Video Gallery : Diseases of the Colon & Rectum

2021 Best Video of the ASCRS Annual Meeting: Technical Tips and Tricks of Colonic Interposition

Creator: Robert A. Malizia, M.D.; Pamel Lu, M.D., M.P.H.; James Yoo, M.D.; Nelya Melnitchouk, M.D., M.Sc.; Jennifer Irani, M.D.; Jiping Wang, M.D., Ph.D.; Ronald Bleday, M.D.; Jon Wee, M.D.; Joel Goldberg, M.D., M.P.H.; Medford, MA

Duration: 6:49

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2021 Best Video of the ASCRS Annual Meeting

Every year the Video-Based Education Committee of the American Society of Colon and Rectal Surgeons (ASCRS) receives high-quality videos from national and international experts for consideration for presentation at the ASCRS annual meeting. Videos are evaluated through a rigorous, anonymous, and unbiased peer-review process. The best eight are selected for podium presentation at the video session. One of these eight is selected by the Awards Committee to receive THE BARTON HOEXTER, MD, BEST VIDEO AWARD. An additional 40 videos are selected for presentation in the video room during the meeting. Five of the videos selected for podium presentation are submitted to Diseases of the Colon & Rectum to provide members of the Society, trainees, and journal subscribers access to the “best of the best” of the annual meeting video session.

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2021 Best Video of the ASCRS Annual Meeting: Trigone-Sparing Robotic Anterior Extramesorectal Excision (EME) in an Overweight Male

Creator: Slawomir Marecik, Devon Schlund, Jeffrey Pearl, Colleen Donahue, Kunal Kochar , John Park; Ridge, IL

Duration: 5:31

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2021 Best Video of the ASCRS Annual Meeting

Every year the Video-Based Education Committee of the American Society of Colon and Rectal Surgeons (ASCRS) receives high-quality videos from national and international experts for consideration for presentation at the ASCRS annual meeting. Videos are evaluated through a rigorous, anonymous, and unbiased peer-review process. The best eight are selected for podium presentation at the video session. One of these eight is selected by the Awards Committee to receive THE BARTON HOEXTER, MD, BEST VIDEO AWARD. An additional 40 videos are selected for presentation in the video room during the meeting. Five of the videos selected for podium presentation are submitted to Diseases of the Colon & Rectum to provide members of the Society, trainees, and journal subscribers access to the “best of the best” of the annual meeting video session.

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2021 Best Video of the ASCRS Annual Meeting: Robotic Natural Orifice IntraCorporeal Handsewn Anastomosis With Extraction (NICE Procedure)

Creator: E. Haas, R. Luna-Saracho, T. Reif de Paula, M.S. Smith, J. LeFave; Houston, TX

Duration: 7:11

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2021 Best Video of the ASCRS Annual Meeting

Every year the Video-Based Education Committee of the American Society of Colon and Rectal Surgeons (ASCRS) receives high-quality videos from national and international experts for consideration for presentation at the ASCRS annual meeting. Videos are evaluated through a rigorous, anonymous, and unbiased peer-review process. The best eight are selected for podium presentation at the video session. One of these eight is selected by the Awards Committee to receive THE BARTON HOEXTER, MD, BEST VIDEO AWARD. An additional 40 videos are selected for presentation in the video room during the meeting. Five of the videos selected for podium presentation are submitted to Diseases of the Colon & Rectum to provide members of the Society, trainees, and journal subscribers access to the “best of the best” of the annual meeting video session.

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2021 Best Video of the ASCRS Annual Meeting: Laparoscopic Lateral Pelvic Lymph Node Dissection for Rectal Cancers – Key Anatomical and Technical Details!

Creator: S. Patel, V. Sukumar, S.S. Bankar, J. Rohila, A.L. Dsouza , A. Saklani ; Mumbai, India

Duration: 6:01

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2021 Best Video of the ASCRS Annual Meeting

Every year the Video-Based Education Committee of the American Society of Colon and Rectal Surgeons (ASCRS) receives high-quality videos from national and international experts for consideration for presentation at the ASCRS annual meeting. Videos are evaluated through a rigorous, anonymous, and unbiased peer-review process. The best eight are selected for podium presentation at the video session. One of these eight is selected by the Awards Committee to receive THE BARTON HOEXTER, MD, BEST VIDEO AWARD. An additional 40 videos are selected for presentation in the video room during the meeting. Five of the videos selected for podium presentation are submitted to Diseases of the Colon & Rectum to provide members of the Society, trainees, and journal subscribers access to the “best of the best” of the annual meeting video session.

