Thirty-Day Outcomes of Laparoscopic vs. Open Total Proctocolectomy with Ileoanal Anastomosis in Children

Size: px
Start display at page:

Download "Thirty-Day Outcomes of Laparoscopic vs. Open Total Proctocolectomy with Ileoanal Anastomosis in Children"

Transcription

1 Thirty-Day Outcomes of Laparoscopic vs. Open Total Proctocolectomy with Ileoanal Anastomosis in Children Jeremy D. Kauffman MD, Paul D. Danielson MD, Nicole M. Chandler MD Johns Hopkins All Children s Hospital

2 Disclosures The authors have no financial relationships to disclose The American College of Surgeons National Surgical Quality Improvement Program and the hospitals participating in the ACS NSQIP are the source of the data used herein; they have not verified and are not responsible for the statistical validity of the data analysis or the conclusions derived by the authors.

3 Introduction Most elective colectomies in children are performed open Studies comparing open and laparoscopic pediatric proctocolectomy with ileoanal anastomosis are limited Pediatric laparoscopic proctocolectomy with creation of J-pouch and stapled ileoanal anastomosis. Ashcraft's Pediatric Surgery. Burns, R. Cartland. Published January 1, Pages Figure

4 Purpose Compare thirty-day outcomes of pediatric laparoscopic vs. open total proctocolectomy with ileoanal anastomosis Hypothesis The laparoscopic approach will result in Decreased risk of complications Shorter length of stay

5 Methods Inclusion criteria: ACS NSQIP Pediatric Elective total proctocolectomy with ileoanal anastomosis Primary outcome: Any 30-day complication Secondary outcomes: Postoperative length of stay, other specific complications Subgroup Analysis: Inflammatory bowel disease, familial adenomatous polyposis

6 Demographics Demographics Total (n=305) Open (n=107) Laparoscopic (n=198) P Age (years) 14 (11-16) 14 (9-16) 15 (12-16) Sex (female) 157 (52) 56 (52) 101 (51) Race White 246 (81) 84 (79) 162 (82) Black 33 (11) 10 (9) 23 (12) Other/Unknown 26 (9) 15 (12.2) 13 (6.6) Weight (kg) 49 (33-62) 48 (29-61) 50 (35-64) 0.223

7 Diagnosis Open Laparoscopic P (n=107) (n=198) Diagnosis <0.014 Benign neoplasm of colon and rectum 38 (36) 95 (48) Inflammatory bowel disease 45 (42) 84 (42) Hirschsprung disease 14 (13) 12 (6) Other 10 (9) 7 (4) The distribution of comorbidities was similar between open and laparoscopic groups.

8 Complications 30-Day Complications Open (n=107) Laparoscopic (n=198) P Any complication 25 (23.4) 31 (15.7) Mortality 0 (0) 1 (0.5) Blood transfusion 4 (3.7) 6 (3.0) Pulmonary complication 4 (3.7) 1 (0.5) Venous Thromboembolism 1 (0.9) 3 (1.5) Sepsis 3 (2.8) 7 (3.5) UTI 2 (1.9) 3 (1.5) Surgical Sight Infection (SSI) 12 (11.2) 16 (8.1) Superficial/Deep SSI 11 (10.3) 6 (3.0) Organ space SSI 1 (0.9) 10 (5.1) Odds ratio of superficial/deep SSI in lap group = 0.27 (CI: ; p=.013)

9 Other Clinical Outcomes 30-Day Outcomes Open (n=107) Laparoscopic (n=198) P-value Median operative time (hours) 4.8 ( ) 5.3 ( ) Median post-op LOS (days) 8 (6-9) 6 (4-9) Unplanned Reoperation 14 (13.1) 28 (14.1) Unplanned Readmission 20 (18.7) 36 (18.2) Related to operation 18 (16.8) 28 (14.1) Unrelated to operation 2 (1.9) 8 (4.0) 0.503

10 Subgroup Analysis Among children with IBD (n=129) post-op LOS and risk of SSI were similar between groups Among children with FAP (n=133), post-op LOS and risk of SSI were decreased in the laparoscopic group. Study Limitations Retrospective Study of a multi-institutional database Sample limited to hospitals participating in NSQIP-P

11 Summary and Conclusions Among children in NSQIP Pediatric that underwent total proctocolectomy with ileoanal anastomosis: The laparoscopic approach was associated with: Shorter postoperative length of stay Decreased risk of superficial or deep surgical sight infection These advantages were not apparent in children with IBD

12 References 1. Flores P, Bailez MM, Cuenca E, Fraire C. Comparative analysis between laparoscopic (UCL) and open (UCO) technique for the treatment of ulcerative colitis in pediatric patients. Pediatr Surg Int 2010 Sep;26(9): Konishi T, Ishida H, Ueno H, Kobayashi H, Hinoi T, Inoue Y, Ishida F, Kanemitsu Y, Yamaguchi T, Tomita N, et al. Feasibility of laparoscopic total proctocolectomy with ileal pouch-anal anastomosis and total colectomy with ileorectal anastomosis for familial adenomatous polyposis: Results of a nationwide multicenter study. Int J Clin Oncol 2016 Oct;21(5): Linden BC, Bairdain S, Zurakowski D, Shamberger RC, Lillehei CW. Comparison of laparoscopic-assisted and open total proctocolectomy and ileal pouch anal anastomosis in children and adolescents. J Pediatr Surg 2013 Jul;48(7): Litz CN, Danielson PD, Chandler NM. Early experience with single-incision laparoscopic total abdominal colectomy in children. J Laparoendosc Adv Surg Tech A 2017 May;27(5): Mahida JB, Asti L, Deans KJ, Minneci PC, Nwomeh BC. Laparoscopic bowel resection for pediatric inflammatory bowel disease. J Surg Res 2015 Nov;199(1): Yeo HL, Isaacs AJ, Abelson JS, Milsom JW, Sedrakyan A. Comparison of open, laparoscopic, and robotic colectomies using a large national database: Outcomes and trends related to surgery center volume. Dis Colon Rectum 2016 Jun;59(6):

