Pelvic Peritonization After Laparoscopic Abdominoperineal Resection for Low-rectal Carcinoma
BACKGROUND: The abdominoperineal resection was a standard method for low-rectum carcinoma treatment. It was associated with significant mortality and morbidity which were decreasing with the development of preoperative diagnostic procedures, new surgical techniques and new surgical instruments.AIM: Pelvic peritonization is important prevention of postoperative adhesions and postoperative irradiations of terminal ileum for patients who need… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Single-incision Laparoscopic Colectomy for Colon Cancer: Experience of 35 Cases
AbstractObjective: Single-port trans-umbilical laparoscopy has emerged as an attempt to further enhance cosmetic benefits and reduce morbidity of minimally invasive surgery. There were some reports about single-port laparoscopic colectomy in the world. However, this technique requires a specialized multichannel port for introducing laparoscope and articulating instruments. We present our preliminary experience of using conventional ports… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Single-incision Laparoscopic Sigmoidectomy for Cancer
Summary:This video demonstrates a Single-incision sigmoidectomy for a sigmoid colon cancer. Single-incision laparoscopic surgery requires a specialized multichannel port for introducing laparoscope and articulating instruments. We present our technique using regular ports and straight instruments for performing single-incision laparoscopic sigmoidectomy. Three ports (one 10mm and two 5mm) were inserted through a 4cm peri-umbilical incision. The… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Short-term Results of Laparoscopic Intersphincteric Resection for Very Low Rectal Cancer
Objective: The aim of this study was to clarify the short-term results of laparoscopic intersphincteric resection (LAPISR) for very low rectal cancer.Methods: A total of 24 consecutive resections between October 2003 and March 2009 were included in this study. Our indications for LAPISR were tumor edge 5 cm above the anal verge or 3 cm… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Versus Open Elective Sigmoid Resection in Diverticular Disease: Six Months Follow-up of the Randomized Control Sigma-trial
BackgroundThe short-term results of the Sigma-trial, comparing laparoscopic (LSR) versus open (OSR) elective sigmoid resection for diverticular disease, showed a 15.4% reduction in major complication rates, less pain, and shorter hospitalization at the cost of a longer operating time. Present data complements these results with six months follow-up. MethodsThis was a prospective, multi-center, double-blind, parallel-arm,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Emergency Laparoscopic Colorectal Surgery – Is the Pain Worth the Gain?
Introduction: With the increasing experience of surgeons and technical advances, laparoscopic colorectal surgery is finding its place in the emergency setting. The aim of this study was to analyse the feasibility and clinical outcome of emergency laparoscopic colorectal surgery. Methods: A prospectively collected database of all laparoscopic colorectal procedures between January 2008 to August 2009… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Safety and Usefulness of Laparoscopic Method for Treatment of Peritonitis Due to Anastomosis Site Leakage After Rectal Cancer Resection
Introduction:In cases of peritonitis due to anastomosis site leakage after rectal cancer resection where surgical management was necessary, patients who have undergone open laparotomy and patients with laparoscopic exploration have been compared to determine safety and usefulness of laparoscopic method. Methods:Out of 1146 patients who have undergone rectal cancer resection excluding patients with AP, double… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Prospective Comparison of Short-term Outcomes Following Laparoscopic and Open Total Mesorectal Excision for Rectal Cancer
Introduction: Laparoscopic surgery is now well established as the technique of choice for colon cancer surgery. Its application in rectal resections is still under scrutiny/evaluation with increasing evidence in support of a minimally invasive approach. The aim of this study was to examine the short term clinical and oncological outcome after laparoscopic and open approach… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Experience of Single-incision Laparoscopic Rectal Anterior Resection
Background: Single-incision laparoscopic surgery is widespread, especially for cholecystectomy, oophorectomy and appendectomy, but single-incision laparoscopic colorectal surgeryis not often performed because of the highly complex operative skills required. We report a new technique for single-incision laparoscopic rectal anterior resection with conventional instrumentation.Method: A 65-year-old man required additional excision because the deep margin was positive by… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Obesity Is Associated with Inadequate Lymph Node Harvest in Laparoscopic Right Hemicolectomy
Introduction: Adequate lymph node (LN) retrieval and examination is necessary for both accurate oncologic staging and patient selection for adjuvant chemotherapy, and the National Cancer Institute recommends examination of at least 12 LN to properly stage the LN basin. Laparoscopic colectomy has gained much popularity as studies have shown equivalent oncologic outcomes compared with open… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Plasma Soluble Vascular Adhesion Molecule-1 Levels Are Persistently Elevated During the First Month After Colorectal Cancer Resection
Introduction: Human Vascular Cell Adhesion Molecule -1(VCAM1) is a 110 kDa transmembrane glycoprotein expressed in vascular endothelial cells (EC), neurons, fibroblast and macrophages. Expression is regulated by inflammatory cytokines such as IL-1, TNFalpha, IL-4 and IL-13. Soluble VCAM-1 (sVCAM-1) is made when the extracellular part of VCAM-1 is shed from the cell surface into the… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Mentored Trainees Obtain Comparable Operative Results to Experts in Complex Laparoscopic Colorectal Surgery
Introduction: Laparoscopic Reversal of Hartman’s Procedure (LRHP) is a demanding laparoscopic colorectal procedure usually performed by experienced surgeons. The aim of this study is to evaluate the impact of an expert monitoring on the quality and results of LRHP performed by trainee surgeons. Materials and methods: Fourty-two LRHP were performed between 2000 and 2008. The… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Nucleotide-guided Mesorectal Excision (ngme) During Tem for Rectal Cancer: Preliminary Results
INTRODUCTION: TEM is used for local excision of T1N0 rectal cancer and in selected T2-T3 N0 cases after neoadjuvant radiochemotherapy. TEM usually removes few mesorectal lymph nodes adjacent to the tumor, which may leave the histopathological N parameter undefined. This may be a criticism to the use of TEM to treat T2-T3 patients. Aim is… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Elevated Levels of Soluble Vascular Adhesion Molecule -1 Is Associated with Colorectal Cancer
Introduction: Soluble Vascular Adhesion Molecule-1 (sVCAM-1) is a circulatory glycoprotein shed from transmembrane cell bound VCAM-1 which is expressed in vascular endothelial cells (EC). Inflammatory cytokines induce expression of VCAM-1. The ligands, alpha-4 integrins, are found mainly on leucocytes; binding facilitates leukocyte extravasation of into inflamed tissues. sVCAM-1 promotes angiogenesis in wounds and tumors by… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Transanal Endoscopic Microsurgery: A Single Institution Experience
INTRODUCTION: Radical rectal resection is associated with significant morbidity and mortality. Given this, in the setting of premalignant and early malignancies of the rectum increasing attention has turned to the transanal endoscopic microsurgery (TEM) technique. In this series, we examine a single institution experience with this approach. METHODS AND PROCEDURES: This is a retrospective analysis… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal