Table of ContentsEBRS Symposium- To Pexy or Not for Rectal Prolapse |
| Introduction |
| Navigation of EBRS Website |
| Poll the Audience on their Practices |
| Present the Evidence from the Trial |
| Expert Panel With Audience Discussion |
| What do the Experts Say? |
Professionalism and Communication Workshop |
| Starts with Steel and Ends with Silk: Moving From the Sharp Edges of Training to the Smooth Sails of Personal Renewal |
Research Foundation Workshop |
| Focus on Philanthropy: Best Practices and Innovation Sharing |
Robotics |
| Learning Curve, Getting Started |
| Intersphincteric Resection LAR |
| Right Colon Intracorporeal Anastomosis |
| Robotic Single Port Colon and Rectal Surgery |
| Robotic Transanal Surgery |
| IBD |
| Cost |
| Rectal Cancer Surgery |
| The Future is: "Robotics" |
Core Subject Update |
| Anal Fissure and Hemorrhoids |
| Rectal Prolapse/Intussusception/Solitary Rectal Ulcer |
| Ulcerative Colitis |
| Trauma/Colonic Volvulus |
| Benign and Malignant Anal Tumors/Retrorectal Tumors |
| Hereditary Colon Cancer Syndromes and Genetic Testing |
Laparoscopic Nuts and Bolts |
| Optimizing Port Placement Including Hand Port |
| Single-incision Tricks and Tips |
| Robotic Placement for Maximum Efficiency |
| Safe Use of Energy Sources |
| Intracorporeal Anastomosis and Suturing |
| Handling the Challenging Mesentery |
| Splenic Flexure Mobilization |
| Medical to Lateral Mobilization |
| Complicated Crohn's Disease |
| Challenges in the Obese Patient |
| Ventral Hernia Repair |
| Laparoscopic Management of Bowel Obstruction |
Abstract Session- Rectal Cancer |
| Short-course Radiotherapy and Delayed Surgery for Low Rectal Cancer: Results from a Single Institution (S1) |
| Pathologic Depth of Tumor Invasion after Neoadjuvant Chemoradiation in Patients with Rectal Cancer (S2) |
| Response to Neoadjuvant Therapy in Early- age-of-onset Rectal Cancer Patients (S3) |
| A Multicenter Phase II Trial of Anus-preserving Operation with Intersphincteric Resection for Very Low Rectal Cancer (S4) |
| Laparoscopic Resection of Rectal Cancer Results in Higher Lymph Node Yield and Better Shortterm Outcomes than Open Surgery (S5) |
| Impact of Radical Mesorectal Excision for Patients with ypT0-2 Rectal Cancer Following Neoadjuvant Chemoradiotherapy (S6) |
| Preliminary Experience of Cylindrical Abdominoperineal Resection with Pelvic Floor Reconstruction Using Human Acellular Dermal Matrix for Locally Advanced Lower Rectal Cancer (S7) |
| Nodal Status Predicts Oncologic Outcome in Rectal Cancer Patients with an Involved Circumferential Resection Margin after Total Mesorectal Excision (S8) |
| Tumor Scatter after Neoadjuvant Therapy: Are We Dealing with an Invisible Margin? A Pilot Study (S9) |
| Depth of Mesorectal Extension has Prognostic Significance in Patients with T3 Rectal Cancer (S10) |
| Is Curative Resection and Long-term Survival Possible for Locally Re-recurrent Colorectal Cancer in the Pelvis? (S11) |
| Multimodality Salvage of Failure after Local Excision for Rectal Cancer (S12) |
| Routine Use of Positron-Emission Tomography for Staging of Primary Colorectal Cancer: Does it Effect a Management? |
ASCRS/SSAT Symposium- Optimizing Perioperative Outcomes |
| Risk Stratification |
| Exchanging Dogma for Fact-improving Outcomes Based on Your Own Results |
| Fast Track Protocols |
| Applying National Database Data to Individual Practice |
| Bowel Prep Mandatory or Meddlesome |
| Mental Training: New Training Modalities in General Surgery |
Presidential Address: Global Collaboration Facilitates Advances in Colorectal Surgery |