13 Thank You

Outcomes of Patients with Preoperative Weight Loss following Colorectal Surgery

Outcomes of Patients with Preoperative Weight Loss following Colorectal Surgery Outcomes of Patients with Preoperative Weight Loss following Colorectal Surgery Zhobin Moghadamyeghaneh MD 1, Michael J. Stamos MD 1 1 Department of Surgery, University of California, Irvine Nothing to

More information

Cigdem Benlice, Ipek Sapci, T. Bora Cengiz, Luca Stocchi, Michael Valente, Tracy Hull, Scott R. Steele, Emre Gorgun 07/23/2018

Cigdem Benlice, Ipek Sapci, T. Bora Cengiz, Luca Stocchi, Michael Valente, Tracy Hull, Scott R. Steele, Emre Gorgun 07/23/2018 Does preoperative oral antibiotic or mechanical bowel preparation increase Clostridium difficile colitis after colon surgery? An assessment from ACS-NSQIP procedure-targeted database Cigdem Benlice, Ipek

More information

Ileal Pouch Anal Anastomosis: The Preferred Method of Reconstruction after Proctocolectomy in Children

Ileal Pouch Anal Anastomosis: The Preferred Method of Reconstruction after Proctocolectomy in Children Ileal Pouch Anal Anastomosis: The Preferred Method of Reconstruction after Proctocolectomy in Children Stephanie Jones, D.O. Surgical Fellow March 21, 2011 Ulcerative Colitis Spectrum of inflammatory bowel

More information

Longterm Complications of Hand-Assisted Versus Laparoscopic Colectomy

Longterm Complications of Hand-Assisted Versus Laparoscopic Colectomy Longterm Complications of Hand-Assisted Versus Laparoscopic Colectomy Toyooki Sonoda, MD, Sushil Pandey, MD, Koiana Trencheva, BSN, Sang Lee, MD, Jeffrey Milsom, MD, FACS BACKGROUND: STUDY DESIGN: Hand-assisted

More information

Surgery for Inflammatory Bowel Disease

Surgery for Inflammatory Bowel Disease Surgery for Inflammatory Bowel Disease Emily Steinhagen, MD Assistant Professor Department of Surgery, Division of Colorectal Surgery University Hospitals Cleveland Medical Center Common Questions Why

More information

Inflammatory Bowel Disease and Surgery: What You Should Know

Inflammatory Bowel Disease and Surgery: What You Should Know Inflammatory Bowel Disease and Surgery: What You Should Know Ask the Experts March 9, 2019 Kristen Blaker, MD Colon and Rectal Surgery MetroHealth Medical Center Disclosures None Outline Who undergoes

More information

Creating an Early Recovery Order Set for Colorectal Surgery-It s the Journey as well as the Destination

Creating an Early Recovery Order Set for Colorectal Surgery-It s the Journey as well as the Destination Creating an Early Recovery Order Set for Colorectal Surgery-It s the Journey as well as the Destination Jason D. Sciarretta, MD, FACS Grand Strand Medical Center, Myrtle Beach, SC University of South Carolina

More information

Laparoscopic vs Robotic Rectal Cancer Surgery: Making it better!

Laparoscopic vs Robotic Rectal Cancer Surgery: Making it better! Laparoscopic vs Robotic Rectal Cancer Surgery: Making it better! Francis Seow- Choen Medical Director Seow-Choen Colorectal Centre Singapore In all situations: We have to use the right tool for the job

More information

Citation for published version (APA): Bartels, S. A. L. (2013). Laparoscopic colorectal surgery: beyond the short-term effects

Citation for published version (APA): Bartels, S. A. L. (2013). Laparoscopic colorectal surgery: beyond the short-term effects UvA-DARE (Digital Academic Repository) Laparoscopic colorectal surgery: beyond the short-term effects Bartels, S.A.L. Link to publication Citation for published version (APA): Bartels, S. A. L. (2013).

More information

Comparison of Risk Factors for Unplanned Conversion from Laparoscopic and Robotic to Open Colorectal Surgery

Comparison of Risk Factors for Unplanned Conversion from Laparoscopic and Robotic to Open Colorectal Surgery Comparison of Risk Factors for Unplanned Conversion from Laparoscopic and Robotic to Open Colorectal Surgery Abdullah Wafa, M.D. General Surgery Resident, PGY2 St. Joseph Mercy Health System Ann Arbor

More information

Impact of Preoperative Bowel Preparation on the Risk of Clostridium Difficile after Colorectal Surgery: A Propensity Weighted Analysis

Impact of Preoperative Bowel Preparation on the Risk of Clostridium Difficile after Colorectal Surgery: A Propensity Weighted Analysis Impact of Preoperative Bowel Preparation on the Risk of Clostridium Difficile after Colorectal Surgery: A Propensity Weighted Analysis Ebram Salama, MD PGY-3 General Surgery Sir Mortimer B. Davis Jewish

More information

Ileoanal Pouch Solves the Problem

Ileoanal Pouch Solves the Problem Ileoanal Pouch Solves the Problem Bruce D George Department of Surgery John Radcliffe Hospital, Falk Symposium 2-3 May 2008 Ileoanal Pouch Solves the Problem? Sometimes Not always Key Issues in Pouch Surgery

More information

A Comprehensive Multi-disciplinary Approach to Improve Surgical Outcomes Following Elective Colon and Rectal Surgery

A Comprehensive Multi-disciplinary Approach to Improve Surgical Outcomes Following Elective Colon and Rectal Surgery A Comprehensive Multi-disciplinary Approach to Improve Surgical Outcomes Following Elective Colon and Rectal Surgery Tripurari Mishra MD, Deepa Bhat MD, Mina Saeed MD, Jan Kaminski MD, Mihaela Banulescu

More information

11/13/11. Biologics for CD and CUC: The Impact on Surgical Outcomes. Principles of Successful Intestinal Surgery

11/13/11. Biologics for CD and CUC: The Impact on Surgical Outcomes. Principles of Successful Intestinal Surgery Biologics for CD and CUC: The Impact on Surgical Outcomes Robert R. Cima, M.D., M.A. Associate Professor of Surgery Division of Colon and Rectal Surgery Overview Antibody based medications (biologics)

More information

Digestive Disease Institute. Clinical Research. Discovering New Ways to Diagnose and Treat Digestive Diseases

