to the polyp may be difficult due to adhesion from previous… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Surgery for Colonic Perforation. Analysis of Three Cases.
Introduction:Laparoscopic surgery is still not generally applied in cases of colonic perforation. Faecal peritonitis may difficult the procedure and surgical teams are still reticent for the use of this approachPatients and methods:We present our experience with 3 cases of colonic perforation.The first case was a 78-year-old female with past history of diverticulitis in which perforation… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Single Incision Laparoscopic Surgery for Right Colon Procedures: A Prospective Analysis of Our Initial Experience
Single Incision Laparoscopic Surgery (SILS) is a novel approach to laparoscopic surgery. The advantages and safety of SILS are unclear. We report our experience in five patients who underwent SILS right colon procedures by a single surgeon (TSK) from October 2008 to September 2009. Prospectively collected data included: diagnosis, estimated blood loss (EBL), length of… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Total Mesorectal Excision for Middle and Low Rectal Adenocarcinoma with or Without Sphincter Preservation: A Prospective Study
Background: Reports on laparoscopic total mesorectum excision (TME) for cancer are often retrospective and contain heterogeneous patients who had several types of resection (i.e., anterior resection, low anterior resection, all or partially laparoscopic). The goal of this study was to assess the feasibility, safety, and effectiveness with respect to perioperative and oncological outcomes in two… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Transanal Endoscopic Microsurgery Versus Laparoscopic Resections in 100 T2-n0 Rectal Cancers Following Neoadjuvant Treatment: A Prospective Randomized Trial with Five Years Minimum Follow-up
Background: Aim of this study was to compare the oncological results of local excision performed with Transanal Endoscopic Microsurgery (TEM) versus Laparoscopic Resection (LR) with total mesorectal excision in the treatment of T2 N0, G1-2 rectal cancer following NT in both arms, with a 5 years minimum follow-up. Methods: In the period comprised between April… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
The Advantages of Laparoscopic Approach for Intersphincteric Resection
Purpose The most difficult steps of Intersphincteric resection (ISR) are circular dissection and separation of the internal sphincter muscle from the external sphincter and puborectalis by the perineal approach. Further dissection of the intersphincteric space by the abdominal approach may reduce the problems associated with the perineal approach. We present our techniques of Laparoscopic ISR… Continue Reading
- Topic:
- Colorectal
Comparison of Short-term and Long-term Outcomes of the Colon-lifting Method and Standard 5-ports Laparoscopic Colectomy for Colorectal Cancer: A Case-matched Control Study
BACKGROUND : A standard laparoscopic-assisted surgery for colorectal cancer is often performed with five ports. We developed the colon-lifting method (CLM) in 2000, and were able to perform the laparoscopic-assisted colectomy with total 3 or 4 ports by using CLM.PURPOSE : To evaluate the utility of CLM, the outcomes of it were compared with standard… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Oncological Outcome of Stage II/III Colon Cancer Treated Via Minilaparotomy Approach
Background and Purpose: A minilaparotomy approach to curative resection of colon cancer has been reported to be an alternative to laparoscopic surgery in terms of minimal invasiveness, although there is little is documentation of the oncological effect of this type of surgery. This retrospective study was performed to clarify the oncological outcome of stage II/III… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Pattern of Arterial Branches Crossing the Superior Mesenteric Vein: Its Relevance to Laparoscopic Right Hemicolectomy
Background and Purpose: Laparoscopic right hemicolectomy has been widely accepted for locally advanced cancer of the right colon. Three–dimensional computed tomography was reported to be useful to obtain sufficient information regarding arterial and venous distributions for the right colon preoperatively. However, its routine use in clinical practice has several limitations. This study was performed to… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal