The American Society of Colon and Rectal Surgeons


 

The American Society of Colon and Rectal Surgeons
2013 Annual Meeting Webcast
April 27-May 1, 2013
Phoenix, AZ

The American Society of Colon and Rectal Surgeons is pleased to offer you the Webcast of its April 27-May 1, 2013 Annual Meeting held in Phoenix, AZ. No CME credit is offered for this Webcast and ASCRS offers it free of charge to be used as another tool for ones lifelong learning. This activity is webcast from August 1, 2013 to August 1, 2014.

Introduction
This scientific program is designed to provide surgeons with an in-depth and up-to-date knowledge relative to surgery for diseases of the colon, rectum and anus with emphasis on patient care, teaching and research. The purpose of all sessions is to improve the quality of care of patients with diseases of the colon and rectum.

Target Audience
The program is intended for the education of colon and rectal surgeons as well as general surgeons and others involved in the treatment of diseases affecting the colon, rectum and anus.

Minimum System Requirements
Any high speed internet connection. An internet browser with Flash 8 or later installed.

Agreement
All images contained in these presentations are copyrighted by the American Society of Colon and Rectal Surgeons.

Disclaimer
The primary purpose of the ASCRS Annual Meeting and this webcast is education. Information, as well as technologies, products and/or services discussed, are intended to inform participants about the knowledge, techniques and experiences of specialists who are willing to share such information with colleagues. A diversity of professional opinions exist in the specialty and the views of the American Society of Colon and Rectal Surgeons disclaims any and all liability for information, technologies, products and/or services discussed.

Table of Contents
Course Title
OUTCOMES I (S1, S3-S11)
A Prospective, Multi-Center, Randomized-Controlled, Third Party-Blinded Study of the Stratticer® Fascial Inlay for Parastomal Reinforcement in Patients Undergoing Surgery for Permanent Abdominal Wall Ostomies (PRISM) (S1)
Ureteral Injuries in Colorectal Surgery: An Analysis of Trends, Outcomes and Risk Factors over a 10-Year Period in the United States (S3)
Reducing Urinary Tract Infections in Colon and Rectal Surgery May Be Easier Than You Think! (S4)
Incisional Negative Pressure Wound Therapy Significantly Reduces Surgical Site Infection in Open Colorectal Surgery (S5)
Impact of Preoperative Opiod Use on Perioperative Outcomes and 30-Day Hospital Readmission in Colectomy Patients (S6)
Obesity Increases the Risk of Postoperative Peripheral Neuropathy Following Minimally Invasive Colon and Rectal Surgery (S7)
Risk Factors for Readmission Following Elective Colectomy: Postoperative Complications are More Important Than Patient and Operative Factors (S8)
Recurrent Colonic Diverticular Bleeding is Common within the First Year and Requires Surgical Intervention (S9)
Laparoscopic Emergency Surgery for Diverticular Disease that Failed Medical Treatment: A Valuable Option? (S10)
When Does Diverticulitis Perforate? (S11)
OUTCOMES II (S12 - S21)
Impact of UK National Bowel Cancer Awareness Campaign on Colorectal Cancer Services (S18)
Laparoscopic Lower GI Surgical Trials with Non-Significant Results: An Assessment of Reporting and Interpretation of the Primary Outcomes (S13)
Longer Operative Time: Deterioration of Clinical Outcomes of Laparoscopic Colectomy vs Open Colectomy (S14)
Building a Business Case for Colorectal Surgery Quality Improvement (S15)
Are Our Publications Failing the Inspection? A Review of the Publications in Rectal Cancer Surgery Between 2002-2012 (S16)
The First 1000 Patients on an Internet-Based Colorectal Neoplasia Database Across Private and Public Medicine in Australia: Development of a Bi-National Model for the CSSANZ (S17)
Is Laparoscopic Colectomy a Clinically and Economically Favorable Approach in the Modern Health Care Environment: Results from a Cohort of 56,000 Patients (S12)
Mission Control in Familial Adenomatous Polyposis: An Analysis of Cancer Deaths in Families, Generation by Generation (S19)
Racial Disparity in Colorectal Cancer Outcomes: The Role of Equal Treatment (S20)
Killingback Award Winner: Colorectal Preoperative Surgical Score: Validating a Preoperative Risk Stratification Model for Major Colorectal Surgery (S21)
NEOPLASIA (S22-S23, S25-S30)
Factors Affecting Progressive Disease in Patients with Synchronous Colorectal Liver Metastases: A Pilot Study (S22)
Right Colectomy Protects Patients with Methylator Cancers Against Metachronous Serrated Neoplasia (S23)
Expression of HER2 in Rectal Cancer With Preoperative Radiotherapy Potential Biomarker to Predict the Metastasis (S25)
Surgical Anatomical Planes for Complete Mesocolic Excision (V67) (S26)
Epigenomic Characterization of Locally Advanced Stage Anal Cancer: An RTOG 98-11 Specimen Study (S27)
Complete Cytoreduction for Pseudomyxoma Peritonei is Optimal but Maximal Tumor Debulking is Beneficial Where Complete Tumor Removal Cannot be Achieved (S28)
Incidence and Survival in Hindgut Neuroendocrine Tumors Depend on Pathologic Grade (S29)
ESCP Best Paper: Does Mechanical Bowel Preparation Preceding Colon Cancer Operation Affect 5-Year Mortality and Cancer Recurrence Rate? (S30)
ASCRS International Scholarship Winner: Colorectal Cancer Surgery in Estonia
ASCRS International Scholarship Winner: Polyp Prevalence Following Colonoscopy Among Nigerians: A Prospective Observational Study
RECTAL CANCER I (S31-S39)
Local Excision after Preoperative Radiochemotherapy for Rectal Cancer: A Multicenter Phase II Clinical Trial with a 3-Year Follow-up (S31)
British Traveling Fellow: Low Rates of Local Recurrence are Achievable with a Selective Approach to Preoperative Radiotherapy in Locally Advanced Rectal Cancer (S32)
Robotic Abdominoperineal Resection with Cylindrical Intra-Abdominal Levator Transection. Obese Female (V59) (S33)
The Current Status, Clinical and Financial Outcomes of Open, Laparoscopic, and Robotic Surgery for Rectal Cancer: Results from a National Database (S34)
A Novel Scoring System for Risk-Stratifying Rectal Cancer Patients Prior to Radical Resection (S35)
Location of Locally-Recurrent Rectal Cancer Predicts Oncologic Outcome and May be Related to Technical Factors Associated with the Index Surgery (S36)
Accuracy of Preoperative Magnetic Resonance Imaging in Prediction of Pathological Stage in Rectal Cancer: Node-for- Node Matched Histologic Validation of MRI Imaging Features (S37)
Lymph Node Assessment by MRI after Neoadjuvant Chemoradiation for Rectal Cancer - No Means No! (S38)
High Cost and Low Yield: Routine Preoperative Restaging CT in Locally Advanced Rectal Cancer (S39)
INFLAMMATORY BOWEL DISEASE (S40-S50)
The Impact of Preoperative Infliximab Treatment of Rates of Colectomy in Severe Ulcerative Colitis (S40)
Dysplasia in Ulcerative Colitis as a Predictor of Undetected Synchronous Colorectal Cancer: Is the Risk Lower than we Think? (S41)
Restorative Proctocolectomy in the Setting of Rectal Dysplasia: Good Idea or Bad Idea? (S42)
Laparoscopic Completion Proctectomy and Ileal Pouch-Anal Anastomosis in Patient with Previous Laparoscopic Total Abdominal Colectomy (V44) (S43)
Operative Strategy Modifies Risk of Pouch-Related Outcomes I in Patients with Ulcerative Colitis on Preoperative Anti-TNF Therapy (S44)
Extent of Inflammation is a Predictor for Outcomes in Ileal Pouches in Inflammatory Bowel Disease (S45)
Pouch Vaginal Fistula Following Restorative Proctocolectomy: Persistence Pays (S46)
Do Disease Location and Clinical Manifestation Influence Pouch Survival in Patients Developing Symptomatic Pouch Crohn's Disease after Ileal Pouch-Anal Anastomosis? (S47)
A Minimally Invasive Approach in Complex Inflammatory Bowel Disease (V45) (S48)
Do Biologics Change the Natural History of Severe Perianal Crohn's Disease Requiring Fecal Diversion? (S49)
Single Nucleotide Polymorphism in the Stat5 Gene Favors Colonic as Opposed to Small Bowel Inflammation in Crohn's Disease (S50)
ANORECTAL and COLONOSCOPY (S51-S56, S58-S60)
Which Lesions Should be Biopsied During HRA? Prospective Descriptive Study of Simple Morphological Criteria (S51)
Near 100% Prevention Rates of Anal Carcinoma Achieved with High-Resolution Anoscopy-Guided Ablation of High-Grade Dysplasia (S52)
Results of ASCRS Member Survey on Anal Dysplasia Screening: Attitudes and Practice (S53)
Prospective-Randomized Trial Comparing Short- and Long-Term Results of Doppler-Guided Transanal Dearterialization and Hemorrhoidectomy for Grade III Hemorrhoids (S54)
ASCRS International Scholarship Winner: A Randomized-Controlled Trial Comparing Postoperative Pain Associated with Doppler-Guided Hemorrhoidal Artery Ligation and Recto Anal Repair vs Stapled Hemorrhoidopexy
Video-Assisted Anal Fistula Treatment: A New Concept of Treating Anal Fistulas (S55)
Molecular Imaging of Dysplasia and Cancer Using Fluorescent Lectins (S56)
Timing of Colonoscopy after Resection for Colorectal Cancer: Are we Looking too Soon? (S58)
Does Sedation Type Affect Colonoscopy Perforation Rate? (S59)
Achieving a Complete Colonic Evaluation in Patients with Incomplete Colonoscopy is Worth the Effort (S60)
PELVIC FLOOR and COMPLEX FISTULA (S61-S62, S64-S71)
Does Baseline Fecal Incontinence Severity Influence Outcome of Sacral Nerve Stimulation? (S61)
Efficacy of Sacral Nerve Stimulation for the Treatment of Fecal Incontinence is Not Influenced by the Size of Anal Sphincter Defect (S62)
Sacral Nerve Neuromodulation for Slow Gut Transit Constipation: Real World Results with a Trial of Extended Percutaneous Nerve Evaluation (S64)
Sacrocolpopexy with Rectopexy for Pelvic Floor Prolapse Improves Bowel Function and Quality of Life (S65)
Bio-Thiersch Procedure for Rectal Prolapse after LAR (V8) (S66)
Technique of Botox Injections in the Treatment of Levator Ani Syndrome (V19) (S67)
Martius and Gracilis Muscle Flap Repair of Complex Rectovaginal Fistulas (S68)
Best Video: Gracilis Transposition for Complex Perineal Fistulas: Rectovaginal Fistula and Rectourethral Fistula (V9) (S69)
Transanal Minimally-Invasive Surgery Repair of High Recto-Vaginal Fistula after Sex Reassignment Surgery (V54) (S70)
TAMIS Repair of Retourethral Fistula (V53) (S71)
RECTAL CANCER II (S72-S80)
Statin Therapy is Associated with Improved Pathologic Response to Neoadjuvant Chemoradiotherapy in Rectal Cancer (S72)
Clinical Criteria Underestimate Complete Pathological Response in Rectal Cancer Treated with Neoadjuvant Chemoradiotherapy (S73)
Predictive Factors at PET/CT for Complete Response after Neoadjuvant CRT for Distal Rectal Cancer: Results from a Prospective Study Using Sequential PET/CT (S74)
Can Biomarkers-Based Scoring System Predict Pathologic Complete Response after Preoperative Chemoradiation Therapy for Rectal Cancer? (S75)
Prediction of Response to Preoperative Chemoradiotherapy in Rectal Cancer Using Reverse Transcript Ase-Polymerase Chain Reaction Analysis of Four Genes (S76)
Watch and Wait Approach Following Extended Neoadjuvant Chemoradiation for Distal Rectal Cancer: Are We Getting Closer to Anal Cancer Management? (S77)
Extended Sacropelvic Resection for Locally Recurrent Rectal Cancer: Can It Be Done Safely and with Good Oncologic Outcomes? (S78)
Its Not Just an Infection: Wound Dehiscence after APR for Rectal Cancer is Associated with Decreased Survival (S79)
Robotic vs. Laparoscopic Proctectomy for Rectal Cancer: Short-Term Outcomes and Cost Analysis of a Case-Matched Series (S80)
IMPACT PAPER AND FELLOW PRESENTATIONS
The Robert W. Beart, MD, 2012 Impact Paper of the Year Award
ASCRS International Scholarship Winner: Colorectal Cancer Surgery in Estonia
ASCRS International Scholarship Winner: A Randomized-Controlled Trial Comparing Postoperative Pain Associated with Doppler-Guided Hemorrhoidal Artery Ligation and Recto Anal Repair vs Stapled Hemorrhoidopexy
ASCRS International Scholarship Winner: Polyp Prevalence Following Colonoscopy Among Nigerians: A Prospective Observational Study
Best Video: Gracilis Transposition for Complex Perineal Fistulas: Rectovaginal Fistula and Rectourethral Fistula (V9) (S69)
British Traveling Fellow: Low Rates of Local Recurrence are Achievable with a Selective Approach to Preoperative Radiotherapy in Locally Advanced Rectal Cancer (S32)
ESCP Best Paper: Does Mechanical Bowel Preparation Preceding Colon Cancer Operation Affect 5-Year Mortality and Cancer Recurrence Rate? (S30)
Killingback Award Winner: Colorectal Preoperative Surgical Score: Validating a Preoperative Risk Stratification Model for Major Colorectal Surgery (S21)
LECTURESHIPS AND PRESIDENTIAL ADDRESS
PRESIDENTIAL ADDRESS
ERNESTINE HAMBRICK, MD, LECTURESHIP: Raising Our Replacements: A Two-Way Street of Lessons Learned
HARRY E. BACON, MD, LECTURESHIP: Post Reform Value Re-engineering: The Geisinger Model
MASTERS IN COLORECTAL SURGERY LECTURESHIP HONORING VICTOR W. FAZIO, MD: Reoperative Abdominal Surgery - Lessons of a Lifetime
MEMORIAL LECTURSHIP HONORING JAMES F. GUTHRIE, MD: Anti-Fragile - Leadership Lessons of the ASCRS
NORMAN D. NIGRO, MD, RESEARCH LECTURESHIP: Staging of Colorectal Cancer - Anatomical and Molecular Factors and Beyond
PARVIZ KAMANGAR HUMANITIES IN SURGERY LECTURESHIP: Why Surgeons Must Be Very Careful ***AUDIO ONLY***
SYMPOSIA
Core Subject Update
Colon Cancer
Diverticulitis
Other Colidites
Fecal Incontinence
Fistula/Abscess
Perioperative Management
EBRS Symposium: Time to Change the Treatment of Rectal Cancer: Role of MRI
Introduction and Overview of EBRS
Overview of EBRS Website and Poll the Audience on their Practices
Presentation of Salient Points of Article
Methodological Critique Including Discussion re Methodology and Validity and Generalizability
Expert Panel with Audience Discussion
How to Get Paid: Colon and Rectal Surgery Coding and Reimbursement
Introduction - The Challenges We All Face
How Providers are Reimbursed for Medical Services in the United States
Important Tactics to Ensure Appropriate Coding and Billing
Compliance and Billing Pitfalls
Case Vignettes/Discussion
Laparoscopic Nuts & Bolts and Robotic Rivets
The Same Way Every Time: Lap Right
The Same Way Every Time: Lap Left
Laparoscopic Liferings: Management of Intraoperative Complications
Single-Incision Lap Abdominal Colectomy: Making SLIC Look Slick
Safe Laparoscopy in the Bariatric Patient: Big Belly, Little Holes
Complete Mesocolic Excision with High Vascular Ligation
Complex Inflammatory Fistula: Staying Laparoscopic
Just a Simple Lap Stoma: Problems and Solutions
Spare the Stoma with Lap Lavage for Diverticulitis
Pelvic Dissection: Every Nerve, Every Time
Avoiding the APR Waist - Robotic Approach to the Levators
NOSE on NOTES: Natural Orifice Specimen Extraction and Intracorporeal Anastomosis
Drivin' With the Top Down: A New View of the Flexures
Laparoscopic Ventral Rectopexy
Hartmann's and Hartmann's Reversal: It's Not Just for Open Surgery
VIDEO SESSION - Wednesday (WV1-WV-11)
Intersphincteric Proctectomy (V12) (WV-1)
Laparoscopic Anterior Resection for Colovaginal Fistula (V4) (WV-2)
Vertical Rectus Abdominis Myocutaneous Flap for Perineal Reconstruction after Abdominoperineal Rectal Resection for Hidradenitis Suppurativa with a Squamous Cell Carcinoma (V65) (WV-3)
Transanal Minimal Invasive Surgery Using Robotic-Assisted Handheld System (V16) (WV-4)
Laparoscopic Re-Exploration after Laparoscopic Left Colectomy (V61) (WV-5)
Laparoscopic Resection and Vaginal Extraction of the Specimen - A Standard Procedure for Treatment of Deep Infiltrating Rectal Endometriosis (V63) (WV-6)
Surgical Treatment of Giant Cystic Presacral Tumors (Hemangiopericytoma and Teratoma) (V62) (WV-7)
Laparoscopic Transabdominal and Paracoccygeal Resection of Pelvic Teratoma (V5) (WV-8)
Rectocele Repair - Transvaginal Technique with Mesh and Levatorplasty (V58) (WV-9)
Perineal Resection of Rectal Prolapse - Altemeier Procedure (V70) (WV-10)
Laparoscopic Complete Mesocolic Excision for Right Colon Cancer (V21) (WV-11)