Digestive Disease Institute. Clinical Research. Discovering New Ways to Diagnose and Treat Digestive Diseases Digestive Disease Institute Clinical Research Discovering New Ways to Diagnose and Treat Digestive Diseases What Is A Clinical Trial? A clinical trial is a scientific study designed to assess whether a

More information

Predicting Short Term Morbidity following Revision Hip and Knee Arthroplasty

Predicting Short Term Morbidity following Revision Hip and Knee Arthroplasty Predicting Short Term Morbidity following Revision Hip and Knee Arthroplasty A Review of ACS-NSQIP 2006-2012 Arjun Sebastian, M.D., Stephanie Polites, M.D., Kristine Thomsen, B.S., Elizabeth Habermann,

More information

Vincent James Obias, MD MS

Vincent James Obias, MD MS Vincent James Obias, MD MS Education Undergraduate B.S., James Madison University, 1989-1993 Graduate/Medical Education Masters of Science, Medical College of Virginia/Virginia Commonwealth University,

More information

Breakout Session 2: Bariatric Quality Improvement

Breakout Session 2: Bariatric Quality Improvement Breakout Session 2: Bariatric Quality Improvement Updated Agenda: 1. Drilling down on the data: Matt Hutter Online Reports and Bariatric SAR 2. Collaboratives to Accelerate QI Robin Blackstone 3. MGH and

More information

ENHANCED RECOVERY AFTER SURGERY (ERAS) PATHWAYS PARESH C. SHAH MD FACS VICE CHAIR OF SURGERY DIRECTOR OF GENERAL SURGERY

ENHANCED RECOVERY AFTER SURGERY (ERAS) PATHWAYS PARESH C. SHAH MD FACS VICE CHAIR OF SURGERY DIRECTOR OF GENERAL SURGERY Department of Surgery Divison of General Surgery ENHANCED RECOVERY AFTER SURGERY (ERAS) PATHWAYS PARESH C. SHAH MD FACS VICE CHAIR OF SURGERY DIRECTOR OF GENERAL SURGERY December 2016 Disclosure Paresh

More information

Colostomy & Ileostomy

Colostomy & Ileostomy Colostomy & Ileostomy Indications, problems and preference By Waleed Omar Professor of Colorectal surgery, Mansoura University. Disclosure I have no disclosures. Presentation outline Stoma: Definition

More information

World Journal of Colorectal Surgery

World Journal of Colorectal Surgery World Journal of Colorectal Surgery Volume 5, Issue 1 2015 Article 1 Ileal U Pouch Reconstruction Proximal To Straight Sublevator Ileoanal Anastomosis Following Total Proctocolectomy For Low Rectal Cancer

More information

The effect of laxative use in length of hospital stay and complication rate in patients undergoing elective colorectal surgery within an ERAS setting.

The effect of laxative use in length of hospital stay and complication rate in patients undergoing elective colorectal surgery within an ERAS setting. The effect of laxative use in length of hospital stay and complication rate in patients undergoing elective colorectal surgery within an ERAS setting. { Thalia Petropoulou, Clinical Fellow Paul Hainsworth,Colorectal

More information

SURGERY FOR COLITIS THE BOTTOM LINE

SURGERY FOR COLITIS THE BOTTOM LINE SURGERY FOR COLITIS THE BOTTOM LINE Speaker Declarations This presenter has the following declarations of relationship with industry None [Nov 2017] Surgeons just like to cut.. ABSOLUTE INDICATIONS Toxic

More information

Homayoon Akbari, MD, PhD

Homayoon Akbari, MD, PhD Recent Advances in IBD Surgery Homayoon M. Akbari, MD, PhD, FRCS(C), FACS Associate Professor of Surgery Virginia Commonwealth University Crohn s disease first described as a surgical condition, with the

More information

MBSAQIP Complex Clinical Scenarios & Variable Review

MBSAQIP Complex Clinical Scenarios & Variable Review MBSAQIP Complex Clinical Scenarios & Variable Review Disclosure The following planners, speakers, moderators, and/or panelists of the CME/CEU activity have no relevant financial relationships with commercial

More information

Research Article A Comparison of Outcomes for Adults and Children Undergoing Resection for Inflammatory Bowel Disease: Is There a Difference?

Research Article A Comparison of Outcomes for Adults and Children Undergoing Resection for Inflammatory Bowel Disease: Is There a Difference? ISRN Gastroenterology, Article ID 410753, 4 pages http://dx.doi.org/10.1155/2014/410753 Research Article A Comparison of Outcomes for and Undergoing Resection for Inflammatory Bowel Disease: Is There a

More information

Surgery for Ulcerative Colitis 11/14/10. Colectomy for Ulcerative Colitis: What your patient should know. Surgery for Ulcerative Colitis

Surgery for Ulcerative Colitis 11/14/10. Colectomy for Ulcerative Colitis: What your patient should know. Surgery for Ulcerative Colitis Colectomy for Ulcerative Colitis: What your patient should know Madhulika G. Varma MD Associate Professor and Chief Section of Colorectal Surgery University of California, San Francisco Surgery for Ulcerative

More information

B Base excision repair, in MUTYH-associated polyposis and colorectal cancer, BRAF testing, for hereditary colorectal cancer, 696

B Base excision repair, in MUTYH-associated polyposis and colorectal cancer, BRAF testing, for hereditary colorectal cancer, 696 Index Note: Page numbers of article titles are in boldface type. A Adenomatous polyposis, familial. See Familial adenomatous polyposis. Anal anastomosis, ileal-pouch, proctocolectomy with, in FAP, 591

More information

How to Address an Inappropriately high Mortality Rate? Joe Sharma, MD Associate Professor of Surgery NSQIP Surgical Champion

How to Address an Inappropriately high Mortality Rate? Joe Sharma, MD Associate Professor of Surgery NSQIP Surgical Champion How to Address an Inappropriately high Mortality Rate? Joe Sharma, MD Associate Professor of Surgery NSQIP Surgical Champion Disclosure Slide No COI and no disclosures. Hospital Mortality rate : is it

More information

Association of a Modified Frailty Index with Postoperative Outcomes after Ankle Fractures in Patients Aged 55 and Older

Association of a Modified Frailty Index with Postoperative Outcomes after Ankle Fractures in Patients Aged 55 and Older Association of a Modified Frailty Index with Postoperative Outcomes after Ankle Fractures in Patients Aged 55 and Older Rishin J. Kadakia MD; Cathy Vu MD; Andrew Pao MD; Shay Tenenbaum MD, Jason T. Bariteau

More information

Index. Note: Page numbers of article title are in boldface type.

