COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005 - 2007

Contents

CSSANZ MISSION 3

COUNCIL 4

FOREWORD Dr K Chip Farmer & Dr Rodney Woods 5

PRESIDENT’S REPORT Dr Philip Douglas 6-9

PAST PRESIDENTS AND COUNCILS 10-11

HISTORY • History of Colorectal Surgery in New Zealand Prof Frank Frizelle 12-15 • History of Colorectal Surgery in Australia Dr Mark Killingback/Dr K Chip Farmer 16-39

FEATURE ARTICLES • Assoc Prof Graham Newstead AM Dr Philip Douglas 41-42 • Binational Colorectal Cancer Database Dr Andrew Hunter 43-44 • CSSANZ Media Prize Dr Rodney Woods 45

OBITUARY Assoc Prof Joe Janwar Tjandra 46

TRAINING BOARD IN COLON AND RECTAL SURGERY Prof Michael Solomon • Current Training Board 47 • Historical Perspective 48-49 • 2007 Chairman’s Report 50-52 • Regulations 53-55 • Guidelines for Applicants (Post-Fellowship Training Program) 55-56 • Accreditation of Research Fellowship in Colorectal Surgery 57 • Guidelines to Facilitate the Development of a Hospital Based Colorectal Surgery Unit 58-59 • Program Directors 60-61 • Accredited Australian and New Zealand Surgery Units 62-79

PRIZES, SCHOLARSHIPS AND FELLOWSHIPS • Mark Killingback Research Prize 81 • ACPGBI Travelling Fellowship 82 • Covidien Colorectal Research Fellowship 83 • Mitchell J Notaras Fellowship in Colorectal Surgery 84-85 • Trainee Presentation Prize 85 • International Council of Coloproctology Travel Fellowship 86

TRIENNIAL REPORT 2005-2007 – 1 COLORECTAL SURGICAL SOCIETY COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005 - 2007 TRIENNIAL REPORT 2005 - 2007

Contents (continued) CSSANZ Mission

CSSANZ FOUNDATION REPORT A/Prof Graham Newstead AM 88-89 On the 11th November 1988 a meeting of twenty- CSSANZ Foundation Donation Form 90 fi ve committed colorectal surgeons agreed

RESEARCH REPORT of the CSSANZ Dr Peter Hewett 91-92 to form the Australian Society of Colorectal • Current Committee Surgeons (now known as the Colorectal Surgical • Historical Perspective Society of Australia and New Zealand). The • Past Triennium and Future Directions meeting was convened by Dr Mark Killingback JOURNAL CLUB REPORT Dr Matthew Rickard 93 and it elected Dr David Failes as the fi rst WEBSITE Dr K Chip Farmer 94 President. The aim of the Society was, and is, to improve the quality of care of patients with CSSANZ SECRETARIAT Ms Liz Neilson 95 diseases of the colon and rectum. To achieve CSSANZ MEMBERS’ RESEARCH ACTIVITIES 2005-2007 this aim the Society continues to foster the • Research Grants by CSSANZ Members 96-97 • Peer Reviewed Publications by CSSANZ Members 98-120 development and maintenance of colorectal • International Presentations and Lectures 121-129 surgery as a specialty with the following • Awards 130 objectives: HISTORICAL APPENDIX • Development of Australian and New Zealand Colorectal Units 132 • To educate colorectal surgeons, the medical profession • Post and Provisional Fellowship Colorectal Trainees 133 and the public • Australian and New Zealanders appointed to St Mark’s Hospital 134 • Australian and New Zealanders appointed to Cleveland Clinic Foundation 135 • To develop and maintain standards of practice of colorectal • Australian and New Zealanders appointed to Mayo Clinic 136 surgery in Australia and New Zealand • Chairmen: Section of Colon and Rectal Surgery RACS 137 • To facilitate and promote the training, certifi cation and • Inaugural Meeting of the Proctological Section RACS 138 accreditation of colorectal surgeons • Section of Colon and Rectal Surgery Annual GSM/ASC Meetings 139-140 • CSSANZ/Section of Colon and Rectal Surgery RACS Annual CME Meetings 141-142 • To convene and participate in colorectal surgery scientifi c • Sydney Colorectal Surgical Society Annual Scientifi c Meetings 143 meetings

APPLICATION FOR CSSANZ MEMBERSHIP 144-146 • To develop and support research programs in colorectal Membership Criteria 147 surgery

CSSANZ PATIENT INFORMATION BROCHURES 148 • To act in an advisory capacity for government, Brochure Order Form 149 AMA and other health organisations

MEMBERS OF CSSANZ 150-157 • To provide peer review advice

ACKNOWLEDGEMENT OF SUPPORT 158-159 • To foster the international exchange of all matters important to the development of colorectal surgery.

2 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 3 COUNCIL FOREWORD (OCTOBER 2007)

President Dr Philip Douglas

Vice-President Dr K Chip Farmer

Honorary Secretary Dr Andrew Luck It is with great pleasure that we present the Honorary Treasurer fourth Triennial Report of the Colorectal Dr John Lumley Surgical Society of Australia and New Zealand Councillors Dr Richard Perry covering the years 2005-2007. Dr Matthew Rickard A/Prof Bruce Waxman This report highlights the growth and diversity of the Society and the Dr Rodney Woods continued development of colon and rectal surgery as a surgical specialty RACS Section of Colon & Rectal Surgery Representative in both Australia and New Zealand over the past three years. It focuses on Prof Frank Frizelle the Society’s major areas of interest including the Training Board in Colon Dr K Chip Farmer and Rectal Surgery, the CSSANZ Foundation, and the research activity of Committees Society members. Economics: Dr K Chip Farmer Training Board in Colon & Rectal Surgery: This report contains a feature article dedicated to Graham Newstead’s Education: Dr Matthew Rickard Chairman – Prof Michael Solomon career and his involvement in the establishment and management of the Sponsorship: Dr John Lumley Society. Graham has held almost every offi cial position in the CSSANZ and CSSANZ Foundation: Membership/ it was fi tting that he be awarded a Member of the Order of Australia (AM) Chairman – Prof Ian Jones Credentialing: A/Prof Bruce Waxman during this triennium. Other feature articles outline the development of Public Relations/Media, CSSANZ Foundation Research Committee a binational colorectal cancer database and the CSSANZ media award. Standards and Outcomes: Dr Rodney Woods Chairman – A/Prof Pierre Chapuis The editorial committee wish to thank all those who made contributions Scientifi c Meetings/ to this report. Liz Neilson deserves special mention as she has performed Conjoint Committee: Dr Andrew Luck CSSANZ Research and Development Committee: Dr Rodney Woods Chairman – Dr Peter Hewett the administrative aspects of preparation of the report to her usual high New Zealand: Dr Richard Perry standards. We are also grateful to the team at Corporate Image for their Binational CRC Database professional layout and production skills.

Chairman – Dr Andrew Hunter Finally we are appreciative of the generous fi nancial support from Applied Medical, Covidien, Johnson and Johnson, Olympus, Genzyme, Medtronics and Scanmedics.

Dr K Chip Farmer & Dr Rodney Woods Editors Triennial Report Editorial Committee Editors: Dr K Chip Farmer, Dr Rodney Woods Melbourne, Australia Committee: Ms Pauline McCreddan, Ms Liz Neilson

All correspondence and enquiries: The Secretariat Colorectal Surgical Society of Australia and New Zealand Level 2, 4 Cato Street Hawthorn, Victoria 3122. AUSTRALIA Phone: +61 3 9822 8522 Fax: +61 3 9822 8400 Email: [email protected] Website: www.cssanz.org

4 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 5 PRESIDENT’S REPORT

It gives me great pleasure to write this Royal Australasian College hepatopancreaticobiliary colleagues in 2009. The next tripartite meeting will be in Cairns, report for the Triennial Report briefl y of Surgeons North Queensland in July 2011.

outlining the activities of the Colorectal Council has been trying for some time to establish The monthly Journal Clubs continue to function Surgical Society of Australia and New a Memorandum of Understanding with the very well. Many members and fellows attend College for ongoing post-fellowship training. It these meetings regularly and they are of excellent Zealand, and the work of the Council and has repeatedly been put into the “too hard” basket educational value. We remain appreciative of the but I am very pleased to report that one of the support for these meetings by Johnson & Johnson associated committees for 2005-2007. initiatives of the recently retired President of the Medical. RACS, Russell Stitz, was to establish a working I believe it has been a busy and fruitful 3 years for the newly named Travelling and Research Fellowships remain keenly party to look at the setting up of a Board of Post- “Colorectal Surgical Society of Australia and New Zealand”. sort after by our junior colleagues. We are very Fellowship Education and Training. The new appreciative of the support of: It was indeed very pleasing that the membership decided President, Andrew Sutherland, appears committed overwhelmingly to change the name of the Society at the to continuing with this process. The Council Dr Philip Douglas • the Section of the RACS for the Mark Killingback Extraordinary General Meeting in 2006, to better recognize the supports this initiative strongly, and hopes that the prize contribution made by our New Zealand members to the affairs of Board will be functioning in the very near future. the Society. • the Association of Coloproctology of Great The Society President is invited by the President Britain and Ireland for the ACPGBI Fellowship The membership of the Society continues to increase and we now of the RACS to attend the meetings of presidents have over 160 members (including 20 retired members). of specialist societies, which occurs three times • Covidien for the Covidien (previously Tyco) per year. The CSSANZ is the only Society that is Research Scholarship Training, standards, education and research remain vital functions represented at this meeting which does not have of the Society and the roles of the Training Board in Colon and its own fellowship diploma. • Dr Mitchell Notaras for the Notaras Fellowship. Rectal Surgery, the Scientifi c Program Committee, and the CSSANZ Foundation are vital. • ASCRS for the ICCP Travel Scholarship. Continuing Education Diseases of the Colon & Rectum is the offi cial Training Board in Colon and Rectal Surgery journal of the Society, and we appreciate the At this time we are especially looking forward to co-operation and support of the American Society the next Tripartite meeting, to be held with our of Colon and Rectal Surgeons to enable this The Training Board, under the enthusiastic and diligent chairmanship colleagues from North America, Great Britain and ongoing educational relationship. of Michael Solomon, continues to run an outstanding post- Ireland, and Europe, in Boston, USA, in June, 2008. fellowship training program. The last of the provisional fellowship The Society’s patient information brochures have trainees completed their training at the end of 2007. There are The Scientifi c Program Committee is a joint all been reviewed and updated recently and further currently 20 Fellows training. Twelve new Fellows were appointed Committee of the Society and the Section of Colon brochures are being prepared. They remain very to commence training in 2008. We now have 18 accredited training and Rectal Surgery of the Royal Australasian popular with our members. hospitals in Australia and New Zealand. The Training Board also College of Surgeons. It is currently chaired by Jamie appoints to training positions at St Mark’s Hospital in London and Keck. This committee is responsible for advising An annual Society prize for a stomal therapy at the Cleveland Clinic in the USA. The annual training weekends the Society and Section Executives regarding nurse has been established and the fi rst prize was continue, and remain very successful educationally for the trainees. future colorectal meetings in Australia and New awarded in 2007 to support one of the members The effort that the trainees put into the preparation of their topics Zealand, including the annual Continuing Medical of the Australian Association of Stomal Therapy leads to outstanding presentations, and the trainees are appreciative Education meeting and the colorectal program Nurses to attend the CME meeting in Victor Harbor. of the contribution made by the faculty on these weekends. We are at the Annual Scientifi c Congress. again very thankful to Johnson & Johnson Medical for their ongoing support of the Trainees’ Education Weekend. Over the last three years very successful CME meetings have been held in Brisbane, Christchurch and Victor Harbor, South Australia. We are having a combined meeting with the Sydney Colorectal Surgical Society in Sydney in 2008, and a combined medical/surgical meeting with our gastroenterological, oesophogogastric and

6 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 7 PRESIDENT’S REPORT (CONTINUED)

Standards CSSANZ Foundation Acknowledgements I would like to thank my fellow members of Council, Chip Farmer (Vice President), Andrew Luck (Honorary Secretary), John Lumley (Honorary The Binational Colorectal Cancer Database Graham Newstead stood down as Chairman of In February 2007 the Society was very pleased Treasurer), Bruce Waxman, Rod Woods, Matt Committee, under the Chairmanship of Andrew the Foundation in 2007, a position he had held to welcome Liz Neilson as its new Executive Rickard and Frank Frizelle (co-opted councillor Hunter, is continuing to work towards having most since it was established in 2004. The Society is very Administrator. At that time Jan Farmer, who had and Chairman of the Section of Colon and Rectal members of the Society submit their Colorectal appreciative of the wonderful efforts he made been working with the Society for 2 years, “retired” Surgery, RACS), for all their efforts and hard work Cancer data for the ongoing purposes of research in setting up and expanding the Foundation. Ian and handed over to Liz. She provided a wonderful on behalf of the Society. and audit. The project continues, as previously Jones has been elected the new Chairman, and Ian’s handover and the Society was very grateful for the outlined, in co-operation with MMIM and the RACS. wisdom and experience from his years on both the superb job that Jan had done, especially in setting The immediate Past President, Ian Jones, did an All members have now been invited to submit their Society and Section executives will be invaluable to up the new Society offi ce in Melbourne. Liz has outstanding job, and led the Society with great colorectal cancer data. Andrew has been doing the Foundation. been doing a wonderful job for the Society and wisdom, enthusiasm and vision. His contribution a superb job in establishing this database, and is its members. We are very reliant on her efforts was greatly appreciated by all members. to be congratulated on what has been achieved The Foundation continues to raise money for and very appreciative of all she has done for the to date. research. Money has been donated by the Section, Society since she started. This administrative role Finally, I would like to thank the membership for industry, the membership of the Society, and with the Society is constantly expanding and Liz their support and active involvement in the affairs With the database functioning in the very near the community. A number of projects are being has demonstrated initiative and enthusiasm in of the Society. I believe that the Australian and future, the other component required for attaining supported and the Foundation Board takes advice this position. New Zealand populations can be very confi dent Fellowship of the Society i.e: an assessment of from the Research Committee. Peter Hewett was about the quality and competence of the colorectal knowledge and reading, which will occur every the initial Chairman of the Research Committee Graham Newstead stood down as Executive surgeons in these two countries. 5 years, should be able to start very soon. Society and he concluded his term in this role in 2007. Peter Director of the Society in 2006, and as Chairman members are strongly encouraged to participate did a great job and the Society and the Foundation of the CSSANZ Foundation in 2007, thus ending in these activities to achieve Fellowship of the executive received excellent advice from Peter and a very long period of various senior leadership Society. his committee. Pierre Chapuis has been appointed roles in the Society, which started when he was Dr Philip Douglas as the new Research Committee Chairman, and his elected Honorary Secretary at the time the Society President, CSSANZ I believe this is an outstanding opportunity experience in this area will also be invaluable to (Colorectal Surgical Society of Australia) was Sydney, Australia for members of the CSSANZ to demonstrate a the Foundation. established in November, 1988. He was President commitment to excellence in surgical practice, from 1995-1997. The enormity of the contribution ongoing audit, and continuing education. An extensive list of publications by members that Graham has made so willingly to the affairs of the Society over the past 3 years is tabled of the Society cannot be overstated. Thank you The President of the Society continues to meet elsewhere in this Report. Graham. with the President of the Gastroenterological Society of Australia, the Chairman of the Australian Chip Farmer has now edited his 2nd Triennial and New Zealand Hepatopancreaticobiliary Report. This involves a very large amount of work, Association and the Chairman of the Australian and and he has again done an outstanding job with New Zealand Gastro-oesophageal Society. These this publication. meetings are relatively informal but discussions of mutual interest are held. There is a colorectal nominee of the College, made after consultation with the Society (currently Andrew Luck), on the Conjoint Committee for Recognition of Training in Gastrointestinal Endoscopy.

We continue to have representation on the International Council of Coloproctology. Graham Newstead remains President of the International Council.

8 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 9 PAST PRESIDENTS AND COUNCILS

David Failes Mark Killingback Des Hoffmann Graham Newstead Russell Stitz Andrew McLeish Michael Solomon Ian Jones Philip Douglas

President President President President President President President President President David FAILES Mark KILLINGBACK Des HOFFMANN Graham Russell STITZ Andrew McLEISH Michael SOLOMON Ian JONES Philip DOUGLAS 1988 - 1990 1990 - 1993 1993 - 1995 NEWSTEAD 1997 - 1999 1999 - 2001 2002 - 2004 2004 - 2006 2006 - Present 1995 - 1997 Vice President Vice President Vice President Vice President Vice President Vice President Vice President Vice President Brian COLLOPY Brian COLLOPY Malcolm STUART Vice President Andrew McLEISH Michael SOLOMON Ian JONES Philip DOUGLAS K Chip FARMER Malcolm STUART Honorary Honorary Honorary (95-96) Honorary Honorary Secretary Honorary Secretary Honorary Secretary Honorary Secretary Secretary Secretary Secretary Russell STITZ (96-97) Secretary K Chip FARMER K Chip FARMER K Chip FARMER Richard PERRY Graham Graham Graham Michael SOLOMON (2006-2007) NEWSTEAD NEWSTEAD NEWSTEAD Honorary Honorary Treasurer Honorary Treasurer Honorary Treasurer Andrew LUCK Secretary Honorary Andrew HUNTER Andrew HUNTER Andrew HUNTER (2007-current) Honorary Honorary Honorary Pierre CHAPUIS Treasurer Treasurer Treasurer Treasurer K Chip FARMER Council Council Council Honorary Treasurer Jack MACKAY Russell STITZ Russell STITZ Honorary Bruce WAXMAN Andrew BELL David LUBOWSKI John LUMLEY Russell STITZ Treasurer Council Council Council David LUBOWSKI David LUBOWSKI John LUMLEY Andrew McLEISH Bruce WAXMAN Council Des HOFFMANN Brian COLLOPY (1997-98) Campbell PENFOLD Richard PERRY Richard PERRY Council Andrew LUCK (1999-2000) Mark KILLINGBACK Sol LEVITT Pierre CHAPUIS Council David LUBOWSKI Bruce WAXMAN Bruce WAXMAN Richard PERRY Des HOFFMANN Andrew BELL Des HOFFMANN John MACKAY Mark KILLINGBACK Campbell PENFOLD (95-96) Matthew RICKARD Ian Jones (2001) Sol LEVITT Malcolm STUART Andrew McLEISH Les BOKEY Bruce WAXMAN Bruce WAXMAN John OAKLEY Russell STITZ Rodney WOODS (95-96) Andrew HUNTER (1998-99) J Campbell PENFOLD Michael SOLOMON (96-97) K Chip R FARMER (96-97)

10 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 11 surgical training he went to Indonesia and Hong Jim Carter trained at St Mark’s and came back to HISTORY OF COLORECTAL SURGERY Kong as a lecturer in surgery. He was awarded Auckland as a tutor at Greenlane Hospital. He took a Commonwealth Scholarship and obtained an over most of the work of Tony Hunter at Greenlane IN NEW ZEALAND appointment in Leeds for a year before taking up and undertook a lot of infl ammatory bowel disease an appointment as Assistant Professor in Surgery surgery. When North Shore Hospital opened, he at the University of Texas in 1974/5. He went on to transferred there and kept up an active interest obtain a post as Reader in Surgery and Assistant in colorectal surgery. He retired in 2002. Director to Professor John Goligher for 5 years. He took up the Chair in Surgery in Auckland in Other Auckland Surgeons in the last 50 years 1980. He was the fi rst resident New Zealander that have made noteworthy contributions to to be made a Fellow of the American Society of development of colorectal surgery include Fred Colorectal Surgery in 1997. During his time as Furkert, Keith Ewen, and more recently Pat Alley. The development of colorectal surgery as a and his brother went to Otago Medical School Professor of Surgery he was a visiting Professor in Andrew Connolly was the fi rst CSSA registered subspeciality within New Zealand has occurred in Dunedin. Following graduation he undertook Australia, Hong Kong, England, USA, and was the colorectal surgeon at Middlemore, starting in 1997. over the last 15 - 20 years. There has been a close general surgical training initially in New Zealand RACS Foundation Visitor in Colorectal Surgery in More recently he has been joined by Lincoln Israel relationship between Australian and New Zealand then went to England where he worked at the 1999. He has published several hundred articles in and Associate Professor Andrew Hill (the son of surgeons. Many of Australia’s key fi gures (eg ESR Royal Marsden, Whipps Cross, St Mary’s and the aspects of surgery, including one with ESR Hughes Graeme Hill). Andrew has been making a signifi cant Hughes, Mark Killingback, Les Bokey and Russell Royal Masonic and undertook his colorectal entitled “Total Body Water and Total Exchangeable contribution to academic colorectal surgery in Stitz) have had a major infl uence in shaping the training at St Mark’s. Tony was a general surgeon Sodium in patients after Ileo-rectal Anastomosis” New Zealand in the last few years in regard to post direction of colorectal surgery in New Zealand. at Greenlane Hospital, however after 1958, working published in the British Journal of Surgery in 1974. operative surgical recovery with his research on The close relationship has been cemented with the in conjunction with Tony Cawkwell, they fostered Graeme is now retired, living in Wanaka, in the post operative fatigue and fast tract surgery. combination of the Colorectal Surgical Society of a subspecialty colorectal interest. He was the fi rst South Island of New Zealand. Australia and the colorectal interest group from surgeon to learn colonoscopy in New Zealand. He Auckland’s North Shore Hospital colorectal unit The other important Auckland identity whose New Zealand to become the Colorectal Surgical was Chairman of the Section of Colon and Rectal is staffed by 3 surgeons, Ian Stewart, Eva Juhasz name goes hand in hand with Graeme Hill’s, is Society of Australasia. In September 2006 the Surgery in the College in 1973/74. He was awarded and Mike Hulme-Moir, with John Jarvis joining the Mischel Neill. Mischel, after his general surgical Colorectal Surgical Society of Australasia became the RACS medal in 1977. Tony died young at age unit in 2008. Eva Juhasz undertook her colorectal training, went to St Mark’s for three years, initially the Colorectal Surgical Society of Australia and 57 of renal carcinoma. His brother, John Hunter, training at the Mayo Clinic and on return to New as a Commonwealth scholar. He then spent a New Zealand (CSSANZ). became Professor of Medicine in Dunedin and Zealand initially worked in private practice before short spell at the London Hospital as Sir Alan subsequently Dean of the Christchurch School taking up a post in Lower Hutt, and subsequently Whilst there may only be two colorectal units Parks’ senior registrar. On return to Auckland he of Medicine. at North Shore Hospital, Auckland. Mike Hulme- which train fellows on the RACS/CSSANZ program, has held public hospital positions in Middlemore, Moir undertook post fellowship training in the colorectal surgery in New Zealand has undergone The Colorectal Unit at Auckland Hospital was Greenlane and more recently, Auckland Hospital, UK including time in Edinburgh. The Waikato exceptionally rapid growth in the last 10 years. started by Graeme Hill and Mischel Neill in 1995. as a colorectal surgeon. He started undertaking region (just south of Auckland) is well served by Many younger surgeons have taken up specialised Graeme Hill was appointed as Professor of Surgery ileal pouch surgery in 1981 and throughout the two colorectal surgeons, Ralph Van Dalen and colorectal posts, with most major centres now following the retirement of Eric Nanson in 1980. 1980s provided the pouch service for most of New Simi Lolohea. having a clinical colorectal unit, adding depth Graeme had a major infl uence as an academic Zealand north of Christchurch. Misch also has had to the colorectal practice in New Zealand. colorectal surgeon in New Zealand and overseas. major interest in pelvic fl oor pathophysiology. The unit was further enlarged by the addition of He has been an executive member of the RACS Wellington Bryan Parry in 1996. Graeme Hill retired in late Section of Colon and Rectal Surgery. Auckland 1999, and in 2002 Ian Bissett was appointed, having Colorectal surgery in Wellington has many completed the RACS/CSSA training program. Bryan Parry took over as Chief of Surgery at interesting characters including Bill Isbister. There have been many surgeons that have Mischel Neill retired from his public appointment Auckland City Hospital from Graeme Hill in 1996. Bill came to Wellington in 1975 as the Foundation prepared the way for recent developments, with at Auckland hospital in 2003 (still working in the Bryan trained in surgery initially in Auckland Professor of Surgery in the Wellington School of one of the early fi gures in Auckland being Tony private sector) and Arend Merrie was appointed to and subsequently in St Mary’s London. He then Medicine and stayed until about 1991. He was Cawkwell. He had a large colorectal practice replace him. More recently Julian Hayes has joined worked for 5 years in Thailand. He returned to originally from Manchester and subsequently and was a signifi cant colorectal surgeon in his the Auckland City Hospital colorectal unit. Auckland as a lecturer in surgery in 1982, before trained at the Cleveland Clinic before holding time (1950s to early 60s). He trained at St Mark’s moving back to St Mary’s London in 1985. In 1986 a post as senior lecturer in Surgery in the Royal after serving in the Medical Corps in WW2. He Graeme Hill MBChB, MCh, he returned to New Zealand, as Senior Lecturer in Brisbane Hospital from 1972-5. His infl uence on the unfortunately died at an early age (about age 53) of MD, FRACS, FRCS, FACS was Dunedin where he stayed for 5 years. In 1991 Bryan structure of the surgical department in Wellington a brain tumour. a huge fi gure in academic moved to the Colorectal Unit at Singapore General cannot be underestimated, with the development colorectal surgery for Hospital until 1994 when he returned to Auckland. of specialised clinical units with Wellington Tony Hunter was another important fi gure of this over 20 years both in New He was appointed Chief of Surgery and Professor Hospital. Along with this he managed to gather era. He was the fi rst surgeon to practice colorectal Zealand and overseas. His of Surgery in 1996. Bryan has won the Sir Louis many excellent staff such as Associate Professor surgery as a distinct subspecialty in New Zealand. initial training in general Barnett Prize a record three times for his research Richard Stewart. The politics of the time was He had an interesting background, in that his surgery was in Dunedin. and served on the RACS Colon and Rectal Section diffi cult and with university staff cuts, Bill decided father left the family and moved to Australia His fi rst paper “Chronic executive until 2001. to leave and went to King Faisal Hospital in Saudi when he and his brother John were very young, Dehydration and Sodium Arabia. Bill has published several hundred papers Professor Graeme Hill leaving his mother to bring them up. However his Depletion in Patients on clinical colorectal work, much of the data mother died when he was aged 7. Tony and John with Established Ileostomies” was published coming from his detailed audit of patients while spent four years at the Salvation Army Boys Home in the Lancet. This research was undertaken in Wellington. Bill has retired to Germany. in Eltham and two years at the Wesley Home in in Christchurch and Dunedin. The metabolic Auckland before an uncle sent them to Kings consequences of surgery became a thread for this College in Auckland. Subsequently both Tony research from then on. From this initial general