OUTCOMES I (S1, S3-S11)

Objectives: At the conclusion of this session, participants should be able to: (S1) a) understand placement of a biologic mesh to prevent parastomal hernias, b) describe the safety of biologic membranes at stomal sites; (S3) a) gain a better insight on the risk factors that predispose to ureteral injuries in colorectal surgery, b) understand the outcomes and implications of these injuries, c) gain a better insight on the trends and incidence of these injuries in the United States; (S4) a) understand risk factors for UTI in colon and rectal surgery patients, b) consider management options to reduce rate of UTI; (S5) a) understand the use and application of incisional negative pressure wound therapy, b) understand factors associated with surgical site infection in patients undergoing colorectal surgery; (S6) a) describe the effect of preoperative opioid use on perioperative outcomes in colectomy patients, b) describe how preoperative opioid use interacts with other patient factors to affect outcome; (S7) understand that postoperative peripheral neuropathy is more common following minimally invasive colon and rectal surgery and is significantly higher in the obese; (S8) identify risk factors for readmission following colectomy; (S9) a) analyze the patients with recurrent diverticular bleeding, b) be aware of time to rebleed after the first episode of colonic diverticular bleeding with the data of the study; (S10) a) compare safety and feasibility of minimally invasive surgery to open surgery in complicated diverticular disease that failed medical treatment, b) clarify the role of minimally invasive surgery in the acute treatment of complicated diverticular disease, c) understand which patients with acute complicated diverticular disease can benefit from minimally invasive surgery; (S11) describe the characteristics of patients who present with perforated diverticulitis requiring either emergent or urgent surgery.

A Prospective, Multi-Center, Randomized-Controlled, Third Party-Blinded Study of the Stratticer® Fascial Inlay for Parastomal Reinforcement in Patients Undergoing Surgery for Permanent Abdominal Wall Ostomies (PRISM) (S1)
Course ID : ASCRS1315A

D.E. Beck, J.W. Fleshman, S. Wexner, N. Ellis, J. Bauer, N. Hyman, P. Fleshner, New Orleans, LA; Dallas, TX; Westin, FL; Mobile, AL; New York, NY; Burlington, VT; Los Angeles, CA


  • A Prospective, Multi-Center, Randomized-Controlled, Third Party-Blinded Study of the Stratticer® Fascial Inlay for Parastomal Reinforcement in Patients Undergoing Surgery for Permanent Abdominal Wall Ostomies (PRISM) (S1) (MP4)

  • Ureteral Injuries in Colorectal Surgery: An Analysis of Trends, Outcomes and Risk Factors over a 10-Year Period in the United States (S3)
    Course ID : ASCRS1315B

    W.J. Halabi, M.D. Jafari, V.Q. Nguyen, J.C. Carmichael, S. Mills, A. Pigazzi, M.J. Stamos, Orange, CA; Irvine, CA

  • Ureteral Injuries in Colorectal Surgery: An Analysis of Trends, Outcomes and Risk Factors over a 10-Year Period in the United States (S3) (MP4)

  • Reducing Urinary Tract Infections in Colon and Rectal Surgery May Be Easier Than You Think! (S4)
    Course ID : ASCRS1315C

    D. Nagle, L. Anez-Bustillos, V. Poylin, Boston, MA


  • Reducing Urinary Tract Infections in Colon and Rectal Surgery May Be Easier Than You Think! (MP4)

  • Incisional Negative Pressure Wound Therapy Significantly Reduces Surgical Site Infection in Open Colorectal Surgery (S5)
    Course ID : ASCRS1315D