Index. Note: Page numbers of article title are in boldface type. Index Note: Page numbers of article title are in boldface type. A Abscess(es) in Crohn s disease, 168 169 IPAA and, 110 114 as unexpected finding in colorectal surgery, 46 Adhesion(s) trocars-related laparoscopy

More information

University of Groningen. Colorectal Anastomoses Bakker, Ilsalien

University of Groningen. Colorectal Anastomoses Bakker, Ilsalien University of Groningen Colorectal Anastomoses Bakker, Ilsalien IMPORTANT NOTE: You are advised to consult the publisher's version (publisher's PDF) if you wish to cite from it. Please check the document

More information

Motility Disorders. Pelvic Floor. Colorectal Center for Functional Bowel Disorders (N = 701) January 2010 November 2011

Motility Disorders. Pelvic Floor. Colorectal Center for Functional Bowel Disorders (N = 701) January 2010 November 2011 Motility Disorders Pelvic Floor Colorectal Center for Functional Bowel Disorders (N = 71) January 21 November 211 New Patients 35 3 25 2 15 1 5 Constipation Fecal Incontinence Rectal Prolapse Digestive-Genital

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Index Note: Page numbers of article titles are in boldface type. A Abdominal surgery prior as factor in laparoscopic colorectal surgery, 554 555 Abscess(es) CRC presenting as, 539 540 Adenocarcinoma of

More information

ACS-NSQIP 2015 Julietta Chang MD, Ali Aminian MD, Stacy A Brethauer MD, Philip R Schauer MD Bariatric and Metabolic Institute

ACS-NSQIP 2015 Julietta Chang MD, Ali Aminian MD, Stacy A Brethauer MD, Philip R Schauer MD Bariatric and Metabolic Institute ACS-NSQIP 2015 Julietta Chang MD, Ali Aminian MD, Stacy A Brethauer MD, Philip R Schauer MD Bariatric and Metabolic Institute Disclosures Authors: No disclosures ACS-NSQIP Disclaimer: The American College

More information

AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM. SAR Models. Vanessa Thompson, PhD

AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM. SAR Models. Vanessa Thompson, PhD AMERICAN COLLEGE OF SURGEONS NATIONAL SURGICAL QUALITY IMPROVEMENT PROGRAM SAR Models Vanessa Thompson, PhD ACS NSQIP National Conference General Session: Stats I July 26, 2015 No disclosures Overview

More information

Kalle Landerholm, Maie Abdalla, Pär Myrelid and Roland Andersson. Journal Article. Postprint available at: Linköping University Electronic Press

Kalle Landerholm, Maie Abdalla, Pär Myrelid and Roland Andersson. Journal Article. Postprint available at: Linköping University Electronic Press Survival of ileal pouch anal anastomosis constructed after colectomy or secondary to a previous ileorectal anastomosis in ulcerative colitis patients: a population-based cohort study Kalle Landerholm,

More information

Clinical Quality Measures for PQRS. Last Updated: June 4, 2014

Clinical Quality Measures for PQRS. Last Updated: June 4, 2014 Clinical Quality Measures for PQRS Last Updated: June 4, 2014 The Michigan Bariatric Surgery Collaborative (MBSC) Quality Clinical Data Registry will submit the following measures outlined below on behalf

More information

Colorectal Laparoscopic Standards and Coding Protocols July 2015 v2.0

Colorectal Laparoscopic Standards and Coding Protocols July 2015 v2.0 Laparoscopic Standards and Coding Protocols July 2015 v2.0 COLORECTAL LAPAROSCOPIC STANDARDS AND CODING PROTOCOLS Contents 1 Context... 3 2 Laparoscopic Standards... 3 3 Coding Protocols... 3 Appendix

More information

Laparoscopic Surgical Approaches for Ulcerative Colitis

Laparoscopic Surgical Approaches for Ulcerative Colitis Transcript Details This is a transcript of an educational program accessible on the ReachMD network. Details about the program and additional media formats for the program are accessible by visiting: https://reachmd.com/programs/medical-breakthroughs-from-penn-medicine/laparoscopic-surgicalapproaches-for-ulcerative-colitis/7261/

More information

Poor Outcomes of Complicated Pouch-Related Fistulas after Ileal Pouch-Anal Anastomosis Surgery

Poor Outcomes of Complicated Pouch-Related Fistulas after Ileal Pouch-Anal Anastomosis Surgery Syddansk Universitet Poor Outcomes of Complicated Pouch-Related Fistulas after Ileal Pouch-Anal Anastomosis Surgery Kjaer, M D; Kjeldsen, Jens; Qvist, Niels Published in: Scandinavian Journal of Surgery

More information

Acute Diverticulitis. Andrew B. Peitzman, MD Mark M. Ravitch Professor of Surgery University of Pittsburgh

Acute Diverticulitis. Andrew B. Peitzman, MD Mark M. Ravitch Professor of Surgery University of Pittsburgh Acute Diverticulitis Andrew B. Peitzman, MD Mark M. Ravitch Professor of Surgery University of Pittsburgh Focus today: when to operate n Recurrent, uncomplicated diverticulitis; after how many episodes?

More information

Malnutrition: An independent Risk Factor for Postoperative Complications

Malnutrition: An independent Risk Factor for Postoperative Complications Malnutrition: An independent Risk Factor for Postoperative Complications Bryan P. Hooks, D.O. University of Pittsburgh-Horizon June 24, 2017 Orthopedic Surgeon-Adult Reconstruction Disclosures: None Objectives:

More information

National Bowel Cancer Audit. Detection and management of outliers: Clinical Outcomes Publication

National Bowel Cancer Audit. Detection and management of outliers: Clinical Outcomes Publication National Bowel Cancer Audit Detection and management of outliers: Clinical Outcomes Publication November 2017 1 National Bowel Cancer Audit (NBOCA) Detection and management of outliers Clinical Outcomes

More information

Risk of Venous Thromboembolism Outweighs Post-Hepatectomy Bleeding Complications: Analysis of 5,651 NSQIP Patients

Risk of Venous Thromboembolism Outweighs Post-Hepatectomy Bleeding Complications: Analysis of 5,651 NSQIP Patients Risk of Venous Thromboembolism Outweighs Post-Hepatectomy Bleeding Complications: Analysis of 5,651 NSQIP Patients Ching-Wei D. Tzeng, MD Matthew H. G. Katz, MD; Jason B. Fleming, MD; Peter W. T. Pisters,

More information

Form 1: Demographics

Form 1: Demographics Form 1: Demographics Case Number: *LMRN: *DOB: / / *Gender: Male Female *Race: White Native Hawaiian/Other Pacific Islander Black or African American Asian American Indian or Alaska Native Unknown *Hispanic

More information

Gastrointestinal Feedings Post Op: What s the deal on beginning oral feedings?