12 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 13 HISTORY OF COLORECTAL SURGERY IN NEW ZEALAND (CONTINUED)

Other surgeons who had large colorectal practices Greg Robertson was appointed as a colorectal with a cardiac arrhythmia during a test match in The New Zealand Chapter of CSSANZ has continued and made major contributions to clinical surgeon in 1996, having undertaken his colorectal Dunedin. He had a signifi cant interest in colorectal to hold regular meetings within New Zealand. colorectal surgery in the Wellington area include training in Cambridge UK and Concord, Australia. disease and was a founding member of the RACS Richard Perry is at present on the CSSANZ Council Alan Anderson, Ted Watson, Rob Christie, and Frank Frizelle was also appointed in 1996 as a Section of Colon and Rectal Surgery. He published while Frank Frizelle is Chairman of the Section Ken Menzies and more recently, John Groom, senior Lecturer in Surgery and Colorectal Surgeon on rectocele and purititis ani. John is now retired of Colon and Rectal Surgery, Royal Australasian John Keating and Liz Dennett. John Groom, after and was subsequently appointed as Professor in Dunedin. College of Surgeons. completing his general surgical training in New of Colorectal Surgery in 2000. At the same time, Zealand, went to London and held a position at St the Christchurch Colorectal Unit was set up to More recently Mark Thompson-Fawcett has settled This development along with the presence of two Mark’s before returning to Wellington. John Keating provide tertiary colorectal service for the upper in Dunedin. He undertook colorectal training and strong colorectal units with fellows on the RACS/ trained in The Royal London (one of his teachers part of the South Island and West Coast. Craig research for an MD at Oxford and subsequently CSSANZ program has helped colorectal surgery was Sir Alan Parks) after his initial general surgical Lynch was appointed in 2005 but resigned in 2006 at Toronto. Julian Hayes also worked in Dunedin develop in New Zealand. training in Basingstoke with Bill Heald. Following and has since moved to Melbourne. John Frye before moving to Auckland. Many of the colorectal surgeons now practicing this he undertook his general surgical training in was appointed to replace him in 2007. John had are young and have come through various training New Zealand and the RACS/CSSA post fellowship undergone the CSSANZ/RACS program training programs from the RACS/CSSANZ, Mayo Clinic, training. He has been in Wellington since 1997 and and spent 2 years with Norman Williams at the The New Zealand Colorectal Group Cleveland Clinic or St Mark’s. New Zealand has had has been a prolifi c writer on colorectal surgery London Hospital. a few stars such as Graeme Hill and Bill Isbister. and an avid researcher. Dr Liz Dennett completed Colorectal surgery in New Zealand until recently Some other New Zealand surgeons, resident the CSSA/RACS program in 2003 and has been has not had the same level of organisation as that overseas, have infl uenced practice from afar, such appointed as a senior lecturer in colorectal surgery Dunedin in Australia. In 1997 Bryan Parry, Richard Perry as James Church at the Cleveland Clinic. at Wellington Hospital. She is making a signifi cant and Frank Frizelle talked about setting up a New contribution to colorectal surgery at Wellington Dunedin is the home of Zealand Colorectal Surgical Society after which Hospital and the medical school. medicine in New Zealand Frank Frizelle wrote an outline for such a Society. with Otago Medical School A group such as this was seen as important to Frank A Frizelle being established there in lead colorectal development, giving a coordinated Professor of Colorectal Surgery Christchurch 1875. There have been many opinion on colorectal issues and to be a voice Christchurch, New Zealand surgeons with a colorectal on colorectal issues separate from the general Christchurch surgeons have in previous interest in Dunedin, surgical groups. generations prided themselves in being generalists, however the surgeon who however times have changed and Christchurch A meeting was arranged of interested surgeons Acknowledgments. There has been nothing had the most infl uence in now holds the only Chair in Colorectal Surgery in 1999 in Auckland where it was decided the written in this fi eld before, therefore most of the colorectal matters was John in New Zealand. While a number of colorectal criteria for membership should be the same as information has come from oral histories checked Associate Professor Heslop. John was Chairman surgeons have held Chairs in Surgery, this is the John Heslop the CSSA and a steering group set up. From there against obituaries and other institutional records. of the RACS Section of only Chair in Colorectal Surgery. Some of the it became clear to the steering group that a New I have relied heavily on the information that others Colon and Rectal Surgery from 1974-5. John either earliest outcome data on colorectal surgery in New Zealand Colorectal Surgical Society would be a have collected. I would like to acknowledge the taught or worked with many of the New Zealand Zealand comes from Christchurch. It was collected very small group, 12-14 members, at that time. The many surgeons who provided me with information Professors of Surgery (Michael Woodruff, Gus by Mr William (Bill) Cotter who reviewed 61 cases cost of infrastructure would be prohibitive and it especially Pat Cotter, Rob Davidson, John Heslop Frankel, John Ludbrook, Allan Clarke, Murray of rectal cancer and 100 cases of colon cancer was clear that we needed to look for a group to and Graeme Hill as well as the many department Brennan, Graeme Hill, Bill McBeth, Andre Van Rij, prior to 1933. Bill Cotter’s son, Pat Cotter, went associate with. The choices were the New Zealand secretaries who found the time to help, especially Kevin Pringle, Bryan Parry, and Frank Frizelle) and on to become a Christchurch surgeon and was Association of General Surgeons (NZ equivalent to Denis Hyde. as such has had signifi cant infl uence as a role well known locally for his Colo-anal pull through GSA), the New Zealand Society of Gastroenterology model. John started his training in Dunedin and, operations which he learnt from ESR Hughes. or the CSSA. The problem with CSSA was the name. as was common in the 1950s, moved to England Any society whose name only acknowledged for further training where he won the RCS Gordon Rob Davidson had a major role in the executive Australia was going to be of little use in New Gordon-Taylor Medal. On returning to Dunedin of the RACS Section of Colon and Rectal Surgery Zealand as a medical political body. In 2000 at the he developed a broad surgical practice including and was Chairman of the Section from 1981-2. Hobart meeting of CSSA, a proposal was put to the varicose veins surgery, burns, hydatids, morbid He undertook the fi rst 44 ileal anal pouches in the executive to change the name. This was explored obesity surgery, medical education and colorectal South Island in conjunction with Rob Robertson. by the executive and in 2001 at the Perth meeting surgery. John was president of the New Zealand Richard Perry has pioneered laparoscopic of the CSSA, the name changed to the Colorectal Cricket Council and as such became famous for his colorectal surgery in New Zealand, from the Surgical Society of Australasia and 10 New acute management of New Zealand fast bowler position of full time private practice. He has Zealanders applied for membership of the society. been extensively involved with CSSANZ Council. Richard Hadlee (later, Sir Richard) who collapsed

14 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 15 Melbourne in 1908 and rapidly established a surgery. Such a technique for large bowel surgery HISTORY OF COLORECTAL SURGERY reputation as a skilled surgeon. By the 1920s he was “rediscovered” in Australia in the 1970s. was Australia’s most eminent fi gure in abdominal IN AUSTRALIA (INCL. CSSANZ) surgery and was one of the fi rst Australians to earn In Adelaide in the 1930s and until 1958 Alan an international reputation. Surgery of the colon Britten Jones was a surgeon on the staff of the and rectum became his principal interest and Royal Adelaide Hospital. His special interest was with his son John he published a second textbook colorectal surgery and in 1939 (with A Lendon) he “The Surgery of the Colon and Rectum” in 1948. performed the fi rst abdominoperineal excision of This was the fi rst comprehensive textbook by an the rectum in South Australia. He had visited the Australian surgeon devoted entirely to colorectal Mayo Clinic in 1939 and observed their technique surgery. Devine’s infl uence in the development of this operation. After serving in the armed forces of the RACS and the ANZJS are legend and are in World War II he returned to Adelaide. He visited For most of the 19th century hospital practice abdominal surgery he pioneered major resections available in detail elsewhere. His contributions in St Mark’s Hospital in 1946 where he was most included very little colorectal surgery, although of stomach and bowel. He was a general surgeon colorectal surgery were to increase the safety of impressed by John Goligher. Later in the same bowel obstruction and anal fi stula are occasionally with great skill, speed and physical capacity. large bowel operations by staging the procedures year he was the fi rst surgeon in South Australia to referred to in the literature. Hospitals were He was not a prolifi c writer but did publish a and performing resections on defunctioned perform a defunctioning ileostomy for ulcerative places for the military, convicts and the very paper on bowel surgery in 1905 describing an and prepared bowel. He used the Paul-Mikulicz colitis. The patient underwent a resection a year poor. The majority of patients in hospital were intestinal anastomosis, which was completed in technique of resection on the right and left colon. later and remained well at least up to 2002. there for infections, which were systemic, three layers of sutures. Subsequently he was not He initiated the separated (split) colostomy that John Turner was an inpatient surgeon at the Royal pulmonary, gastrointestinal or local abscesses enamoured of Devine’s philosophy of multiple bears his name. He designed an enterotome to Melbourne Hospital during the 1940-1950 period. in soft tissue or bone. Trauma, malnutrition and stages to achieve bowel resection and thought crush the spur of a colostomy to obtain its closure His general surgical practice was complemented insanity contributed signifi cantly to the inpatient Devine made “the subject very complicated”. without surgery. population. MacCormick nevertheless advocated a right by his interest in colorectal surgery. In 1947 he lumbar extraperitoneal colostomy for bowel He performed high anterior resections with a published a paper in the ANZJS describing the The fi rst operating theatre in the colony was obstruction. He introduced the white coat to variety of techniques and also performed pull thru results of 100 consecutive patients with rectal located in the Sydney Infi rmary and Dispensary Prince Alfred Hospital, much to the amusement sphincter saving operations. Most rectal cancers cancer managed at three Melbourne teaching some years after the hospital was built in 1816. of his colleagues. He was the undisputed leading were treated by abdominoperineal excision (APE) hospitals (RMH, St V’s, Alfred). The resection rate Initially operations were performed in the post surgeon in Sydney for 30 years. He was possibly and in 1935 he performed the fi rst synchronous was only 34% and the operative mortality 32%. mortem room. In 1846 the Melbourne Hospital the most fi nancially successful: he owned a private operation in Australia. In 1937 he published the fi rst He stated there was a marked disparity in this was opened and in the same year the fi rst medical hospital in Paddington (later known as the Scottish paper to advocate the Trendelenberg Lithotomy operative mortality rate between individual society was inaugurated (The Port Phillip Medical Hospital) and was the owner/builder of a seven position for APE. Lloyd Davies of St Mark’s Hospital surgeons. Sphincter saving operations were Society). General anaesthesia was fi rst performed storey block of apartments in Macquarie Street London published a paper on the synchronous performed in less than 5% of operations and only in Sydney in 1847 and this undoubtedly resulted in Sydney where he practiced. MacCormick was not technique in 1939. Devine’s abdominal retractor then in cancers of the upper third of the rectum. an increase in surgical procedures. Few operations in favour of specialisation. He particularly objected was very useful in the era of non-relaxant In 1951 he delivered the Anstey Giles Lecture on however involved the gastrointestinal tract except to the separation of orthopaedics and urology from anaesthesia and was used by surgeons throughout “Surgery of the Malignant Tumours of the Anal those for intestinal obstruction for which it was general surgery. the 20th century. His 40 publications included Canal and Rectum”. Alan Cuthbertson of Melbourne said the surgeons were more fatal than the disease. ten scientifi c papers on surgical aspects of the states that it was John Turner who stimulated In 1859 J G Beany published the fi rst Australian The results of colorectal surgery between 1912- colon and rectum. Devine was probably the fi rst Bill Hughes’ interest in surgery of the colon and textbook on surgery “Original Contributions to the 1926 were reported from two hospitals in Sydney. Australian invited to present a scientifi c paper at a rectum. Subsequent to Turner’s premature death, Practice of Conservative Surgery” which included a At RPAH operations for colon cancer had a prestigious meeting in the United States (American Bill Hughes became an inpatient surgeon at the chapter on bowel obstruction in which he referred mortality of 39%, cures were reported in only 20%. College of Surgeons New York, 1925). He was the Royal Melbourne Hospital in 1963 and inherited to “strictures and cancers being managed by At Prince Henry Hospital there was a mortality fi rst Australian elected an honorary member of a large colorectal referral practice within the abdominal or lumbar colostomy”. rate of 48% for colon and rectal cancer with cures the Section of Proctology of the Royal Society hospital. reported as low as 17%. Patients often presented of Medicine. In the 1880s in Europe, Kraske and Kocher were with advanced disease, severe intercurrent In 1951 John Devine (son of Sir Hugh) and Rowan performing posterior resection of the rectum and morbidity and by present day standards, were In 1937 Robert Offi cer of Melbourne, whilst an Webb published case reports of two patients with Hochenegg was performing abdomino-anal pull inadequately prepared for major surgery, which RSO at St Mark’s Hospital, London, developed a “familial multiple polyposis” who were treated thru procedures with sphincter preservation. In was performed under non-relaxant chloroform or proximally illuminated sigmoidoscope with Mr by resection and reconstructed with a straight Australia, resections of the colon and rectum were ether anaesthetic. At St Vincent’s Hospital, Sydney Clifford Naunton Morgan. It was fi tted with a ileo anal anastomosis within a rectal sleeve in infrequently performed. During 1895 only two four colon resections were recorded in 1912 and telescopic lens and the model was adapted for a which mucosectomy had been performed. This rectal excisions were performed at St Vincent’s nine colon resections in 1919. larger size operating sigmoidoscope. Ted Wilson publication preceded the report of Parks and Hospital in Sydney. had a set of these sigmoidoscopes which he Nicholls (Proctocolectomy without ileostomy Hugh Devine (1878-1959) preferred to use throughout the duration of his for ulcerative colitis) by 26 years. In 1896 John Edward Barrett of Melbourne was was a master general practice. The instrument was named the Offi cer- the fi rst Australian to work at St Mark’s Hospital, surgeon whose repertoire Morgan Sigmoidoscope. London. His appointment was as a house surgeon. although broad was focused on gastrointestinal Leo Doyle was an inpatient surgeon at St Vincent’s Alexander MacCormick (1856-1947) graduated surgery. His fi rst textbook Hospital Melbourne (1930-1951) and therefore from Edinburgh University in 1880 and had learned (1940) “The Surgery of a contemporary of Hugh Devine. Doyle was a Lister’s principles of antisepsis. He immigrated the Alimentary Tract” general surgeon who could operate on any part to Sydney and was appointed to Prince Alfred brought him international of the body. He did not have a special interest Hospital (1885-1913), Sydney Hospital (1888- acclaim. He was appointed in colorectal surgery but did advocate the 1896) and St Vincent’s Hospital (1913-1931). In Hugh Devine to St Vincent’s Hospital one layer anastomosis for all gastrointestinal

16 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 17 HISTORY OF COLORECTAL SURGERY IN AUSTRALIA (INCL. CSSANZ) Royal Society of Medicine. It is not intended that several hospitals was impeding his potential the formation of this Society should be a step achievements. An important publication in (CONTINUED) towards examinations in proctology, proctological 1964 was a report on the current results of his specialization, etc. It will ensure that at meetings treatment of large bowel carcinoma. Between In 1947 Edward (Ted) Wilson casualties were a major contribution. On return of the College there will be a section dealing with 1947 and 1963, 1189 patients had been registered. of Sydney (a graduate of to Melbourne in 1951 he rapidly established his colonic and rectal surgery, a branch of general Of these, resection was performed on 1029. The Melbourne University) credentials in colorectal surgery. In his fi rst decade surgery which interests most Fellows.” fi ve-year survival of curative resections was 79%. obtained a position as of practice he worked with remarkable energy The follow-up of patients was 100%. Hughes was RSO at St Mark’s Hospital, and established a large practice in general surgery The inaugural meeting was convened by Hughes established as the Australian pioneer in the follow- London. This stimulated with an emphasis on colorectal disease. During at the Southern Cross Hotel in Melbourne on 28th up of patients treated for large bowel cancer. This his lifelong interest this time he published 62 scientifi c papers, two May 1963, the day prior to the commencement of aspect of his work was one of his most signifi cant in colorectal surgery textbooks and two small books on stomal care. the GSM. There were 91 Fellows present, the motion contributions to colorectal surgery. which became the main The numbers of patients treated with colorectal to form the section was carried unanimously. AH component of his practice. cancer and infl ammatory disease rapidly increased. Edward Wilson Lendon (SA) was elected Chairman and ESR Hughes He was appointed to Sydney He was a protagonist of ileo rectal anastomosis the Secretary. The scientifi c program was a series Hospital in 1948 where he established the fi rst for ulcerative colitis whenever possible. He of short presentations (24), the guest lecturer was outpatient clinic in Australia for colorectal disease. recommended the use of split skin grafts for Harry E Bacon from Philadelphia. A unique gift, a He began publishing and presenting papers, which perianal wounds. Low anterior resection for rectal gavel, was presented to the Section by J Stewart he restricted to his special interest. He was a skilful cancer increased until he commenced using the (a former RSO) from the staff of St Mark’s Hospital. surgeon who preferred to operate speedily without Cutait-Turnbull pull thru operation encouraged by The registration for the meeting was £34 plus an “too much interference” from his assistant. Alan Cuthbertson who was appointed to Hughes’ extra seven shillings and six pence for morning His bedside tuition was full of information but unit as an Assistant Surgeon. Their fi rst publication and afternoon tea. sometimes the students became restive with so on this operation in Australia (1962) was followed many tutorials on large bowel surgery. His lectures by another in 1975 describing the results in 223 were not entertaining as they contained much patients. The technique was demanding, the detail, no humour and were delivered with a fl at surgical disturbance of the anatomy of the anal Bill Hughes and Ted Wilson, 1967 monotone voice. An important contribution by sphincter was signifi cant and the morbidity Edward Wilson was his dedication to colorectal and functional results not so encouraging when In addition to a large staff at his consulting rooms surgery, which endowed Sydney Hospital with other surgeons tried to emulate the results. John (three secretaries, a research assistant for follow- a reputation for excellence and encouraged Goligher was suffi ciently discouraged by the up and a stomal therapist) he had his own itinerant the next generation of surgeons to follow his diffi culties and morbidity of the operation to scrub sister. During the 1960s his activities could be lead. He published a technique of low anterior discontinue the technique. summarised as follows: resection (which he insisted on performing via a left oblique incision) and in Sydney he was at the • At least 12 overseas trips with guest forefront of sphincter saving surgery. He was an lectureships were undertaken in Singapore, early protagonist of local excision for selected The RACS Section Gavel. Presented as a gift from surgeons of Hong Kong, Malaysia, Japan, New Zealand, St Mark’s Hospital, London patients with rectal cancer. His fi rst paper on this USA and UK. The international visits were so technique was published in 1951 and his fi nal On 14th September 1963 there was a one day successful that the status of colorectal surgery paper published after his death in 1972. Wilson was meeting of the Section at RPAH in Sydney on in Australia was recognised overseas. a pioneer in the surgery and aftercare of stomas “Large Bowel Obstruction and its Management”. • The Sir Arthur Sims Commonwealth Travelling and published a small book on this subject. He was The guest speaker was Edward Muir of King’s Professor (1965) visiting 13 countries in 98 responsible for persuading the New South Wales College Hospital London, who had been elected days, presenting 20 topics and performing Health Commission to appoint the fi rst stomal as an Honorary Member of the Section at the 77 operations. therapy nurse in NSW (Bunty Oldmeadow) who was inaugural meeting. Fifteen papers were presented and this in fact was the fi rst CME meeting although employed by the Sydney Home Nursing Service and • A Moynihan Lecture (1965) at the Royal College ESR Hughes operating in the 1950s not named as such at the time. This was an who assisted patients both in hospital and in the of Surgeons of England. 11.3.65 “The treatment important year for colorectal surgery in Australia, community. of ulcerative colitis”. In 1962 at the General Scientifi c Meeting (GSM) of which gave it a signifi cant identity within the Edward Stuart Reginald “Bill” Hughes (1919-1998) the RACS there were only two papers presented on College and brought together the surgeons with a Hughes’ emphasis on stomal therapy stimulated acquired his nickname from the colourful political colorectal surgery. This defi ciency in the annual special interest in a way that had not been possible the need for specialised stomal therapist fi gure Billy Hughes who had been Prime Minister meeting was noted by Hughes and his efforts over previously. It is not known whether Bill Hughes and appointments. The fi rst appointment of a nurse of Australia. Bill Hughes as an RSO at St Mark’s the next 12 months resulted in the Council of the Ted Wilson had met prior to 1962 but from this time stomal therapist in private practice was made by Hospital in 1949 was immediately recognised there RACS approving the formation of a Section of on they became fi rm friends and worked together him in 1960 (Eli Kyte) and with her, he introduced as a future force in colorectal surgery. On return Proctology. In a proposal and outline to interested to promote colorectal surgery until Ted Wilson’s stomahesive to stoma care. He nurtured the to Melbourne in December 1949 he commenced fellows ESR Hughes wrote: death in 1972. development of the Ileostomy Association of duties as an assistant surgeon at the Royal Victoria. On April 12, 1977 Bill Hughes delivered a “The fi rst meeting of the Proctological Society is to During the 1960s Bill Hughes and his practice Melbourne Hospital and began private practice. Hunterian Lecture at the Royal College of Surgeons, be held in May 1963. As yet it is not offi cially linked in Melbourne was the focal point of colorectal His professional life was interrupted when he London entitled “Asepsis in large bowel surgery”. volunteered for service in the Australian Military with the Royal Australasian College of Surgeons, surgery in Australia. His large surgical experience Corps soon after the Korean War began. He was but it is anticipated that it will be the wish of the was conducted at the Royal Melbourne Hospital In 1953 Mervyn Smith returned from UK to the posted to the Kure Hospital in Japan, where his Members for the Society to become a subsection and eight other hospitals in Melbourne. The Royal Adelaide Hospital to be Senior Registrar organization and documentation of Australian of the College. This Society, or Section, will fulfi ll working day was very long and during this on Alan Britten Jones’ Unit. It was inevitable that the same role as the Section of Proctology in the period he began to realise that working in