| Presidential Address: Global Collaboration Facilitates Advances in Colorectal Surgery |
Abstract Session- Neoplasia |
| Ghost Ileostomy in Anterior Resection for Rectal Carcinoma: Is it Worthwhile? (S13) |
| Consequences of Anastomotic Leak after Restorative Proctectomy for Cancer: Effect on Long-term Function and Quality of Life (S14) |
| Anal Versus Rectal Melanoma: Does Site of Origin Predict Outcome? (S15) |
| Control of Anal Transitional Zone Neoplasia in Patients with Familial Adenomatous Polyposis after Restorative Proctocolectomy and Ileal Pouch-anal Anastomosis: Incidence, Management, Oncologic, and Functional Outcomes (S16) |
| Metachronous Colorectal Cancer: Don't Give Up on Surveillance Too Early (S17) |
| Colorectal Cancer Surgery in Portal Hypertensive Patients: Does Adjuvant Oxaliplatin Affect the Prognosis? (S18) |
| In Vitro Adenosine Triphosphate-based Chemotherapy Response Assay as a Predictor of Response to Fluorouracil-based Adjuvant Chemotherapy in Stage II Colorectal Cancer (S19) |
| Colectomy for Endoscopically Unresectable Polyps: How Often is it Cancer? (S20) |
| Natural Orifice Transluminal Endoscopy Surgery for Large Cecal Lesion (V-32) (S21) |
| Survival Outcomes for Colon Cancer in an Urban Open Access System (S22) |
| British Traveling Fellow- Outcomes Following Surgery for Colorectal Cancer with Synchronous Peritoneal Metastases |
| Killingback Award Winner- Adverse Features Do Not Predict Response to Adjuvant Chemotherapy in Patients with Stage II Colon Cancer |
David G. Jagelman, MD Lectureship: A Brief History of the World, Part 1 |
| A Brief History of the World, Part I |
Norman Nigro, MD Research Lectureship: Radiotherapy in Rectal Cancer: How, When & to Whom |
| Radiotherapy in Rectal Cancer: How, When and To Whom |
Abstract Session: Inflammatory Bowel Disease |
| Controversies in the Surgical Management of Females of Reproductive Age with Ulcerative Colitis S-23 |
| Quality of Life in IPAA Patients Versus Ostomates: A Comprehensive Comparative Assessment S-24 |
| Clinical and Functional Outcomes after Restorative Proctocolectomy and Ileal Pouch-anal Anastomosis in the Pediatric Population S-25 |
| Validated Nomogram for Preoperative Prediction of Chronic Pouchitis and Denovo Crohn's Disease after Ileal Pouch-anal Anastomosis S-26 |
| Functional Outcome and Quality of Life 20 Years after IPAA: Nearly the Same as It Ever Was! S-26A |
| Venous Thromboembolism after Surgery for Inflammatory Bowel Disease: Are there Modifiable Risk Factors? Data from American College of Surgeons National Surgical Quality Improvement Program S-27 |
| Laparoscopic Proctocolectomy in Patient with Previous Diverting Loop Ileostomy for Crohn's Disease (V-3) S-28 |
| Mutations in TAGAP are Protective of Anal Sepsis in Ileocolonic Crohn's Disease S-29 |
| Positive Histological Margins for Inflammation are Associated with Increased Risk for Intra-Abdominal Septic Complications in Patients Undergoing Ileocecal Resection for Crohn's Disease S-30 |
| Laparoscopic Treatment of Fistulizing Crohn's Disease with Urinary Tract Obstruction (V-40) S-31 |
| Single-site Laparoscopic Ileocolectomy for Complicated Crohn's Disease (V-2) S-32 |
Rectal Prolapse - Evaluating the Many Choices |
| Choosing the Right Repair |
| Abdominal Approaches-Resection with Posterior Fixation |
| Abdominal Approaches: Anterior Fixation |
| Perineal Approaches |
| Laparoscopic and Robotic Methods |
Young Surgeons Symposium |
| New Practice/New Needs: Starting a Minimally Invasive Practice Where There Isn't One - How to Negotiate with Your Hospital and Get What You Need |