Gastrointestinal Feedings Post Op: What s the deal on beginning oral feedings? Gastrointestinal Feedings Post Op: What s the deal on beginning oral feedings? Kate Willcutts, DCN, RD, CNSC University of Virginia Health System Charlottesville, VA kfw3w@virginia.edu Objectives 1. Discuss

More information

NSQIP-P for the comparative analysis of resource utilization and disease-specific outcomes:

NSQIP-P for the comparative analysis of resource utilization and disease-specific outcomes: NSQIP-P for the comparative analysis of resource utilization and disease-specific outcomes: Implications for Benchmarking and Collaborative Quality Improvement Shawn J. Rangel, MD, MSCE ACS NSQIP Conference

More information

ORIGINAL ARTICLE. Surgery for Ulcerative Colitis in Elderly Persons. Changes in Indications for Surgery and Outcome Over Time

ORIGINAL ARTICLE. Surgery for Ulcerative Colitis in Elderly Persons. Changes in Indications for Surgery and Outcome Over Time ORIGINAL ARTICLE Surgery for Ulcerative Colitis in Elderly Persons Changes in Indications for Surgery and Outcome Over Time Gidon Almogy, MD; David B. Sachar, MD; Carol A. Bodian, DrPH; Adrian J. Greenstein,

More information

Surgical Therapies for the Treatment of IBD!

Surgical Therapies for the Treatment of IBD! Surgical Therapies for the Treatment of IBD! Andrew A Shelton, MD Clinical Professor of Surgery Stanford Hospital and Clinics Section of Colon and Rectal Surgery! Ulcerative Colitis v. Crohn s! 30% of

More information

Presented By: Samik Patel MD. Martinovski M 1, Patel S 1, Navratil A 2, Zeni T 3, Jonker M 3, Ferraro J 1, Albright J 1, Cleary RK 1

Presented By: Samik Patel MD. Martinovski M 1, Patel S 1, Navratil A 2, Zeni T 3, Jonker M 3, Ferraro J 1, Albright J 1, Cleary RK 1 Effects of Resident or Fellow Participation in Sleeve Gastrectomy and Gastric Bypass: Results from the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP) Martinovski

More information

A Case of Total Proctocolectomy by Reduced Port Surgery for Refractory Ulcerative Colitis

A Case of Total Proctocolectomy by Reduced Port Surgery for Refractory Ulcerative Colitis Showa Univ J Med Sci 27 4, 291 296, December 2015 Case Report A Case of Total Proctocolectomy by Reduced Port Surgery for Refractory Ulcerative Colitis Takahiro UMEMOTO, Kazuhiro KIJIMA, Sumito SATO, Toshimasa

More information

Minimally Invasive Esophagectomy

Minimally Invasive Esophagectomy Minimally Invasive Esophagectomy M A R K B E R R Y, M D A S S O C I AT E P R O F E S S O R D E PA R T M E N T OF C A R D I O T H O R A C I C S U R G E R Y S TA N F O R D U N I V E R S I T Y S E P T E M

More information

How to deal with synchronous primary and liver metastases

How to deal with synchronous primary and liver metastases How to deal with synchronous primary and liver metastases Luis Sabater Ortí MD, PhD Associate Professor University of Valencia European Board Surgical Qualification HBP (EBSQ-HPB) Department of Surgery.

More information

World Journal of Colorectal Surgery

World Journal of Colorectal Surgery World Journal of Colorectal Surgery Volume 3, Issue 2 213 Article 3 Total Colectomy Hand-assisted Laparoscopy Benefits: A Single-Center 8-year Experience Marisa Domingues Santos Ana Cristina Silva Carlos

More information

Demographics. MBSAQIP Case Number: *ACS NSQIP Case Number: *LMRN: *DOB: / / *Gender: Male Female

Demographics. MBSAQIP Case Number: *ACS NSQIP Case Number: *LMRN: *DOB: / / *Gender: Male Female Demographics MBSAQIP Case Number: *IDN: *ACS NSQIP Case Number: Name: *LMRN: *DOB: / / *Gender: Male Female *Race: White Black or African American American Indian or Alaska Native Native Hawaiian/Other

More information

Outcomes associated with robotic approach to pancreatic resections

Outcomes associated with robotic approach to pancreatic resections Short Communication (Management of Foregut Malignancies and Hepatobiliary Tract and Pancreas Malignancies) Outcomes associated with robotic approach to pancreatic resections Caitlin Takahashi 1, Ravi Shridhar

More information

Is laparoscopic sleeve gastrectomy safer than laparoscopic gastric bypass?

Is laparoscopic sleeve gastrectomy safer than laparoscopic gastric bypass? Is laparoscopic sleeve gastrectomy safer than laparoscopic gastric bypass? A comparison of 30-day complications using the MBSAQIP data registry Sandhya B. Kumar MD, Barbara C. Hamilton MD, Soren Jonzzon,

More information

The Binational Colorectal Cancer Audit. A/Prof Paul McMurrick Head, Cabrini Monash University Dept of Surgery 2017

The Binational Colorectal Cancer Audit. A/Prof Paul McMurrick Head, Cabrini Monash University Dept of Surgery 2017 The Binational Colorectal Cancer Audit A/Prof Paul McMurrick Head, Cabrini Monash University Dept of Surgery 2017 Binational Colorectal Cancer Database 2010 First Patient 2011 Contract between CMUDS and

More information

Surgical Management of IBD in the Age of Biologics

Surgical Management of IBD in the Age of Biologics Surgical Management of IBD in the Age of Biologics Lisa S. Poritz, M.D Associate Professor of Surgery Division of Colon and Rectal Surgery Objectives Discuss surgical management of IBD When to operate

More information

Complications and Functional Results after Ileoanal Pouch Formation in Obese Patients

Complications and Functional Results after Ileoanal Pouch Formation in Obese Patients J Gastrointest Surg (2008) 12:668 674 DOI 10.1007/s11605-008-0465-3 Complications and Functional Results after Ileoanal Pouch Formation in Obese Patients R. P. Kiran & F. H. Remzi & V. W. Fazio & I. C.