18 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 19 HISTORY OF COLORECTAL SURGERY IN AUSTRALIA (INCL. CSSANZ) In 1968 at the AGM of the Section in Adelaide, a surgical staff were largely infl uenced by their Notice of Motion was proposed by ESR Hughes: professional regard for Edward Wilson. Sam Sakker (CONTINUED) that the name of the Section of Proctology be was an Associate Surgeon. The other members of changed to the Section of Colonic and Rectal the unit were David Failes and Mark Killingback. he was to develop a special interest in colorectal In 1965 the fi rst international meeting on Surgery. The motion was passed unanimously Subsequently Malcolm Stuart (1973) and Tim surgery. This interest was further enhanced when infl ammatory bowel disease was convened and subsequently approved by the Council of the Wilson (1983) were appointed. he subsequently returned to London for a three- in Australia at the Rex Hotel in Canberra. The RACS. Without formal alteration of the name, the month period at St Mark’s Hospital. The Smith unit topic was “Ulcerative Colitis”. This was the fi rst word colon has been substituted for colonic both At the AGM of the Section in 1970 ESR Hughes developed a reputation for colorectal surgery. Des combined meeting of the Gastroenterological in pronunciation and in the records of the Section proposed a motion that the Section should Hoffman joined the unit in 1973 and in Jim Young’s Society of Australia and the Section of Proctology since 1968. The American Proctologic Society investigate the initiation of a National Register words “pushed very hard” for a specialised unit. of the RACS. The overseas guest participants became the American Society of Colon and Rectal for large bowel cancer. It was Mervyn Smith’s wish however that his unit were B Brooke, Burrill Crohn, B Morson and H Surgeons in 1973 after prolonged (1961-1973) and remain general with a special interest. Thompson. Dr Crohn presented a paper describing at times acrimonious discussion. The Section his fi rst case of “regional ileitis” and referred to his of Proctology (RSM) became the Section Colorectal surgery in Western Australia was subsequent experience of this and “granulomatous of Coloproctology in 1982. benefi ted by the return from England of Sol Levitt colitis” (300 cases), as well as “ulcerative colitis” to an appointment at the Royal Perth Hospital in (1,000 cases). There were nine papers and a In 1969 an overseas study trip was organised 1958. Between 1928 and 1958 three other surgeons vigorous panel session on the place of ileo rectal for Section members. Twenty-seven surgeons had returned to Perth after RSO positions at St anastomosis. Bill Hughes chaired this panel, which including one urologist (H E Learoyd) and six wives Mark’s Hospital London (Leslie Le Souëf 1928, Bert included Sir Albert Coates and “Weary” Dunlop constituted the group. Hughes and Cuthbertson Nairn 1931 and Brian Vivien 1958). Bert Nairn’s as well as the overseas guests. There were 134 wished the group well with a telegram delivered career had been interrupted by World War II, which registrants, the scientifi c program was extremely to the Boeing 707 on the tarmac at Sydney Airport included being a prisoner of war in Changi. He well received and the profi t from the meeting prior to departure which read, “Good Luck A.R.S. was regarded as an excellent surgeon, developing was £20. Angels”. The itinerary included San Francisco (Prof. a signifi cant proportion of colorectal work at Sydney Hospital, rebuilt 1894 E Dunphy), Las Vegas, Cleveland Clinic (Dr Turnbull), his unit at the Royal Perth Hospital, as well as At the 1966 GSM in Perth a panel discussion on New York (Dr Ripstein), Boston (APS Meeting), in private practice. Soon after Sol Levitt began the management of acute diverticulitis was part Leeds (Prof. Goligher) and London to attend the The visit of Dr Rupert Turnbull to Australia in work at the Royal Perth Hospital, he began to of the Section program. The contributions were “International Conference on Proctology” at the October and November 1970 under the auspices document families with “Polyposis Coli” and this mainly anecdotal and inconclusive. It was decided Royal Society of Medicine. This Meeting was the of The Post Graduate Committee of the University was the beginning of the fi rst Polyposis Register to conduct a prospective Australasian audit of fi rst combined conference where an Australasian of Sydney was a most signifi cant event. He was in Australia. There were soon six families on the this disease. Cases were registered for the period contingent was offi cially listed as a participant. a visiting lecturer at Sydney Hospital and the Register. Levitt was appointed to the Sir Charles 1967-1970. The results of 248 cases were presented The group presented 9 of the 75 papers on the Prince Henry Hospital Melbourne. He gave lectures Gairdner Hospital in 1961. By the early 1980s he had to the Section’s GSM meeting in Sydney (1971). The program. From 1969 until 1989 the three-society on a variety of conditions and techniques. His developed an inpatient and outpatient “Colorectal pathology, clinical details, range of management meetings occurred every fi ve years. The route home beautifully illustrated lectures were accompanied Service” (Sol’s description) and an established and mortality were more clearly defi ned but it was a non-study period via Athens, Bangkok and by an air of excitement, as he demonstrated the Polyposis Unit. As the work on polyposis increased, was not possible to identify the optimum surgical Hong Kong. The members of the group believed colourful morphology of infl ammatory bowel its administration was allocated to the Health management. The audit concluded that acute the trip had been fruitful both in knowledge and disease. Operation sessions were conducted in Department of Western Australia with Sol Levitt diverticulitis occurred in three different pathology international friendships. Brian Morgan had seen theatres packed with enthusiastic surgeons. continuing as the chairman of the Registry. categories and that more than one surgical option a colonoscope for the fi rst time at the APS meeting Turnbull’s poise during operating was greatly Following this pioneering work in Western was necessary. in Boston. He introduced the investigation to Royal enhanced by nurse Linda Williams (CCF) in her Australia, other states developed FAP Registries Prince Alfred Hospital in 1969 and was the fi rst role as the scrub nurse. Some of Rupert Turnbull’s but as yet there is no National Register. Sol Levitt On July 1st 1967 a program of Saturday morning surgeon-colonoscopist in Australia. quotes are of interest. was held in high regard by his colleagues for his seminars was initiated at Sydney Hospital by the TE Wilson Unit. These Meetings were held monthly clinical judgement and technical skills. He was In 1969 at Sydney Hospital a technique of coloanal and attracted a regular group of surgeons from undoubtedly the fi rst surgeon in Western Australia anastomosis was developed. A small experience other Sydney Hospitals who would not have been to be regarded as a specialist in this fi eld of with the pull thru operation had not been able to participate during the week. Interstate and surgery. Michael Levitt has succeeded his father encouraging in terms of technique, morbidity overseas guests participated and the meetings as Head of the Colorectal Unit at the Sir Charles and function. A direct per anal anastomosis had a decidedly “club” atmosphere continuing Gairdner Hospital and is the current chairman of with proximal stoma was performed with the until 1983. Western Australia Polyposis Registry. anastomosis within the anal canal. There were problems with defective anastomotic healing and Brian Vivien was an active member of the Section In 1968 the Asian Pacifi c Congress of pelvic sepsis until the technique was modifi ed in the 1960s and a signifi cant enthusiast of Gastroenterology was held in Melbourne for the to fi x the anastomosis within the sleeve of the colorectal surgery. He held an academic position in fi rst and only time in Australia. The organising external sphincter. The technique had a major role the Department of Surgery (Royal Perth Hospital); Committee was Peter Parsons and David Fone (GE in rectal cancer surgery until the advent of circular his career however was tragically cut short by a Society), Bill Hughes and Alan Cuthbertson. Bill Rupert Turnbull operating during his visit to Australia, 1970 stapling for rectal anastomosis. serious illness followed by a fatal car accident. Hughes’ infl uence on the Meeting was obvious. There were an impressive number of overseas In 1970 the members of the Edward Wilson Unit “Boy you have to operate your way in and then registrants which included surgeons as well as at Sydney Hospital were given permission by the operate your way out” (surgery after irradiation) physicians: Ceylon (3), Taiwan (3), Hong Kong (1), Hospital Board to form the fi rst Colorectal Unit India (14), Israel (1), Republic of Korea (2), Malaysia in Australia. Discussion with the general surgical “In the elderly you should practice colon economy”. (3), Pakistan (1), Philippines (1), Singapore (4), staff, at times delicately poised, had taken place Thailand (2), United Arab Republic (2) and Japan (47). over a period of at least 24 months. The general

20 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 21 HISTORY OF COLORECTAL SURGERY IN AUSTRALIA (INCL. CSSANZ) surgery. His principle place of work was at the Hospital as a Post Graduate Fellow for a period Mater Hospital in Brisbane. Ted Wilson suffered of six months prior to his departure for overseas (CONTINUED) from signifi cant hypertension and died from a experience. In 1978 Pierre Chapuis also joined the major stroke within a few hours of its onset. He members of this unit for a similar period. “At ten years we don’t strongly advocate surgery continued by the efforts of Les Bokey and Pierre possibly contributed to his demise by supervising but boy we frighten them some!” (in answer to the Chapuis and by 2002 had registered 3307 patients, his own medical problem (he was always proud In 1977 Bill Hughes was knighted. This was also the question on ulcerative colitis and prophylactic generated 110 publications and stimulated a of his MRACP diploma) added to which he was jubilee year of the RACS. At the inaugural ceremony colectomy) number of signifi cant research projects. working under signifi cant stress with a busy of the GSM, Hughes was awarded the fi rst Devine Medal for services to the College. Alan Parks of “Polyps in the large bowel keep bad company”. In May 1971 the second national meeting on practice, tertiary referrals and at the same time London was the guest visitor for the Section, which infl ammatory bowel disease was held under the studying for a BA degree in the last year of his life. was privileged to hear his presentations on anal The lateral rectal ligaments were described as: auspices of the Section and the GE Society of His long list of qualifi cations: MB BS, BSc, MD, MS, incontinence and anal fi stula. “Rectal stalks”. Australia. The meeting was titled “Colitis” and the MSc, BA, MRACP, FRACS, FRCS, FRCSEd, FACS had guest lecturer was HE Lockhart-Mummery of St earned him the nickname of “Alphabet Wilson”. “Quarantining the pelvis” (advice to prevent On the 22nd May 1978 the Colorectal Outpatient Mark’s Hospital who with Basil Morson published adhesions) In 1974 ESR Hughes was appointed Professor of Clinic at St Vincent’s Hospital in Melbourne the original paper identifying Crohn’s disease of Surgery at Monash University and Head of the was commenced. This was a consultative clinic the colon. The meeting was successful and it is of There was little doubt that his visit inspired Department of Surgery at the Alfred Hospital. At with a special interest in IBD. Its establishment interest that the registration fee for this meeting surgeons to believe there was a fulfi lling and the AGM of the Section in Perth in 1974, it was was due to the efforts of Peter Ryan and Brian was only $6.50. Lockhart-Mummery was also the interesting career in colorectal surgery. recommended that an invitation be extended to Collopy. These surgeons had proposed in 1968 that Section’s guest lecturer for the GSM, which was the American Proctologic Society and the Royal Specialist Surgical Units be formed but this was 1971 saw the held in Sydney the following week. He was the Society of Medicine to hold a combined meeting rejected. In 1976 annual colorectal conferences commencement of second guest since 1963 and this “vacant period” in Australia. The invitation was to be made at were commenced and continued for some years. prospective studies on was due to the problem of funding overseas the 1974 Washington Meeting. Further details The Ryan – Collopy unit began weekly clinical colorectal cancer initiated lecturers. There had been considerable discussion are unavailable as to the response, suffi ce to say presentations in 1977. During the 1980s they in two teaching hospitals on how best to fi nance the visits of lecturers for that it was 19 years (1993) before such a Meeting functioned as a colorectal unit without a title, in Australia. At the Princess the Section’s meetings. In 1971 the third “levy” eventuated. At the AGM meeting of the Section but in 1989 the colorectal unit became offi cial Alexandra Hospital in ($10.00 per member) was raised specifi cally for the in 1974, the question of a National Register for with Peter Ryan as Head. In 1990 a Department of Brisbane, Neville Davis visit of Bryan Brooke (Hobart GSM 1972). Council Colorectal Cancer was again discussed, there Colorectal Surgery was formed and Peter Ryan was had been the driving force had not approved of the term “levy” in 1966 and was however little progress with this project. appointed as the fi rst Director until he retired at in the very successful and such funds were to be referred to as a “specifi c Neville C Davis, AO In 1974 a large group of Australasians attended the end of that year. Brian Collopy then held the internationally recognised purpose fund” to be administered by Council and the combined Meeting in Washington welcomed position from 1990 until 1999. Queensland Melanoma Project. He now turned his not by the Section. attention to large bowel cancer. With Jon Cohen enthusiastically by the ASCRS President John and David Theile a detailed prospective audit was In 1972 Ted Wilson and Dan Lane were travelling Remington. At this meeting the Section presented commenced and all cases treated at the hospital to the USA and France. They were requested by the H (Dick) Bussey from St Mark’s Hospital with a were included. Results from this large general Section to research suitable posts for advanced silver plate acknowledging on his retirement his hospital were very satisfactory but in line with the training on colorectal surgery. On their return signifi cant contribution to the pathology of the practice in other Australian teaching hospitals, they reported that suitable appointments were colon. The meeting was held at the Washington an increasing proportion of colorectal surgery USA: Lahey Clinic, Cleveland Clinic, Mayo Clinic, Hilton Hotel, which was the site of the attempted was performed by those surgeons on the staff Ferguson Clinic, Oschner Clinic, San Francisco (Drs assassination of President Ronald Reagan in 1981. Scarborough, Gallagher and Birnbaum), Detroit with a special interest in colorectal surgery. This On 15th March 1975 the Section convened General Hospital (Norman Nigro); UK: The General evolutionary process in colorectal surgery led to “Colostomy Today” which was another forerunner Hospital, Birmingham (John Alexander-Williams) the formation of the Colorectal Unit in 1990. In of CME meetings. There were 11 papers presented and Paris: Hôpital St Antoine and Hôpital Leopold 2001, 2637 patients had been registered providing to 100 surgeons and 20 stomal therapists. a most signifi cant collection of data for continuing Bellan. Vic Fazio operating (somewhere in the middle). Sydney Hospital, 1976 study. In June 1975 Bill Hughes was elected President of In 1972, ESR Hughes and AM Cuthbertson published the RACS and served the College for three years. In 1976 at the New Orleans meeting of the ASCRS, the fourth Australian textbook on colorectal At the Concord Hospital in His presidency was an outstanding success as he S F Fain presented a large experience of rectal surgery entitled “Anorectal Surgery”. Sydney, Prof Murray Pheils increased the momentum of College activities. anastomosis using an endo-anal instrument (SPTU), was the fi rst academic Nineteen seventy-two was a sad year with the Professor Doug Tracy (past PRACS) described Sir which had been developed in Moscow. In 1978 appointment to the sudden death of Dan Lane at 48 and Ted Wilson at Hugh Devine and Bill Hughes as the two great at the GSM held in Kuala Lumpur Mark Ravitch Department of Surgery. 59. Dan Lane was the father of 8 children and was Presidents of the College. With extra commitments, of Pittsburgh presented a 20 years experience of Murray Pheils had been in the prime of life keeping himself in excellent Hughes’ individual contributions to colorectal stapling in various regions including the rectum. the senior surgeon at St physical shape. His death immediately followed his surgery plateaued somewhat but his surgical In May 1978, Des Hoffman had met John Goligher Peter’s Hospital Chertsey regular and vigorous morning exercise program. He department continued to progress in the specialty in Madrid at an international gastroenterology UK and always had a special was a great enthusiast for colorectal surgery and by its surgical expertise, publications and the meeting. Goligher had used the SPTU instrument interest in diseases of Prof Murray T Pheils enjoyed presenting papers which he delivered in convening of meetings of national importance. on 20 patients and was convinced of its future the colon and rectum. He a characteristic manner and which at times were role. Des Hoffman purchased an instrument initiated a prospective clinicopathological study In June 1976 Mark Killingback ceased general almost evangelistic. His colleagues had given him for approximately $1,500 and had it brought on large bowel cancer with the pathologist Ron surgery in Sydney and thereafter confi ned his the nickname of “the golden larynx”. In the 1960s, to Adelaide from London by Bob Britten Jones. Newland, which therefore included considerable practice to colorectal surgery. Les Bokey who had Dan Lane was the only surgeon in Brisbane to have Hoffman operated with it successfully in the emphasis on the pathology in addition to clinical, been a Senior Registrar at St Vincent’s Hospital dedicated so much of his practice to colorectal same month. This was almost certainly the fi rst surgical and follow-up aspects. The study has been Sydney joined the Edward Wilson Unit at Sydney rectal anastomosis performed in Australia with

22 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 23 HISTORY OF COLORECTAL SURGERY IN AUSTRALIA (INCL. CSSANZ) In the early 1980s more surgeons began to practice for a national society to address some of these exclusively as colorectal specialists (Wal Hughes problems. (CONTINUED) 1981, Don Tindal and Pierre Chapuis 1983). In 1983 the Colorectal Unit of the Royal Adelaide an endo anal circular stapler. It was however In February 1980 the Melbourne University With the establishment of the College Foundation Hospital was established when the surgical staff the paper presented by John Goligher at RPAH Colorectal Group was formed at the instigation of funds became available for Section visitors. A agreed that the general surgical units should in Sydney on 29th July 1978 that persuaded Alan Cuthbertson. The group consisted of surgeons, letter from Ray Chapman, College Secretary on become allied with special interests. Des Hoffmann Australian surgeons that the operation was an physicians and members of other medical 26th November 1982 authorised the directives became the fi rst Head of the Colorectal Unit and appropriate technique. Using the SPTU model, disciplines. The aim of the group was to initiate of Council. The sum of $5,000 per annum was was joined by Jim Young and Douglas Townsend. he had performed 60 anterior resections with investigative projects. Results of wound infection to sponsor a Foundation Visitor at the GSM, a some of the anastomoses at a 4.0 cm level. He and suprapubic catheter trials were published. The further $5,000 per annum was for a “Continuing In 1983 the 5th Australian textbook on colorectal prophetically had some concern about rectal group combined with Monash University to form Education Program”. There was a further allocation surgery was published: “Colorectal Surgery” by function at such low anastomoses. The Auto Suture the Melbourne Colorectal Surgical Society in 1987. of $2,000 per annum to accumulate over three ESR Hughes, A M Cuthbertson and M Killingback. Company in USA improved on the SPTU instrument years to sponsor a second visitor to the GSM “or to The International Society of University Colon and In 1984 the “Combined Meeting of the ASCRS, and in the latter period of 1978 the end-to-end a separate meeting in your discipline such as an Rectal Surgeons held its biennial meeting at the Section of Coloproctology, RSM and the Section of anastomosis (EEA) instrument was introduced into annual scientifi c meeting of a specialist society”. Hilton Hotel in Melbourne in September 1980. It the RACS” was held at the Hyatt Regency Hotel of surgical practice in Australia with instant success. These changes in the fi nancial resources of the was very well attended and Australian surgeons New Orleans. Stan Goldberg and Peter Lord were Hospitals were not easily persuaded to include Section were of great signifi cance for future had a unique opportunity to enjoy the scientifi c Presidents of their respective societies and Peter the instrument in their theatre budgets and many scientifi c meetings. Ryan the Chairman of the RACS Section. There was surgeons had to purchase their own instrument and social aspects of a meeting with registrants a good attendance of Australasian surgeons. In at cost of over $1,000. Surgeons were now able to from Europe, Asia and South America as well as UK In 1982 it was hoped to arrange a meeting with 1985 the Colorectal Clinic at St Vincent’s Hospital perform lower anastomoses than previously. This and USA. The fi lm presentations of the Japanese colleagues of the USA following the ASCRS Melbourne appointed its fi rst Colorectal Fellow instrument undoubtedly was the most important technique of “skeletonising” the pelvic anatomy to in San Francisco. Mike Vedenheimer was the (Dr Hermansjur Kartowisastro from Jakarta). instrument developed in colorectal surgery in the achieve pelvic wall lymphadenectomy left a lasting convenor in the USA but reported the numbers of The fi rst Australian Colorectal Fellow appointed 20th century. Its success revived interest in the impression. surgeons willing to register were insuffi cient and to the Clinic was Rod Woods also in 1985. use of linear stapling in gastrointestinal surgery arrangements were cancelled. The Colorectal Unit of the Royal Melbourne and much improved linear stapling instruments Hospital was established in 1981 under the With the downgrading of Sydney Hospital (March were developed. This was followed by disposable leadership of Alan Cuthbertson. 1983) to 101 beds, the Edward Wilson Colon and instruments, which were introduced in Australia Rectum Unit terminated as the offer to transfer in 1981. As Neville Davis assessed the results of the to Westmead Hospital was unsatisfactory for a Princess Alexandra project on Large Bowel Cancer In September 1978 the Department of Surgery number of reasons. Between 1967 and 1983 regular in the 1970s, he became increasingly aware of from the Alfred Hospital convened a meeting Saturday morning seminars on colorectal surgery the defi ciencies of the Dukes classifi cation. on Cancer of the Rectum. The guest lecturer had been held at Sydney Hospital, frequently with To review this and other aspects of large bowel was Stanley Goldberg, Director of the Division interstate and international visiting lecturers. cancer, a conference on Gastrointestinal of Colon and Rectal Surgery from the University These seminars had brought together Sydney Cancer was convened in Brisbane July 1981. The of Minnesota, Minneapolis. The meeting was an surgeons with a common interest as well as colorectal program was held over two days and outstanding success and was the forerunner of having social advantages. It was interesting to prestigious overseas visitors presented important annual meetings on colorectal surgery until the refl ect how surgeons from different hospitals contributions. Rupert Turnbull had been invited Ex RSO’s St Mark’s Hospital with Mervyn Smith PRACS at GSM, 1985 – spring CME meetings of the Section became an in the same city seldom met outside the RACS Back Row: P Barnes (Gastroenterologist), A Polglase, A Eyers, R Stitz, but was unable to attend due to a sudden and annual event. programs. To continue these seminars and expand I Fielding, G Newstead, S Sakker, K Larkin, R Fink serious health problem. The morphology, clinical Front Row: J Campbell Penfold, R McGee, F Connaughton, M Smith, the participation to all teaching hospitals the and treatment aspects were discussed. The A Davidson, M Killingback, B Collopy concept of a new society was welcomed. The Concord Hospital classifi cation of large bowel formation meeting of the Sydney Colorectal cancer (developed in the 1970s from the large Surgical Society occurred on 28th May 1983 (20 In October 1986 Don Tindal in Wollongong ceased bowel cancer study) with subdivisions of A and B years to the date after the inaugural meeting of general surgery to concentrate on colorectal stages and improved criteria for incurability was the Section RACS). Twenty surgeons attended. surgery. He became very busy as the only specialist discussed. Professor John Goligher who attended At the fi rst business meeting 23rd July 1983, in the Illawarra region. Warwick Adams joined the conference agreed that subdivision of the Prof. Murray Pheils was elected Chairman. The him in 1995 forming a colorectal service, which classifi cation was feasible and that incurability requirement for membership was a letter stating was unique in a country area. On Don’s retirement (Turnbull’s modifi cation Dukes D in 1967) was that colorectal surgery was the applicant’s main a further colorectal appointment was made: a clinical assessment by the surgeon. He was interest. The Society has functioned very much Andrew Malouf (2000). strongly of the opinion that any classifi cation as a surgical club with emphasis on clinical and should retain Dukes’ name and the symbols of In 1987 Peter Ryan was elected President of the scientifi c meetings as well as the social value. From left – Dr Rupert Turnbull , Sir Edward Hughes and A, B and C. He felt that any suggestion that it be International Society of University and Colorectal Meetings occurred at two hospitals per year with a Professor John Goligher, Royal Prince Alfred Hospital, July 1978 replaced by a new classifi cation would be observed Surgeons, which paid tribute to his longstanding larger annual meeting in November with overseas closely and with some discontent by Cuthbert efforts in colorectal surgery both in Australia and In 1979 a combined meeting between the Section guests. Soon after the beginning of the Society Dukes “looking down from above”. Subsequently within the Society. RACS, the Section of Proctology of the RSM and the it became involved in a range of issues in the the Concord classifi cation formed the basis of American Society of Colon and Rectal Surgeons practice of colorectal surgery that were beyond In 1987 Matthew McNamara commenced further the Australian Clinicopathological Staging took place at the Kensington Town Hall in London. metropolitan or state responsibility eg medical colorectal training at the Sydney Adventist classifi cation (ACPS), which was published in Forty-one delegates from Australia and New benefi ts schedule, colonoscopy accreditation, Hospital with W Hughes and M Killingback. The 1982 and 1983 by Neville Davis and Ron Newland. Zealand attended this Meeting. manpower studies and the training of surgeons. program included operating sessions, colonoscopy, It was becoming clear that there would be a role