    A. Bonds, T.K. Novick, J.N. Bearden, F.Y. Araghizadeh, C.H. Olson, Dallas, TX


  • Incisional Negative Pressure Wound Therapy Significantly Reduces Surgical Site Infection in Open Colorectal Surgery (S5) (MP4)

  • Impact of Preoperative Opiod Use on Perioperative Outcomes and 30-Day Hospital Readmission in Colectomy Patients (S6)
    Course ID : ASCRS1315E

    L.A. Hugar, S.D. Perez, V. Shaffer, J.K. Srinivasan, C.A. Staley, J.F. Sweeney, P.S. Sullivan, Atlanta, GA

  • Impact of Preoperative Opiod Use on Perioperative Outcomes and 30-Day Hospital Readmission in Colectomy Patients (S6) (MP4)

  • Obesity Increases the Risk of Postoperative Peripheral Neuropathy Following Minimally Invasive Colon and Rectal Surgery (S7)
    Course ID : ASCRS1315F

    V. Velchuru, B. Domajnko, A. deSouza, S. Marecik, L.M. Prasad, H. Abcarian, J. Park, Park Ridge, IL; Rochester, NY; Chicago, IL


  • Obesity Increases the Risk of Postoperative Peripheral Neuropathy Following Minimally Invasive Colon and Rectal Surgery (S7) (MP4)

  • Risk Factors for Readmission Following Elective Colectomy: Postoperative Complications are More Important Than Patient and Operative Factors (S8)
    Course ID : ASCRS1315G

    V. Velchuru, B. Domajnko, A. deSouza, S. Marecik, L.M. Prasad, H. Abcarian, J. Park, Park Ridge, IL; Rochester, NY; Chicago, IL



  • Risk Factors for Readmission Following Elective Colectomy: Postoperative Complications are More Important Than Patient and Operative Factors (S8) (MP4)

  • Recurrent Colonic Diverticular Bleeding is Common within the First Year and Requires Surgical Intervention (S9)
    Course ID : ASCRS1315H

    E. Aytac, L. Stocchi, I.E. Gorgun, G. Ozuner, Cleveland, OH


  • Recurrent Colonic Diverticular Bleeding is Common within the First Year and Requires Surgical Intervention (S9) (MP4)

  • Laparoscopic Emergency Surgery for Diverticular Disease that Failed Medical Treatment: A Valuable Option? (S10)
    Course ID : ASCRS1315I

    F. Letarte, J. Hallet, R.C. Gregoire, C. Thibault, J. Gagne, S. Drolet, A. Bouchard, P. Bouchard, Quebec, QC, Canada

  • Laparoscopic Emergency Surgery for Diverticular Disease that Failed Medical Treatment: A Valuable Option? (S10) (MP4)

  • When Does Diverticulitis Perforate? (S11)
    Course ID : ASCRS1315J

    M.M. Alvarez-Downing, L.M. Haubert, J.A. Van Koughnett, S.D. Wexner, G. da Silva, S. Takano, D. Sands, Weston, FL

  • When Does Diverticulitis Perforate? (S11) (MP4)

  • OUTCOMES II (S12 - S21)

    Objectives: At the conclusion of this session, participants should be able to: (S12) a) understand the current status of laparoscopic colectomy in the United States, as well as its clinical and financial benefits; (S13) a) appreciate the implications of a non-significant trial result, b) be aware of the potential of misinterpretation or distortion of non-significant results; (S14) a) understand the differences seen in laparoscopic versus open right colectomy outcomes after three hours operative duration, b) list independent predictors of operative duration greater than three hours for laparoscopic right colectomy; (S15) a) describe business model for quality improvement, b) describe potential opportunities for cost savings associated with patient safety programs, c) describe impact of SSI reduction program; (S16) classify articles according to their quality; (S17) understand the barriers to compliance with data entry by clinicians be educated regarding strategies for improving data entry compliance; (S18) appreciate that increased publicity of bowel cancer awareness may potentially have cancer detected at an earlier stage, albeit stretching on existing resources; (S19) a) see how to evaluate success in a polyposis registry, b) appreciate the importance of a registry in preventing death from colorectal cancer; (S20) a) understand the racial disparity in colorectal cancer, b) understand the role of equal treatment in the racial disparity in colorectal cancer; (S21) understand the preoperative risk stratification model for the purpose of informed consent.  

    Impact of UK National Bowel Cancer Awareness Campaign on Colorectal Cancer Services (S18)
    Course ID : ASCRS1319G

    E. Leung, R. Pande, P. McCullough, C. Harmston, Warwick, United Kingdom


  • Impact of UK National Bowel Cancer Awareness Campaign on Colorectal Cancer Services (S18) (MP4)

  • Laparoscopic Lower GI Surgical Trials with Non-Significant Results: An Assessment of Reporting and Interpretation of the Primary Outcomes (S13)
    Course ID : ASCRS1319B

    S.V. Patel, J. Choi, A.S. Chadi, P. Colquhoun, London, ON, Canada

  • Laparoscopic Lower GI Surgical Trials with Non-Significant Results: An Assessment of Reporting and Interpretation of the Primary Outcomes (S13) (MP4)

  • Longer Operative Time: Deterioration of Clinical Outcomes of Laparoscopic Colectomy vs Open Colectomy (S14)
    Course ID : ASCRS1319C

    M.B. Bailey, D.L. Davenport, H.D. Vargas, B.M. Evers, S. McKenzie, Lexington, KY; New Orleans, LA


  • Longer Operative Time: Deterioration of Clinical Outcomes of Laparoscopic Colectomy vs Open Colectomy (S14) (MP4)

  • Building a Business Case for Colorectal Surgery Quality Improvement (S15)
    Course ID : ASCRS1319D

    K. Lee, D. Hobson, M. Cardamone, R. Demski, S. Berenoltz, E. Wick; Baltimore, MD


  • Building a Business Case for Colorectal Surgery Quality Improvement (S15) (MP4)

  • Are Our Publications Failing the Inspection? A Review of the Publications in Rectal Cancer Surgery Between 2002-2012 (S16)
    Course ID : ASCRS1319E

    M. Mora Pinzon, D. Hayden, K. Kosmidis, A. Evans, T. Saclarides, Maywood, IL


  • Are Our Publications Failing the Inspection? A Review of the Publications in Rectal Cancer Surgery Between 2002-2012 (S16) (MP4)

  • The First 1000 Patients on an Internet-Based Colorectal Neoplasia Database Across Private and Public Medicine in Australia: Development of a Bi-National Model for the CSSANZ (S17)
    Course ID : ASCRS1319F

    P.J. McMurrick, K. Oliva, P. Carne, C. Reid, A. Polglase, S. Bell, K.C. Farmer, P. Ranchod, Melbourne, Victoria, Australia

  • The First 1000 Patients on an Internet-Based Colorectal Neoplasia Database Across Private and Public Medicine in Australia: Development of a Bi-National Model for the CSSANZ (S17) (MP4)

  • Is Laparoscopic Colectomy a Clinically and Economically Favorable Approach in the Modern Health Care Environment: Results from a Cohort of 56,000 Patients (S12)
    Course ID : ASCRS1319A

    E.M. Haas, R. Pedraza, M. Ragupathi, R. Carman, J. Nieto, Houston, TX


  • Is Laparoscopic Colectomy a Clinically and Economically Favorable Approach in the Modern Health Care Environment: Results from a Cohort of 56,000 Patients (S12) (MP4)

  • Mission Control in Familial Adenomatous Polyposis: An Analysis of Cancer Deaths in Families, Generation by Generation (S19)
    Course ID : ASCRS1319H

    L. LaGuardia, M. O'Malley, C. Burke, M. Kalady, J.M. Church, Cleveland, OH


  • Mission Control in Familial Adenomatous Polyposis: An Analysis of Cancer Deaths in Families, Generation by Generation (S19) (MP4)

  • Racial Disparity in Colorectal Cancer Outcomes: The Role of Equal Treatment (S20)
    Course ID : ASCRS1319I

    J.A. Laryea, E.R. Siegel, S.V. Klimberg; Little Rock, AR


  • Racial Disparity in Colorectal Cancer Outcomes: The Role of Equal Treatment (S20) (MP4)

  • Killingback Award Winner: Colorectal Preoperative Surgical Score: Validating a Preoperative Risk Stratification Model for Major Colorectal Surgery (S21)
    Course ID : ASCRS1319J

    C.H. Kong, G. Guest, S. Chan, I. Faragher, D. Watters; Geelong, Victoria, Australia; St. Alban, Victoria, Australia



  • Killingback Award Winner: Colorectal Preoperative Surgical Score: Validating a Preoperative Risk Stratification Model for Major Colorectal Surgery (S21) (MP4)

  • NEOPLASIA (S22-S23, S25-S30)

    Objectives: At the conclusion of this session, participants should be able to (S22) a) understand the different surgical approaches for the treatment of synchronous colorectal liver metastases, b) develop a better understanding of the controversies regarding the timing of a primary tumor resection in patients with synchronous colorectal liver metastases, c) understand the factors that affect the progression of synchronous colorectal liver metastases, d) formulate and develop research plans to investigate the effects of the timing of a primary tumor resection upon the progression of synchronous colorectal liver metastases; (S23) a) understand that serrated polyps may develop in patients with MSI-H colorectal cancers, b) recognize that serrated neoplasia has predilection to the right colon in patients with sporadic MSI-HCIMP+, methylator pathway colorectal cancers, c) understand that operative procedure (right colectomy) may protect patients with sporadic MSI-H colorectal cancers from metachronous serrated neoplasia; (S25) a) understand the detailed view on HER-2 expression in Chinese rectal cancer patients, b) understand the role of HER-2 over expression on the prognosis of these patients; (S27) discuss the epigenomic alterations associated with low and high risk stages of anal squamous-cell carcinoma; (S28) understand the benefits of maximal tumor debulking in pseudomyxoma surgery of appendiceal origin; (S29) describe recent trends in colorectal neuroendocrine tumors.  