More information

Repeat Single Incision Laparoscopic Surgery after Primary Single Incision Laparoscopic Surgery for Colorectal Disease

Repeat Single Incision Laparoscopic Surgery after Primary Single Incision Laparoscopic Surgery for Colorectal Disease ORIGINAL ARTICLE pissn 2234-778X eissn 2234-5248 J Minim Invasive Surg 2018;21(1):38-42 Journal of Minimally Invasive Surgery Repeat Single Incision Laparoscopic Surgery after Primary Single Incision Laparoscopic

More information

Inflammatory Bowel Disease: Updates and Controversies CASE #1 CASE #1 8/6/2015. What is the most likely diagnosis?

Inflammatory Bowel Disease: Updates and Controversies CASE #1 CASE #1 8/6/2015. What is the most likely diagnosis? Inflammatory Bowel Disease: Updates and Controversies Tehttp://192.185.93.102/~paulkeij/wpcontent/uploads/2013/07/collaboration.jpgxt August 7, 2015 Meagan M Costedio, MD; Colorectal Surgery; Cleveland

More information

Upstate New York Surgical Quality Initiative

Upstate New York Surgical Quality Initiative Upstate New York Surgical Quality Initiative 30-Day Readmissions: A Snapshot of Regional Practice Experience in Colorectal Surgery ACS NSQIP National Conference 10 th Annual Meeting, July 27 th, 2015 Bradley

More information

Enhanced Recovery After Colorectal Surgery at Royal Inland Hospital Kamloops, BC. Our Data Experience

Enhanced Recovery After Colorectal Surgery at Royal Inland Hospital Kamloops, BC. Our Data Experience Enhanced Recovery After Colorectal Surgery at Royal Inland Hospital Kamloops, BC Our Data Experience No Disclosures 1/26/2015 2 Purpose To tell our story of how we collect and share our ERACS data 1/26/2015

More information

Improving Colectomy Outcomes in the Enhanced Recovery In NSQIP (ERIN) Pilot

Improving Colectomy Outcomes in the Enhanced Recovery In NSQIP (ERIN) Pilot Improving Colectomy Outcomes in the Enhanced Recovery In NSQIP (ERIN) Pilot Julia R. BerianMD; Kristen A. Ban MD; Sanjay MohantyMD,MS; Jennifer L. ParuchMD,MS; Clifford Y. KoMD,MS,MSHS; Julie K. Thacker

More information

Understanding Readmissions in Pediatric Surgery

Understanding Readmissions in Pediatric Surgery Understanding Readmissions in Pediatric Surgery Afif Kulaylat MD MSc, Anthony Tsai MD, Dorothy Rocourt MD, Kathryn Martin MD, Brett Engbrecht MD MPH, Mary Santos MD MEd, Robert Cilley MD, Christopher Hollenbeak

More information

Is Readmission a Good Quality Measure for Surgical Care? Examining the Underlying Reasons for Readmissions after Surgery at ACS NSQIP Hospitals

Is Readmission a Good Quality Measure for Surgical Care? Examining the Underlying Reasons for Readmissions after Surgery at ACS NSQIP Hospitals Is Readmission a Good Quality Measure for Surgical Care? Examining the Underlying Reasons for Readmissions after Surgery at ACS NSQIP Hospitals Mila H. Ju, MD, MS Ryan P. Merkow, MD, MS Jeanette W. Chung,

More information

Outcomes of Conversion of Laparoscopic Colorectal Surgery to Open Surgery

Outcomes of Conversion of Laparoscopic Colorectal Surgery to Open Surgery SCIENTIFIC PAPER Outcomes of Conversion of Laparoscopic Colorectal Surgery to Open Surgery Zhobin Moghadamyeghaneh, MD, Hossein Masoomi, MD, Steven D. Mills, MD, Joseph C. Carmichael, MD, Alessio Pigazzi,

More information

colorectal cancer Colorectal cancer hereditary sporadic Familial 1/12/2018

colorectal cancer Colorectal cancer hereditary sporadic Familial 1/12/2018 colorectal cancer Adenocarcinoma of the colon and rectum is the third most common site of new cancer cases and deaths in men (following prostate and lung or bronchus cancer) and women (following breast

More information

The impact of adhesions on operations and postoperative recovery in colon cancer surgery

The impact of adhesions on operations and postoperative recovery in colon cancer surgery The American Journal of Surgery (2013) -, - - The impact of adhesions on operations and postoperative recovery in colon cancer surgery Ramzi Amri, M.Sc., Hannah C. den Boon, B.Sc., Liliana G. Bordeianou,

More information

The Role of Surgery in Inflammatory Bowel Disease. Cory D Barrat, MD Colon and Rectal Surgeon Mercy Health

The Role of Surgery in Inflammatory Bowel Disease. Cory D Barrat, MD Colon and Rectal Surgeon Mercy Health The Role of Surgery in Inflammatory Bowel Disease Cory D Barrat, MD Colon and Rectal Surgeon Mercy Health THANKS FOR INVITING ME! I have no financial disclosures Outline - Who am I and what do I do? -

More information

Single-Port Surgery in Inflammatory Bowel Disease: A Review of Current Evidence

Single-Port Surgery in Inflammatory Bowel Disease: A Review of Current Evidence World J Surg (2016) 40:2276 2282 DOI 10.1007/s00268-016-3509-y SCIENTIFIC REVIEW Single-Port Surgery in Inflammatory Bowel Disease: A Review of Current Evidence E. Joline de Groof 1 Christianne J. Buskens

More information

Surgical Site Infection and Validity of Staged Surgical Procedure in Emergent/Urgent Surgery for Ulcerative Colitis

