SAGES/ELSA: The Endoluminal Revolution In Colorectal Surgery
Colon resections are not without risks, and many focal pathologies do not require and do not benefit from a formal resection. Endoluminal surgical interventions (ELSI) have rapidly evolved, not at last with the goal to avoid these unnecessary colon resections when they are oncologically not needed. Organ preservation is highly desirable, organ preservation at any price, however, should be avoided. This session aims at providing an overview of the spectrum of new technologies and techniques and defines their indications and limitations. It further highlights possible complications and their respective management. Last but not least, it provides the global perspective of when such an approach may oncologically be inferior, when it should be avoided in the first place or aborted to convert to or followed up by an oncological bowel resection.
- Describe and compare technologies/techniques to carry out endoluminal surgical interventions (ELSI).
- Recognize indications and limitations of these approaches when presenting patients with treatment options.
- Identify conditions and circumstances in which the patients' safety asks for a conventional resection rather than a cool approach.
|Colonic EMR/ESD||1:30 pm - 1:40 pm|
|TAMIS/TEMS Via Conventional or Robotic Platform||1:40 pm - 1:55 pm|
|Newer Endoluminal Platforms||1:55 pm - 2:05 pm|
|Combined Endoscopic Laparoscopic Surgery (CELS)||2:05 pm - 2:15 pm|
|Management of Complications from ELSI||2:15 pm - 2:30 pm|
|Global Perspective on ELSI: When is It Inferior, When Should be Aborted/Converted||2:30 pm - 2:45 pm|
||Panel Discussion||2:45 pm - 3:00 pm|