| Webpages, Facebook, and Social Media: Marketing your Practice in 2012 |
| Mentorship 101: Finding, Cultivating and Being a Mentor |
| Oops! Recovering from Mistakes and Using Them to Your Advantage |
| Burnout: Tips for a Long and Happy Career |
Harry E. Bacon, MD Lectureship |
| The Embryological Basis of Colorectal Cancer Management |
Abstract Session: New Technologies |
| To LIFT or to Flap? Which Surgery to Perform Following Seton Insertion for High Anal Fistula? S-33 |
| Long-term Results of Ligation of Intersphincteric Fistula Tract for Fistula-in-Ano S-34 |
| Does LIFT Raise the Bar in Fistula Surgery? S-35 |
| LIFT Procedure: Surgical Tips Learned from 4 Years of Experience (V-8) S-36 |
| High Macro Rubberbanding S-38 |
| A Randomized Controlled Trial Comparing Between Colonic Irrigation and Oral Antibiotic Administration Versus 4% Formalin Application for Hemorrhagic Radiation Proctitis S-39 |
| Transanal Minimally Invasive Surgery: Efficacy Proven in the First 50 Consecutive Resections S-40 |
| Bioabsorbable Staple Line Reinforcement in Restorative Proctectomy and Anterior Resection: A Prospective Randomized Study S-41 |
| Evaluation of the Single-port Laparoscopic Right Hemicolectomy Learning Curve S-42 |
| Single-incision Laparoscopic Colectomy: A Case-matched Series S-43 |
ASCRS/SAGES Symposium: Debates in Minimal Access Abdominal Surgery |
| The Case for Single Port Laparoscopic Colectomy |
| The Case for Laparoscopy |
| The Case for Hand-assisted Laparoscopy |
| The Case for NOTES |
| The Case for Laparoscopic Rectal Surgery |
| The Case for Robot-assisted Rectal Surgery |
Abstract Session: Pelvic Floor |
| Correlation Between Anal Incontinence and Longitudinal Extent of Sphincter Defects at Anal Ultrasound: Proposing a Simple Sphincter Length Defect Score S-44 |
| Intra-anal Collagen Injection for Fecal Incontinence: Long-term Results S-45 |
| Long-term Efficacy of NASHA/Dx Injection Therapy (Solesta) for Treatment of Fecal Incontinence S-46 |
| Sacral Nerve Stimulation for Fecal Incontinence (V-6) S-47 |
| Neuromodulation for Fecal and Urinary Incontinence: Functional Results in 57 Consecutive Patients from a Single Institution S-48 |
| Long-term Durability of Sacral Nerve Stimulation Therapy for Chronic Fecal Incontinence S-49 |
| Transcutaneous Electrical Nerve Stimulation in Fecal Incontinence S-50 |
| The Abdominal Repair of Rectal Prolapse is Safer than Perineal Repair in the Highest Risk Patients - A National Surgical Quality Improvement Program Analysis S-51 |
| Laparoscopic Wells Rectopexy for Recurrent Rectal Prolapse (V-26) S-52 |
| Predictive Factors of Stapled Transanal Rectal Resection Failure S-53 |
| Heterogeneity of Scoring Systems in Obstructed Defecation Syndrome Assessment after Stapled Transanal Rectal Resection: A Report from a Systematic Review S-54 |
| Longo's P.O.P.S. - S.T.A.R.R. A New Procedure for Total Pelvic Organs Prolapse (V-44) S-55 |
Joseph M. Mathews, MD, Oration |
| Under the Influence |
Masters in Colorectal Surgery Lectureship Honoring Herand Abcarian, MD |
| Coming of Age in the Surgical Establishment |
Abstract Session: Outcomes |
| Key Factors Associated with Postoperative Complications in Patients Undergoing Colorectal Surgery S-56 |
| Concurrent Procedures Performed During Colon Surgery and its Adverse Impact on Postoperative Outcomes S-57 |
| Randomized Clinical Trial that Demonstrates the Elimination of Wound Infection Following Purse-string Versus Conventional Closure of Ostomy Wounds S-58 |
| Patients with Ileostomies who are Readmitted for Dehydration - Do they have a Tell? S-59 |