Surgical Site Infection and Validity of Staged Surgical Procedure in Emergent/Urgent Surgery for Ulcerative Colitis Int Surg 2013;98:24 32 Surgical Site Infection and Validity of Staged Surgical Procedure in Emergent/Urgent Surgery for Ulcerative Colitis Motoi Uchino 1, Hiroki Ikeuchi 1, Hiroki Matsuoka 1, Yoshiko Takahashi

More information

Operational Efficiency in Colon Surgery Enhanced Recovery Pathways: 23 hour laparoscopic colectomy

Operational Efficiency in Colon Surgery Enhanced Recovery Pathways: 23 hour laparoscopic colectomy Enhanced Recovery Pathways: 23 hour laparoscopic colectomy Conor P. Delaney MD MCh PhD Chairman, Digestive Disease Institute Professor of Surgery, Cleveland, Ohio Disclosure Slide Conor Delaney MD PhD

More information

Henry A. Pitt, M.D., F.A.C.S. Chief Quality Officer Temple University Health System July 23, 2018 Orlando, Florida

Henry A. Pitt, M.D., F.A.C.S. Chief Quality Officer Temple University Health System July 23, 2018 Orlando, Florida Are All OSIs Pancreatic Fistulas? Henry A. Pitt, M.D., F.A.C.S. Chief Quality Officer Temple University Health System July 23, 2018 Orlando, Florida DISCLOSURES Leader, ACS-NSQIP HPB Collaborative Hepatectomy

More information

Surgical Management of Metastatic Colon Cancer: analysis of the Surveillance, Epidemiology and End Results (SEER) database

Surgical Management of Metastatic Colon Cancer: analysis of the Surveillance, Epidemiology and End Results (SEER) database Surgical Management of Metastatic Colon Cancer: analysis of the Surveillance, Epidemiology and End Results (SEER) database Hadi Khan, MD 1, Adam J. Olszewski, MD 2 and Ponnandai S. Somasundar, MD 1 1 Department

More information

Disclosures. Personalized Approaches to Gastrointestinal Cancers. Objectives. What is personalized cancer care. Go through some genomic studies

Disclosures. Personalized Approaches to Gastrointestinal Cancers. Objectives. What is personalized cancer care. Go through some genomic studies Personalized Approaches to Gastrointestinal Cancers Emily Groves, MD Colorectal Surgery Assistant Professor, Division of Surgical Oncology Disclosures None Objectives What is personalized medicine and

More information

Grand Rounds Laparoscopic Colectomy. 3/12/2007 UCHSC, R.Durbin

Grand Rounds Laparoscopic Colectomy. 3/12/2007 UCHSC, R.Durbin Grand Rounds Laparoscopic Colectomy 3/12/2007 UCHSC, R.Durbin DR 60 yo male with hx of Crohn s s for approx 15 yrs. Referred due to uncontrolled dz despite steroids with approx 10 bowel movements/day,

More information

Patient-Reported Health Literacy Scores Associated With Readmissions Following Surgery

Patient-Reported Health Literacy Scores Associated With Readmissions Following Surgery Patient-Reported Health Literacy Scores Associated With Readmissions Following Surgery S. Baker1,2, L. Graham1,2, E. Dasinger1,2, T. Wahl1,2, J. Richman1,2, D. Chu1,2 L. Copeland3, E. Burns4, J. Whittle4,

More information

Index. Note: Page numbers of article titles are in boldface type.

Index. Note: Page numbers of article titles are in boldface type. Note: Page numbers of article titles are in boldface type. A Abdominoperineal excision, of rectal cancer, 93 111 current controversies in, 106 109 extent of perineal dissection and removal of pelvic floor,

More information

YES NO UNKNOWN. Stage I: Rule-Out Dashboard ACTIONABILITY PENETRANCE SIGNIFICANCE/BURDEN OF DISEASE NEXT STEPS. YES ( 1 of above)

YES NO UNKNOWN. Stage I: Rule-Out Dashboard ACTIONABILITY PENETRANCE SIGNIFICANCE/BURDEN OF DISEASE NEXT STEPS. YES ( 1 of above) Stage I: Rule-Out Dashboard GENE/GENE PANEL: SMAD4, BMPR1A DISORDER: Juvenile Polyposis Syndrome HGNC ID: 6670, 1076 OMIM ID: 174900, 175050 ACTIONABILITY PENETRANCE 1. Is there a qualifying resource,

More information

Citation for published version (APA): de Groof, E. J. (2017). Surgery and medical therapy in Crohn s disease: Improving treatment strategies

Citation for published version (APA): de Groof, E. J. (2017). Surgery and medical therapy in Crohn s disease: Improving treatment strategies UvA-DARE (Digital Academic Repository) Surgery and medical therapy in Crohn s disease de Groof, E.J. Link to publication Citation for published version (APA): de Groof, E. J. (2017). Surgery and medical

More information

World Journal of Colorectal Surgery

World Journal of Colorectal Surgery World Journal of Colorectal Surgery Volume 4, Issue 2 2014 Article 1 Surgical Management of Colorectal Cancer In Nonagenarian Patients Yair Edden Shlomo Yellinek Oded Olsha Joseph Alberton Petachia Reissman

More information

Click to edit Master subtitle style

Click to edit Master subtitle style Does Enhanced Recovery Improve Outcomes? Click to edit Master subtitle style Kaare Weber, MD Director of Surgery Associate Medical Director, Surgery A MEMBER OF THE MONTEFIORE HEALTH SYSTEM mes? Click

More information

ERAS. Presented by Timothy L. Beard MD, FACS, CPI Bend Memorial Clinic

ERAS. Presented by Timothy L. Beard MD, FACS, CPI Bend Memorial Clinic ERAS Presented by Timothy L. Beard MD, FACS, CPI Bend Memorial Clinic Outline Definition Justification Ileus Pain Outline Specifics Data BMC Data Worldwide Data Implementation What is ERAS? AKA Fast-track

More information

Laparoscopic Resection Of Colon & Rectal Cancers. R Sim Centre for Advanced Laparoscopic Surgery, TTSH

Laparoscopic Resection Of Colon & Rectal Cancers. R Sim Centre for Advanced Laparoscopic Surgery, TTSH Laparoscopic Resection Of Colon & Rectal Cancers R Sim Centre for Advanced Laparoscopic Surgery, TTSH Feasibility and safety Adequacy - same radical surgery as open op. Efficacy short term benefits and

More information

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process

2018 OPTIONS FOR INDIVIDUAL MEASURES: REGISTRY ONLY. MEASURE TYPE: Process Quality ID #358: Patient-Centered Surgical Risk Assessment and Communication National Quality Strategy Domain: Person and Caregiver-Centered Experience and Outcomes 2018 OPTIONS FOR INDIVIDUAL MEASURES:

More information

Laparoscopic right-sided colon resection for colon cancer has the control group so far been chosen correctly?