24 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 25 HISTORY OF COLORECTAL SURGERY IN AUSTRALIA (INCL. CSSANZ) In the 1970s Peter Ryan had made the suggestion that there was a role for a national society to (CONTINUED) address the issues facing the further development of colorectal surgery. This was not supported at ward duties and consulting in private rooms. Williams (St Mark’s Hospital) to Sydney in 1974. the time as the Section was functioning well and This unoffi cial Fellowship for six months was Williams gave a series of stimulating lectures and there were ample clinical meetings. “Who needs funded by operation assistant fees. colonoscopy demonstrations to both physicians another meeting?” was typical of the opinions and surgeons. Campbell Penfold organised a expressed at that time. By 1988 more surgeons On September 29, 1988 Mark Killingback delivered a landmark meeting subsequently in 1982 at the were concentrating on colorectal surgery and 7 Moynihan lecture at the Royal College of Surgeons Royal Melbourne Hospital. This was a three-day colorectal units had been established in teaching entitled “Coloanal Anastomosis”. conference which featured Hiromi Shinya and hospitals in Adelaide, Brisbane, Melbourne and Christopher Williams giving lectures and practical In the late 1970s and early 1980s it became more Sydney. The stature of colorectal surgery was demonstrations. The techniques of these two diffi cult for Australians to obtain posts in overseas obviously increasing and national problems Formation meeting of the Colorectal Surgical Society of Australia experts differed but their dexterity and skill was 11/11/88. Photographed by the President, David Failes colorectal clinics of excellence. At the same time and projects were emerging, which appeared greatly admired having a profound effect on the number of practicing colorectal specialists in to be outside the role of the College. In addition largely self-taught registrants. Dr Shinya returned The following motion was proposed by David Failes Australia meant that training opportunities greatly there was no prospect that the College was likely to Australia on at least two more occasions as a and seconded by Peter Ryan: “This group forms increased. At the CME Meeting in Melbourne in to support the evolution of colorectal surgery guest lecturer to St George Hospital, Sydney and an Australian Society of Colorectal Surgeons”. 1986 John Mackay had presented a proposal for being recognised as one of the specialties. An St Vincent’s Hospital, Melbourne. the training of post FRACS surgeons in colorectal independent group was needed to accelerate The motion was passed. A new chapter in surgery. The Mackay paper was redrafted and Subcommittees on colonoscopy training were the development of colorectal surgery. In the colorectal surgery in Australia had begun. The fi rst discussed by the Section in 1987. The fi nal proposal fi rst initiated by the G E S and subsequently absence of accreditation, a surgeon with an FRACS Annual General Meeting was held in Adelaide on was passed at the Section AGM in Brisbane in by the Section (1985). The G E S sub committee could describe himself as a specialist colorectal 18th October 1989 with President David Failes in 1988 and subsequently approved by Council issued a certifi cate of competence, which caused surgeon and this was apparent in “Medical the Chair. The following 41 surgeons were elected (1988). This milestone in Australasian colorectal unrest among surgeon colonoscopists. In 1987 a Register” publications. The NASQAC committee Foundation Members of the renamed Colorectal surgery became a reality. An important aspect committee for recognition of training was set up did not recognise colorectal surgery as a specialty. Surgical Society of Australia: of the program was to have at least one year of with representatives of the G E S (one surgeon There was also a need for a national based opinion the training at a hospital beyond “home base” on the subject of fees for colorectal surgery. P Anseline, E Bokey, A Carden, P Chapuis, J Cohen, and one physician), the RACP (two physicians) F Collins, B Collopy, G Ctercteko, I Cunningham, to expose the trainee to different mentors and and the RACS (two surgeons). The structure of this On 5th November 1987 Mark Killingback wrote to A Eyers, D Failes, R Fink, D Hoffmann, R Hollings, modes of practice. Andrew Hunter (Royal Adelaide committee met with approval of the Section at the 49 surgeons in Australia requesting expression of W Hughes, I Jones, M Killingback, D King, S Hospital and Concord Hospital) and Philip Douglas AGM in 1989. The Conjoint Committee fi rst met on interest in the formation of an Australian Society Koorey, I Lavery, S Levitt, D Lubowski, A McLeish, (Prince of Wales Hospital, St George Hospital and 8th February 1990. Among its recommendations of Colorectal Surgeons. The letter discussed the J Mackay, K Merten, D Muir, G Newstead, J Oakley, Sydney Adventist Hospital) were the fi rst trainees were that approved colonoscopy training problems with the development of colorectal T O’Connor, C Penfold, A Polglase, P Ryan, S Sakker, on the program. The executive of the Section would require 75 diagnostic colonoscopies and surgery and what might be the role of such a S. Santhanam, R Stitz, M Stuart, J Sweeney, D Tindal, supervised the training until the formation of 15 therapeutic colonoscopies (independently society. The response was: approval 30, uncertain 1, B Waxman, R Woods, J Young. the Training and Accreditation Committee (TAC) supervised). During 1991 and 1992 complaints were not on favour 5, no reply 13. in 1994. directed to the RACS concerning the potential A letter from E Durham Smith (PRACS) to Mark bias of the Conjoint Committee and its infl uence During the 1980s training for and standards During the 1988 GSM in Brisbane an informal Killingback 21st December 1988: “I have heard that on established surgeon colonoscopists, as their of colonoscopy were also a concern. Few discussion took place in a hotel room at the Hilton an Australian Society of Colorectal Surgery has CV did not fi t precisely the published guidelines. surgeons had travelled overseas in the 1970s to Hotel (photo page 26). This group was unanimously been formed and this matter was briefl y discussed The objections were dealt with by a “grandfather “colonoscopy centres” to learn the technique. in favour of exploring the possibility of a national by the Executive of Council on 16th December 1988. clause” regulation, which ceased in May 1998. The Ted Flemming from Canberra was an exception society. Although it would not be our place to interfere in Section did not agree with statements by members attending colonoscopy sessions in Japan as an the construction of a Society if surgeons wish to of Council that the FRACS Diploma conferred Invitations were sent to surgeons who were likely observer. Campbell Penfold returned to Australia form one, naturally we are very much concerned competence in colonoscopy. The advance trainees to have an interest and a meeting was held on in 1973 and quickly established a reputation with the effect that such a Society may or may in colorectal surgery however, were emerging from 11th November 1988 at the Royal Australasian as a surgeon/colonoscopist. Brian Morgan was not have on College affairs.” the program as competent colonoscopists. College of Physicians in Sydney. The meeting was responsible for arranging the visit of Christopher titled “A Proposal to Form an Australian Society Thus in 1988-1989 there was concern among the of Colorectal Surgeons”. Twenty-fi ve surgeons Council of the RACS there was another specialist attended this meeting and 14 apologies were society. Over a period of some years there had received. Forty written responses had been been “fall outs” between the College and the received by the convenor. Some points in the Australian Orthopaedic Association to the point discussion were: there was a need for a specialist where the AOA meetings had discussed the group, strong support for the Section should possible separation of Orthopaedic Surgeons from be maintained, a new society could destroy the the College. Council was not sure of the motives Section (one opinion), duplication of RACS function of CSSA. Members of the Society however, had should be avoided, promotion of special skills were frequently stated the view that support for and needed for colorectal surgery, there was a need within the RACS was essential and that its goals for political role, a society should be involved in should be achieved with the approval of College colorectal training and research, accreditation Council if at all possible. That view has not however of colorectal specialists was necessary, specifi c restricted the Society from independent opinion requirements for membership was suggested and and activity. Discussion group: Should there be a national society? Brisbane 3/5/88. J Young, A McLeish, B Collopy, D Failes, J Mackay, J Cohen (absent) such a society will further develop international associations. 26 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 27 HISTORY OF COLORECTAL SURGERY IN AUSTRALIA (INCL. CSSANZ) principal investigator and the value of this method was soon proven. In recent years there has been co- (CONTINUED) operation between the clinics at Concord Hospital and RPAH. Graham Newstead was elected secretary at the worldwide with this operation for rectal cancer. formation meeting and remained in that position In “retirement” Alan and his family settled in until 7th September 1995 when he was elected Murrindindi (Victoria) to become successful wine President. At the AGM of the Society on 8th producers. November 1997 the President, Russell Stitz paid tribute to Graham’s contribution to the Society In 1989 the Colorectal Unit of RPAH in Sydney since its inception and announced Graham’s new was offi cially commenced as a Department of role as Executive Director. There was unanimous Colorectal Surgery. In the same year Russell Stitz, Brisbane announced his practice was to support from the meeting, which expressed its Laparoscopic workshop (21-22 March, 1992) feelings with a standing ovation. Clearly the be exclusively colorectal. R Stitz paying particular attention society owes Graham a debt of gratitude for The World Congress of Coloproctology (one his untiring efforts. He has shown great energy Laparoscopic colorectal procedures commenced of three sections of the World Congress of in organization of meetings, chairmanship of in Europe and USA following the success in Gastroenterology) was held in Sydney in August committees, documentation and new ideas for gallbladder surgery. Impetus was generated by 1990 and this was attended by the largest the Society combined with a unique ability to the laparoscopic instrument fi rms and for a time contingent of high profi le colorectal surgeons ever capture sponsorship for the Society’s projects. there was a rumour “if you do not join in, your to visit Australia. As expected it was a scientifi c The historical account of the CSSA in the Triennial practice will suffer”. As with many new procedures and social success. The WCGE was a huge success Report has detailed important functions of the there had been no prospective trials to evaluate fi nancially for the Gastroenterological Society of Society, which have expanded signifi cantly during the technique for colorectal surgery. A practical Australia, which received 2 million dollars from the fi rst 14 years. The membership passed 100 in and theory workshop on laparoscopic colon the Congress, which was donated to the Australian 2002. Four workshops (follow-up 1991, laparoscopic surgery was convened by the CSSA in 1992 at the Gastroenterological Institute. surgery 1992, rectal cancer 1995 and colon Veterinary Science School at the University of Sydney. In the same year a joint committee of the cancer 1997) have produced three publications. Immediately following this Congress the Sydney Section and CSSA was formed for ongoing appraisal A co-operative effort with the GUT Foundation Colorectal Surgical Society (read Graham of laparoscopic surgery (Russell Stitz, Graham produced the booklet “Colorectal Cancer: Newstead) had organised a Scientifi c Meeting on Newstead, Les Bokey, Jim Sweeney) and a position Prevention Diagnosis and Treatment”. The Society Hamilton Island in Queensland. Prestige guest paper produced including guidelines. As colorectal made a signifi cant contribution (six chapters speakers and the location ensured this meeting of surgeons performed laparoscopic surgery, it of 21) to the NHMRC-COSA-AUSTRALIAN CANCER success. The only concern was the reaction of “Mr was soon evident that various operations were NETWORK Guidelines on Colorectal Cancer (1999). Seasick” (Abcarian) on the sea voyage to the Great technically feasible eg, hemicolectomy, anterior Acknowledgement for this contribution was noted Barrier Reef. At this meeting the working party resection, abdomino perineal excision, rectopexy on page 190 of the document. recommended the formation of a World Council and loop stomas. Laparoscopic colon surgery of Coloproctology to co-ordinate the various In 1989 Jack Mackay completed a survey (356 was commenced at the Royal Brisbane Hospital colorectal societies, to improve communication patients) on “The Australian Experience of in 1990 and soon Russell Stitz and colleagues between them and to consider the more global Restorative Proctocolectomy” which he presented were the leading exponents of this technique in aspects of colorectal surgery. to the combined meeting in Birmingham, offi cially Australia. In the period June 1990 - March 2002, titled “Tripartite” for the fi rst time since the three By 1990 the work of Graham Newstead and Russell 1,035 laparoscopic colorectal operations were nation meetings had commenced in 1969. The Stitz on the economics committee of the CSSA had performed. The appearance of port site recurrences Australians were disappointed on this occasion achieved a review of fees in the Medical Benefi ts after resection for colon cancer and the paucity of that only fi ve of 87 papers at this meeting were Schedule with signifi cant increases for major Advertisement for fi rst academic appointment in colorectal surgery long term survival statistics suggested caution was allocated to them whilst 12 podium presentations procedures. in Australia appropriate for treating cancer. This has been the were given by delegates from countries other than stimulus for the Australasian trial: Laparoscopic The CSSA held its fi rst workshop in Brisbane in offi cial “Tri Nations”. In 1991 the fi rst Chair in Colorectal Surgery v Open Colon Resection for Cancer, convened by 1991 “Follow-up of Colorectal Cancer” at the in Australia was initiated by the University of Peter Hewett (1998). On the 14th October 1989 the Royal Melbourne Sydney in the Department of Surgery at Concord instigation of Brian Collopy. Ole Kronborg from Hospital (RMH) colleagues of Alan M Cuthbertson Hospital. Les Bokey was the successful candidate Denmark was the guest visitor. With a diffi cult In 1993 the Tripartite Meeting was held in Sydney convened a Symposium to mark Alan’s retirement and has fi lled this position with distinction. In a subject consensus was reached by members of in October. For the fi rst time there were fi ve from surgical practice. The meeting was titled unique partnership with Associate Professor Pierre the society. The colorectal unit at the John Hunter organisations representing colorectal surgery: “Colorectal Surgery for the Thinking Surgeon” Chapuis, the Department has fostered important Hospital was established in 1991. In the same year The Section of Coloproctology of the RSM, the which was most appropriate for AMC. Alan was research projects and produced a large number at Hornsby Hospital Sydney, Matthew McNamara Association of Coloproctology of Great Britain and not only renowned for his technical expertise but of valuable publications. Numerous international was appointed as a Visiting Colorectal Surgeon Ireland, the American Society of Colon and Rectal also for his surgical judgement, his lateral thinking invitations to both surgeons have attested to their specialist. In November 1991, due to negotiations Surgeons, the Section of Colon and Rectal Surgery and his interest in research. His mentors had been signifi cant contributions. by the CSSA, the Medical Benefi ts Schedule Book of the RACS and the Colorectal Surgical Society of John Turner and Bill Hughes at the RMH and Rupert listed colorectal operations separately to general Australia. The local organising committee (Chaired Turnbull at the Cleveland Clinic. He was associated The fi rst publication in Australia on transrectal surgery for the fi rst time. by Graham Newstead) was responsible for a most with Bill Hughes in private practice for some years. ultrasound reported the investigation of 25 successful conference. The meetings in the future He was a co-author with Rupert Turnbull on the patients with rectal cancer attending the would be Triennial. pull thru operation in 1961 and with ESR Hughes Colorectal Unit at Concord Hospital (Hinder et al subsequently developed the largest experience 1990). Peter Stewart followed Janet Hinder as the