    Factors Affecting Progressive Disease in Patients with Synchronous Colorectal Liver Metastases: A Pilot Study (S22)
    Course ID : ASCRS1323A

    A.A. Slesser, F. Khan, G. Brown, E. Tan, A.Z. Khan, S. Mudan, P.P. Tekkis, S. Rao; London, United Kingdom


  • Factors Affecting Progressive Disease in Patients with Synchronous Colorectal Liver Metastases: A Pilot Study (S22) (MP4)

  • Right Colectomy Protects Patients with Methylator Cancers Against Metachronous Serrated Neoplasia (S23)
    Course ID : ASCRS1323B

    C.A. Messick, S. Kravochuck, J. Church, M. Kalady, Cleveland, OH


  • Right Colectomy Protects Patients with Methylator Cancers Against Metachronous Serrated Neoplasia (S23) (MP4)

  • Expression of HER2 in Rectal Cancer With Preoperative Radiotherapy Potential Biomarker to Predict the Metastasis (S25)
    Course ID : ASCRS1323C

    Y. Yao, C. Du, P. Chen, N. Chen, J. Gu, Beijing, China

  • Expression of HER2 in Rectal Cancer With Preoperative Radiotherapy Potential Biomarker to Predict the Metastasis (S25) (MP4)

  • Surgical Anatomical Planes for Complete Mesocolic Excision (V67) (S26)
    Course ID : ASCRS1323D

    M. Kuzu, H. Acar, A. Comert, Ankara, Turkey


  • Surgical Anatomical Planes for Complete Mesocolic Excision (V67) (S26) (MP4)

  • Epigenomic Characterization of Locally Advanced Stage Anal Cancer: An RTOG 98-11 Specimen Study (S27)
    Course ID : ASCRS1323E

    E.M. Siegel, S. Eschrich, K. Winter, B. Riggs, A. Ajidahun, A. Berglund, J. Simko, J. Ajani, A. Magliocco, A. Elahi, D. Coppola, D. Shibata; Tampa, FL; Philadelphia, PA; San Francisco, CA; Houston, TX

  • Epigenomic Characterization of Locally Advanced Stage Anal Cancer: An RTOG 98-11 Specimen Study (S27) (MP4)

  • Complete Cytoreduction for Pseudomyxoma Peritonei is Optimal but Maximal Tumor Debulking is Beneficial Where Complete Tumor Removal Cannot be Achieved (S28)
    Course ID : ASCRS1323F

    S. Dayal, S. Riss, K. Chandrakumaran, F. Mohamed, T.D. Cecil, B.J. Moran, Basingstoke, United Kingdom

  • Complete Cytoreduction for Pseudomyxoma Peritonei is Optimal but Maximal Tumor Debulking is Beneficial Where Complete Tumor Removal Cannot be Achieved (S28) (MP4)

  • Incidence and Survival in Hindgut Neuroendocrine Tumors Depend on Pathologic Grade (S29)
    Course ID : ASCRS1323G

    L. Lai, L. Chiu, R. Nelson, J. Sanchez, G. Singh, Duarte, CA

  • Incidence and Survival in Hindgut Neuroendocrine Tumors Depend on Pathologic Grade (S29) (MP4)

  • ESCP Best Paper: Does Mechanical Bowel Preparation Preceding Colon Cancer Operation Affect 5-Year Mortality and Cancer Recurrence Rate? (S30)
    Course ID : ASCRS1323H

    A. Collin, J. Folkesson, B. Jung, E. Nilsson, L. Pahlman; Uppsala, Sweden; Linkoping, Sweden; Umea, Sweden

  • ESCP Best Paper: Does Mechanical Bowel Preparation Preceding Colon Cancer Operation Affect 5-Year Mortality and Cancer Recurrence Rate? (S30) (MP4)

  • ASCRS International Scholarship Winner: Colorectal Cancer Surgery in Estonia
    Course ID : ASCRS1323I

    I. Seire, Tallinn, Estonia

  • ASCRS International Scholarship Winner: Colorectal Cancer Surgery in Estonia (MP4)

  • ASCRS International Scholarship Winner: Polyp Prevalence Following Colonoscopy Among Nigerians: A Prospective Observational Study
    Course ID : ASCRS1323J

    O. Alatise, Ile-Ife, Osun State, Nigeria

  • ASCRS International Scholarship Winner: Polyp Prevalence Following Colonoscopy Among Nigerians: A Prospective Observational Study (MP4)

  • RECTAL CANCER I (S31-S39)

    Objectives: At the conclusion of this session, participants should be able to: (S31) understand the safety and good early outcomes of local excision in a selected group of patients who underwent preoperative chemoradiotherapy for rectal cancer; (S32) determine which patients with locally advanced rectal cancer may be selected for a surgery alone approach and avoid preoperative radiotherapy; (S34) a) analyze the current status of minimally invasive surgery (laparoscopic and robotic), for the management of rectal cancer; (S35) a) understand risk-stratify rectal cancer patients for major complications after LAR or a PR-based on preoperative characteristics; (S36) discuss the predictors of the location of LRRC, define oncologic outcomes, and understand risk factors for survival in patients with LRRC; (S37) analyze the accuracy of preoperative high resolution MRI in prediction of pathological staging in rectal cancer; (S38) a) understand the role of MRI in selecting patients for local surgical therapy after chemoradiation for rectal cancer, b) use MRI as a appropriate tool in decision-making for the care of patients with locally advanced rectal cancer; (S39) a) understand the limited diagnostic utility of routine restaging CT scans after neoadjuvant chemoradiotherapy for locally advanced rectal cancer, b) appreciate the potential cost and patient safety implications of unnecessary CTs.


    Local Excision after Preoperative Radiochemotherapy for Rectal Cancer: A Multicenter Phase II Clinical Trial with a 3-Year Follow-up (S31)
    Course ID : ASCRS1327A

    S. Pucciarelli, A. De Paoli, M. Guerrieri, G. La Torre, I. Maretto, F. De Marchi, G. Mantello, M.A. Gambacorta, V. Canzonieri, D. Nitti, V. Valentini, C. Coco, Padova, Italy; Aviano, Italy; Ancona, Italy; Rome, Italy

  • Local Excision after Preoperative Radiochemotherapy for Rectal Cancer: A Multicenter Phase II Clinical Trial with a 3-Year Follow-up (S31) (MP4)

  • British Traveling Fellow: Low Rates of Local Recurrence are Achievable with a Selective Approach to Preoperative Radiotherapy in Locally Advanced Rectal Cancer (S32)
    Course ID : ASCRS1327B

    D.A. Harris, J. Williamson, M. Davies, M.D. Evans, J. Beynon, Swansea, United Kingdom

  • British Traveling Fellow: Low Rates of Local Recurrence are Achievable with a Selective Approach to Preoperative Radiotherapy in Locally Advanced Rectal Cancer (S32) (MP4)

  • Robotic Abdominoperineal Resection with Cylindrical Intra-Abdominal Levator Transection. Obese Female (V59) (S33)
    Course ID : ASCRS1327C

    S. Marecik, V. Velchuru, M. Zawadzki, C. Corning, J. Park, L. Prasad, Park Ridge, IL; Chicago, IL

  • Robotic Abdominoperineal Resection with Cylindrical Intra-Abdominal Levator Transection. Obese Female (V59) (S33) (MP4)

  • The Current Status, Clinical and Financial Outcomes of Open, Laparoscopic, and Robotic Surgery for Rectal Cancer: Results from a National Database (S34)
    Course ID : ASCRS1327D

    E.M. Haas, R. Pedraza, M. Ragupathi, C. Faraj, J. Nieto; Houston, TX

  • The Current Status, Clinical and Financial Outcomes of Open, Laparoscopic, and Robotic Surgery for Rectal Cancer: Results from a National Database (S34) (MP4)

  • A Novel Scoring System for Risk-Stratifying Rectal Cancer Patients Prior to Radical Resection (S35)
    Course ID : ASCRS1327E

    R.S. Turley, C. Ligh, J.E. Scarborough, J.M. Thacker, C.R. Mantyh, J. Migaly, Durham, NC

  • A Novel Scoring System for Risk-Stratifying Rectal Cancer Patients Prior to Radical Resection (S35) (MP4)

  • Location of Locally-Recurrent Rectal Cancer Predicts Oncologic Outcome and May be Related to Technical Factors Associated with the Index Surgery (S36)
    Course ID : ASCRS1327F

    P. Du, W. Khoury, R.P. Kiran, D.W. Dietz, Cleveland, OH

  • Location of Locally-Recurrent Rectal Cancer Predicts Oncologic Outcome and May be Related to Technical Factors Associated with the Index Surgery (S36) (MP4)

  • Accuracy of Preoperative Magnetic Resonance Imaging in Prediction of Pathological Stage in Rectal Cancer: Node-for- Node Matched Histologic Validation of MRI Imaging Features (S37)
    Course ID : ASCRS1327G

    J. Park, G. Choi, H. Kim, S. Park, Y. Jang, Daegu, Republic of Korea

  • Accuracy of Preoperative Magnetic Resonance Imaging in Prediction of Pathological Stage in Rectal Cancer: Node-for- Node Matched Histologic Validation of MRI Imaging Features (S37) (MP4)

  • Lymph Node Assessment by MRI after Neoadjuvant Chemoradiation for Rectal Cancer - No Means No! (S38)
    Course ID : ASCRS1327H

    A. Sarin, C. Klos, K. Fowler, A. Fajardo, M. Silviera, J. Owen, M. Mutch, B. Safar, E. Birnbaum, P. Wise, J. Olsen, B. Tan, S. Hunt, St. Louis, MO

  • Lymph Node Assessment by MRI after Neoadjuvant Chemoradiation for Rectal Cancer - No Means No! (S38) (MP4)

  • High Cost and Low Yield: Routine Preoperative Restaging CT in Locally Advanced Rectal Cancer (S39)
    Course ID : ASCRS1327I

    J.S. Davids, J.A. Cervera-Servin, C.S. Choi, J.A. Maykel, W.B. Sweeney, P.R. Sturrock, K. Alavi, Worcester, MA

  • High Cost and Low Yield: Routine Preoperative Restaging CT in Locally Advanced Rectal Cancer (S39) (MP4)

  • INFLAMMATORY BOWEL DISEASE (S40-S50)

    Objectives: At the conclusion of this session, participants should be able to: (S40) a) understand the impact of infliximab on colectomy in severe ulcerative colitis, b) understand the limitations of population level data analysis; (S41) appreciate that there is a low risk of undetected cancer for patients with dysplasia in the setting of ulcerative colitis; (S42) a) understand the dilemma of providing restorative proctocolectomy (RPC) as an option for patients with chronic ulcerative colitis (CUC) and rectal dysplasia, b) recognize scenarios in which RPC may result in high rates of colorectal cancer for patients with CUC in the long-term; (S44) a) understand pre-IPAA, this risk is mitigated by modifying strategy to a 3-stage restorative proctocolectomy, b) perform an initial STC with end ileostomy; (S45) a) appreciate the effect of histopathological factors particular depth of inflammation on the outcomes in patients with ileal pouches constructed for UC and IC; (S46) a) analyze the various approaches to treat PVF following IPAA, b) develop a plan of management for an individual with PVF, c) understand about the factors that lead to pouch failure following IPAA; (S47) understand that the risk of pouch failure in Crohn's disease of the pouch after IPAA is variable and dependent upon disease location and clinical presentation and multi-site CD involvement of the pouch and the development of perineal fistula are risk factors for pouch failure; (S49) understand that the anti-tumor necrosis factor therapy cannot change the natural history of severe perianal Crohn's disease requiring fecal diversion; (S50) a) understand the value of identifying genetic markers of phenotype in Crohn's disease, b) understand the identification and role of STAT5 in small bowel sparing Crohn's disease.