Laparoscopic right-sided colon resection for colon cancer has the control group so far been chosen correctly? Pelz et al. World Journal of Surgical Oncology (2018) 16:117 https://doi.org/10.1186/s12957-018-1417-3 RESEARCH Open Access Laparoscopic right-sided colon resection for colon cancer has the control group

More information

Diverticulitis is largely a disease of an aging population

Diverticulitis is largely a disease of an aging population GASTROENTEROLOGY 2010;138:2267 2274 Laparoscopy Improves Short-term Outcomes After Surgery for Diverticular Disease ANDREW J. RUSS, KARI L. OBMA, VICTORIA RAJAMANICKAM, YIN WAN, CHARLES P. HEISE, EUGENE

More information

Surgical Approach to Crohn s Colitis Segmental or Total Colectomy? Can We Avoid the Stoma?

Surgical Approach to Crohn s Colitis Segmental or Total Colectomy? Can We Avoid the Stoma? 17 th Panhellenic IBD Congress Thessaloniki May 2018 Surgical Approach to Crohn s Colitis Segmental or Total Colectomy? Can We Avoid the Stoma? Janindra Warusavitarne Consultant Colorectal Surgeon, St

More information

Convegno Annuale Fondazione Rosa Gallo. Risultati chirurgici a lungo termine nelle IBD John Nicholls

Convegno Annuale Fondazione Rosa Gallo. Risultati chirurgici a lungo termine nelle IBD John Nicholls Convegno Annuale Fondazione Rosa Gallo Verona 23 24 novembre 2010 Risultati chirurgici a lungo termine nelle IBD John Nicholls MORTALITY IN IBD Roberts et al BMJ 2007 Record Linkage Study Oxford Region

More information

Adult organisational audit

Adult organisational audit Adult organisational audit Health Information Coding Responses for this section require data for the period between 1/12/13-30/11/14. [Infliximab was introduced for the treatment of ulcerative colitis

More information

PENETRANCE ACTIONABILITY SIGNIFICANCE/BURDEN OF DISEASE NEXT STEPS. YES ( 1 of above) YES (Proceed to Stage II)

PENETRANCE ACTIONABILITY SIGNIFICANCE/BURDEN OF DISEASE NEXT STEPS. YES ( 1 of above) YES (Proceed to Stage II) Stage I: Binning Dashboard GENE/GENE PANEL: APC ACTIONABILITY 1. Is there a qualifying resource, such as a practice guideline or systematic review, for the genetic condition? 2. Does the practice guideline

More information

Use of laparoscopy in general surgical operations at academic centers

Use of laparoscopy in general surgical operations at academic centers Surgery for Obesity and Related Diseases 9 (2013) 15 20 Original article Use of laparoscopy in general surgical operations at academic centers Ninh T. Nguyen, M.D. a, *, Brian Nguyen, B.S. a, Anderson

More information

Mechanical Bowel Preparation Does Not Affect Clinical Severity of Anastomotic Leakage in Rectal Cancer Surgery

Mechanical Bowel Preparation Does Not Affect Clinical Severity of Anastomotic Leakage in Rectal Cancer Surgery World J Surg (2017) 41:1366 1374 DOI 10.1007/s00268-016-3839-9 ORIGINAL SCIENTIFIC REPORT Mechanical Bowel Preparation Does Not Affect Clinical Severity of Anastomotic Leakage in Rectal Cancer Surgery

More information

Angie Perrin Lead Nurse/Clinical Nurse Specialist Oxford Radcliffe Hospitals NHS Trust

Angie Perrin Lead Nurse/Clinical Nurse Specialist Oxford Radcliffe Hospitals NHS Trust Angie Perrin Lead Nurse/Clinical Nurse Specialist Oxford Radcliffe Hospitals NHS Trust Background Late in 20th century saw revolutionary surgical advances within colorectal sphere 1978 Parks & Nicholls

More information

Is stapled ileal pouch anal anastomosis a safe option in ulcerative colitis patients with dysplasia or cancer?

Is stapled ileal pouch anal anastomosis a safe option in ulcerative colitis patients with dysplasia or cancer? DOI 10.1007/s00384-009-0744-9 ORIGINAL ARTICLE Is stapled ileal pouch anal anastomosis a safe option in ulcerative colitis patients with dysplasia or cancer? O. Zmora & D. Spector & I. Dotan & J. M. Klausner

More information

S. W. Polle, 1 M. S. Dunker, 1 J. F. M. Slors, 1 M. A. Sprangers, 2 M. A. Cuesta, 3 D. J. Gouma, 1 W. A. Bemelman 1

S. W. Polle, 1 M. S. Dunker, 1 J. F. M. Slors, 1 M. A. Sprangers, 2 M. A. Cuesta, 3 D. J. Gouma, 1 W. A. Bemelman 1 Surg Endosc (2007) 21: 1301 1307 DOI: 10.1007/s00464-007-9294-9 Ó Springer Science+Business Media, LLC 2007 Body image, cosmesis, quality of life, and functional outcome of hand-assisted laparoscopic versus

More information

Feasibility of Emergency Laparoscopic Reoperations for Complications after Laparoscopic Surgery for Colorectal Cancer

Feasibility of Emergency Laparoscopic Reoperations for Complications after Laparoscopic Surgery for Colorectal Cancer ORIGINAL ARTICLE pissn 2234-778X eissn 2234-5248 J Minim Invasive Surg 2018;21(2):70-74 Journal of Minimally Invasive Surgery Feasibility of Emergency Laparoscopic Reoperations for Complications after

More information