| 'Ileostomy Pathway' Virtually Eliminates Readmissions for Dehydration in New Ostomates S-60 |
| Minimally Invasive Colorectal Surgery with Enhanced Recovery Pathway: A Simplified Pay for Performance DRG-Based Model S-61 |
| A Prospective, Randomized Controlled Trial of Sugared Chewing Gum on GI Recovery after Major Colorectal Surgery in Patients Managed with Early Enteral Feeding S-62 |
| Vascular Pedicle Ligation with Energy Devices Improves Operative Outcomes of Laparoscopic Total Colectomy S-63 |
| The Cost of Training: Is There a Resident Effect in Colectomy Outcomes? S-64 |
| ESCP Best Paper- Electroacupuncture for Postoperative Ileus after Laparoscopic Colorectal Surgery: A Randomized Sham-controlled Study S-65 |
| ASCRS Travel Scholarship Winner- Complement Activation - A Potential Biomarker in Surgical Management |
Symposium: Maintenance of Certification: What You Need to Know |
| MOC: How Did We Get Here? |
| MOC: Where Are We Now? |
| Surgery Case Logs |
| New Directions for CME |
| Patient Satisfaction Surveys |
Ernestine Hambrick, MD, Lectureship |
| Surgeon Safety and Well Being |
Parviz Kamangar Humanities in Surgery Lectureship |
| Medical Humanism and Bending the Cost Curve |
Abstract Session: Benign Abdominal |
| Acute Diverticulitis: Are Ostomy Reversal Rates Improving? S-66 |
| Hartmann Reversal: Obesity Adversely Impacts Outcome S-67 |
| The Number of Prior Episodes of Diverticulitis Affects Postoperative Outcomes S-68 |
| Risk Stratification Model for Recurrence and Poor Outcomes in Diverticulitis Patients S-69 |
| Percutaneous Drainage of Colonic Diverticular Abscess: Is Colon Resection Necessary? S-70 |
| The Minimally Invasive Approach Minimizes the Perioperative Thromboembolic and Bleeding Complications for Patients on Chronic Oral Anticoagulant Therapy Undergoing Colorectal Surgery S-71 |
| Venous Thromboembolism in Colorectal Surgery: Skip Surgical Care Improvement Project or Comply? S-72 |
| Proton Pump Inhibitor Therapy and Malnourishment are Better Predictors of Recurrent C. difficile Colitis than Choice of Antibiotics S-73 |
| Does Travel Distance Influence Length of Stay in Elective Colorectal Surgery? S-74 |
| Oral Antibiotics with Mechanical Bowel Preparation Reduce Infection after Elective Colorectal Resections S-75 |
| Body Surface Area: A New Predictor Factor for Conversion in Laparoscopic Colorectal Surgery S-76 |
| Accidental Puncture or Laceration in Colorectal Surgery: A Quality Indicator or a Complexity Measure? S-77 |
ASCRS/ACS Symposium: Measuring & Improving the Quality of Surgical Outcomes in Colorectal Surgery |
| Why Do We Need to Measure and Improve? |
| Who Wants Me To Do These Things? |
| What Needs To Be Done to Measure? |
| How Do We Improve: How Does a Surgeon Do This? |
| Putting It All Together |
Videos (Part 1) |
| Extralevator Abdominoperineal Excision for Low Rectal Cancer: The Perineal Technique with Reconstruction Using a Biologic Mesh (V-4) (WV-1) |
| Single-incision Right Hemicolectomy Using the Glove Technique (V-7) (WV-2) |
| Robotic Low Anterior Resection with Transanal Specimen Extraction (V-9) (WV-3) |
| Modification of TAMIS Procedure (V-15) (WV-4) |
| Anodermal Cutaneous Flap Perfusion Using Fluorescent Angiography (V-25) (WV-5) |
| Management of Difficult Colonic Polyps Using Combined Laparoscopy and Intraoperative C0 2 Colonoscopy (V-30) (WV-6) |
| Tissue Selecting Technique - Partial Stapled Hemorrhoidopexy (V-31) (WV-7) |
| Single-incision Laparoscopic Hartmann Reversal (V-37) WV-8 |
| TAMIS Proctectomy (V-24) WV-9 |
Videos (Part 2) |
| Single-incision Laparoscopic Right Hemicolectomy: Inferior to Superior Approach with Intracorporeal Anastomosis (V-10) WV-10 |