    The Impact of Preoperative Infliximab Treatment of Rates of Colectomy in Severe Ulcerative Colitis (S40)
    Course ID : ASCRS1329A

    S. Moore, K.M. McGrail, A.A. Karimuddin, P.T. Phang, M.J. Raval, C.J. Brown, Vancouver, BC, Canada

  • The Impact of Preoperative Infliximab Treatment of Rates of Colectomy in Severe Ulcerative Colitis (S40) (MP4)

  • Dysplasia in Ulcerative Colitis as a Predictor of Undetected Synchronous Colorectal Cancer: Is the Risk Lower than we Think? (S41)
    Course ID : ASCRS1329B

    J.J. Murphy, K. Kalkbrenner, J.H. Pemberton, R.G. Landmann, J. Heppell, T. Young-Fadok, D.A. Etzioni; Phoenix, AZ; Rochester, MN; Jacksonville, FL

  • Dysplasia in Ulcerative Colitis as a Predictor of Undetected Synchronous Colorectal Cancer: Is the Risk Lower than we Think? (S41) (MP4)

  • Restorative Proctocolectomy in the Setting of Rectal Dysplasia: Good Idea or Bad Idea? (S42)
    Course ID : ASCRS1329C

    M. Polcino, M. Harfouche, D. Kruse, D. Chessin, S. Gorfine, J. Bauer, New York, NY

  • Restorative Proctocolectomy in the Setting of Rectal Dysplasia: Good Idea or Bad Idea? (S42) (MP4)

  • Laparoscopic Completion Proctectomy and Ileal Pouch-Anal Anastomosis in Patient with Previous Laparoscopic Total Abdominal Colectomy (V44) (S43)
    Course ID : ASCRS1329D

    L. Stocchi, I. Gorgun, M. Costedio, Cleveland, OH

  • Laparoscopic Completion Proctectomy and Ileal Pouch-Anal Anastomosis in Patient with Previous Laparoscopic Total Abdominal Colectomy (V44) (S43) (MP4)

  • Operative Strategy Modifies Risk of Pouch-Related Outcomes I in Patients with Ulcerative Colitis on Preoperative Anti-TNF Therapy (S44)
    Course ID : ASCRS1329E

    J. Gu, F. Remzi, B. Shen, J. Vogel, R.P. Kiran; Cleveland, OH

  • Operative Strategy Modifies Risk of Pouch-Related Outcomes I in Patients with Ulcerative Colitis on Preoperative Anti-TNF Therapy (S44) (MP4)

  • Extent of Inflammation is a Predictor for Outcomes in Ileal Pouches in Inflammatory Bowel Disease (S45)
    Course ID : ASCRS1329F

    P. Ravindran, C.J. Young, M.J. Solomon, Camperdown, New South Wales, Australia

  • Extent of Inflammation is a Predictor for Outcomes in Ileal Pouches in Inflammatory Bowel Disease (S45) (MP4)

  • Pouch Vaginal Fistula Following Restorative Proctocolectomy: Persistence Pays (S46)
    Course ID : ASCRS1329G

    I.H. Mallick, T. Hull, F.H. Remzi, R.P. Kiran, Cleveland, OH

  • Pouch Vaginal Fistula Following Restorative Proctocolectomy: Persistence Pays (S46) (MP4)

  • Do Disease Location and Clinical Manifestation Influence Pouch Survival in Patients Developing Symptomatic Pouch Crohn's Disease after Ileal Pouch-Anal Anastomosis? (S47)
    Course ID : ASCRS1329H

    J. Gu, R.P. Kiran, L. Stocchi, B. Shen, F. Remzi, Cleveland, OH

  • Do Disease Location and Clinical Manifestation Influence Pouch Survival in Patients Developing Symptomatic Pouch Crohn's Disease after Ileal Pouch-Anal Anastomosis? (S47) (MP4)

  • A Minimally Invasive Approach in Complex Inflammatory Bowel Disease (V45) (S48)
    Course ID : ASCRS1329I

    E. Faul, E. Gorgun, Cleveland, OH

  • A Minimally Invasive Approach in Complex Inflammatory Bowel Disease (V45) (S48) (MP4)

  • Do Biologics Change the Natural History of Severe Perianal Crohn's Disease Requiring Fecal Diversion? (S49)
    Course ID : ASCRS1329J

    J. Gu, M. Valente, F. Remzi, L. Stocchi, Cleveland, OH

  • Do Biologics Change the Natural History of Severe Perianal Crohn's Disease Requiring Fecal Diversion? (S49) (MP4)

  • Single Nucleotide Polymorphism in the Stat5 Gene Favors Colonic as Opposed to Small Bowel Inflammation in Crohn's Disease (S50)
    Course ID : ASCRS1329K

    T.M. Connelly, A. Berg, J.P. Hegarty, D. Brinton, S. Deiling, L.S. Poritz, W.A. Koltun, D.B. Stewart; Hershey, PA

  • Single Nucleotide Polymorphism in the Stat5 Gene Favors Colonic as Opposed to Small Bowel Inflammation in Crohn's Disease (S50) (MP4)

  • ANORECTAL and COLONOSCOPY (S51-S56, S58-S60)

    Objectives: At the conclusion of this session, participants should be able to: (S51) recognize high- and lowgrade AIN lesion; (S52) a) understand that HRA guided ablation of anal dysplasia prevents progression to anal cancer in HIV+ and HIV- men who have sex with men, b) understand that although recurrence after treatment is high, repeated treatment of HSIL decreases recurrence over time; (S53) a) understand factors that influence whether or not a member physician performs anal dysplasia screening, b) understand the availability of anal dysplasia screening by members of the ASCRS; (S54) compare the short- and long-term results of hemorrhoids dearterialization and hemorrhoidectomy; (S55) acquire a new concept for anal fistula treatment; (S56) a) understand that lectins bind differentially to normal, dysplastic and cancer tissue, b) appreciate that fluorescently labeled lectins may be used as an adjunct tool in colonoscopy to improve diagnostic accuracy; (S58) a) consider alternate surveillance times and methods for colorectal cancer patients; (S59) a) determine if different types of sedation affect iatrogenic perforation related to colonoscopy; (S60) a) describe appropriate completion studies in the setting of incomplete colonoscopy.

    Which Lesions Should be Biopsied During HRA? Prospective Descriptive Study of Simple Morphological Criteria (S51)
    Course ID : ASCRS1332A

    I. Etienney, M. Camus, A. Lesage, J. Flejou, P. Atienza; Paris, France

  • Which Lesions Should be Biopsied During HRA? Prospective Descriptive Study of Simple Morphological Criteria (S51) (MP4)

  • Near 100% Prevention Rates of Anal Carcinoma Achieved with High-Resolution Anoscopy-Guided Ablation of High-Grade Dysplasia (S52)
    Course ID : ASCRS1332B

    S.E. Goldstone, A.A. Johnstone, E.L. Moshier, A.B. Goldstone, New York, NY; Philadelphia, PA

  • Near 100% Prevention Rates of Anal Carcinoma Achieved with High-Resolution Anoscopy-Guided Ablation of High-Grade Dysplasia (S52) (MP4)

  • Results of ASCRS Member Survey on Anal Dysplasia Screening: Attitudes and Practice (S53)
    Course ID : ASCRS1332C

     S.E. Goldstone, A. Cooperstein, S.H. Factor; New York, NY

  • Results of ASCRS Member Survey on Anal Dysplasia Screening: Attitudes and Practice (S53) (MP4)

  • Prospective-Randomized Trial Comparing Short- and Long-Term Results of Doppler-Guided Transanal Dearterialization and Hemorrhoidectomy for Grade III Hemorrhoids (S54)
    Course ID : ASCRS1332D

    P. De Nardi, G. Capretti, A. Corsaro, C. Staudacher, Milano, Italy

  • Prospective-Randomized Trial Comparing Short- and Long-Term Results of Doppler-Guided Transanal Dearterialization and Hemorrhoidectomy for Grade III Hemorrhoids (S54) (MP4)

  • ASCRS International Scholarship Winner: A Randomized-Controlled Trial Comparing Postoperative Pain Associated with Doppler-Guided Hemorrhoidal Artery Ligation and Recto Anal Repair vs Stapled Hemorrhoidopexy
    Course ID : ASCRS1332E

    A.C. Roslani, L.S. Rahim, H. Shabbar, Kuala Lumpur, Malaysia

  • ASCRS International Scholarship Winner: A Randomized-Controlled Trial Comparing Postoperative Pain Associated with Doppler-Guided Hemorrhoidal Artery Ligation and Recto Anal Repair vs Stapled Hemorrhoidopexy (MP4)

  • Video-Assisted Anal Fistula Treatment: A New Concept of Treating Anal Fistulas (S55)
    Course ID : ASCRS1332F

    P. Meinero, L. Mori, G. Gasloli, Chiavari, Genova, Italy

  • Video-Assisted Anal Fistula Treatment: A New Concept of Treating Anal Fistulas (S55) (MP4)

  • Molecular Imaging of Dysplasia and Cancer Using Fluorescent Lectins (S56)
    Course ID : ASCRS1332G

    T. Yeung, J. East, L.M. Wang, N.J. Mortensen, W. Bodmer; Oxford, United Kingdom

  • Molecular Imaging of Dysplasia and Cancer Using Fluorescent Lectins (S56) (MP4)

  • Timing of Colonoscopy after Resection for Colorectal Cancer: Are we Looking too Soon? (S58)
    Course ID : ASCRS1332I

    M.M. Cone, J.D. Rea, D.E. Beck, C.B. Whitlow, D.A. Margolin, New Orleans, LA  

  • Timing of Colonoscopy after Resection for Colorectal Cancer: Are we Looking too Soon? (S58) (MP4)

  • Does Sedation Type Affect Colonoscopy Perforation Rate? (S59)
    Course ID : ASCRS1332J

    A. Adeyemo, M. Bannazadeh, P. Bednarz, T. Riggs, J. Shellnut, D. Barkel, H. Wasvary; Royal Oak, MI

  • Does Sedation Type Affect Colonoscopy Perforation Rate? (S59) (MP4)

  • Achieving a Complete Colonic Evaluation in Patients with Incomplete Colonoscopy is Worth the Effort (S60)
    Course ID : ASCRS1332K

    T.J. Ridolfi, M. Valente, J.M. Church, Cleveland, OH

  • Achieving a Complete Colonic Evaluation in Patients with Incomplete Colonoscopy is Worth the Effort (S60) (MP4)

  • PELVIC FLOOR and COMPLEX FISTULA (S61-S62, S64-S71)

    Objectives: At the conclusion of this session, participants should be able to: (S61) understand the effectiveness of SNS in patients with different degrees of baseline FI severity; (S62) identify patients who might benefit from the use of sacral nerve stimulation for treatment of fecal incontinence; (S64) understand pathophysiology of slow gut transit constipation and real world results/experience from sacral neuromodulation as a treatment modality; (S65) a) recognize the association between middle and posterior compartment pelvic prolapse, b) identify validated outcome measures that can be used to assess patient bowel function and quality of life after prolapse repair, c) understand the risks associated with combined sacrocolpopexy and rectopexy, and the risk of prolapse recurrence; (S68) understand the outcomes and possible predictors of success of martius flaps and gracilis muscle transposition for repair of complex rectovaginal fistulas.