28 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 29 HISTORY OF COLORECTAL SURGERY IN AUSTRALIA (INCL. CSSANZ) CME meetings. The Section continues to be the General Hospital for several years. He is an convenor for the RACS ASC meetings providing, authority on ano rectal physiological research. (CONTINUED) with the CME, an extensive annual program in colorectal surgery, most of which is appropriate It was sad to record the death of Peter Ryan in 2002 In 1994 John Oakley commenced colorectal practice In 2002 Andrew McLeish (President CSSA) and Philip for general surgeons. The Society’s specialist after some years of a disabling illness. There was in Hobart as the fi rst colorectal surgeon specialist Douglas (Chairman T.A.C.) attended a meeting of workshops, exclusively for its members, have been no greater enthusiast for colorectal surgery than in Tasmania. He was born in Hobart, graduated in Council with further proposals: productive and should continue. Peter and his efforts to promote the specialty at St Adelaide and was on the staff of the Royal Adelaide Vincent’s Hospital Melbourne are well known. Peter 1. Further revision of T.A.C regulation (approved) Hospital until he was appointed to the Department In 1998 an academic department of surgery Ryan and Brian Collopy established the Colorectal of Colorectal Surgery in Cleveland Clinic (1987- 2. Extension of the 3+2 plan for training to 3+3 for (Monash University) was established at Cabrini Clinic at St Vincent’s Hospital in 1978 and with his 1993). His return to Hobart was a most signifi cant advanced colorectal surgery (approved) Hospital, Melbourne. Adrian Polglase was colleagues he negotiated over a period of years to event in the extension of colorectal surgical appointed Professor of Surgery and Head of the establish the colorectal unit. He was a founding specialisation in Australia. In addition, Hung 3. That a Board in Colorectal Surgery be initiated. Department. In 1998 the Board in General Surgery member of the Section and at the fi rst scientifi c Nguyen, a graduate of the Post Fellowship Training Council approved of a Training Board in suggested that all general surgical trainees would meeting in 1963 he presented a paper on “Solitary Program, has practiced as a colorectal surgeon in Colorectal Surgery be exposed to suffi cient experience in upper Sigmoid Diverticulitis”. He was one of three Launceston since 1996. GIT endoscopy and colonoscopy allowing them awarded a Hunterian Professorial lecture at the 4. An exit examination be put in place for to be accredited prior to gaining their FRACS. Royal College of Surgeons of England, which he The question of credentialing of colorectal advanced training. Council approved of an exit The President of the CSSA (R Stitz) responded to gave on 2nd September 1986 entitled “Two Kinds of surgery has been paramount since the mid 1990s. assessment but this was not defi ned. the Censor in Chief indicating that such a goal Diverticular Disease”. He was awarded an Order of The executive of the CSSA held a meeting in July was unattainable. The Board in General Surgery Australia in January 2002 for services to colorectal 1994 at Kakadu N.T. specifi cally to discuss this Although important goals have therefore been continues to pursue this objective. surgery and the prevention and management of topic. A further meeting was held in Sydney in achieved colorectal surgeons will remain focused road trauma. March 1995 with David Theile (PRACS) Brendan on full credentialing of advanced colorectal In June 1999, 33 surgeons from Australia and New Dooley (Censor in Chief) and V Fazio (CCF) as invited training ultimately with an examination preferably Zealand attended the Tripartite meeting at the In 2002 Matthew Rickard initiated an ileo-anal speakers. There was a large attendance of CSSA within the RACS. Washington Hilton Hotel which was also the pouch audit supported by a Tyco Colorectal members. The President of the RACS expressed In 1995 the CSSA formed a committee on research, Centenary Celebration of the ASCRS. The Section Research Scholarship. The TAC successfully his reservations about colorectal specialists initially with Bruce Waxman, Michael Solomon and the CSSA jointly presented a gift of a Gavel negotiated with RACS to alter the length of the compared with general surgeons with an interest and Peter Hewett and subsequently including to the American Society to celebrate the event. training program from 3+2 years to 3+3 years. in colorectal surgery and confi rmed that Council David Lubowski. A comprehensive report of the During this meeting Australian colorectal surgeons The number of accredited units for training would not support an application to NASQAC research committee was tabled at the AGM of were included in two tri-nation committees in colorectal surgery stood at 16 with 12 post from experienced colorectal surgeons. Dooley the CSSA on 11th September 2002. The activities to standardise defi nitions in the management fellowship trainees. The prestigious journal foreshadowed a sub-board in colorectal surgery of the committee included publishing the fi rst of rectal cancer and anorectal physiological Diseases of Colon and Rectum was approved in the future associated with a modifi ed form of Triennial Report (1999), successful formation of a investigations. Consensus was achieved and the by the American Society of Colon and Rectal examination. In his opinion, College support for National Journal Club (2001) and the support and results subsequently published. Surgeons as the offi cial journal of the CSSA the specialties had been increasing. The College development of a number of research projects (negotiated by Graham Newstead). In mid 2002 the Council has acknowledged the CSSA in two In February 2000 the Monash University including colorectal attitudinal surveys to Sydney Colorectal Associates offi cially formed a important decisions. Since 1995 at the Perth GSM Department of Surgery of Cabrini Hospital evidence base medicine, randomised control trials, partnership of both private and public colorectal the President of the CSSA has been a member of convened a successful course in colorectal diseases guidelines and screening. The Research Committee activities of the colorectal surgeons from Prince of the offi cial party at the inaugural ceremonies of with special guest lecturers Bruce Wolff (USA), established the fi rst Australian website interactive Wales and St George Hospitals Sydney. The group the GSM-ASC and recently the President of the CSSA Peter Lee (UK) and Jeff Griffi n (USA). In October of colorectal database for ileo anal pouch procedures. funds its own administrative and research staff as has been invited to the meeting of the specialist the same year the CME of the Section and the CSSA well as the post fellowship trainees. Meanwhile the societies convened by the President of the RACS. The fi rst woman in Australia to qualify as a combined with the Gastroenterological Society New Zealand Chapter of CSSA met in Christchurch colorectal surgeon was Margaret Schnitzler of Australia for a meeting in Hobart where Robin on 29 August. In 1995 Graham Newstead conducted a survey to of Sydney. After a period of training in the USA, McLeod (Toronto) was the surgical guest lecturer. profi le members of the CSSA with the following Margaret was appointed as a senior lecturer in Colorectal surgical training underwent a results: 10% of surgeons had trained in Australia In 2002 the newly established Murray and Unity the Department of Surgery (University of Sydney) noteworthy change in 2002 with the Training and only, 26% of surgeons had trained in Australia Pheils Travel Fellowship was awarded for the fi rst at the Royal North Shore Hospital (1996). In 1997 Accreditation Committee (TAC) renamed as Training with some overseas experience, 64% had trained time. The award is for a trainee or recent fellow she was appointed Associate Professor and is a Board in Colon and Rectal Surgery (TBCRS) to exclusively overseas, 85% confi ned their practice to to assist with travel overseas to obtain further member of the Department of Gastrointestinal further enhance the status of colorectal surgical colorectal surgery, 87% had hospital appointments training and experience in the fi eld of colorectal Surgery at RNS with her colorectal surgeon training within the RACS. The Journal Club of CSSA as colorectal surgeons and 87% worked in a surgery. The award was made to Malcolm Steel colleagues John Percy, Ian Fielding and Justin expanded at this time to include Christchurch recognised colorectal unit. from Victoria. Evans. Caroline Wright was the fi rst CSSA Research and Auckland. Russell Stitz was honoured by the RACS Section of Colon and Rectal Surgery as In 1996 Jack Mackay and Andrew McLeish Fellow and subsequently a graduate of the post In 2002 there were 3 members of CSSA on the the Foundation Lecturer at the Annual Scientifi c presented further proposals on post FRACS training FRACS training program. Caroline has recently been Council of the RACS: Richard West, elected 1996; Meeting in Adelaide. CSSA President Andrew to the Council of the College which were: appointed to the Department of Colorectal Surgery Russell Stitz, elected 1999 and Bruce Waxman, McLeish’s forthright article in the September at the University of Sydney as a Senior Lecturer in elected 2000. 1. Revised regulations of post fellowship training Colorectal Surgery. edition of the RACS Surgical News gave a clear view (approved) An interesting development in Queensland has on CSSA policy on aims and training, including In 1997 the CME meeting was combined with the been the appointment in Townsville of Professor recognition as a specialty (not a subspecialty) and 2. Joint representation of the Section (3 members) CSSA and the Sydney Colorectal Surgical Society Yik-Hong Ho to the Department of Surgery at the the securing of a Fellowship in colorectal surgery. and CSSA (3 members) (approved) in a large meeting in Sydney titled “The Combined James Cook University (2002). Professor Ho is a An Advanced Laparoscopic Colon Workshop was Australian Colorectal Conference” which was colorectal surgeon who worked at the Singapore held on 22-24 September in Perth convened by 3. Representation of the TAC on the Censor in very successful. Since then the CSSA has joined J Hamdorf with Sir Alfred Cushieri the visiting Chief Committee (rejected). the Section as co-convenor for all subsequent 30 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 31 HISTORY OF COLORECTAL SURGERY IN AUSTRALIA (INCL. CSSANZ) Fazio with 60 guests to celebrate his Australian The Annual Scientifi c Meeting of the Sydney Honors award (OA). This evening was convened Colorectal Surgical Society (SCSS) was held on (CONTINUED) by Professor Les Bokey. 6th November, 2004. Professor John Northover (London) delivered the Edward Wilson lecture. guest lecturer. Michael Solomon and his editorial Johnson and Johnson). A further three Tyco CSSA The American Society of Colon and Rectal Surgeons The RACS Section and CSSA formed a joint Scientifi c committee published the 2nd Triennial Report Colorectal Research Scholarships were announced (ASCRS) approved inclusion of the Mark Killingback Program Committee (Chaired by John Lumley) (1999-2001). It was widely acclaimed and broadly for next fi ve years. Awardee for 2003: N Abrahams. prize presentation (RACS Section) at its annual to supervise ASC and CME meetings. Assoc Prof distributed. Melbourne hosted an outstanding The Murray and Unity Pheils Travel Fellowship meetings (initiated by G Newstead). Michelle Joe Tjandra organised an International Pelvic Tripartite Colorectal Meeting during October was awarded to S Bell. (RACS Board of Surgical Thornton presented her paper at the 2005 ASCRS Floor Meeting in Melbourne. K Matzel delivered 27-30, 2002. There were 612 medical registrants Research). The Combined Australasian Colorectal meeting. In 2004 the number of accredited units the Alan Cuthbertson Plenary Lecture. The JCB and was convened by Rod Woods supported by Scientifi c Meeting was held in Sydney during for training in colorectal surgery stood at 16. The Penfold Surgical Prize was inaugurated in 2004. I Jones, B Waxman and F Chen. John Goligher September 19-20 2003. The named lectures were number of post fellowship trainees: 14. (Clinical This prize (established by the Tjandra Fund) is lecture: N Williams, Rupert Turnbull lecture: V as follows: ESR Hughes lecture (RACS section): I training in Australasia: 9, clinical training overseas: awarded annually for the best surgical research Fazio, ESR Hughes lecture: M Killingback. Bruce Finlay (Glasgow). Edward Wilson lecture (SCSS): C 2, accredited research year: 3). The number of post paper presented by surgical residents or trainees Waxman presented a National Audit of large bowel van de Velde (Leiden, Netherlands). CSSA Oration: fellowship trainees appointed for ensuing years: 6. at the Royal Melbourne Hospital. The Australasian anastomosis. The Association of Coloproctology D Wong (New York). Graham Newstead initiated a The Memorandum of Understanding and Service Laparoscopic Colon Cancer Study (ALCCaS) had of Great Britain and Ireland (ACPGBI) announced CSSA President’s Medallion and it was presented agreement with RACS in relation to the training acrued 590 cases as of January 2005 (sponsored the establishment of an annual Travel Fellowship to President, M Solomon. St Vincent’s Hospital of Provisional colorectal trainees was signed in by Johnson and Johnson and National Health at the Tripartite Meeting. The inaugural recipient (Melbourne) hosted a TME Course in October May 2004. The 2nd Annual Weekend Education and Medical Research Council). for 2003 was Anil Keshava. The Murray and Unity 2003 with visiting Lecturers: RJ Heald and P Quirk. Meeting for TBCRS trainees in colorectal surgery Pheils Travel Fellowship was awarded to M Convenor: J Mackay. was convened in Melbourne by Ian Jones and once After many years of service to the Society, Steel. (RACS Board of Surgical Research). Andrew again sponsored by Johnson and Johnson. The Jan Stuart announced her intention to retire In May 2004 a workshop was held in Melbourne to McLeish (past president, representing the CSSA) New Zealand Chapter of CSSA met in Auckland on from her secretarial position in early 2005; her discuss the establishment of a CSSA Binational made a strong stand at an RACS meeting (to 7 September 2004. Michelle Thomas was awarded a devotion to the society over a period of 5 years Database for Colorectal Cancer. The meeting was discuss the Memorandum of Understanding and Tyco colorectal research scholarship for 2004. The was recognized by the council and members of convened by Andrew Hunter and sponsored by Service Agreement relating to colorectal surgery) second recipient of the ACPGBI Travel Fellowship, the Society and a dinner was held in Jan Stuart’s Johnson and Johnson and the Australian Cancer by declining to sign as the document combined Elizabeth Murphy, presented a scientifi c paper at honour in Sydney. Network. Several proposals were subsequently the CSSA with General Surgeons Australia (GSA). the ACPGBI Annual meeting Birmingham UK. Michael Solomon was responsible for CSSA studies accepted by CSSA Council. Since that time Andrew Jan Farmer was appointed to the Secretariat on evidence based colorectal surgery: Attitudes to Hunter has worked tirelessly to bring the database The Annual CME Meeting (RACS Section / CSSA) was position in February 2005 and the affairs of the FBM, RCTs, guidelines and screening, with fi ve peer to fruition with support from the College of convened at Sanctuary Cove (Qld) by John Lumley Society and Foundation were managed from an reviewed publications. Surgeons, the MMIM group based in Melbourne and from September 29-October 2, 2004. Jeffrey Milsom offi ce in Melbourne rented from Cabrini Private Covidien. It is envisaged that the CSSANZ Binational (New York) gave the ESR Hughes lecture and Prof Hospital (negotiated by Chip Farmer). Jan Farmer In 2003 the CSSA Journal Club expanded to Database will provide material for research and as Julie Campbell delivered the CSSA Oration. managed the transition from a home offi ce to a include Hobart and Newcastle making a total of a personal audit tool. It is a vital component of the corporate administrative centre with her high nine centres (generously sponsored by Johnson & proposed Fellowship of the Society A resolution was passed at the CSSA Extraordinary level of organisational skills and this represented Johnson). The New Zealand Chapter CSSA met in General Meeting in October 2004 to award the a signifi cant step forward in the history of the Robin Phillips (London) was the RACS Section of Auckland 23 May to discuss local issues. The Second title “Fellow” to those members of the Society who Society and Foundation. Laparoscopic Workshop was held in Brisbane and Colon and Rectal Surgery Foundation lecturer satisfy criteria as determined by the Council of convened by John Lumley and Andrew Stevenson. at the Annual Scientifi c Meeting in Melbourne the CSSA. The intention is for the FCSSA to be the Members were saddened to learn of the passing (Sponsored by Ethicon Endosuture, Johnson and (convenor: James Keck ). pre-eminent qualifi cation in colorectal surgery of Walter Hughes in March 2005. Walter was a Johnson). RACS Section of Colon and Rectal Surgery in Australia and New Zealand. Foundation Member of the Society. He was a most No account of colorectal Foundation Lecturer at Annual Scientifi c Meeting delightful gentle person and was much loved by all surgery in Australia would At this time Ian Jones was elected President of the in Brisbane was Robert Madoff (Minneapolis). his patients and all the staff that worked with him. be complete without Society. Phil Douglas was elected Vice President The RACS made a unilateral decision to revert reference to Victor and the remaining Councillors were Chip Farmer In 2005 Johnson and Johnson announced their to previous schedule in surgical training ie: four Fazio, the Head of the (Honorary Secretary), Andrew Hunter (Treasurer), intention to donate $450,000 to the Society’s years provisional plus two years post fellowship Department of Colorectal Bruce Waxman, David Lubowski, Richard Perry and Foundation over a three year period. These funds, training in colorectal surgery. There were 16 Surgery at the Cleveland Rod Woods. together with $150,00 donated from the Section accredited units for training in colorectal surgery. Clinic Foundation. Since of Colon and Rectal Surgery RACS placed the The Notaras 3 year Colorectal Scholarship was his appointment to that The inaugural meeting of the CSSA Foundation Foundation in a position to begin the process of announced (CSSA newsletter June 2003) and prestigious clinic in 1975 was convened on October 1 2004 at Sanctuary funding important colorectal research in Australia commenced in 2004. The fi rst awardee was Chris Victor Fazio AO he has been responsible Cove (Qld.) and chaired by Graham Newstead. and New Zealand. Byrne. The International Council of Coloproctology for the advanced training of a signifi cant number The purpose of the Foundation is to raise funds and announced a Travelling Scholarship in June 2003 of Australian surgeons exposed to a unique fi nancially support Australian and New Zealand (initiated by Graham Newstead). Chairman of experience in clinical surgery and research. He colorectal research projects through peer reviewed RACS Section of Colon and Rectal Surgery (James has continued to make appointments available applications. Graham Newstead devoted much Sweeney) resigns from the executive of General to Australians despite the highly competitive time and effort to establish the Foundation as an Surgeons Australia (GSA). The inaugural Annual selection of Fellows for the clinic service. Although Australian Tax Offi ce approved research entity Weekend Education Meeting for TBCRS trainees his work is half a world away he has played a role eligible for tax deductible donations. in colorectal surgery was held in Sydney. Convened of major signifi cance in Australian colorectal by C Young and received wide acclaim from the surgery. A special dinner was held in Sydney TBCRS trainees (Sponsored by Ethicon Endosurgery, on May 21st 2004 in honour of Professor Victor

32 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 33 HISTORY OF COLORECTAL SURGERY IN AUSTRALIA (INCL. CSSANZ) The colorectal Trainees’ Education Weekend was At this time the College of Surgeons decided to held in McLaren Vale, South Australia in September phase out the ‘3 + 3’ surgical training program, (CONTINUED) 2005 coordinated by Andrew Hunter. This weekend largely through a lack of support structure from is generously sponsored by Johnson and Johnson other specialty groups. During the period of the ‘3 Society members were delighted to learn that and provides educational and networking + 3’ surgical training program the TBCRS accepted Graham Newstead and Les Bokey were each opportunities for the trainees. The Training Board applicants for the ‘+3’ colorectal training program awarded with Member of the Order of Australia in Colon and Rectal Surgery (Chaired by Phil and were referred to as ‘Provisional Trainees’. The (AM) in June 2005 Queen’s Birthday Honours list. Douglas) successfully ran a trial examination return to a two year post FRACS colorectal program These were tremendous individual achievements in October 2005 for colorectal trainees. The allowed for an expansion in the number of training and of course the awards also refl ect extremely curriculum for this examination was (i) DCR positions throughout Australia, New Zealand and well on our specialty and Society which were Journal Issues from July to June (ii) previous three both UK and USA. mentioned in the citations: Associate Professor years trainees’ weekend papers and (iii) NH&MRC Graham Newstead AM: For service to medicine colorectal cancer guidelines. The assessment During 2006 Society President Ian Jones continued in the fi eld of colorectal surgery, particularly consisted of set oral and written questions. discussions with the GE Society regarding the through the development of the Colorectal Surgical The Board planned to hold this examination each contentious issue of colonoscopy re-certifi cation. Society of Australasia, the implementation of year in the future and amongst other criteria, The CSSA Foundation considered its fi rst international specialist surgical training programs, candidates require a pass grading in each year application for research funding: a proposal Presidents of UK, USA and Aus/NZ Societies – Tripartite, Dublin 2005 and the promotion of health awareness initiatives; to complete the training program. for a randomized trial relating to laparoscopic In May 2005 Russell Stitz was elected President Professor Elie Leslie Bokey AM: For service to rectopexy for rectal prolapse. Jamie Keck served on of the Royal Australasian College of Surgeons. medicine as a colorectal surgeon and through the In October 2005 the annual CME Spring Meeting the Medical Services Advisory Committee’s (MSAC) This was a great personal honour for Russell and establishment of surgical education programs, was held in Brisbane and combined with the advisory panel reviewing the Society’s application a credit to the Society. Russell served his term research, and medical administration. Annual Meeting of the Gastroenterological Society for PTQ anal implant for faecal incontinence. Early with distinction and the Society was fortunate to of Australia (GESA). The meeting was preceded in 2007 MSAC concluded its assessment and found The Society Journal Clubs continued to run very have his support for matters relating to colorectal by an outstanding laparoscopic workshop. Peter that there was not suffi cient evidence to support successfully throughout 2005 on a monthly surgery at the College level. Perhaps his greatest Sagar (UK) was the overseas visiting speaker and the application for PTQ anal implant therapy to be basis. Ian Faragher and Bruce Waxman were legacy was the establishment of the visionary made a valuable contribution to the meeting. added to the Medicare Benefi ts Schedule. instrumental in securing RACS CME approval for Surgical Education and Training (SET) program. The CSSA AGM was held at this meeting. There 5 points per hour for each evening. The College’s Annual Scientifi c Congress was held was no change to the Council membership. An in Perth. Michael Levitt succeeded Rod Woods Many Society members travelled to Dublin Ireland extraordinary AGM resolved to alter the Society’s as Chairman of the Section of Colon and Rectal in July 2005 for the Tripartite Meeting. Apart from Constitution to include retired FCSSA member as Surgery. an excellent scientifi c program a highlight of an additional membership category. the event was a reception for the Australian and In June 2005 CT Colonography was added to the Late 2005 saw the NH&MRC approve the second New Zealand surgeons and their partners hosted Australian Medicare Benefi ts Schedule. edition of the Guidelines for the investigation and by surgical colleague John Heron (Australian management of colorectal cancer. This publication Ambassador to Ireland). During 2005, Council sought fi nancial advice and continues to form a major component of the determined to proceed with registration with The third CSSA Triennial Report was published in colorectal trainees’ annual written assessment. the Australian Taxation Offi ce for the Goods and 2005 and released at the Tripartite Meeting with a Services Tax (GST). Consequently Andrew Hunter At the CSSA Council meeting in February 2006 Bruce copy in every delegate’s satchel. This proved to be spent countless hours steering the Society Waxman presented details of a discussion paper an excellent account of the Society’s activites of though this process and brought it to a successful produced by the FCSSA working party proposing the preceding three years. The report was edited by conclusion. criteria for members to be awarded Fellowship Chip Farmer and Ian Jones with expert assistance of the Society with the intention of recipients Ian Jones, President CSSANZ, and Phil Douglas, Vice President CSSANZ, from Pauline McCredden and Jan Farmer. with Richard Billingham, Past President ASCRS (centre) – to place the letters ‘FCSSA’ after their name. The ASCRS Seattle 2006 objective is for this qualifi cation to refl ect a level of training and ongoing commitment and In May 2006 the RACS Annual Scientifi c Congress demonstration of continuing medical education was held in Sydney convened by Pierre Chapuis in the arena of colorectal surgery. The discussion with Michael Thompson (UK) as the overseas paper suggested the criteria include (i) membership visitor. The CSSA Media Award was offi cially of the Society (ii) compliance with the RACS CPD launched at this Congress by Graham Newstead (iii) participation in the proposed colorectal cancer and Ian Jones. The annual award is presented for database (iv) written assessment 5 yearly. the best media item relating to colorectal surgery in either print or electronic media. In March 2006 Ms Linda Anderson was appointed to the position of part time Assistant Secretariat to support Jan Farmer with the offi ce management of the Society in Melbourne.

Ian Jones, President CSSANZ, presents gift to John Hyland, President ACPGBI – Tripartite, Dublin 2005

34 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 35 HISTORY OF COLORECTAL SURGERY IN AUSTRALIA (INCL. CSSANZ) Toward the end of 2006 the Society advertised The 2007 College of Surgeons ASC was held in for the Executive Administrator’s position Christchurch New Zealand and convened by Frank (CONTINUED) and received a number of potentially suitable Frizelle. Roland Parc (Paris, France) was an exciting applicants. The selection panel (Chip Farmer, Rod visiting speaker. A highlight was an interview Ian Jones tenure as President of the Society Woods and Ian Jones) interviewed a short list and with Roland conducted by Pierre Chapuis which concluded at this meeting and the new Society recommended to Council that Ms Liz Neilson enlightened the audience on the state of colorectal Council accepted the responsibility of managing be offered the full time position to commence surgery in France. the affairs of the Society. Phil Douglas was elected in early 2007. Liz’s work ethic, qualifi cations President, Chip Farmer Vice President, Richard (including a Bachelor of Science) and experience Perry Secretary and John Lumley Treasurer. Other in the corporate sector brought to the Society Councillors elected were Bruce Waxman, Rod a unique blend and she quickly proved to be Woods, Andrew Luck and Matt Rickard. Both one of the Society’s most valuable assets. She Andrew Hunter and David Lubowski retired from rapidly absorbed the mission and values of the Council at this time and their service to the Society Society and was able to assimilate the numerous over their terms of offi ce has been outstanding. components of the offi ce activities which she has Phil Douglas retired from the chairmanship of the outlined in her the Secretariat Report elsewhere TBCRS Fellows at Trainees’ Education Weekend – Couran Cove 2006 TBCRS after many years of diligent service notable in this Triennial Report. After a period of bringing for an unprecedented growth in the colorectal Liz up to date, Jan Farmer completed her two- The Australian National Bowel Cancer Screening training program. Michael Solomon was appointed year appointment as part time secretariat. Jan Program was launched in August 2006. The initial the new chairman of the TBCRS. Other TBCRS performed her duties to the highest standards program involved sending a faecal occult blood members were Ian Jones, Phil Douglas, Andrew and successfully managed the transition from the ‘home offi ce’ to a fully operational corporate offi ce. From left: Rod Woods, Richard Perry, K Chip Farmer, Phil Douglas, test (FOBT) kit to Australians on their 55th and 65th Hunter, Andrew Stevenson and Frank Frizelle. John Lumley, Michael Levitt, Bruce Waxman, Andrew Luck, birthday. If the FOBT is positive, both the individual Matthew Rickard – CSSANZ Council Meeting, Christchurch 2007 By 2007 the Training Board in Colon and Rectal and their general practitioner are advised and then The revised and more user friendly CSSANZ Surgery had 18 colorectal trainees in accredited The Society Council meeting in May 2007 referred for a colonoscopy along usual lines of website (cssanz.org) went live in November 2006 units in Australia and New Zealand in addition resolved to order a supply of Society ties with referral. under the direction of Chip Farmer and designed and hosted by Corporate Image. Society members to 2 trainees in the UK, one in Cleveland USA and the new CSSANZ logo. Bruce Waxman (Chair of It was also during 2006 that James Young and welcomed the contemporary appearance of the one UK exchange trainee at St Vincent’s Hospital, Membership Committee) tabled a discussion David Steinberg retired from clinical practice. Both site, together with up to date information. With Melbourne. paper on recommendations for criteria for surgeons were highly respected and can refl ect on both public and members’ sections, the website Society membership for applicants who have The Society Council resolved in early 2007 to adopt extremely satisfying careers over many years. continues to be a valuable resource and means of not completed two full years of post fellowship a selection of the American Society of Colon and communication for members, colorectal trainees colorectal training in approved posts. The Rectal Surgeons (ASCRS) practice parameters with In September 2006 the annual colorectal Trainees’ and the general public. Society’s patient information brochures were all Education Weekend was held in Couran Cove direct links in the members’ section of the CSSANZ completely revised under Matt Rickard’s direction Resort, South Stradbroke Island prior to an historic Late in 2006 CSSANZ members gathered at the website. This has evolved into valuable reference and industry sponsorship secured. Sales of the CME Spring meeting in Queenstown New Zealand. Sydney Colorectal Surgical Society meeting to for CSSANZ members. brochures were noted to be strong. The CSSANZ Conor Delaney travelled from Cleveland USA to record a video of congratulations to Professor Journal Clubs continued to be a valued tangible During 2007 the College of Surgeons signalled its be an excellent visiting speaker in Queenstown, John Nicholls to mark his retirement from St benefi t for members and in 2007 Patrick Tan (Perth, intention to establish a Board of Post Fellowship particularly on the topic of laparoscopic colorectal Mark’s Hospital. John played a signifi cant role in WA) was responsible for the choice of papers to Education and Training (BPFET) to accommodate surgery. Other highlights of this meeting were the the training of a number of Australian and New discuss at each monthly meeting. Chip Farmer the Training Board in Colorectal Surgery (TBCRS) spectacular surroundings and a superb shipboard Zealand colorectal surgeons and he particularly and Rod Woods were appointed co-editors of the in addition to other post fellowship programs (eg welcome reception. At the Society Council meeting appreciated viewing the ‘long distance’ sentiments 2005- 2007 CSSANZ Triennial Report with the goal hand surgery, spinal surgery etc). This proposed Graham Newstead announced his retirement from at his Festschrift in London. Phil Douglas being to publish and distribute the report at the Board will allow the TBCRS to have a formal place the position of Executive Director. Over many years concluded the video with awarding John Nicholls Colorectal Tripartite Meeting in Boston in June within the College infrastructure and potentially Graham has worked tirelessly for the CSSA. He was an Honorary Life Membership of the CSSANZ. 2008. Council nominated several Society members lead to a service agreement to support the instrumental in establishing the Society and has to become part of the Colorectal Cancer Reference colorectal training program. The College steering held almost every offi ce in the Society. Graham’s At this time Ms Linda Anderson’s term of Group within the newly established Government committee published a discussion paper which is historic career is highlighted in a feature article employment with the Society (Assistant sponsored organization ‘Cancer Australia’. being examined by Society Council. elsewhere in this report. Secretariat) concluded to allow for the Society to advertise and employ a full time Executive In 2007 the Medical Services Advisory Committee An extraordinary General Meeting of the Society Administrator to take the administrative aspects (MSAC) established an advisory panel to review was held in Queenstown in September 2006 to of the Society and Foundation to a new corporate the joint application from the CSSANZ and the vote on a motion proposed by President Ian level. Over the course of her nine month service, College of Radiologists for an MBS Item number Jones and seconded by New Zealander Richard Linda performed a vital role assisting Jan Farmer for MRI scan for rectal cancer. Chip Farmer served Perry to change in the name of the Society to in the new Melbourne Society offi ce and Council as the RACS and CSSANZ representative on the the Colorectal Surgical Society of Australia and thanked her for her dedication and wished her well advisory panel and at the time of publication the New Zealand (CSSANZ). The name change more in her future career. assessment is ongoing. clearly refl ected the Society’s mission within both countries and it was particularly appropriate that it occurred on New Zealand soil. The motion was passed unanimously and applauded by those in attendance.

