Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical...

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COLORECTAL and robotic SURGERIES Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA

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Page 1: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

COLORECTAL and robotic SURGERIES

Slawomir Marecik, MD, FACS, FASCRSAdvocate Lutheran General Hospital, Park Ridge, ILClinical Assistant ProfessorUniversity of Illinois, Chicago, USA

Page 2: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Outline Anatomy Colon cancer Rectal cancer Diverticular disease Inflammatory bowel disease

Crohn’s disease Ulcerative colitis

Page 3: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Anatomy How long is your colon?

Page 4: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Anatomy picture of the colon lymph nodes vessels retroperitoneal part perforations

Page 5: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 6: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 7: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 8: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 9: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 10: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 11: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 12: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 13: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Anatomy video full colon inside live

Page 14: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Anatomy video of right colon specimen video of left colon and rectum specimen

Page 15: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Colon cancer pictures right colon transverse left colon sigmoid

Page 16: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Colon cancer

Page 17: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 18: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Colon cancer type of operations type of anastomosis how the anastomosis is created stapling

Page 19: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 20: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Type of anastomosis Hand-sewn Stapled

Linear stapler Circular stapler

Page 21: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Hand-sewn anastomosis

Page 22: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Stapled, linear

Page 23: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Stapled, circular

Page 24: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 25: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Colon cancer When is colostomy needed?

emergency situation when… bowel is not prepared (bowel prep) patient has no healing potential

poor nutrition poor vascular supply steroids, other severe conditions

Page 26: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Rectal cancer Anatomy

mesorectum, valves, lymph nodes sphincter

Page 27: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 28: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 29: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 30: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Rectal cancer Level of tumor

Page 31: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Type of operations endoscopic excision local (transanal) excision radical surgery (involving bowel and lymph

nodes) radical surgery with sphincter

Page 32: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

ANTERIOR RESECTION

ULTRALOW ANTERIOR RESECTION

LOW ANTERIOR RESECTION

COLOANALPULLTHROUGH

Page 33: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Rectal cancer When is colostomy needed?

tumor involving the sphincter poor preoperative continence

When is (protective) ileostomy needed? low pelvic anastomosis if radiation was given before surgery

Page 34: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Need for proper evaluation endoscopy ultrasound MRI

Page 35: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Types of reconstruction after rectal cancer surgery

Straight connection J pouch Side to end

video

Page 36: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 37: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 38: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.
Page 39: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

preoperative chemoradiation therapy when? how long? why ileostomy? why pouchogram and flex sig?

Page 40: Slawomir Marecik, MD, FACS, FASCRS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Video – rectal cancer surgery Total mesorectal excision


Basics Skills for Laparoscopic Colon Surgery Bradley R. Davis, MD, FACS, FASCRS Associate Professor of Surgery University of Cincinnati Program Director.

Basics Skills for Laparoscopic Colon Surgery Bradley R. Davis, MD, FACS, FASCRS Associate Professor of Surgery University of Cincinnati Program Director.

Slawomir Marecik, MD, FACS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

Slawomir Marecik, MD, FACS Advocate Lutheran General Hospital, Park Ridge, IL Clinical Assistant Professor University of Illinois, Chicago, USA.

FISSURE, FISTULA, AND ABSCESSES...FISSURE, FISTULA, AND ABSCESSES Elisa H. Birnbaum, MD, FACS, FASCRS, and Ira J. Kodner, MD, FACS, FASCRS Fissure An anal fi ssure is a small tear

FISSURE, FISTULA, AND ABSCESSES...FISSURE, FISTULA, AND ABSCESSES Elisa H. Birnbaum, MD, FACS, FASCRS, and Ira J. Kodner, MD, FACS, FASCRS Fissure An anal fi ssure is a small tear

Slawomir Nalecz, Ph. D. - ccss.jhu.edu

Slawomir Nalecz, Ph. D. - ccss.jhu.edu

Common Office Anorectal Problems Sandra J. Beck, M.D., FACS, FASCRS Associate Professor of Colon and Rectal Surgery University of Kentucky Medical Center.

Common Office Anorectal Problems Sandra J. Beck, M.D., FACS, FASCRS Associate Professor of Colon and Rectal Surgery University of Kentucky Medical Center.

Colorectal Cancer Update Jonathan A. Laryea, MD FACS FASCRS FWACS Division of Colon & Rectal Surgery Department of Surgery University of Arkansas for Medical.

Colorectal Cancer Update Jonathan A. Laryea, MD FACS FASCRS FWACS Division of Colon & Rectal Surgery Department of Surgery University of Arkansas for Medical.

Experiences in Sacral Neuromodulation for the Treatment of Fecal Incontinence Stephen Cohen, MD, FACS, FASCRS Associate Clinical Professor Emory University.

Experiences in Sacral Neuromodulation for the Treatment of Fecal Incontinence Stephen Cohen, MD, FACS, FASCRS Associate Clinical Professor Emory University.