    Does Baseline Fecal Incontinence Severity Influence Outcome of Sacral Nerve Stimulation? (S61)
    Course ID : ASCRS1334A

    A.M. Mellgren, C. Giese, S.D. Wexner, T. Hull, G. Devroede, J.A. Coller, K. Stromberg, R.D. Madoff, Minneapolis, MN; Cleveland, OH; Weston, FL; Burlington, MA; Fleurimont, QC, Canada

  • Does Baseline Fecal Incontinence Severity Influence Outcome of Sacral Nerve Stimulation? (S61) (MP4)

  • Efficacy of Sacral Nerve Stimulation for the Treatment of Fecal Incontinence is Not Influenced by the Size of Anal Sphincter Defect (S62)
    Course ID : ASCRS1334B

    J.V. Manchio, H.H. Al-Azzawi, B.M. Tsai, M. Boutros, E. Rager, J.R. Speranza, S.D. Wexner, B.M. Sanders; Indianapolis, IN; Weston, FL; Rochester, NY

  • Efficacy of Sacral Nerve Stimulation for the Treatment of Fecal Incontinence is Not Influenced by the Size of Anal Sphincter Defect (S62) (MP4)

  • Sacral Nerve Neuromodulation for Slow Gut Transit Constipation: Real World Results with a Trial of Extended Percutaneous Nerve Evaluation (S64)
    Course ID : ASCRS1334C

    P. Waterland, A. Sharples, F. Khan, J. Evans, C.V. Thompson, M. Clarke, M. Farmer, Stoke on Trent, United Kingdom

  • Sacral Nerve Neuromodulation for Slow Gut Transit Constipation: Real World Results with a Trial of Extended Percutaneous Nerve Evaluation (S64) (MP4)

  • Sacrocolpopexy with Rectopexy for Pelvic Floor Prolapse Improves Bowel Function and Quality of Life (S65)
    Course ID : ASCRS1334D

    S.A. Vogler, Y. Watadani, J.S. Warshaw, A.C. Lowry, R.D. Madoff, A.F. Mellgren, Salt Lake City, UT; Hiroshima, Japan; Minneapolis, MN

  • Sacrocolpopexy with Rectopexy for Pelvic Floor Prolapse Improves Bowel Function and Quality of Life (S65) (MP4)

  • Bio-Thiersch Procedure for Rectal Prolapse after LAR (V8) (S66)
    Course ID : ASCRS1334E

    J. Calata, J. Park, S. Marecik, L. Prasad, Park Ridge, IL; Chicago, IL

  • Bio-Thiersch Procedure for Rectal Prolapse after LAR (V8) (S66) (MP4)

  • Technique of Botox Injections in the Treatment of Levator Ani Syndrome (V19) (S67)
    Course ID : ASCRS1334F

    M. Zutshi, B. Gurland, T. Hull, Cleveland, OH

  • Technique of Botox Injections in the Treatment of Levator Ani Syndrome (V19) (S67) (MP4)

  • Martius and Gracilis Muscle Flap Repair of Complex Rectovaginal Fistulas (S68)
    Course ID : ASCRS1334G

    R.R. Cannom, A.E. Lee, A.F. Mellgren, R.D. Madoff, A.C. Lowry; Minneapolis, MN; Orlando, FL

  • Martius and Gracilis Muscle Flap Repair of Complex Rectovaginal Fistulas (S68) (MP4)

  • Best Video: Gracilis Transposition for Complex Perineal Fistulas: Rectovaginal Fistula and Rectourethral Fistula (V9) (S69)
    Course ID : ASCRS1334H

    S. Takano, M. Boutros, S. Wexner, Weston, FL

  • Best Video: Gracilis Transposition for Complex Perineal Fistulas: Rectovaginal Fistula and Rectourethral Fistula (V9) (S69) (MP4)

  • Transanal Minimally-Invasive Surgery Repair of High Recto-Vaginal Fistula after Sex Reassignment Surgery (V54) (S70)
    Course ID : ASCRS1334I

    M. Khaikin, O. Zmora, M. Gutman, Tel-Hashomer, Israel

  • Transanal Minimally-Invasive Surgery Repair of High Recto-Vaginal Fistula after Sex Reassignment Surgery (V54) (S70) (MP4)

  • TAMIS Repair of Retourethral Fistula (V53) (S71)
    Course ID : ASCRS1334J

    S. Atallah, T. deBeche-Adams, M. Albert, G. Nassif, H. Ploavarapu, S. Larach, Orlando, FL

  • TAMIS Repair of Retourethral Fistula (V53) (S71) (MP4)

  • RECTAL CANCER II (S72-S80)

    Objectives: At the conclusion of this session, participants should be able to: (S72) recognize the potential of statins to improve the pathologic response to neoadjuvant chemoradiotherapy in rectal cancer; (S73) a) realize the accuracy and limitations of CCR in determining watch and wait for rectal cancer; (S74) understand PET/CT information associated with complete tumor regression in patients with rectal cancer following neoadjuvant CRT; (S75) know the possibility of prediction system of pathologic complete response after preoperative chemoradiation therapy using biomarkers; (S76) a) develop a plan of management for rectal cancer with preoperative chemoradiotherapy; (S77) understand the outcomes of patients treated with neoadjuvant CRT using additional cycles of chemotherapy during the resting period after RT completion; (S78) a) describe expected morbidity and oncologic outcomes following extended sacropelvic resection for locally recurrent colorectal cancer; (S79) discuss the outcomes following abdominal peritoneal resection and the effects of wound dehiscence on survival; (S80) understand differences in short-term outcomes and cost between robotic and laparoscopic surgery for rectal cancer.

    Statin Therapy is Associated with Improved Pathologic Response to Neoadjuvant Chemoradiotherapy in Rectal Cancer (S72)
    Course ID : ASCRS1338A

    A.G. Mace, G. Gantt, M.F. Kalady, Cleveland, OH

  • Statin Therapy is Associated with Improved Pathologic Response to Neoadjuvant Chemoradiotherapy in Rectal Cancer (S72) (MP4)

  • Clinical Criteria Underestimate Complete Pathological Response in Rectal Cancer Treated with Neoadjuvant Chemoradiotherapy (S73)
    Course ID : ASCRS1338B

    F. Smith, H. Wiland, R. Pai, M. Kalady, Cleveland, OH

  • Clinical Criteria Underestimate Complete Pathological Response in Rectal Cancer Treated with Neoadjuvant Chemoradiotherapy (S73) (MP4)

  • Predictive Factors at PET/CT for Complete Response after Neoadjuvant CRT for Distal Rectal Cancer: Results from a Prospective Study Using Sequential PET/CT (S74)
    Course ID : ASCRS1338C

    R.O. Perez, A. Habr-Gama, G. Sao Juliao, C. Sabbagh, P. Lynn, C. Ono, S. Nahas, I. Proscurshim, C. Buchpiguel; Sao Paulo, Brazil

  • Predictive Factors at PET/CT for Complete Response after Neoadjuvant CRT for Distal Rectal Cancer: Results from a Prospective Study Using Sequential PET/CT (S74) (MP4)

  • Can Biomarkers-Based Scoring System Predict Pathologic Complete Response after Preoperative Chemoradiation Therapy for Rectal Cancer? (S75)
    Course ID : ASCRS1338D

    H. Hur, B.S. Min, S.H. Baik, K.Y. Lee, N.K. Kim, Seoul, Republic of Korea

  • Can Biomarkers-Based Scoring System Predict Pathologic Complete Response after Preoperative Chemoradiation Therapy for Rectal Cancer? (S75) (MP4)

  • Prediction of Response to Preoperative Chemoradiotherapy in Rectal Cancer Using Reverse Transcript Ase-Polymerase Chain Reaction Analysis of Four Genes (S76)
    Course ID : ASCRS1338E

    T. Watanabe, T. Kobunai, T. Akiyoshi, K. Matsuda, S. Ishihara, K. Nozawa, Tokyo, Japan

  • Prediction of Response to Preoperative Chemoradiotherapy in Rectal Cancer Using Reverse Transcript Ase-Polymerase Chain Reaction Analysis of Four Genes (S76) (MP4)

  • Watch and Wait Approach Following Extended Neoadjuvant Chemoradiation for Distal Rectal Cancer: Are We Getting Closer to Anal Cancer Management? (S77)
    Course ID : ASCRS1338F

    A. Habr-Gama, R.O. Perez, J. Sabbaga, P. Aguilar, J. Gama-Rodrigues, W. Nadalin, I. Proscurshim, P.B. Lynn, Sao Paulo, Brazil

  • Watch and Wait Approach Following Extended Neoadjuvant Chemoradiation for Distal Rectal Cancer: Are We Getting Closer to Anal Cancer Management? (S77) (MP4)

  • Extended Sacropelvic Resection for Locally Recurrent Rectal Cancer: Can It Be Done Safely and with Good Oncologic Outcomes? (S78)
    Course ID : ASCRS1338G

    D.T. Colibaseanu, K.L. Mathis, M.L. Martinez Ugarte, Z.M. Abdelsattar, M.D. Williams, P.S. Rose, D.W. Larson, E.J. Dozois, Rochester, MN

  • Extended Sacropelvic Resection for Locally Recurrent Rectal Cancer: Can It Be Done Safely and with Good Oncologic Outcomes? (S78) (MP4)

  • Its Not Just an Infection: Wound Dehiscence after APR for Rectal Cancer is Associated with Decreased Survival (S79)
    Course ID : ASCRS1338H

    A.T. Hawkins, D.L. Berger, P.C. Shellito, P. Sylla, L. Bordeianou, Boston, MA

  • Its Not Just an Infection: Wound Dehiscence after APR for Rectal Cancer is Associated with Decreased Survival (S79) (MP4)

  • Robotic vs. Laparoscopic Proctectomy for Rectal Cancer: Short-Term Outcomes and Cost Analysis of a Case-Matched Series (S80)
    Course ID : ASCRS1338I

    B. Bello, K. Umanskiy, K. Ohara, K. Skowron, A. Francis, D. Carter, J. Muldoon, J. Spitz, M. Singer, Evanston, IL; Chicago, IL

  • Robotic vs. Laparoscopic Proctectomy for Rectal Cancer: Short-Term Outcomes and Cost Analysis of a Case-Matched Series (S80) (MP4)

  • IMPACT PAPER AND FELLOW PRESENTATIONS


    The Robert W. Beart, MD, 2012 Impact Paper of the Year Award
    Course ID : ASCRS1213

    Tumor Scatter After Neoadjuvant Therapy for Rectal Cancer: Are We Dealing with an Invisible Margin?