Michael Levitt and Russell Stitz – ASC Christchurch 2007

36 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 37 HISTORY OF COLORECTAL SURGERY IN AUSTRALIA (INCL. CSSANZ) (CONTINUED)

On 18th June 2007 Society members were saddened At this meeting both CSSANZ Council and Further award recipients at this time were Susan to learn of the passing of prominent member Assoc Foundation members met to discuss a number of Shedda (Association of Coloproctology of Great Professor Joe Tjandra at 50 years of age, having issues. Graham Newstead announced his intention Britain and Ireland Travelling Fellowship) and been diagnosed with large bowel cancer 10 months to step down from the position of Chairman of the Toufi c El-Khoury (Notaras Scholarship for 2008). previously. Joe trained at the Royal Melbourne CSSANZ Foundation but to remain a Foundation Hospital and spent two years at the Cleveland Board member. Ian Jones was duly elected to The Colorectal Surgical Society of Australia and Clinic, USA. He was a focus driven individual in both become the new Foundation Chairman. Revised New Zealand now comprises some 162 Members clinical and research environments. This Triennial guidelines for the Foundation were established to (including 20 Retired Members) with a further Report contains a full obituary which serves as a allow for twice yearly grant applications and a limit 17 Honorary Memberships being accorded to testament to his remarkable and shortened career. of $100,000 funding per year. international visitors of outstanding excellence. The Society enjoys a very close relationship with In September 2007 the TBCRS conducted the fi rst With respect to Society sponsorship, Andrew the Royal Australasian College of Surgeons and offi cial colorectal trainees’ written assessment Luck proposed the concept of offering tiered is a cooperative partner in the redefi nition of the CSSANZ examination. Candidates found the examination sponsorship incorporating 2 –3 year packages best format for high quality colorectal surgical President’s Medallion particularly diffi cult but were pleased to learn that which would cover conference booths, brochure training within general surgical programs and all passed successfully. This annual assessment signage, triennial report advertisement etc. The specialty colorectal training within Australia is a pre requisite to completion of the training principle was accepted by Council and will be and New Zealand. program. progressed through 2008. The society has fostered and carried out Professors: Les Bokey, Sydney; Frank Frizelle, The 2007 Combined Spring CME meeting was held The Society’s AGM in September 2007 accepted specialised workshops for its members and has Christchurch; Yik-Hong Ho, Townsville; Ian Jones, in Victor Harbor, South Australia and convened reports from the various Committees and resolved strong ties with colorectal surgical societies and Melbourne; Bryan Parry, Auckland; Cameron Platell, by Andrew Luck. Ronan O’Connell (Ireland) was to increase the annual society subscription by surgeons throughout the world. It has expanded Fremantle; Adrian Polglase, Melbourne; Michael an outstanding visiting speaker and the program $75(AUD) to $500 (AUD) with a discount to New its sphere of interest to include in its membership Solomon, Sydney; included an informative session on anticoagulants. Zealand members to allow for international colorectal surgeons from New Zealand and is exchange rates. actively encouraging close involvement with its Associate Professors: Michael Agrez (retired), Asian colleagues. Newcastle; Ian Bissett, Auckland; John Cartmill, The inaugural CSSANZ Media Award was presented Sydney; Pierre Chapuis, Sydney; Jonathan Cohen, to Peter Overton in 2007 for a television report Brisbane; Roy Fink (retired), Melbourne; David on the Australian 60 Minutes program relating Conclusion Lubowski, Sydney; John Mackay, Melbourne; to colonoscopy. Graham Newstead and Stephen Graham Newstead, Sydney; Andrew Renaut, Bell featured in the report which centred on Peter After the fi rst 19 years of development of the Brisbane; Nicholas Rieger, Adelaide; William Overton undergoing a colonoscopy at Cabrini Colorectal Surgical Society of Australia and New Roediger, Adelaide; Margaret Schnitzler, Sydney; Hospital in Melbourne. Peter received the award Zealand, the cornerstones of its ideals remain David Wattchow, Adelaide; Bruce Waxman, at a Sydney CSSANZ Journal Club meeting and standing as: TRAINING, STANDARDS, RESEARCH Melbourne; Richard West, Sydney. graciously donated the $1000 prize to the CSSANZ and EDUCATION. Foundation for colorectal research. It is fair to state that the past 60 years have seen Dr Mark Killingback Dr Chip Farmer The CSSANZ Australian Association of Stomal a rapid progress in the investigation of colorectal Sydney Melbourne Therapy Nurses (AASTN) award was presented disease, surgical techniques and the development to Carolynne Partridge (Tasmania). This award is of colorectal surgery as a recognised specialty. The sponsored by the CSSANZ and the winner selected enthusiasm and camaraderie among colorectal by the AASTN executive. It comprises return surgeons is one of the extraordinary aspects of airfare, registration and accommodation at the the specialty. The appointments to academic Spring CME meeting and is designed to foster departments in Australia and New Zealand will CSSANZ Past relations between colorectal surgeons and stomal ensure advances in research will continue. President’s Pin therapists.

38 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 39 Excellence doesn’t GRAHAM LEONARD NEWSTEAD AM happen overnight.

You’ve spent your career improving what There is no question In 1975 Graham felt ready to return to Australia that Graham to establish a colorectal surgical practice. He was you do and how you do it – striving Newstead has appointed Lecturer in Surgery at the University of made a signifi cant New South Wales, at Prince of Wales Hospital, and towards excellence...so have we. contribution to the he soon developed a very busy clinical practice. Colorectal Surgical Colorectal Surgery at Prince of Wales Hospital Society of Australia has continued to develop under his leadership. Johnson & Johnson Medical is committed to and New Zealand, and Graham has always had a passion for teaching, more broadly to the and continues to teach colorectal surgery to both excellence. We recognise that our products specialty of colorectal undergraduates and to postgraduates at the are the tools of your trade, and in your hands, surgery in Australia University of New South Wales and Prince of Wales and internationally. Hospital. He is a wonderful teacher and has always can change patient’s lives. That’s why we Graham Newstead AM He has held various had excellent feedback from those he has taught continue to invest in research, innovation and senior leadership roles in the Society from its over the years. His contribution to the University of professional development. foundation in 1988, until 2007. New South Wales, and in particular to research and teaching, has been recognised by his appointment Graham was born in June 1942. He attended as Conjoint Associate Professor of Surgery. Putting the best equipment in your hands is primary and secondary school at Cranbrook School, just the start of our commitment. We have and completed his fi nal two years of secondary Graham was one of those responsible for education at Sydney Boys’ High School. He then establishing the post-fellowship training program supported professional development and gained entry into the medical course at Sydney in colorectal surgery. He has had a colorectal education in Colorectal Surgery for over a University, from which he graduated MB BS at the trainee, either on the Australasian program or an end of 1965. overseas fellow, working with him and learning decade in partnership with the CSSANZ and from him, since the program started in 1988. expert faculty. He was a junior resident at Prince of Wales and Prince Henry Hospitals in Sydney where he was On the 11 November 1988, Graham was one of Your career is our priority, because it’s our very keen to undertake a surgical career path. twenty-fi ve colorectal surgeons who agreed He was appointed general surgical registrar at to form the “Australian Society of Colorectal career too. So, when it comes to innovation Prince of Wales and Prince Henry Hospitals in 1968 Surgeons” (later changed to the “Colorectal education and support, Johnson & Johnson and completed his training in 1971, attaining his Surgical Society of Australia”, then to the Fellowship of the Royal Australasian College of “Colorectal Surgical Society of Australasia”, then Medical has always been there for you, and Surgeons in that year. to the current “Colorectal Surgical Society of we always will be. Australia and New Zealand”). Graham Newstead Graham met his future wife Cheryl while they were was elected the fi rst Honorary Secretary, a both working at Prince of Wales and Prince Henry position he held until September 1995, when he Hospitals. They married in 1969. Graham wanted to was elected the fourth President of the Society. pursue a career in colorectal surgery and the year During his two year term as President he made after he completed his general surgical training, signifi cant contributions to the enhancing of the he and Cheryl departed for the USA where he training program, the promotion of the specialty of worked for a short period at the Cleveland Clinic, colorectal surgery including standards of practice, Ohio. Later that year they moved to London, where and the promotion of the research committee of Graham took up a position as senior surgical the Society. He was appointed Executive Director registrar, and research fellow, at the Royal Marsden of the Society in 1997, a position he held until Hospital. From 1974 to 1975 he was senior registrar 2006. He was appointed the inaugural Chairman at St Bartholomew’s Hospital and St Mark’s of the Colorectal Surgical Society of Australasia Hospital, where he had the good fortune to work Foundation in 2004, a position he held until 2007. with outstanding colorectal surgeons such as Mr He remains a board member of the Colorectal Ian Todd, and Mr HE Lockhart-Mummery. In 1974 he Surgical Society of Australia and New Zealand became a Fellow of the Royal College of Surgeons Foundation. He was also Treasurer of the Section (England) by examination. of Colon and Rectal Surgery, Royal Australasian College of Surgeons, from 1987 to 1990, and

TRIENNIAL REPORT 2005-2007 – 41 GRAHAM LEONARD NEWSTEAD AM (CONTINUED) BINATIONAL COLORECTAL CANCER DATABASE then Chairman of the Section from 1990 to 1991. Over the years, Graham has been asked to Graham’s wisdom and outstanding organisational represent colorectal surgeons in dealings abilities have been of extraordinary benefi t to with government, both federal and state, and the Society and Section over the years and the government funded organisations. These include enormity of his contribution to these organisations groups such as the National Health and Medical cannot be overstated. Research Council, the Victorian Anti-Cancer Council, the Australian Medical Examining Council, Graham has held four different research the NSW State Cancer Council, the Professional fellowships, has authored or co-authored more Services Review Committee of the Federal Through a the well-established Association of Coloproctology than thirty original articles in journals, and has Department of Health and the Board of Continuing collaboration of Great Britain & Ireland (ACPGBI) dataset. contributed eight chapters in text books. He has Professional Development of the Health between the delivered over 100 invited lectures, both in Insurance Commission. He has made a signifi cant Colorectal Surgical The aim of the collaboration is to create a large Australia and overseas. contribution to all these groups, as a result of his Society of Australia dataset containing Australian and New Zealand wisdom and experience. data for research and quality improvement He is the Founding Chairman of the International and New Zealand (CSSANZ), the purposes. This data will be used to advance Council of Coloproctology (2003) and is Chairman Despite such a busy professional life, Graham has Research, Audit & knowledge and understanding of the optimum of the International Advisory Committee of the always remained a devoted family man. Graham’s Academic Surgery treatment for colorectal cancer and help ensure American Society of Colon and Rectal Surgeons. wife, Cheryl, tragically passed away at a young age Division (RAAS) of the best practice. He has a signifi cant international profi le as in 1996. Graham and their two daughters, Amanda Royal Australasian a colorectal surgeon and has been invited to and Rebecca, were obviously devastated at their An important part of establishing this collaborative College of Surgeons participate and present at many international loss. They shared everything in their lives and were audit was the formation and signing of a formal Dr Andrew Hunter (RACS) and the meetings of colorectal surgeons and other a very close family. The esteem in which Cheryl Memorandum of Understanding between all three Molecular Medicine medical groups. He has been particularly keen was held was refl ected in the very large number of stakeholders, and this MOU is currently being Informatics Model (Bio21:MMIM) project, the to advance colorectal surgery in the developing friends and colleagues that attended her funeral. re-signed for a further three years. In particular, Binational Colorectal Cancer Audit has been world and has made a signifi cant contribution to Both Amanda and Rebecca are now married and this has addressed funding issues, with signifi cant established. This has faced many challenges in the establishment of scholarships and travelling Graham has six grandchildren. His new partner, fi nancial contributions from all three parties. its fi rst 12 months of development; however, fellowships for eligible surgeons in these countries. Michelle Newman, and Graham have now been signifi cant progress is now being made and, most In 1980 he was elected a Fellow of the American together for some years, and she shares Graham’s The initial phase of the audit included gauging importantly, rewarded with results. College of Surgeons, in 1988 he was elected a passion for so many things in life, including family, the interest of surgeons across Australia and Fellow of the Asia Pacifi c Society of Digestive New Zealand and obtaining approval for the music and travel. Patients undergoing resection or treatment Endoscopy and in 1993 he was elected a Fellow of activity, in the fi rst instance in South Australia. for colorectal cancer will be recorded into the the American Society of Colon and Rectal Surgeons. In 2000, Graham was awarded a “Certifi cate for auditing system. It will incorporate and link into He is an Honorary Fellow of the Association Exemplary Service” by the Australian Cancer To determine the interest of surgeons and assess the successfully implemented multi-disciplinary, of Coloproctology of Great Britain and Ireland Network. the number of individual colorectal databases multi-institutional medical platform (Molecular and is an Honorary Member of the Section of in existence across the states, a registration of Medicine Informatics Model, Bio21:MMIM project) Coloproctology, Royal Society of Medicine. In 2005, he was made a Member of the Order of interest and other documentation was sent to all Australia (AM) by the Governor-General of Australia. that has been established by an extensive group of colorectal surgeons. This included those surgeons In 2003 he and three colorectal colleagues The citation read “Awarded for service to medicine Melbourne researchers. The number of participants who had public appointments and those in private established “Sydney Colorectal Associates”, in the fi eld of colorectal surgery, particularly involved is unlimited. practice only. Supporting documentation included: Australia’s fi rst group colorectal surgical through the development of the Colorectal Surgical the minimum dataset (MDS), data dictionary, In Victoria, colorectal cancer data is being partnership. He continues in active clinical practice Society of Australasia, the implementation of patient information sheet, ethics applications, collected in public and private hospitals. Collection with this group. international specialist surgical training programs, letters to CEO and other relevant documents. commenced at Western Hospital in 1999; and the promotion of health awareness initiatives”. Graham is Chairman of The Colorectal Foundation, Austin Hospital, Royal Melbourne Hospital and This mailout led to many registrations of interest, which has as one of its roles the raising of public Graham Newstead has certainly packed a lot into Melbourne Private in 2003; and Box Hill Hospital, with more than 85% of surgeons indicating awareness of colorectal disease, and in particular his life so far. Throughout his career he has been an Epworth Eastern, Knox Private Hospital and Peter that they wished to participate in the CSSANZ colorectal cancer and its prevention. Graham is excellent and caring clinician, a committed teacher MacCallum in 2006, all using the ACCORD clinical Colorectal Cancer Database. Those who did not incredibly enthusiastic about the expansion of and researcher, and has made an enormous database (Australian Comprehensive Cancer wish to participate indicated that they had existing this program. contribution to the world of colorectal surgery, and Research Database). Cabrini/Monash/Alfred databases or were involved with other research both in Australia and overseas. His patients, his Hospitals have developed a database which will groups collecting colorectal cancer data. Graham has contributed to many national and students, the population in general and many commence collection in early 2008. international meetings in an organisational organisations have benefi ted immensely from his Approval was sought from the ethics committees The full ACCORD (Australian Comprehensive Cancer capacity. In particular, he was Secretary of the surgical excellence, his wisdom, his enthusiasm so that the activity could be undertaken at the and Research Database) colorectal database is Fourth World Congress of Coloproctology, held and his outstanding organisational capabilities. major metropolitan hospitals within South extensive. A minimum dataset (MDS) was designed in Sydney in 1990, and was the convenor of the He may have curtailed some of his activities, Australia, which included: the Royal Adelaide with the aim of using the MDS initially and that at Tripartite Colorectal Meeting in Sydney in 1993. but he remains a very busy and a very happy man. Hospital, The Queen Elizabeth Hospital, Lyell Both meetings were of excellent educational value, a later date those surgeons wishing to contribute McEwin Health Services and Flinders Medical great fora for the exchange of ideas and very well Dr Philip Douglas further data could do so using the full ACCORD Centre. attended. Their success was largely due to the President, CSSANZ dataset. The Colorectal Cancer minimum dataset signifi cant contribution of Graham Newstead. Sydney Australia was developed using the ACCORD database and

42 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 43 BINATIONAL COLORECTAL CANCER DATABASE CSSANZ ANNUAL MEDIA PRIZE (CONTINUED)

An important part of the responsibilities of the 2007 CSSANZ Media Award Winners CSSANZ is Public Education. Over a number of years Other ethics committees were also approached Reducing duplication of data has been a the Society has produced educational materials, namely the Repatriation General Hospital (approval consideration of the audit. Examination of First Prize: including informative brochures relating to pending) and the Royal Australasian College responses received from surgeons regarding the Peter Overton and Chris Blackburn, “60 minutes” important colorectal disorders, describing the of Surgeons (the College). The College ethics audit showed that some surgeons already had natural course of specifi c problems and outlining committee approved the audit in October of this existing databases. These surgeons, using the After examining all the entries submitted, the possible management options. year. The College also approved the audit activity colorectal audit ethics documentation, received Council decided to award this year’s prize to Peter Overton and Chris Blackburn from “60 minutes” under the Continuing Professional Development approval from their local ethics committees to Some 12,000 new cases of colorectal cancer will for their segment in November 2006 on “The Inside Program (Category One: Surgical Audit and Peer participate and commence data collection using be identifi ed each year in Australia alone. It is the Story: Bowel Cancer”. In this particular program Review). It is expected that the ethics committees the MDS. A number of these surgeons will use the most common cancer (other than skin) in Australia Peter Overton had a colonoscopy. We felt that of other institutions will be approached as MDS to continue their existing data collections as and New Zealand, yet is almost completely the impact of this segment to a diverse national necessary to facilitate the audit activities. Formal well as the CSSANZ Colorectal Cancer Audit. preventable. As yet there is no universal screening audience was outstanding in terms of awareness notifi cation was received in October 2007 that program; the options are still in discussion and The Colorectal Cancer Audit Committee (CCAC) and understanding. the audit has been declared under the Australian cost constraints may mandate a less than ideal has continued to meet on a monthly basis. Government, Commonwealth Qualifi ed Privilege result. Public educational activities will help to These meetings have facilitated discussion and Equal 2nd Prize Winners: Scheme. bring the opportunities for prevention into the progress in all aspects of the project, including consciousness of the Australian and New Zealand • Karen Arnold, The Southland Times Through regular feedback regarding audit activities establishment issues, funding, management and populations and to provide some understanding New Zealand to CSSANZ members and other stakeholders, research. The committee has provided strategic of the relevant risk factors, when to consider them concerns have been adequately addressed prior direction, consistency and dedication, which have For: A lead page and article on Bowel Cancer (and what to do about them). to the commencement of the audit and this has enabled the audit to progress. • Cathy O’Leary, West Australian reduced further delays and interruption. Regular Many other common disorders might also be The Colorectal Cancer Audit Committee will soon Newspapers Ltd, WA communication will be an ongoing focus for targets for better public education, including be supported by a Research Subcommittee which the audit. modern management for anal fi ssure, will focus on the implementation of research For: A series of articles on Bowel haemorrhoids and other ano-rectal problems, as With many of the establishment issues resolved, projects. This will oversee the utilisation of data Cancer Screening well as for infl ammatory bowel disorders (such the rollout of the minimum dataset (MDS) to all collected within the CSSANZ audit and other data as Crohn’s disease and ulcerative colitis) and Recognition Award: major metropolitan hospitals in South Australia collected as part of the MMIM collaboration. Other diverticular disease. However the Society’s most occurred in July 2007. Data collection has been priorities for the committee are to seek additional important initial target is bowel cancer, in the Stephanie Jobson, The Colorectal Foundation assisted with the installation of the ACCORD funding opportunities and to lead the way in areas of prevention, detection and management. database at the College. The number of records initiating research projects using the prospective For excellent public awareness programs on bowel being entered each week is on the rise. data. The Council of the CSSANZ has decided to offer cancer prevention an annual Media Prize to be awarded for the best Having successfully established data collection in Ultimately, the aim of this audit activity is to published article, television documentary (or Adelaide, other states have now been approached maintain and improve the surgical practices for the segment) or other similar media format, considered to also enter their data. In addition, web-based purpose of quality assurance. There will be regular Dr Rodney Woods by the Media and Public Relations Committee of data entry is being fi nalised as a preferred option reporting and feedback to surgeons and hospitals, Convenor, Media and Public Relations Committee the CSSANZ to be of optimal benefi t to patients in for data collection. and it is envisaged that this will contribute to the Melbourne, Australia that year. The Committee’s recommendations are identifi cation of benchmarks, peer review, and made to the Council of the CSSANZ who will ratify The Colorectal Cancer Audit wishes to enable development of multicentre research projects. data linkage/sharing opportunities with existing the decision. Council reserves the right not to make databases and other sources of data. Those Through the continued collaborative efforts an award in any given year. surgeons with existing databases have been of CSSANZ, The Royal Australasian College of The Prize consists of a commemorative plaque and approached to participate in the audit where Surgeons and MMIM, the Colorectal Cancer Audit a cash award (initially $1000) from the CSSANZ. To possible. Preliminary investigations have revealed will continue to work towards achieving this be considered for the award, notifi cation must be there may be opportunities for data linkage at ultimate aim. made to the CSSANZ Secretariat, Ms Liz Neilson various levels, particularly within South Australia. ([email protected]) with evidence of the The linkage of data provides an opportunity to published articles. improve quality, accuracy and validity of data Dr Andrew Hunter collection. Discrepancies can be assessed and Chairman, National Colorectal Cancer Database processes put into place to reduce fl awed data Adelaide, Australia 2007 Media Award Winner, Peter Overton, with Stuart Pincott and as well as data duplication. Matthew McNamara

44 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 45 OBITUARY TRAINING BOARD IN ASSOCIATE PROFESSOR JOE JANWAR TJANDRA COLON AND RECTAL SURGERY

Joe died in June 2007 after a On his return to Australia in 1993 he was appointed ten month battle with bowel Colorectal Surgeon to the Royal Melbourne cancer. He was only 49 years Hospital and Consultant Colorectal Surgeon when diagnosed. to the Royal Women’s Hospital in 1997. Later in SECTION OF COLON & RECTAL SURGERY, RACS 2002 he was made Associate Professor of Surgery Joe was born in Palembang, and University of Melbourne and in 2005 co-ordinator Indonesia in 1957 where COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND of the Epworth Gastrointestinal Oncology Centre. his father was a trader. He Joe worked at a frenetic pace in his clinical work, was the youngest of seven research, publications and assisting trainees in children of whom four their development; he developed a huge private Joe Janwar Tjandra became doctors. He moved to practice centred around Epworth, Melbourne Singapore for his secondary Private and Cotham Private Hospitals. education and where he fi rst learned to speak English. He then came to Melbourne on a student Joe published over 150 peer reviewed scientifi c visa to complete years 11 and 12 at Mentone papers, had written 70 book chapters and edited Grammar School where he was DUX of the school. 6 books. His pride and joy was the Text Book of Surgery now in the 3rd edition. This book is the He studied medicine at University of Melbourne Section Representatives CSSANZ Representatives prescribed surgical text in most medical schools and the Royal Melbourne Hospital fi nishing near in Australia and New Zealand. the top in his fi nal year. Joe was frequently a visiting lecturer/professor In 1982 he was intern in Mr Alan Cuthbertson’s Philip DOUGLAS Michael SOLOMON especially in the Asian Pacifi c Region but also in the Colorectal Unit at the Royal Melbourne Hospital. Prince of Wales Hospital Chairman US and Europe. He gave over 200 presentations at His early surgical training was under Professor Sydney, New South Wales Royal Prince Alfred Hospital surgical meetings. Les Hughes in Cardiff, Wales where he obtained Sydney, New South Wales his FRCS England and FRCSP Glasgow. Joe promoted research with the surgical trainees at the Royal Melbourne Hospital and supervised fi ve Joe returned to Australia in 1987 and did a Frank FRIZELLE post graduate students leading to higher degrees. period of clinical research with Professor Ian Christchurch Hospital Ian JONES McKenzie at the Research Centre for Cancer and Joe was appointed Associate Professor of Surgery Christchurch, New Zealand Royal Melbourne Hospital Transplantation, University of Melbourne. They by the University of Melbourne for his contribution Melbourne, Victoria worked on monoclonal antibodies hoping to target to surgery in particular the development of toxins specifi cally to cancer cells. innovative techniques in colorectal surgery. He Andrew HUNTER became an international authority on sacral nerve Ironically one of his patients had been the Royal Adelaide Hospital Andrew STEVENSON stimulation for faecal incontinence, PTQ® implants Headmaster of Mentone Grammar. He and Adelaide, South Australia Royal Brisbane Hospital and laparoscopic colorectal surgery. Joe presented the research on the current TV Brisbane, Queensland programme Quantum. It caused considerable Joe served as editor of the ANZ Journal of Surgery interest at the time. He was awarded a Doctor of for years and on the editorial board of a number of Medicine from the University of Melbourne for this international journals. Joe convened and organised research. The following year as Surgical Registrar in successful international meetings in colorectal the Colorectal Unit he obtained the FRACS. surgery most years since 1994. His last meeting was in February 2007, just four months before his death. Further surgical training followed, with Professor John Wong in Hong Kong and two years with Dr It must be said that not all of Joe’s colleagues Victor Fazio at the Cleveland Clinic USA considered appreciated his single-minded approach. Some one of the foremost centres in colorectal surgery in felt that his ambitious nature prevented him from the world at present. Before returning to Australia achieving his full potential amongst his peers. he had one further year with Professor Les Hughes He apparently only slept 3 or 4 hours per night. He in Cardiff. was a very focused driven person and the pursuit of his career was his life. He aimed high and got a lot of satisfaction with the many awards and plaques he received. Joe leaves behind his wife Yvonne and children Douglas, Bradley and Caitlin.