Airport security 2013 slawomir szlufik

Airport security 2013 slawomir szlufik

Tips and Tricks of Avoiding and Management of Anastomotic Complications Feza H. Remzi, MD, FACS,FASCRS., FTSS (Hon)Chairman Department of Colorectal Surgery.

Tips and Tricks of Avoiding and Management of Anastomotic Complications Feza H. Remzi, MD, FACS,FASCRS., FTSS (Hon)Chairman Department of Colorectal Surgery.

Slawomir Mrozek's The Police

Slawomir Mrozek's The Police

Peter W. Marcello, MD, FACS, FASCRS Reducing SSI · colorectal neoplasia. M t l c o r s is also the current chair colorectalneoplasia. Elizabeth C. Wick, MD Assistant Professor of

Peter W. Marcello, MD, FACS, FASCRS Reducing SSI · colorectal neoplasia. M t l c o r s is also the current chair colorectalneoplasia. Elizabeth C. Wick, MD Assistant Professor of

Laparoscopic Sigmoid Colectomy for Complicated Diverticulitis Steven D. Wexner, MD, FACS, FRCS, FRCSEd, FASCRS, FACG Chief Academic Officer Cleveland Clinic.

Laparoscopic Sigmoid Colectomy for Complicated Diverticulitis Steven D. Wexner, MD, FACS, FRCS, FRCSEd, FASCRS, FACG Chief Academic Officer Cleveland Clinic.

Complications of Laparoscopic Surgery for Diverticulitis Bradley R. Davis, MD, FACS, FASCRS Associate Professor of Surgery University of Cincinnati.

Complications of Laparoscopic Surgery for Diverticulitis Bradley R. Davis, MD, FACS, FASCRS Associate Professor of Surgery University of Cincinnati.

Crohns colitis patients can be offerred an ileoanal pouch Feza H. Remzi, MD, FACS,FASCRS, FTSS ( Hon)Chairman Department of Colorectal Surgery Rupert B.

Crohns colitis patients can be offerred an ileoanal pouch Feza H. Remzi, MD, FACS,FASCRS, FTSS ( Hon)Chairman Department of Colorectal Surgery Rupert B.

Delayed GI Recovery Following Colectomy Anthony J. Senagore, MD, MBA, MS, FACS, FASCRS Vice President and Chief Academic Officer Spectrum Health Medical.

Delayed GI Recovery Following Colectomy Anthony J. Senagore, MD, MBA, MS, FACS, FASCRS Vice President and Chief Academic Officer Spectrum Health Medical.

Gentler, Kinder Cut What’s New in Minimally invasive Colorectal Surgery? Samuel C. Oommen, MD, FACS, FASCRS Bay Area Colon and Rectal Surgeons Walnut Creek,

Gentler, Kinder Cut What’s New in Minimally invasive Colorectal Surgery? Samuel C. Oommen, MD, FACS, FASCRS Bay Area Colon and Rectal Surgeons Walnut Creek,

Shalini Kanneganti MD, FACS, FASCRS Colon and Rectal Surgery · 2017. 11. 22. · Colon cancer n SECOND most common cause of cancer deaths in US n 107,000 new patient each year n

Shalini Kanneganti MD, FACS, FASCRS Colon and Rectal Surgery · 2017. 11. 22. · Colon cancer n SECOND most common cause of cancer deaths in US n 107,000 new patient each year n

Forging - Amazon Web Services - For… · Conor P. Delaney, MD, MCh, PhD, FrCsi, FaCs, FasCrs, is Chief, ... (poeM) technique for patients with dysphagia due to achalasia, as well

Forging - Amazon Web Services - For… · Conor P. Delaney, MD, MCh, PhD, FrCsi, FaCs, FasCrs, is Chief, ... (poeM) technique for patients with dysphagia due to achalasia, as well

Board Certified Compassionate Surgical Care Tel: (954) 369-5717 …€¦ · 1 SW 129th Ave Suite 109 Pembroke Pines, FL 33027 Narciso L. Gomez, MD, FACS, FASCRS Board Certified in

Board Certified Compassionate Surgical Care Tel: (954) 369-5717 …€¦ · 1 SW 129th Ave Suite 109 Pembroke Pines, FL 33027 Narciso L. Gomez, MD, FACS, FASCRS Board Certified in

Implementation of NYSPFP Colon Surgery Bundle & SSI ......Implementation of NYSPFP Colon Surgery Bundle & SSI: Steps for Success David E. Rivadeneira, M.D., M.B.A., FACS, FASCRS Vice

Implementation of NYSPFP Colon Surgery Bundle & SSI ......Implementation of NYSPFP Colon Surgery Bundle & SSI: Steps for Success David E. Rivadeneira, M.D., M.B.A., FACS, FASCRS Vice