     

    D.M. Hayden, S. Jakate, M.C.M. Pinzon, D. Giusto, A.B. Francescatti, M.I. Brand, T.J. Saclarides, Chicago, IL, Maywood, IL

  • The Robert W. Beart, MD, 2012 Impact Paper of the Year Award (MP4)

  • ASCRS International Scholarship Winner: Colorectal Cancer Surgery in Estonia
    Course ID : ASCRS1323I

    I. Seire, Tallinn, Estonia

  • ASCRS International Scholarship Winner: Colorectal Cancer Surgery in Estonia (MP4)

  • ASCRS International Scholarship Winner: A Randomized-Controlled Trial Comparing Postoperative Pain Associated with Doppler-Guided Hemorrhoidal Artery Ligation and Recto Anal Repair vs Stapled Hemorrhoidopexy
    Course ID : ASCRS1332E

    A. C. Roslani, L. S. Rahim, H. Shabbar, Kuala Lumpur, Malaysia

  • ASCRS International Scholarship Winner: A Randomized-Controlled Trial Comparing Postoperative Pain Associated with Doppler-Guided Hemorrhoidal Artery Ligation and Recto Anal Repair vs Stapled Hemorrhoidopexy (MP4)

  • ASCRS International Scholarship Winner: Polyp Prevalence Following Colonoscopy Among Nigerians: A Prospective Observational Study
    Course ID : ASCRS1323J

    O. Alatise, Ile-Ife, Osun State, Nigeria

  • ASCRS International Scholarship Winner: Polyp Prevalence Following Colonoscopy Among Nigerians: A Prospective Observational Study (MP4)

  • Best Video: Gracilis Transposition for Complex Perineal Fistulas: Rectovaginal Fistula and Rectourethral Fistula (V9) (S69)
    Course ID : ASCRS1334H

    S. Takano, M. Boutros, S. Wexner, Weston, FL

  • Best Video: Gracilis Transposition for Complex Perineal Fistulas: Rectovaginal Fistula and Rectourethral Fistula (V9) (S69) (MP4)

  • British Traveling Fellow: Low Rates of Local Recurrence are Achievable with a Selective Approach to Preoperative Radiotherapy in Locally Advanced Rectal Cancer (S32)
    Course ID : ASCRS1327B

    D.A. Harris, J. Williamson, M. Davies, M.D. Evans, J. Beynon, Swansea, United Kingdom

  • British Traveling Fellow: Low Rates of Local Recurrence are Achievable with a Selective Approach to Preoperative Radiotherapy in Locally Advanced Rectal Cancer (S32) (MP4)

  • ESCP Best Paper: Does Mechanical Bowel Preparation Preceding Colon Cancer Operation Affect 5-Year Mortality and Cancer Recurrence Rate? (S30)
    Course ID : ASCRS1323H

    A. Collin, J. Folkesson, B. Jung, E. Nilsson, L. Pahlman; Uppsala, Sweden; Linkoping, Sweden; Umea, Sweden

  • ESCP Best Paper: Does Mechanical Bowel Preparation Preceding Colon Cancer Operation Affect 5-Year Mortality and Cancer Recurrence Rate? (S30) (MP4)

  • Killingback Award Winner: Colorectal Preoperative Surgical Score: Validating a Preoperative Risk Stratification Model for Major Colorectal Surgery (S21)
    Course ID : ASCRS1319J

    C.H. Kong, G. Guest, S. Chan, I. Faragher, D. Watters; Geelong, Victoria, Australia; St. Alban, Victoria, Australia

  • Killingback Award Winner: Colorectal Preoperative Surgical Score: Validating a Preoperative Risk Stratification Model for Major Colorectal Surgery (S21) (MP4)

  • LECTURESHIPS AND PRESIDENTIAL ADDRESS


    PRESIDENTIAL ADDRESS
    Course ID : ASCRS1322

    Alan G. Thorson, MD, FACS, FASCRS, Clinical Professor of Surgery, Creighton University , School of Medicine, University of Nebraska College of Medicine, Omaha, NE

  • PRESIDENTIAL ADDRESS (MP4)

  • ERNESTINE HAMBRICK, MD, LECTURESHIP: Raising Our Replacements: A Two-Way Street of Lessons Learned
    Course ID : ASCRS1336

    Barbara Lee Bass, MD, The John F. Bookout Distinguished Endowed Chair; Chair, Department of Surgery, The Methodist Hospital; Executive Director, Methodist Institute for Technology, Innovation and Education MITIESM; Professor of Surgery, Weill Cornell Medical University, Houston, TX

  • ERNESTINE HAMBRICK, MD, LECTURESHIP: Raising Our Replacements: A Two-Way Street of Lessons Learned (MP4)

  • HARRY E. BACON, MD, LECTURESHIP: Post Reform Value Re-engineering: The Geisinger Model
    Course ID : ASCRS1317

    Glenn D. Steele, Jr., MD, PhD, President and Chief Executive Officer, Geisinger Health System, Danville, PA

  • HARRY E. BACON, MD, LECTURESHIP: Post Reform Value Re-engineering: The Geisinger Model (MP4)

  • MASTERS IN COLORECTAL SURGERY LECTURESHIP HONORING VICTOR W. FAZIO, MD: Reoperative Abdominal Surgery - Lessons of a Lifetime
    Course ID : ASCRS1326

    James M. Church, MBChB, Victor W. Fazio Chair in Colorectal Surgery, Director Sanford R. Weiss MD Center for Hereditary Colorectal Neoplasia, Department of Colorectal Surgery, Digestive Diseases Institute, Cleveland Clinic Foundation, Cleveland, OH

  • MASTERS IN COLORECTAL SURGERY LECTURESHIP HONORING VICTOR W. FAZIO, MD: Reoperative Abdominal Surgery - Lessons of a Lifetime (MP4)

  • MEMORIAL LECTURSHIP HONORING JAMES F. GUTHRIE, MD: Anti-Fragile - Leadership Lessons of the ASCRS
    Course ID : ASCRS1331

    Anthony J. Senagore, MD, Professor, Clinical Scholar and Division Chief, Charles W. and Carolyn Costello Chair in Colorectal Diseases, Dept. of Surgery/Div. of Colorectal Surgery, Keck School of Medicine at the University of Southern California, Los Angeles, CA

  • MEMORIAL LECTURSHIP HONORING JAMES F. GUTHRIE, MD: Anti-Fragile - Leadership Lessons of the ASCRS (MP4)

  • NORMAN D. NIGRO, MD, RESEARCH LECTURESHIP: Staging of Colorectal Cancer - Anatomical and Molecular Factors and Beyond
    Course ID : ASCRS1337

    Frederick L. Greene, MD, Clinical Professor of Surgery, University of North Carolina, School of Medicine, Charlotte, NC

  • NORMAN D. NIGRO, MD, RESEARCH LECTURESHIP: Staging of Colorectal Cancer - Anatomical and Molecular Factors and Beyond (MP4)

  • PARVIZ KAMANGAR HUMANITIES IN SURGERY LECTURESHIP: Why Surgeons Must Be Very Careful ***AUDIO ONLY***
    Course ID : ASCRS1325

    Daniel P. Sulmasy, MD, PhD, Kilbride-Clinton, Professor of Medicine and the Divinity School University of Chicago, Associate Director, MacLean Center for Clinical Medical Ethics, University of Chicago Medicine, Chicago, IL

  • PARVIZ KAMANGAR HUMANITIES IN SURGERY LECTURESHIP: Why Surgeons Must Be Very Careful ***AUIDO ONLY*** (MP3)

  • SYMPOSIA


    Core Subject Update

    Objectives: At the conclusion 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.

    Colon Cancer
    Course ID : ASCRS1309A

    Luca Stocchi, MD, Cleveland, OH

  • Colon Cancer (MP4)

  • Diverticulitis
    Course ID : ASCRS1309B

    Andreas Kaiser, MD, Los Angeles, CA

  • Diverticulitis (MP4)

  • Other Colidites
    Course ID : ASCRS1309C

    Brian Kann, MD, Philadelphia, PA

  • Other Colidites (MP4)

  • Fecal Incontinence
    Course ID : ASCRS1309D

    Tracy Hull, MD, Cleveland, OH

  • Fecal Incontinence (MP4)

  • Fistula/Abscess
    Course ID : ASCRS1309E

    Peter Cataldo, MD, Burlington, VT

  • Fistula/Abscess (MP4)

  • Perioperative Management
    Course ID : ASCRS1309F

    Alan Herline, MD, Nashville, TN

  • Perioperative Management (MP4)

  • EBRS Symposium: Time to Change the Treatment of Rectal Cancer: Role of MRI

    Objectives: At the conclusion of this session, participants should be able to: a) describe what is Evidence Based Reviews in Surgery; b) describe the use of EBRS for continuing medical education and journal club activities; c) navigate the EBRS website; and d) discuss the potential role of MRI in treating patients with rectal cancer.