46 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 47 TRAINING BOARD IN COLON AND RECTAL SURGERY HISTORICAL PERSPECTIVE

In the mid 1980s it was perceived within the In 1996 the TAC was reconstituted to involve equal Regulations and guidelines for the Post-Fellowship In 2003 an annual education weekend for trainees Section of Colon and Rectal Surgery of the RACS membership between the Section of Colon and Program are contained elsewhere in this report. was introduced. The fi rst meeting was held in that there were diminishing opportunities for Rectal Surgery of the RACS, and the Colorectal Sydney in 2003, followed by Melbourne in 2004, good colorectal training overseas, yet there existed Surgical Society of Australia. Previous Chairmen A service agreement for the training of provisional South Australia 2005, Queensland 2006 and the within Australia colorectal units that could provide of the TAC include Jack Mackay, Jim Sweeney, fellows was negotiated between the CSSA and Hunter Valley NSW in 2007. In 2008 it will be high standard training. Andrew McLeish, Philip Douglas and currently, the RACS Council and signed in May 2004. We are held in New Zealand. This training weekend has Michael Solomon. The Training and Accreditation currently in the process of negotiating a similar been extremely well received by the trainees. In 1985 a fellowship in colorectal surgery was Committee was re-named the Training Board in agreement for post-fellowship training. The RACS Its success is due to the excellent preparation established at St Vincent’s Hospital in Melbourne, Colon and Rectal Surgery (TBCRS) in 2002. is currently reviewing the process of all post- and presentations by the trainees, members of and comparison of the workload with four fellowship training. the Training Board and other invited colorectal American colorectal units confi rmed that there The Post-Fellowship Training Program requires a surgeons. Copies of the trainees’ presentations Previously the Certifi cate of completion of training was an adequate case load. minimum of two years of training in two one-year have been circulated to members of the CSSANZ. was issued following submission of satisfactory terms. A Certifi cate of satisfactory completion is We are very appreciative of the generous support In 1986 Jack Mackay presented a paper at referees’ reports, log books and progress and exit awarded at the end of the Program. In 1998 the of Johnson & Johnson Medical for their ongoing the Melbourne CME on a proposal for a post- interviews. The TBCRS introduced a more formal guidelines were altered to allow up to one year of sponsorship of these training weekends. fellowship colorectal surgical training, based pre-approved overseas training or up to one year of yearly assessment of the trainees. This assessment loosely on the vascular training program within approved research in a colorectal unit. is by written examination of a core syllabus. This the RACS. assessment was trialled in 2005 and then fully Over the years the intake into the Program has introduced in 2006. All fellows have passed this The Section of Colon and Rectal Surgery of the risen from two per year to about an average of 8-10 examination process and the format is constantly RACS then established a subcommittee to prepare per year. To date, 57 surgeons have successfully under review by the TBCRS. a position paper on post-fellowship training in completed the program and the large majority colorectal surgery in Australasia to be presented have been appointed to colorectal units in to the annual College Meeting in 1987. In the teaching hospitals. meantime, an informal meeting had been called in Sydney under the chairmanship of Jon Cohen, In 1999 the RACS Council decided to change general to prepare guidelines on a training program but surgical training from a four year program to a fi ve agreement was not reached. A subsequent position year program, with the fi nal two years of training paper with proposed guidelines was prepared being in a “sub-speciality” of general surgery, such by Andrew McLeish, and this document provided as colorectal surgery. The TBCRS was concerned the basis for a proposal which was passed at that the period of training in colorectal surgery the Section AGM in Brisbane in 1988 without would be two years, following the three years dissension, although three Fellows abstained. of general surgical training, and submitted their concerns to the board in general surgery and Subsequently the proposal was refi ned by the college council. Following representation by A. McLeish, J. Mackay and E. Durham Smith members of the TBCRS, the College Council agreed (President of the RACS), and the Section of Colon to a three year program in colon and rectal surgery. and Rectal Surgery accepted the proposals for a program in colorectal surgical training at the Subsequently, the Board in General Surgery and the Section meeting in Wellington in 1988, recognising College Council have decided to revert to the four that there would need to be a reasonable degree of year training program in General Surgery and this fl exibility in the initial years of the program. recommenced in 2004. The provisional fellowship training program will continue to be provided until Past Training Board Chairman, Jack Mackay, with current Board Members, Phil Douglas (at back), The regulations of the Post Fellowship Training Andrew Stevenson, Andrew Hunter, Ian Jones and current Chairman, Michael Solomon the current trainees appointed to this program – Trainees’ Education Weekend, Couran Cove 2006 Program were formally approved by the Council of have completed their training (in 2008). Specialist the RACS in 1992, and these regulations have been colorectal training in Australia and New Zealand revised and subsequently approved by Council in will again then only be offered as a post-fellowship 1996 and 1998. program.

48 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 49 TRAINING BOARD IN COLON AND RECTAL SURGERY 2007 CHAIRMAN’S REPORT

Welcome to an overview of the 2007 year on the Colon and Rectal Training Program 2. Units TBCRS Fellows Logbook Audit 2003-2006: average 2 year for Australia and New Zealand. Accredited Australian Units: 16 operative exposure Accredited NZ Units: 2 TOTAL OPERATING % OPERATING SURGEON SURGEON 1. Fellows Location 2008 Place During 2007 Fremantle, WA, was put on temporary hold and formally Available Fellow Major Operations 504 330 67 2007 re-assessed due to a change in Exited program with interviews Alfred Yes Wakeman, Chris consultant staff. Fremantle has been Minor Operations 330 248 75 during 2007: 8 Fellows formally reinstated to active and will Auckland Yes Muhlmann, Mark receive a fellow in 2008. Colonoscopy 390 Fellows on Program in 2007: Westmead Hospital, NSW, applied and Laparoscopic Major CR 74 36 51 17 Fellows Austin Yes Burgess, Adele was formally inspected. Westmead (2 overseas and 1 UK exchange) Box Hill Yes Kozman, Daniel was approved at the subsequent full Rectal CRC TME 70 42 59 In July 2007, 21 Fellows were TBCRS meeting and will receive their Christchurch No Major IBD & pouches 26 16 62 interviewed by the full board over 2 fi rst fellow in 2008. days in Sydney and 12 appointments Concord Yes Ranchod, Pravin A list of Accredited Units and Program Prolapse Surgery 22 12 52 were made. The number of jobs Directors is provided in a later section Sphincter Repairs 8 4 41 is determined by the number of Flinders No of the Triennial Report. available units to train. TRUS 96 74 76 Fremantle Yes Barclay, Karen 3. Communication 2008 Prince of Wales Yes Owen, Gareth The TBCRS communicates all relevant Anal physiology 94 86 70 First Year Appointees for 2008: information by email and on the 12 Fellows (2 research, 1 Notaras) Queen Elizabeth Yes Lu, Cu-Tai TBCRS page on the members’ section of the CSSANZ website www.cssanz.org. 7. Trainees’ Education Weekend Final Year Fellows for 2008: Royal Adelaide No (UK person for 2008) This year the Trainees’ Education Weekend was 8 Fellows 4. Journal Club held in the Hunter Valley on 17-19 August and (2 overseas, 2 UK exchanges) Royal Brisbane Yes Chow, Carina Attendance at local journal clubs is an essential convened very successfully by Phil Douglas. part of training and fellows’ contribution at these The TBCRS has been working with the Royal Melbourne Yes Nguyen, Thang Chien All fellows not overseas attended, with the Training meetings is very important. UK ACGBI to fi ne tune the overseas Board, 3 previous Chairmen of the Training Board Royal Prince Alfred Yes Michael Duff , UK Exchange and 2 local colorectal surgeons who had completed exchange program and can report 5. Interviews that the ACGBI, after meeting with the program in recent years, as guest faculty. The St George Yes Lutton, Nick The Training Board held face to face interviews us, has plans to develop their own format was intense and very busy. We were again at the ASC in Christchurch and the CME in Victor equivalent post-fellowship program. St Vincent’s Yes Sutherland, Andrew delighted to have the sponsorship of Johnson Harbour during 2007 to ensure the standards of Informal exchange programs have & Johnson for this event. It continues to be Western Yes Ong, Eugene training were being met and to receive fellows’ been put on hold until this formal successful, with the fellows’ contribution both in feedback. delivery of presentations and in discussion during program has established itself. Westmead Yes Gibson, Katherine the weekend ensuring its ongoing educational 6. Logbooks Overseas formal fellowships have NOTARAS Overseas St Mark’s, UK Turner, Catherine and social success. The presentations from this been established at St Mark’s The current logbook has been updated by the weekend were published as education to all Hospital in London and the Cleveland NOTARAS Research RPA El-Khoury, Toufi c Board for 2008 and is integral to the assessment of members of the Society. Clinic in USA. The TBCRS currently training and the Training Units themselves. RESEARCH Christchurch Tapper, Richard The best presentation was invited to re-present directly fi lls these positions and the at the CME in Victor Harbor where an award was process for application has been Cleveland Clinic USA Mignanelli, Emilio given (2007 winner Tim Eglinton). formally established by the TBCRS.

50 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 51 TRAINING BOARD IN COLON AND RECTAL SURGERY TRAINING IN COLON AND RECTAL SURGERY 2007 CHAIRMAN’S REPORT (CONTINUED) REGULATIONS

8. Annual Examination Personally I would like to acknowledge the Summary of regulations The compulsory TBCRS Annual Exam was held signifi cant contribution that the TBCRS, the in September. This was a two hour written Program Directors and the Accredited Hospital Post Fellowship training in colorectal surgery is a two year course following examination comprising 10 questions and held in Units undertake to provide quality specialist completion of advanced training in general surgery and success at the Part II the current city of training. This exam is designed colorectal training for fellows. FRACS examination. to encourage and assess a reading curriculum, I would also like to take this opportunity to inform These regulations have been approved by the College Council. rather than operative and clinical care which is you that Liz Neilson was appointed this year as the assessed by local Program Director’s reports to the Executive Administrator of the CSSANZ and she is TBCRS. the best contact for administrative matters. The curriculum for the 2007 examination was: If you have any concerns or questions regarding 1. The Training Board in Colon and Rectal Surgery 1.4.5. The Chairman will represent the the Training Board, please do not hesitate to (TBCRS) TBCRS on the Board in General 1. NH & MRC ACN Guidelines contact me, any member of the Training Board 1.1. Membership of the Training Board Surgery and/or the Committee of the for Colorectal Cancer 2005 or the Secretariat offi ce. The Training Board will be comprised of: Censor-in-Chief, subject to approval available on website by the latter. www.nhmrc.gov.au 1.1.1. Six members, consisting of three nominated by the Executive of the 2. TBCRS Fellows presentations 2005, 1.5. Secretary of the Training Board Prof Michael Solomon Section of Colon and Rectal Surgery 2006 and 2007 Chairman, Training Board in Colon and of the College, and three nominated 1.5.1. The Secretary shall be elected by 3. Diseases Colon & Rectum Rectal Surgery by the Council of the Colorectal and from within the six nominated July 2006- June 2007. Sydney, Australia Surgical Society of Australia and Board members. New Zealand. 1.5.2. The Chairman may also act as All fellows in 2006 and 2007 passed the examination Secretary if agreed to by the 1.1.2. The Censor in Chief (ex offi cio), process in October with no fellows required to sit Executive. repeat exams. or representative. 1.1.3. Any other person(s) co-opted. 1.6. Co-opted Person(s) 9. Prizes/Fellowships/Scholarships 1.6.1. The Chairman of the Board has the Prizes and Fellowships available to the trainees are 1.2. All nominated positions will be elected as right to co-opt any suitable person listed in a later Section of the Triennial Report. required by the Executive of the Section to the Committee. and the Council of the Society respectively. 10. Annual Fee for Training/DCR A casual vacancy will be fi lled by 1.6.2. Such appointee will have no voting The annual fee for provision and administration of nomination from the respective Section rights, but will be co-opted for the Post Fellowship Training in Colon and Rectal Executive or Society Council. activities such as program site Surgery is invoiced at the commencement of each inspections and applicant calendar year. Included in this fee for training is 1.3. Nominations will be forwarded to the interviews. online access to the Diseases of Colon and Rectum secretary of the Training Board by 1.6.3. The term of appointment is Journal (DCR). January 1 each year. 3 months, renewable for additional 3 monthly terms if appropriate. 1.4. Chairman of the Training Board 1.4.1. The Chairman will be elected by, and 1.7. Training Board Meetings from within, the six nominated Board The Training Board may meet at any time members. during the year, but will always meet 1.4.2. The minimum term of appointment during the Annual Scientifi c Congress, shall be 2 years, with a maximum of at which time the offi ce bearers will be 4 years. appointed.

1.4.3. The Chairman may be re-elected on 1.8. Responsibilities of the Board an annual basis, after 2 years, to serve no longer than 4 years. The responsibilities of the Board are to: 1.8.1. Establish and supervise training in 1.4.4. The Chairman is not required to hold colorectal surgery in Australia and executive offi ce in either the Section New Zealand. or Society.

52 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 53 1.8.2. Prepare and update the syllabus for submitted for approval to the TBCRS. 3. Application for admission to the 4. General the Post Fellowship Training The Supervisor is responsible for the Post Fellowship Program 4.1. Training is not completed until: Program. details of the training program, which will 3.1. The applicant must have satisfactorily a. Written reports from Supervisors be provided to the TBCRS. The Supervisor 1.8.3. Assist with the syllabus for the three completed the FRACS examination in have been received by the TBCRS. year advanced general surgical will also provide a report on the Trainee’s general surgery. progress at the request of the TBCRS, b. Trainee’s written reports and log training program. 3.2. All applicants will be interviewed by a which will be at least annually. books have been received by the Selection Panel, appointed by the TBCRS, TBCRS. 1.8.4. Advise the Censor-in-Chief, the Board 2.5. Training will usually comprise of two before selection into the program. in General Surgery, the Executive of twelve month periods. c. Evidence is presented by the Trainee the Section of Colon and Rectal 3.3. The Selection Panel will be the members of of a submitted or published publication, Surgery, and the Council of the 2.6. A period of overseas training may be the TBCRS and any person(s) co-opted as and presentation or forthcoming Colorectal Surgical Society of credited for up to 12 months as part of the required. presentation of a paper to an Australia and New Zealand, on any training, preferably undertaken in the 3.4. All applicants will be interviewed, assessed appropriate meeting. second year. Overseas training is matter pertaining to training in and ranked by the Selection Panel. d. The exit assessment has been passed. colorectal surgery. encouraged but no overseas training post If required the Chairman of the TBCRS will will have automatic TBCRS recognition. have a casting vote. 4.2. All Trainees will be interviewed annually, 1.8.5. The Training Board in Colon and Pre-approval of the overseas training usually at the ASC or CME meeting. Rectal Surgery will abide by any 3.5. The number of available positions for any program must be obtained from the TBCRS. All Trainees will require annual regulations applicable to all Boards, forthcoming year will be notifi ed to the re-appointment after completing a as determined from time to time by 2.7. Up to 12 months research in a colorectal applicants at the time of interview. satisfactory year of training. the College. research unit may be approved. Full details 3.6. Successful applicants will be allocated to of the proposed research must be training positions by the TBCRS, and where 4.3. Any changes to the above regulations forwarded in advance to the TBCRS, which 1.9. Funding possible, trainees will be placed according should be approved by the Council of will seek appropriate referees’ reports Trainees will pay advanced trainee fees to their preference. CSSANZ, Council of the College and/or prior to approval to commence the project. to CSSANZ. the Censor-in-Chief. Final approval for the time spent will be 3.7. An unsuccessful applicant will be notifi ed by the Chairman of the TBCRS. 2. Training Programs given subject to a satisfactory report from 3.8. Successful applicants will be notifi ed of 2.1. The TBCRS will be responsible for the the research project supervisor. their hospital posting as soon as practical. establishment and conduct of the overall 2.8. No retrospective training, either clinical or training program, including specifi c research, will be approved. training positions within hospitals, 2.9. Each Trainee will submit an annual in colon and rectal surgery within Australia progress report and log book. and New Zealand. 2.10. A minimum of 12 months training outside 2.2. A Colorectal Unit wishing to participate in the city of the ‘parent’ hospital is essential. the training program will apply to the TBCRS for accreditation. The TBCRS will 2.11. Trainees will be placed in hospital surgical inspect the Unit prior to accreditation training programs and be salaried at being given. Provisional accreditation may appropriate Registrar/Fellow rates. It is be given prior to the inspection. likely that trainees will be required to participate in general surgical acute 2.3. Each Unit with a training program will be rosters. required to resubmit application for accreditation each 5 years; further 2.12. In the event that a colorectal training post POST-FELLOWSHIP TRAINING IN COLON AND RECTAL accreditation will be granted only is not fi lled by a colorectal Trainee, that following reinspection of that Unit. position may be occupied by a Trainee in another discipline, eg rural surgery. SURGERY IN AUSTRALIA AND NEW ZEALAND 2.4. A Supervisor of colorectal training will GUIDELINES FOR APPLICANTS be appointed to each program. 2.13. The colorectal training supervisor will Nomination of a Supervisor will be liaise with the general surgical supervisor within a hospital to coordinate requested from the Head of that colorectal Colorectal Surgical Training in Australia and The philosophy of the training program has been to advanced and provisional fellowship unit, and that nomination will then be New Zealand is currently provided through foster the development of colon and rectal surgery training positions. the Post Fellowship Training Program which is as a specialty. There is no question that this has administered by the Training Board in Colon and been achieved. It is the aim of the Training Program Rectal Surgery (TBCRS). It is a 2 year program with that successful trainees will practice in the fi eld the FRACS a pre-requisite. of colon and rectal surgery, and that the principal referee, when nominated (see item 3, page 56), will act as a mentor person, in both assisting in the organisation of training, and importantly, in assisting the trainee to establish themselves in their future career within colon and rectal surgery.

54 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 55 ACCREDITATION OF RESEARCH FELLOWSHIP IN COLORECTAL SURGERY

1. Application for the Post Fellowship d. With reference to colonoscopy training, the Training Program cognitive and technical skills would be in excess of the requirements laid down by the Conjoint Application in writing should be made to: committee for Recognition of Colonoscopy Professor Michael Solomon Training. Chairman OBJECTIVES 3. Trainee Approval Training Board in Colon and Rectal Surgery e. Participate in relevant colorectal research • To offer training in research methodology, 3.1. Accepted by the TBCRS as colorectal Level 2, 4 Cato Street projects with preparation of a scientifi c paper either basic or clinical, in the area of colorectal fellowship trainee. Hawthorn, VIC 3122 Australia. for presentation and publication in a refereed journal. surgery to colorectal trainees in accredited Tel: +61 3 9822 8522 Australian or New Zealand colorectal research 3.2. Enrolled in 2 year Masters or 3 year PhD Fax +61 3 9822 8400 5. Selection of Trainees units. program. Email: [email protected] • To accept a maximum of 12 months Members of the TBCRS, and co-opted persons as 4. Accredited Colorectal Research Unit accreditation towards the Australian and Applicants should include: deemed appropriate, will be the selection panel for 4.1. TBCRS accredited colorectal unit for clinical New Zealand Colorectal Training Program. a. Current curriculum vitae the Program. The selection panel will consider the fellowship training. Attendance at weekly • The objectives complement the documented b. Date and place of attaining the Australasian applications, “short-list” if necessary, and interview clinical colorectal meetings and colorectal objectives of the Training Board in Colon and Fellowship in General Surgery. the applicants. All applicants will be notifi ed of journal clubs. Rectal Surgery (TBCRS). the results of their application, in writing, by the 4.2. University affi liation for enrolment in c. Names and addresses of three referees, one of Chairman of the TBCRS. whom should be considered as the principal CONDITIONS OF APPROVAL Masters or PhD. referee. 6. Training To have one year approved: 4.3. Funded research position. d. Some indication as to future prospects and 4.4. Adequate unit research infrastructure, aspirations following completion of the The training program as designed for each 1. Prerequisites including ongoing projects, past research training program should be provided. This successful applicant will vary. As much as possible 1.1. Approval must be sought prospectively track record, infrastructure funding to information would be expected to include the needs and requests of each trainee will be met, through application to the TBCRS. support incidentals and statistician. but this will not always be possible. The 2 or 3 years details of any proposed overseas training in 1.2. Trainee must fulfi l documented 4.5. Supervisor of research training. of training will be undertaken in at least 2 different colon and rectal surgery, and some indication prerequisites of the TBCRS for training in cities, except under exceptional circumstances. A as to the future career of the trainee in colorectal surgery. 5. Approved Project year of overseas training in a pre-approved post or Australia and New Zealand. 5.1. Submission of research project under a year of research in an approved research unit is 1.3. Research fellowship must be in a TBCRS NH & MRC grant guidelines to TBCRS for possible during the Program. accredited colorectal research unit. 2. Closing date for Application consideration of research scholarship. 1.4. Project must be approved by TBCRS as This will be advertised in “Surgical News”, 7. Supervisors of Training 5.2. Project suitable for post-graduate degree. published by the RACS, and Colorectal Surgical appropriate to colorectal surgical training. 5.3. Fully funded project. Society Newsletters. It will usually be during April The supervisors will be appointed by the TBCRS 1.5. Final outcome review of research project or May the year before training commences. after nomination by the Head of the Colorectal by TBCRS. 5.4. Colorectal surgeon as at least one thesis Unit. Their responsibilities will include the supervisor of project. 1.6. Research fellowship year at a different 3. Principal Referee structure and supervision of the individual training unit to the clinical fellowship years. 6. Final outcome review The nomination of the Principal referee is not an posts, ensuring that adequate remuneration is 6.1. Report from supervisor of research training absolute requirement and applications will be provided and ensuring that assessment forms are 2. Prospective Approval considered without prejudice in the absence of completed and discussed prior to return to the to TBCRS. a nominated principal referee. Chairman of the TBCRS. 2.1. Approval for accreditation must be sought 6.2. Report from colorectal surgeon as thesis the year prior to commencing the research supervisor at completion to TBCRS. 4. Requirements during Training 8. Certifi cation fellowship with a combined application 6.3. Report from fellow including success of The trainee will be required to: to the TBCRS by the trainee and the At the completion of the program, the TBCRS will thesis, publication and presentation supervisor of the research fellowship from a. Keep a detailed logbook of all operative review the training and a fi nal interview will be emanating from project. an accredited colorectal unit. experience, in the format provided by the TBCRS. conducted. Successful completion of the Program will be indicated and Certifi cation made by the b. Take part in an ongoing assessment program. Section of Colon and Rectal Surgery, RACS and c. Attend for annual review by the TBCRS at the the Colorectal Surgical Society of Australia and ASC or CME meeting (or equivalent). New Zealand.