| Robotic Total Mesorectal Excision, Practical Solution, Obese Female (V-13) WV-11 |
| Single-incision Laparoscopic Sigmoid Resection: Technical Video (V-19) WV-12 |
| Robotic Single-port Sigmoid Colectomy (V-20) WV-13 |
| Laparoscopic Robotic-assisted Ultra-low Anterior Resection (Using Combined Transanal and Transabdominal Approach) with Handsewn Colo-anal Anastomosis (V-21) WV-14 |
| Laparoscopic-assisted Transanal Endoscopic TME for Rectal Cancer in a Female Patient (V-27) WV-15 |
| Laparoscopic Sigmoid Resection for Inguinal Mesh Erosion (V-33) WV-16 |
| Robotic Abdominoperineal Resection with Distal Sacrectomy (V-16) WV-17 |
EBRS Symposium- To Pexy or Not for Rectal Prolapse
Objectives: At the conclusion of this session, participants should be able to: a) understand the current status of
EBRS in colorectal surgery; b) understand the various methods of incorporating EBRS into training programs as
well as clinical practice; c) understand how to run a journal club; and d) understand what is the best evidence
for correcting rectal prolapse.Professionalism and Communication Workshop
Objectives: Upon completion of this session, participants should have a greater understanding of themselves,
their colleagues and their workplace.Research Foundation Workshop
Objectives: At the conclusion of this session, participants should be able to: a) discuss members' roles in raising
funds for the Foundation; b) understand how to help create a sustained, proactive fundraising process for the
Foundation; c) learn how to engage and cultivate prospects and donors; d) outline a grateful patient cultivation
process and how it can benefit the Foundation; e) discuss Foundation fundraising resources available to ASCRS
members; and f ) share fundraising success stories and build plans for local and national fundraising to benefit
the Foundation.Robotics
Objectives: Upon completion of this workshop, the participants will be able to: a) understand the set-up and
operation of the surgical robot; b) learn the necessary steps to perform a robotic rectal dissection including a
total mesorectal excision; c) discuss the future applications for robotic surgery in colorectal surgery; and d)
understand the current credentialing guidelines for robotics.Core Subject Update
Objectives: Upon completion of this session, participants should be able to: a) discuss the medical and surgical
treatment of anal fissures and hemorrhoids; b) demonstrate an understanding of intussusception and solitary
rectal ulcer and discuss optimal treatment of rectal prolapse; c) discuss the evaluation and medical and surgical
treatment of ulcerative colitis; d) discuss the management of patients with colonic injuries due to trauma and
the surgical treatment of colonic volvulus; e) demonstrate an understanding of the diagnosis and surgical
treatment of anal and retrorectal tumors; and f ) demonstrate an understanding of hereditary colon cancer
syndromes and the role of genetic testing.Laparoscopic Nuts and Bolts
Objectives: At the conclusion of this session, participants should be able to: a) understand various laparoscopic
approaches to mobilization of the colon; b) demonstrate techniques of managing intra-surgery; and
c) understand the role of robotic colorectal surgery.Abstract Session- Rectal Cancer
ASCRS/SSAT Symposium- Optimizing Perioperative Outcomes
Objectives: At the conclusion of this session, participants should be able to: a) understand the preoperative
factors that increase a patient's risk for surgery; b) appreciate the impact the different national databases can