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Functional Outcomes and Quality of Life after Redo Anastomosis in Patients With Rectal Cancer: An International Multicenter Comparative Cohort Study

Creator: Emma Westerduin, M.D., Ph.D. • Hossam Elfeki, M.D., Ph.D. • Alice Frontali, M.D. • Zaher Lakkis, M.D., Ph.D. • Søren Laurberg, M.D., D.M.Sc. • Pieter J. Tanis, M.D., Ph.D. • Albert M. Wolthuis, M.D., Ph.D. • Yves Panis, M.D., Ph.D. • Andre D’Hoore, M.D.,

Duration: 2:01

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Redo anastomosis is associated with significantly worse quality of life compared with primary successful anastomosis. However, major low anterior resection syndrome was comparable between groups and should not be a reason to preclude restoration of bowel continuity in highly motivated patients.

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The ASCRS Barton Hoexter, MD, Best Video Award: Robotic Transanal Minimally Invasive Surgery: Rectouretheral Fistula Closure

Creator: Nimesh Naik, M.D.; Ahmed Allawi, M.B.Ch.B.; Kevin Hebert, M.D.; Boyd R. Viers, M.D.; Scott R. Kelley, M.D.; Keven T. Behm, M.D.; Rochester, MN

Duration: 3:52

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2021 Best Video of the ASCRS Annual Meeting Every year the Video-Based Education Committee of the American Society of Colon and Rectal Surgeons (ASCRS) receives high-quality videos from national and international experts for consideration for presentation at the ASCRS annual meeting. Videos are evaluated through a rigorous, anonymous, and unbiased peer-review process. The best eight are selected for podium presentation at the video session. One of these eight is selected by the Awards Committee to receive THE BARTON HOEXTER, MD, BEST VIDEO AWARD. An additional 40 videos are selected for presentation in the video room during the meeting. Five of the videos selected for podium presentation are submitted to Diseases of the Colon & Rectum to provide members of the Society, trainees, and journal subscribers access to the “best of the best” of the annual meeting video session.

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A Prospective Randomized Trial of Surgeon-Administered Intraoperative Transversus Abdominis Plane Block With Bupivacaine Against Liposomal Bupivacaine: The TINGLE Trial

Creator: Adam Truong, M.D. • Phillip R. Fleshner, M.D. • James M. Mirocha, M.S. Hai P. Tran, Pharm.D. • Rita Shane, Pharm.D. • Karen N. Zaghiyan, M.D.

Duration: 1:33

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This first randomized trial comparing laparoscopic transversus abdominis plane block with liposomal bupivacaine or bupivacaine with epinephrine and dexamethasone showed that a liposomal bupivacaine block does not provide superior or extended analgesia in the era of standardized multimodal analgesia protocols.

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Prevalence of High-Grade Anal Dysplasia and Anal Cancer in Veterans Living With HIV and CD4/CD8 Ratio as a Marker For Increased Risk: A Regional Retrospective Cohort Study

Creator: Cristina B. Sanger, M.D. • Yiwei Xu, M.H.S. • Evie Carchman, M.D. • Elise H. Lawson, M.D., M.S.H.S. • Charles P. Heise, M.D. • Rob Striker, M.D., Ph.D. • Corrine I. Voils, Ph.D.

Duration: 2:00

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In a regional cohort of veterans with HIV, 15% were formally assessed for anal dysplasia. Advanced anal disease was present in 33% of those screened, 5% of the HIV-positive population. A strong predictor of advanced disease in this cohort is the CD4/ CD8 ratio, which is a promising marker to stratify screening practices. Risk stratification using CD4/CD8 has the potential to decrease burdensome invasive examinations for low-risk patients and to intensify examinations for those at high risk.

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Robot Surgery Shows Similar Long-term Oncologic Outcomes as Laparoscopic Surgery for Mid/Lower Rectal Cancer but Is Beneficial to ypT3/4 After Preoperative Chemoradiation

Creator: Soo Yeun Park, M.D. • Sung Min Lee, M.D. • Jun Seok Park, M.D., Ph.D. Hye Jin Kim, M.D. • Gyu-Seog Choi, M.D., Ph.D.

