A Structured Modular Approach: The Answer to Training in Laparoscopic Colorectal Surgery.

: Laparoscopic techniques are now an integral part of the operative management of colorectal diseases. However, the specialist training that is required for this is not uniformly available. There is, therefore, a need for a structured competency-based training method so that trainees can navigate the learning curve safely.

Value of multi-disciplinary input into laparoscopic management of rectal cancer - An observational study.

Aim: To assess the impact of multi-disciplinary teams (MDTs) management in optimising the outcome for rectal cancers.

Methods: We undertook a retrospective review of a prospectively maintained database of patients with rectal cancers (defined as tumours ≤ 15 cm from anal verge) discussed at our MDT between Jan 2008 and Jan 2011. The data was validated against the national database to ensure completeness of dataset.

A structured preceptorship programme for laparoscopic colorectal surgery in Wales: An early experience.

Introduction: A single experienced laparoscopic colorectal surgeon introduced an outreach preceptorship programme (OPP) for laparoscopic colorectal surgery (LCS) in Wales with the aim of supporting consultants in the early stages of their learning curve, as well as to help avoid some of the problems faced by self-taught laparoscopic surgeons. The structured programme consisted of a minimum 1 day master class at the preceptor's operating theatre, followed by multiple outreach visits by the preceptor. The aim of this study was to evaluate the effectiveness and early experience of this programme.

Laparoscopic drainage of retroperitoneal abscess secondary to pyogenic sacroiliitis.

Retroperitoneal abscesses are rare complications of pyogenic sacroiliitis. Diagnosis is often delayed due to the initial non-specific symptoms and signs and also a low awareness of the clinical presentation and diagnostic procedures among clinicians. We describe a case of an 18-year-old man who was diagnosed with septic arthritis of his left sacro-iliac joint which was complicated by a retroperitoneal abscess.