have on individual practices; c) determine the role for preoperative bowel preparation; and d) learn strategies
for improved outcomes in the obese patient population.Presidential Address: Global Collaboration Facilitates Advances in Colorectal Surgery
Abstract Session- Neoplasia
David G. Jagelman, MD Lectureship: A Brief History of the World, Part 1
Norman Nigro, MD Research Lectureship: Radiotherapy in Rectal Cancer: How, When & to Whom
Abstract Session: Inflammatory Bowel Disease
Rectal Prolapse - Evaluating the Many Choices
Objectives: At the conclusion of this session, participants should be able to: a) understand the abdominal
approaches and different fixation techniques available for treatment of rectal prolapse; b) understand the
perineal approaches and different resection techniques for the treatment of rectal prolapse; c) appreciate the
role of laparoscopy in the management of prolapse; d) become familiar with the multidisciplinary methods of
correcting anterior and posterior compartment pathology simultaneously; and e) develop a treatment algorithm
for the management of rectal prolapse in different clinical settings.Young Surgeons Symposium
Objectives: At the conclusion of this session, participants should be able to: a) discuss issues regarding creating
a new laparoscopic colorectal program at a hospital; b) understand what skills are necessary for successful negotiating with hospital administration; c) discuss marketing of a colorectal practice, with specific emphasis on
the use of social media in marketing; d) discuss common scenarios for clinical mistakes and how to change a
negative into a positive experience; e) learn how to communicate mistakes to patients, colleagues and referring
physicians; f ) understand the role of mentorship, how to find and create a mentorship relationship; and
g) discuss risks of burnout and strategies to prevent burnout in colorectal practice.Harry E. Bacon, MD Lectureship
Abstract Session: New Technologies
ASCRS/SAGES Symposium: Debates in Minimal Access Abdominal Surgery
Objectives: At the conclusion of this session, participants should be able to: a) understand the indications,
technical aspects and adoption of single incision laparoscopy; b) understand the indications, patient benefits,
and factors in adoption of robotics in colon and rectal surgery; and c) understand the associated procedural and
societal costs for laparoscopy and newer technologies in colon and rectal surgery.Abstract Session: Pelvic Floor
Joseph M. Mathews, MD, Oration
Masters in Colorectal Surgery Lectureship Honoring Herand Abcarian, MD
Abstract Session: Outcomes
Symposium: Maintenance of Certification: What You Need to Know
Objectives: At the conclusion of this session, participants should be able to: a) describe the evolution of
maintenance of certification; b) list the requirements for MOC; c) understand the options for maintaining a
surgical case log.Ernestine Hambrick, MD, Lectureship
Parviz Kamangar Humanities in Surgery Lectureship
Abstract Session: Benign Abdominal
ASCRS/ACS Symposium: Measuring & Improving the Quality of Surgical Outcomes in Colorectal Surgery
Objectives: At the conclusion of this session, participants should be able to: a) discuss methods for developing
indicators of quality for patients undergoing colorectal surgery; b) describe how case and patient volume affect
outcomes in colorectal cancer surgery; c) discuss how the use of large outcome databases can be used to
improve quality of surgical care; and d) describe how adherence to evidence-based best practices can affect
outcomes of surgical patients.
