Robotic Colorectal Surgery Learning Curve and Case Complexity.

Purpose: To understand the role of case complexity in the learning curve for robotic colorectal surgery.

Materials And Methods: Sixty-two patients who underwent robot-assisted colorectal surgery were retrospectively reviewed. Each case was assigned a category of complexity ranging from I to IV.

Diverticular colovesical fistula: What should we really be doing?

Background: Colovesical fistula secondary to diverticular disease is increasing in incidence. Presentation and severity may differ, but a common management strategy may be applied. The aim of this study is to evaluate the characteristics and perioperative management of patients with colovesical fistulae and determine optimal management.

What happens after a failed LIFT for anal fistula?

Background: Ligation of the intersphincteric fistula tract (LIFT) was developed to treat transsphincteric anal fistulas. The aftermath of a failed LIFT has not been well documented.

Methods: Retrospective chart review of LIFT procedure for transsphincteric anal fistula between March 2012 and September 2016.

Anal Adenocarcinoma: Outcomes in an Uncommon Malignancy.

Adenocarcinoma is an uncommon malignancy of the anal canal. Although it is recognized as an aggressive disease, optimal management and long-term outcomes are not well established. Patients diagnosed with anal adenocarcinoma were identified from a cancer database.