Duration: 2:06

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Robotic surgery for mid/low rectal cancer shows similar long-term oncologic outcomes with laparoscopic surgery but is beneficial to a certain group of patients with advanced rectal cancer with poor response to neoadjuvant chemoradiation. Additional studies are required to confirm our results.

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Patients Undergoing Ileoanal Pouch Surgery Experience a Constellation of Symptoms and Consequences Representing a Unique Syndrome: A Report from the Patient-Reported Outcomes After Pouch Surgery (PROPS) Delphi Consensus Study

Creator: Paul M. Cavallaro, M.D. • Nicola S. Fearnhead, D.M. • Ian P. Bissett, M.D. Mantaj S. Brar, M.D., M.Sc. • Thomas E. Cataldo, M.D. • Rasheed Clarke, B.S. • Paula Denoya, M.D. • Amber L. Elder, B.A. • Krisztina B. Gecse, M.D., Ph.D. • Samantha Hendren, M.D.,

Duration: 1:58

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This study is the first to identify key functional outcomes after pouch surgery with direct input from a large panel of ileoanal pouch patients. The inclusion of patients in all stages of the consensus process allowed for a true patient-centered approach in defining the core domains that should be focused on in future studies of pouch function.

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Monthly Issue Summary: JULY 2021

Creator: Susan Galandiuk, MD

Duration: 11:47

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Summary of the issue from Editor-in-Chief Susan Galandiuk, MD.

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Monthly Issue Summary: July 2021

Creator: Francesco Marchegiani, M.D. • Isacco Damoli, M.D. Cristiano Huscher, M.D., Ph.D.

Duration: 4:57

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Video Vignettes are peer-reviewed monthly features in DC&R that contain a brief video as the major component.

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Short-term Results of Platelet-Rich Plasma in the Treatment of Chronic Anal Fissure: Randomized Controlled Clinical Study

Creator: Gökhan Yilmaz, M.D. • Yusuf Tanrikulu, M.D.

Duration: 1:43

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Platelet-rich plasma reduced concerns and accelerated epithelialization and healing in patients with chronic anal fissures.

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Postoperative Pain After Enhanced Recovery Pathway Robotic Colon and Rectal Surgery: Does Specimen Extraction Site Matter?

Creator: Rebecca F. Brown, M.D. • Kara Brockhaus, Pharm.D. • Dixy Rajkumar, M.P.H. • Michael A. Battaglia, M.S. • Robert K. Cleary, M.D.

Duration: 1:59

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The Pfannenstiel incision as the specimen extraction site choice in minimally invasive surgery is associated with similar postoperative pain and opioid use as extraction sites in other locations for patients having robotic colorectal resections. Specimen extraction sites may be chosen based on patient factors other than pain and opioid use.

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A Validated Prognostic Model and Nomogram to Predict Early-Onset Complications Leading to Surgery in Patients With Crohn’s Disease

Creator: Jiayin Yao, Ph.D. • Yi Jiang, M.D.• Jia Ke, Ph.D.2,3 • Yi Lu, Ph.D. • Jun Hu, Ph.D.5 • Min Zhi, Ph.D.

Duration: 0:57

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Our validated prognostic model effectively predicted early-onset complications leading to surgery and screened aggressive Crohn’s disease, which will enable physicians to customize therapeutic strategies and monitor disease.

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On All Accounts: Cost-Effectiveness Analysis of Limited Preoperative Optimization Efforts Before Colon Cancer Surgery

Creator: Ira L. Leeds, M.D., M.B.A., Sc.M. • Emmanuel F. Drabo, Ph.D. • Lisa Soleymani Lehmann, M.D., Ph.D. • Bashar Safar, M.B.B.S. • Fabian M. Johnston, M.D., M.H.S.

Duration: 1:46

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Although currently not comprehensively reimbursed, focused preoperative optimization may reduce total costs of care while also reducing complications from colon cancer surgery.

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Implant of Self-Expandable Artificial Anal Sphincter in Patients With Fecal Incontinence Improves External Anal Sphincter Contractility

Creator: Francesco Litta, M.D. • Angelo A. Marra, M.D. • Nuria Ortega Torrecilla, M.D. • Raffaele Orefice, M.D. • Angelo Parello, M.D. • Veronica De Simone, M.D. • Paola Campennì, M.D. • Marta Goglia, M.D. • Carlo Ratto, M.D.

Duration: 1:56

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Artificial anal sphincter implantation improved the external anal sphincter muscle tension; there was a positive correlation between its increase and the clinical outcome.

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