    Introduction and Overview of EBRS
    Course ID : ASCRS1306A

    Larissa Temple, MD, New York, NY

  • Introduction and Overview of EBRS (MP4)

  • Overview of EBRS Website and Poll the Audience on their Practices
    Course ID : ASCRS1306BC

    Marg McKenzie, RN, Toronto, ON, Canada; Larissa Temple, MD, New York, NY

  • Overview of EBRS Website and Poll the Audience on their Practices (MP4)

  • Presentation of Salient Points of Article
    Course ID : ASCRS1306D

    Nancy Baxter, MD, PhD, Toronto, ON, Canada

  • Presentation of Salient Points of Article (MP4)

  • Methodological Critique Including Discussion re Methodology and Validity and Generalizability
    Course ID : ASCRS1306E

    Carl Brown, MD, Vancouver, BC, Canada

  • Methodological Critique Including Discussion re Methodology and Validity and Generalizability (MP4)

  • Expert Panel with Audience Discussion
    Course ID : ASCRS1306F

    Marc Gollub, MD, New York, NY; Erin Kennedy, MD, PhD, Toronto, ON, Canada; David Rothenberger, MD, Minneapolis, MN

    Also includes:

    • Summary of Experts Remarks and Listserv Discussion - Carl Brown, MD, Vancouver, BC, Canada
    • Concluding Remarks - Larissa Temple, MD, New York, NY


  • Expert Panel with Audience Discussion (MP4)

  • How to Get Paid: Colon and Rectal Surgery Coding and Reimbursement

    Objectives: At the conclusion of this session, participants should be able to: a) understand ICD-9 and ICD-10 diagnosis coding; b) learn how to appropriately code E&M visits in colorectal surgery; c) understand modifiers related to E&M visits; d) learn how to appropriately code surgical and endoscopic procedures; e) describe add-on codes and modifiers for procedures; and f ) understand billing reconciliation and how to deal with payer denials.

    Introduction - The Challenges We All Face
    Course ID : ASCRS1305A

    James Merlino, MD, Cleveland, OH

  • Introduction - The Challenges We All Face (MP4)

  • How Providers are Reimbursed for Medical Services in the United States
    Course ID : ASCRS1305B

    Guy Orangio, MD, New Orleans, LA

  • How Providers are Reimbursed for Medical Services in the United States (MP4)

  • Important Tactics to Ensure Appropriate Coding and Billing
    Course ID : ASCRS1305C

    David Margolin, MD, New Orleans, LA

  • Important Tactics to Ensure Appropriate Coding and Billing (MP4)

  • Compliance and Billing Pitfalls
    Course ID : ASCRS1305D

    David O'Brien, MD, Portland, OR

  • Compliance and Billing Pitfalls (MP4)

  • Case Vignettes/Discussion
    Course ID : ASCRS1305E



  • Case Vignettes/Discussion (MP4)

  • Laparoscopic Nuts & Bolts and Robotic Rivets

    Objectives: At the conclusion of this session, participants should be able to understand: a) various laparoscopic approaches to mobilization of the colon; b) techniques of managing intra-operative complications laparoscopically; c) techniques of single-site laparoscopic colon surgery; and d) the role of robotic colorectal surgery.

    The Same Way Every Time: Lap Right
    Course ID : ASCRS1312A

    Alessandro Fichera, MD, Seattle, WA

  • The Same Way Every Time: Lap Right (MP4)

  • The Same Way Every Time: Lap Left
    Course ID : ASCRS1312B

    Maher Abbas, MD, Los Angeles, CA

  • The Same Way Every Time: Lap Left (MP4)

  • Laparoscopic Liferings: Management of Intraoperative Complications
    Course ID : ASCRS1312C

    Jorge Marcet, MD, Tampa, FL

  • Laparoscopic Liferings: Management of Intraoperative Complications (MP4)

  • Single-Incision Lap Abdominal Colectomy: Making SLIC Look Slick
    Course ID : ASCRS1312D

    Tonia Young-Fadok, MD, Phoenix, AZ

  • Single-Incision Lap Abdominal Colectomy: Making SLIC Look Slick (MP4)

  • Safe Laparoscopy in the Bariatric Patient: Big Belly, Little Holes
    Course ID : ASCRS1312E

    Kevin Reavis, MD, Portland, OR

  • Safe Laparoscopy in the Bariatric Patient: Big Belly, Little Holes (MP4)

  • Complete Mesocolic Excision with High Vascular Ligation
    Course ID : ASCRS1312F

    Martin Weiser, MD, New York, NY

  • Complete Mesocolic Excision with High Vascular Ligation (MP4)

  • Complex Inflammatory Fistula: Staying Laparoscopic
    Course ID : ASCRS1312G

    Conor Delaney, MD, PhD, Cleveland, OH

  • Complex Inflammatory Fistula: Staying Laparoscopic (MP4)

  • Just a Simple Lap Stoma: Problems and Solutions
    Course ID : ASCRS1312H

    Johan Nordenstam, MD, PhD, Minneapolis, MN

  • Just a Simple Lap Stoma: Problems and Solutions (MP4)

  • Spare the Stoma with Lap Lavage for Diverticulitis
    Course ID : ASCRS1312I

    Dieter Hahnloser, MD, Lausanne, Switzerland

  • Spare the Stoma with Lap Lavage for Diverticulitis (MP4)

  • Pelvic Dissection: Every Nerve, Every Time
    Course ID : ASCRS1312J

    Toyooki Sonoda, MD, New York, NY

  • Pelvic Dissection: Every Nerve, Every Time (MP4)

  • Avoiding the APR Waist - Robotic Approach to the Levators
    Course ID : ASCRS1312K

    George Chang, MD, Houston, TX

  • Avoiding the APR Waist - Robotic Approach to the Levators (MP4)

  • NOSE on NOTES: Natural Orifice Specimen Extraction and Intracorporeal Anastomosis
    Course ID : ASCRS1312L

    Antonio Lacy, MD, PhD, Barcelona, Spain

  • NOSE on NOTES: Natural Orifice Specimen Extraction and Intracorporeal Anastomosis (MP4)

  • Drivin' With the Top Down: A New View of the Flexures
    Course ID : ASCRS1312N

    John Marks, MD, Wynnewood, PA

  • Drivin' With the Top Down: A New View of the Flexures (MP4)

  • Laparoscopic Ventral Rectopexy
    Course ID : ASCRS1312O

    Andre D'Hoore, MD, Leuven, Belgium

  • Laparoscopic Ventral Rectopexy (MP4)

  • Hartmann's and Hartmann's Reversal: It's Not Just for Open Surgery
    Course ID : ASCRS1312M

    Barry Jenkins, Augusta, GA

  • Hartmann's and Hartmann's Reversal: It's Not Just for Open Surgery (MP4)

  • VIDEO SESSION - Wednesday (WV1-WV-11)


    Intersphincteric Proctectomy (V12) (WV-1)
    Course ID : ASCRS1342A

    D. Patsouras, R. Phillips, Harrow, United Kingdom; London, United Kingdom

  • Intersphincteric Proctectomy (V12) (WV-1) (MP4)

  • Laparoscopic Anterior Resection for Colovaginal Fistula (V4) (WV-2)
    Course ID : ASCRS1342B

    M. Abbas, Los Angeles, CA

  • Laparoscopic Anterior Resection for Colovaginal Fistula (V4) (WV-2) (MP4)

  • Vertical Rectus Abdominis Myocutaneous Flap for Perineal Reconstruction after Abdominoperineal Rectal Resection for Hidradenitis Suppurativa with a Squamous Cell Carcinoma (V65) (WV-3)
    Course ID : ASCRS1342C

    T. Georgiev-Hristov, M. Alvarez-Gallego, H. Guadalajara, A. Herrera, J. Martinez, D. Garcia-Olmo, Madrid, Spain

  • Vertical Rectus Abdominis Myocutaneous Flap for Perineal Reconstruction after Abdominoperineal Rectal Resection for Hidradenitis Suppurativa with a Squamous Cell Carcinoma (V65) (WV-3) (MP4)

  • Transanal Minimal Invasive Surgery Using Robotic-Assisted Handheld System (V16) (WV-4)
    Course ID : ASCRS1342D

    A. Canda, C. Arslan, M. Bingul, C. Terzi, Izmir, Turkey

  • Transanal Minimal Invasive Surgery Using Robotic-Assisted Handheld System (V16) (WV-4) (MP4)

  • Laparoscopic Re-Exploration after Laparoscopic Left Colectomy (V61) (WV-5)
    Course ID : ASCRS1342E

    D. Beder, V. Im, F. Alvarez, R. Mentz, C. Vaccaro, G. Rossi, Buenos Aires, Argentina

  • Laparoscopic Re-Exploration after Laparoscopic Left Colectomy (V61) (WV-5) (MP4)

  • Laparoscopic Resection and Vaginal Extraction of the Specimen - A Standard Procedure for Treatment of Deep Infiltrating Rectal Endometriosis (V63) (WV-6)
    Course ID : ASCRS1342F

    M. Alvarez-Gallego, T. Georgiev-Hristov, H. Guadalajara, M. Herreros, L. Cristobal, J. de Santiago, A. Hernandez, D. Garcia-Olmo, Madrid, Spain

  • Laparoscopic Resection and Vaginal Extraction of the Specimen - A Standard Procedure for Treatment of Deep Infiltrating Rectal Endometriosis (V63) (WV-6) (MP4)

  • Surgical Treatment of Giant Cystic Presacral Tumors (Hemangiopericytoma and Teratoma) (V62) (WV-7)
    Course ID : ASCRS1342G

    T. Georgiev-Hristov, M. Herreros, H. Guadalajara, M. Alvarez-Gallego, E. Torres, E. Ortiz, A. Valverde, D. Garcia-Olmo, Madrid, Spain

  • Surgical Treatment of Giant Cystic Presacral Tumors (Hemangiopericytoma and Teratoma) (V62) (WV-7) (MP4)

  • Laparoscopic Transabdominal and Paracoccygeal Resection of Pelvic Teratoma (V5) (WV-8)
    Course ID : ASCRS1342H

    M. Abbas, Los Angeles, CA

  • Laparoscopic Transabdominal and Paracoccygeal Resection of Pelvic Teratoma (V5) (WV-8) (MP4)

  • Rectocele Repair - Transvaginal Technique with Mesh and Levatorplasty (V58) (WV-9)
    Course ID : ASCRS1342I

    S. Marecik, J. Estrada, V. Velchuru, M. Zawadzki, J. Park, L. Prasad, Park Ridge, IL; Chicago, IL

  • Rectocele Repair - Transvaginal Technique with Mesh and Levatorplasty (V58) (WV-9) (MP4)

  • Perineal Resection of Rectal Prolapse - Altemeier Procedure (V70) (WV-10)
    Course ID : ASCRS1342J

    D. Ren, Z. Xian, S. Xie, X. Wang, B. Hu, X. Lin, Guangzhou, People's Republic of China

  • Perineal Resection of Rectal Prolapse - Altemeier Procedure (V70) (WV-10) (MP4)

  • Laparoscopic Complete Mesocolic Excision for Right Colon Cancer (V21) (WV-11)
    Course ID : ASCRS1342K

    J. Kang, D. Kang, I. Kim, S. Sohn, K. Lee, Seoul, Korea

  • Laparoscopic Complete Mesocolic Excision for Right Colon Cancer (V21) (WV-11) (MP4)

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