56 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 57 GUIDELINES TO FACILITATE THE DEVELOPMENT OF A HOSPITAL BASED COLORECTAL SURGERY UNIT

1. PREAMBLE 2.2.1. An Advanced Trainee in General 3.6. A purpose built independent Endoscopy 4.6. Weekly Ward Rounds and Meetings The items covered in these guidelines have been Surgery or its equivalent and/or Suite or an Endoscopy Suite incorporated in The Unit shall meet on a weekly basis to deliberately broad so as to cover as many of the a Colorectal Fellow. the Operating Theatre with a dedicated conduct meetings to discuss the patients, possible scenarios that may exist in a hospital based 2.2.2. An HMO as either an intern (PGY1) or Nurse Unit Manager and back-up staff. protocols or any other business combined at Colorectal Surgery Unit. more senior (PGY2 or 3) dedicated to 3.7. Ancillary colorectal investigation offi ce some stage with a visit to the patients (ward Defi nitions have been combined with specifi cations the Unit. space and supportive staff available to round). conduct Endorectal Ultrasound and/or 4.7. Quality Assurance and Audit for the interest of simplicity, which provide the basis 2.3. Stomal Therapist for minimum standards. Anorectal Manometry. The Unit should be involved in a regular The hospital shall have an appropriately 3.8. Accident and Emergency Department mortality and morbidity meeting, at least on 2. SURGICAL AND RELATED STAFF qualifi ed Stomal Therapist, if not full-time, at adequately staffed and with equipment to a monthly basis with a six monthly or annual A Colorectal Surgery Unit would be defi ned as a least on a regular basis to provide counselling perform emergency rigid endoscopy. review, and establish a Colorectal Surgery clinical team of at least two, but preferably three, and follow-up. 3.9. Radiological sciences and an accredited Database. Quality assurance programs surgeons plus related staff. 2.4. Nurse Unit Manager & Staff imaging department with facilities for x-ray (for example Clinical Indicators or quality 2.1. Surgeons The Colorectal Unit should have access screening, CT scan, Visceral Angiography projects) should become standard and The Unit should consist of a Unit Head and at to one ward, or part thereof, to serve the and Scintillation Scan. reviewed at the weekly Unit meetings or least one other surgeon with the following majority of the patients admitted to that 3.10. Oncology and Radiotherapy access either audit meetings. specifi cations: Unit. Some of the nursing staff on this ward within the hospital, or region for 4.8. Research should have a specifi c interest in colorectal ambulatory care or inpatient radiotherapy 2.1.1. FRACS The Unit shall have an interest in research surgery. Ideally, the ward should be shared and chemotherapy. Specifi cally the either by encouraging individual research 2.1.2. Postgraduate colorectal surgery with the Gastroenterology Unit and/or availability of an inpatient consultative projects within the hospital or collaborating training, either within Australia/ Gastrointestinal Surgery Units of the hospital. service in medical oncology and radiotherapy. with existing clinical research projects. New Zealand and overseas 2.5. Ancillary Staff 4. SPECIFICATIONS AND FUNCTION OF THE 4.9. Academic Affi liation 2.1.3. Postgraduate qualifi cation or a COLORECTAL SURGERY UNIT The Unit should have an affi liation with Certifi cate of Training (or its The Unit should have available, other one of the University Medical Schools and equivalent) in one or more of the allied health professionals to provide a 4.1. Day Surgery be involved in Undergraduate Teaching following: spectrum of care (for example physiotherapy, The hospital should have access to a Day occupational therapy and medical social Surgery facility. Programs. 2.1.3.1. Colonoscopy worker, pastoral care and liaison psychiatry). 4.2. Operating 4.10. Basic and Advanced Training in General/ 2.1.3.2. Anorectal Physiology Colorectal Surgery 2.1.3.3. Endorectal Ultrasound 3. THE HOSPITAL AND SUPPORTIVE SERVICES Each surgeon should have, at least, one half Members of the Unit should be involved with 2.1.3.4. Surgical Oncology day operating per week dedicated to To support a Colorectal Surgery Unit, the hospital the RACS activities to encourage surgical 2.1.3.5. Postgraduate Research colorectal surgery. involved should be equivalent size to, at least, a 300 trainees in basic and advanced training Degree/Diploma 4.3. Pre-admission Process bed metropolitan teaching hospital with availability in General and Colorectal Surgery. Some 2.1.3.6. Other Postgraduate of the following services: The Unit should have access to a Units may provide six monthly rotations in Qualifi cation eg. management, 3.1. Laboratory and Anatomical Pathology with pre-admission clinic or similar arrangement Colon and Rectal Surgery for an advanced epidemiology a 24 hour frozen section service. to assess elective surgical patients to general surgery trainee. The Unit should also 2.1.4. Member of the Section of Colon and facilitate same day surgical admissions. 3.2. Intensive Care Unit and/or High encourage overseas trainees or colorectal Rectal Surgery of the Royal Dependency Unit with the capacity to 4.4. Outpatient or Private Offi ce Assessment surgeons to visit the Unit. Australasian College of Surgeons and manage epidural anaesthesia. The Unit should have a dedicated outpatient 4.11. CME and Recertifi cation Member of the Colorectal Surgical clinic, with appropriate equipment for minor 3.3. Operating Theatres with a fully staffed The Unit head should be responsible for Society of Australia and procedures or for surgeons to assess patients recovery room. ensuring that the Guidelines provided by the New Zealand. in a private offi ce with similar equipment. 3.4. Anaesthetic Department with at least one Section of Colon and Rectal Surgery of the 2.1.5. Practices either exclusively Ideally, the surgeons of the Unit will attend member of the anaesthetic staff with a Royal Australasian College of Surgeons and colorectal surgery at this hospital the same outpatient clinic or share private particular interest in gastrointestinal the Colorectal Surgical Society of Australia or as a gastrointestinal surgeon where offi ce facilities. surgery, pain management and regional and New Zealand are fulfi lled and participate 80% of the patients managed are in anaesthesia. 4.5. After Hours Cover in CME activities. colorectal surgery in this hospital. 3.5. Operating theatre nursing and technical The Unit should provide an exclusive or 2.2. Other Medical Staff staff with at least one team with a specifi c consultative on-call service 24 hours a day, 7 days a week for Accident & Emergency The Unit shall have allocated to it: interest in Gastrointestinal Surgery and facilities for advanced laparoscopic and inpatient emergencies. surgery. 58 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 59 PROGRAM DIRECTORS

ALFRED HOSPITAL AUCKLAND HOSPITAL AUSTIN HOSPITAL ROYAL ADELAIDE HOSPITAL ROYAL BRISBANE HOSPITAL ROYAL MELBOURNE HOSPITAL Dr Stephen BELL A/Prof Ian BISSETT Dr Andrew BUI Dr James MOORE Dr Andrew STEVENSON Dr Ian HAYES Colorectal Consulting Group Division of Surgery 4 / 210 Burgundy St North Terrace 627 Rode Rd Suite 2 Private Consulting Suite 27, Cabrini Medical Centre Faculty of Medical & Health Heidelberg VIC 3084 Adelaide SA 5000 Chermside QLD 4032 Rooms Isabella St Science AUSTRALIA AUSTRALIA AUSTRALIA Royal Melbourne Hospital Malvern VIC 3144 The University of Auckland Royal Parade Tel: +61 3 9459 6555 Tel: +61 8 8222 5449 Tel: + 61 7 3256 4504 AUSTRALIA Private Bag 92019 Parkville VIC 3050 Fax: + 61 3 9459 4609 [email protected] Fax: +61 7 3326 3544 Auckland AUSTRALIA Tel: +61 3 9509 8033 [email protected] [email protected] NEW ZEALAND Fax: +61 3 9576 0318 ROYAL PRINCE ALFRED Tel: +61 3 9349 4882 [email protected] Tel: +64 9 3737999 ext 89821 CONCORD HOSPITAL HOSPITAL ST GEORGE HOSPITAL Fax: +61 3 9347 8799 [email protected] [email protected] Prof Les BOKEY Prof Michael SOLOMON A/Prof David LUBOWSKI BOX HILL HOSPITAL Hospital Rd CHRISTCHURCH HOSPITAL Suite 415, RPAH Medical Centre St George Private Medical ST VINCENT’S HOSPITAL Dr Malcolm STEEL Concord NSW 2139 100 Carillon Ave Centre Professor Frank FRIZELLE Dr Michael JOHNSTON Suite 14, Epworth Eastern AUSTRALIA Newtown NSW 2042 South St Level 3, 41 Victoria Parade Medical Centre University Department of Tel: +61 2 9767 6846 AUSTRALIA Kogarah NSW 2217 Fitzroy VIC 3065 1 Arnold Street Surgery Fax: +61 2 9767 7806 AUSTRALIA Tel: +61 2 9519 7576 AUSTRALIA Box Hill VIC 3128 Christchurch Hospital [email protected] Fax: +61 2 9519 1806 Tel: +61 2 9588 6868 AUSTRALIA Riccarton Ave Tel: +61 3 9419 3377 [email protected] Fax: +61 2 9588 6845 Christchurch 8002 Fax: +61 3 9416 1192 Tel: +61 3 9895 7633 PRINCE OF WALES HOSPITAL davidlubowski NEW ZEALAND Michael.JOHNSTON Fax: +61 3 9895 7682 Dr Philip R. DOUGLAS THE QUEEN ELIZABETH @sydneycolorectal.com.au @svhm.org.au [email protected] Tel: +64 3 364 0640 HOSPITAL Suite 17, Level 7 Fax: +64 3 364 0352 Dr Peter HEWETT WESTERN HOSPITAL Prince of Wales Private Hospital WESTMEAD HOSPITAL FLINDERS MEDICAL CENTRE [email protected] Randwick NSW 2031 Department of Surgery Dr Ian FARAGHER Dr Grahame CTERCTEKO Dr James SWEENEY AUSTRALIA FREMANTLE HOSPITAL The Queen Elizabeth Hospital Gordon St 153 Windsor Road East Terrace Colorectal Tel: +61 2 8566 1055 Woodville Rd Footscray VIC 3011 Dr Gregory MAKIN Northmead NSW 2152 Associates Fax: +61 2 9560 4924 Woodville SA 5011 AUSTRALIA AUSTRALIA St Andrew’s Medical Centre Suite 28 Medical Clinic philipdouglas@ AUSTRALIA Tel: + 61 3 8345 6812 252 East Terrace St John of God Murdoch sydneycolorectal.com.au Tel: +61 2 9688 7088 Tel: +61 8 8222 6248 Fax: +61 3 9317 8525 Adelaide SA 5000 100 Murdoch Dve Fax: +61 2 9688 7010 Fax: +61 8 8222 6028 [email protected] AUSTRALIA Murdoch WA 6150 [email protected] [email protected] AUSTRALIA Tel: +61 8 8232 6118 Fax: +61 8 8232 6282 Tel: +61 8 9366 1775 [email protected] Fax: +61 8 9366 4162 [email protected]

60 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 61 ACCREDITED AUSTRALIAN AND NEW ZEALAND SURGERY UNITS

ALFRED HOSPITAL AUCKLAND HOSPITAL

Colorectal Surgery Unit Department of Colorectal Surgery Alfred Hospital Auckland Hospital, Park Road Melbourne, Australia Auckland, New Zealand

Hospitals involved in program Hospitals involved in program • Alfred Hospital • Auckland Hospital • Sandringham Hospital • Mercy Hospital

University affi liation University affi liation • Monash University • University of Auckland Method of funding Research Colorectal Surgeons (all CSSANZ members) Colorectal Surgeons • Accredited TBCRS • Mr Roger Wale – Head of Unit 0.8 FTE hospital salary available at Senior Registrar • Professor Bryan R Parry • Laboratory – fully equipped research laboratory • Mr Ian Cunningham rates. • Mr Arend Merrie available for Fellow • Mr K Chip Farmer – Vice President CSSANZ • Assoc Prof Ian Bissett – Head of Unit • Clinical – Clinical research in anorectal Expected “on call” roster commitments Director of Training • Mr Stewart Skinner physiology, hereditary colorectal cancer • Mr Peter Carne Wednesday evenings (5:30pm – 9:30pm) and • Mr Julian Hayes techniques of rectal excision and infl ammatory emergency call back. • Mr Stephen Bell – Director of Colorectal Training bowel disease and systematic reviews. Operative exposure per year Operative exposure per year Other strengths of unit • Major colorectal resections: 250 Method of funding • Major colorectal resections: 180 • Large tertiary referral base • IBD: 50 • Full hospital salary available at Senior Registrar rates • Minor Anorectal Procedures: 80 • Signifi cant colorectal laparoscopic surgery • Pelvic fl oor/sphincter repairs: 40 experience • Laparoscopic procedures: 100 • Transanal Endoscopic Expected “on call” roster commitments Microsurgery: 15 • TEM experience • Minor Anorectal Procedures: 200 • One in six • Large Anorectal Ultrasound & Physiology Diagnostic exposure experience Diagnostic exposure Other strengths of unit • Colonoscopy: 380 • Almost no trauma exposure since revision • Colonoscopy 2 lists/week Special interests in surgical treatment of rectal • Rectal Ultrasound: 50 of roster and addition of AST to the Unit. approximately: 250/year cancer and disorders of the pelvic fl oor. There is an • Anal EMG/pudendal nerve: • Anal Ultrasound: 200 extensive experience in ileal pouch procedures and Fully equipped anorectal • Anorectal Physiology: 200 infl ammatory bowel disease. physiology laboratory in Department Research • Manometry: Fully equipped laboratory in Department • Anal Intra-epithelial Neoplasia • Endorectal ultrasonography: 40 • Rectal Cancer Pathology Reporting • Endoanal ultrasonography: 150 • Faecal Incontinence Projects.

62 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 63 ACCREDITED AUSTRALIAN AND NEW ZEALAND SURGERY UNITS (CONTINUED)

AUSTIN HOSPITAL BOX HILL HOSPITAL

Colorectal Surgical Unit Department of Colorectal Surgery Austin Hospital, Heidelberg Box Hill Hospital, Box Hill Melbourne, Australia Melbourne, Australia

Hospitals involved in program Hospitals involved in program • Austin Hospital • Box Hill Hospital • Repatriation Hospital • Epworth Eastern Hospital • Warringal Private Hospital • St Vincent’s Private Hospital • Knox Private Hospital University affi liation • University of Melbourne Method of funding University affi liation Method of funding • Remuneration is at full time Registrar rates with • Monash University • Salary from Box Hill Hospital approx $90,000 Colorectal Surgeons overtime available, together with some private • Assisting in Private practice consistently above • Mr Ian Pilmer – Acting Head of Unit Colorectal Surgeons assisting fees. $50,000 • Mr Andrew Bui – Director of Colorectal Training • Mr Frank Chen – Head of Unit • Financial Support to attend scientifi c meetings. • Mr Malcolm Wiley Expected “on call” roster commitments • Mr Rod Woods • Mr. Richard Brouwer • The Unit participates in the General Surgery • Mr James Keck Expected “on call” roster commitments acute rotation with one day a week and one • Mr Malcolm Steel – Director of Colorectal • First call for colorectal surgery at Box Hill weekend in four. The Unit does the majority of Operative exposure per year Training Hospital elective colorectal surgery in the hospital and • Major Colorectal Procedures: 250 approximately half the acute colorectal surgery. • Mr Craig Lynch • Expected availability for assisting in private • Minor colorectal procedures: 200 practice, in regular lists and after hours These fi gures do not include private Strengths of Department Operative exposure per year • Registrar cover at Box Hill Hospital if desired. assisting, which is readily available • There is a large fully integrated Cancer Centre • Major Colorectal Procedures: 300 on an adhoc basis at Warringal on the Austin Campus, and The Radiotherapy • Rectal Cancer Surgery: 80 Strengths of Department Private Hospital. Department is situated on the Repatriation • Infl ammatory Bowel Disease: 40 • Special interests in rectal cancer and IBD Campus surgery Diagnostic exposure • Minor colorectal procedures: 160 • The Austin Hospital is the largest teaching • Broad tertiary referral practice with exposure to • Colonoscopy: 450 per year • Laparoscopic Colorectal Surgery: 50 hospital in Victoria. It is the major tertiary tumour recurrence surgery • Transanal ultrasonography • Pelvic fl oor and sphincter repairs: 10 referral centre for North East Melbourne • Management of complex postoperative Fortnightly: 40 per year complications • Laparoscopic colorectal surgery is now well Diagnostic exposure established in the unit • “Hands on” experience in anorectal physiology Research • Colonoscopy: 300 • Additional experience in pelvic surgery is and ultrasound • Current research includes trials involving • Anorectal Physiology: 80 adjuvant chemoradiotherapy, stapled available through collaborative work with • Laparoscopic colorectal surgery and advanced • Transanal ultrasonography: 80 haemorrhoidectomy, and the place of P.E.T. in Mercy Hospital for Women in the management endoscopic procedures of gynaecological malignancy and pelvic colorectal cancer outcomes and management • Experience in complex endometriosis endometriosis Research • Research opportunities exist with the presence laparoscopic surgery in conjunction with • Anorectal Physiology Laboratory on campus of The Ludwig Institute, The • Management of bowel problems in spinal gynaecologists if desired. Austin Research Institute, and The University patients in spinal patients within the Victorian • Ongoing research into preoperative staging of Melbourne Departments of Surgery and Spinal Unit. and multimodality treatment of rectal cancer Medicine.

64 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 65 ACCREDITED AUSTRALIAN AND NEW ZEALAND SURGERY UNITS (CONTINUED)

CHRISTCHURCH HOSPITAL CONCORD HOSPITAL

Department of Colorectal Surgery Department of Colorectal Surgery Christchurch Hospital Repatriation General Hospital, Concord Christchurch, New Zealand Sydney, Australia

Hospital involved in program Hospitals involved in program • Christchurch Hospital • Concord Hospital • Strathfi eld Private Hospital University affi liation • Christchurch School of Medicine University affi liation Otago University • University of Sydney Research Diagnostic exposure at Concord Hospital Colorectal Surgeons Colorectal Surgeons • Laboratory - fully equipped and staffed research • Colonoscopy, 75% for recognition • Prof Professor Frank A. Frizelle – Head of Unit • Professor E Les Bokey – Head of Unit lab with animal operating facilities of training, 20 endoscopic laser Director of Colorectal Training Director of Colorectal Training • Clinical - on going clinical trials and laboratory procedures: 500 • Mr John NR Frye • A/Prof PH Chapuis research. Areas of specifi c interest include: • Anal EMG/pudenal nerve: 249 • Mr Greg M. Robertson • Mr Anil Keshava bowel function in spinal patients, variations • Manometry: 261 in surgical outcome (process V technique), • Mr Matthew Rickard Operative exposure per year • Transanorectal ultrasonography: 300 recurrent rectal cancer, AIN, changes in the • Mr Peter Stewart • Major Colorectal Resection: 270 cardioendocrine responses with surgery • Flexible sigmoidoscopies: 700 • Mr Christopher Young • Infl ammatory Bowel Disease: 25 following preoperative chemoradiation, • Continence clinic visitations: 350 • Pelvic fl oor/sphincter repairs: 20 diverticular disease and the development Operative exposure per year at Concord Hospital of the sheep model in colorectal cancer. Research • Laparoscopic Colorectal Surgery: 40 • Major colorectal resections: 400 • Accredited TBCRS one position/year • Anorectal procedures: 120 Method of funding • IBD resections: 60 • Laboratory • Colon stents: 12 • Full hospital salary available, some private • Pelvic fl oor and sphincter repairs: 43 • Clinical assisting available. • Ripsteins: 20 Diagnostic exposure • Dynamic anal graciloplasty: 8 Method of funding • Colonoscopy 3 lists/week Expected “on call” roster commitments • Sphincter repairs: 25 • Hospital salary 100%, 2 positions • Anorectal Physiology: 90 • One in 5/6 rota. Will have to cover General • Laparoscopic colorectal • Outpatient consults – Surgery when on call. resections, predominantly On call roster The department sees over 2000/year. for benign conditions: 120 • One night per week and one weekend in two • Minor anorectal procedures, necessitating a general Other strengths of Unit anaesthetic: 340 The unit is multi-disciplinary, dealing exclusively with total management of patients with disorders of the large bowel, with particular emphasis on colorectal cancer. IBD and pelvic fl oor disorders. It is a centre for tertiary referral, treating patients from throughout NSW, interstate and overseas, and offers integrated consultation, diagnosis and management to achieve optimal patient care. A signifi cant number of laparoscopic resections is performed each year.

66 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 67 ACCREDITED AUSTRALIAN AND NEW ZEALAND SURGERY UNITS (CONTINUED)

FLINDERS MEDICAL CENTRE FREMANTLE HOSPITAL

Department of General and Digestive Surgery Department of Colorectal Surgery Flinders Medical Centre Fremantle Hospital, Fremantle Adelaide, Australia Perth, Australia

Hospital involved in program Hospitals involved in program • Flinders Medical Centre • Fremantle Hospital • St John of God Hospital Murdoch University affi liation • Flinders University of South Australia University affi liation • University of Western Australia Colorectal Surgeons Expected “on call” roster commitments Method of funding • Dr James Sweeney – Head of Unit Colorectal Surgeons • 2 to 3 covers per week to cover emergency • Full time salary at senior registrar level, funded Director of Colorectal Training • Mr G. Makin – Head of Unit admissions to the Flinders Medical Centre by Fremantle Hospital • A/Professor David Wattchow Director of Colorectal Training • Extra funding from private assisting. • Dr Richard Sarre Specialised Clinics • Mr N. Barwood • Dr Paul Hollington • Colorectal clinic combining surgery, nursing, • Ms M. Wallace – Senior Lecturer Expected “on call” roster commitments stomal therapy, pelvic fl oor physiotherapy, • One in four remote 2nd on call to cover Operative exposure per year Operative exposure per year offi ce procedures advanced trainee with emergency admissions • Major Colorectal Procedures: 100 - 150 • Fortnightly Multi-disciplinary meeting. • Major Colorectal Procedures: 277 to Fremantle Hospital • Infl ammatory Bowel • Laparoscopic Colorectal Surgery: 180 Disease/polyposis etc: 20-30 Continuing education • Rectal Cancer Surgery: 40 Strengths of Department • Anorectal Reconstructive • Weekly combined meeting with • Minor colorectal procedures: 146 • Major laparoscopic colorectal centre Procedures: 10-20 Gastroenterology; will be expected to • Transanal Endoscopic Micro-Surgery: 20 • Good exposure to all aspects of colorectal • Minor colorectal procedures: 100 present and be involved in research towards surgery presentation at national/international • Infl ammatory Bowel Disease: 20 • Laparoscopic resections: 20 and increasing • Very busy cancer workload meetings Diagnostic exposure • Very good experience in colonoscopy and TEMS Diagnostic exposure Strengths of Unit • Colonoscopy: 300 • Multidisciplinary Oncology, Gastroenterology, • Colonoscopy: 150 and Radiology meetings The Unit provides an exposure to a wide range • Anorectal Physiology and Research of colorectal conditions. There is an appropriate • Multidisciplinary Infl ammatory Bowel Disease Ultrasound approx: 70 increase in the utilisation of laparoscopic surgery. • Clinical research using large prospective data meetings The Unit, as part of Departmental Policy, has base. Access to research within the University • Access to laparoscopic Gynae-oncologists Research been active in the development of treatment Department of Surgery. Current research at St John of God Hospital. • Ano-rectal physiology projects protocols for common colorectal conditions projects include laparoscopic colectomy • Childbirth and anal sphincter trauma both elective and acute. Despite the agreement outcomes, MRI staging of rectal cancers post neo-adjuvant therapy • Human enteric nervous system project on these protocols there is an individual style of • Colon cancer genetics - colon cancer and management within the Unit structure from which homeotic genes the Fellow and trainees can learn. • Follow up of colorectal cancer. The delegated responsibility allows an excellent and invaluable transition from Trainee to Method of funding Consultant level. • Full registrar salary relative to experience with on call allowance and some supplementation from private assisting

68 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 69 ACCREDITED AUSTRALIAN AND NEW ZEALAND SURGERY UNITS (CONTINUED)

PRINCE OF WALES HOSPITAL ROYAL ADELAIDE HOSPITAL

Department of Colorectal Surgery Department of Colorectal Surgery Prince of Wales Hospital Royal Adelaide Hospital Sydney, Australia Adelaide, Australia

Hospitals involved in program Hospital involved in program • Prince of Wales Hospital • Royal Adelaide Hospital • Prince of Wales Private Hospital University affi liation • Sydney Children’s Hospital • University of Adelaide • Royal Hospital for Women Colorectal Surgeons University affi liation Method of funding Research • Mr James Moore – Head of Unit • University of New South Wales Salary at senior registrar level, funded as a Director of Colorectal Training This unit is extensively involved in a number specialist Fellowship position by Prince of Wales of ongoing research activities including a Colorectal Surgeons (all CSSANZ Members) • Mr Andrew Hunter and Prince of Wales Private Hosptials. Extra prospective audit of colorectal cancer surgery, • Mr Matthew Lawrence • Dr Philip Douglas - Head of Unit, Director of funding from private assisting. molecular biologic aspects of CRC (especially MSI), Colorectal Training, President CSSANZ, Member • Dr Michelle Thomas randomised controlled trials of treatments for anal Training Board in Colon and Rectal Surgery Expected “on call” roster commitments fi ssure and the role of PET/CT in CRC staging. Both (CSSANZ/RACS) Operative exposure per year pre and post fellowship trainees are expected to • Assoc Prof Graham L. Newstead, AM - Past Responsibility and availability for interesting after- • Major colorectal resections: 250-275 participate in the unit’s research activities. hours colorectal work. Some support for public President CSSANZ, Chairman, International • IBD: 40 hospital general surgical cover may be required Council of Coloproctology Method of funding (additional funded). • Pelvic fl oor/sphincter repairs: 10-15 • Dr Shing Wong • Laparoscopic procedures: 25-30 • The Fellow is funded at Senior Registrar levels as per the SA Salaried Medical Strengths of Department • Minor anorectal procedures: 200-250 Operative exposure Offi cers Enterprise Bargaining Agreement. • Major colorectal resections: 200-250 • Good exposure to all aspects of colorectal • TEM: 15 Supplementary income is available through surgery • IBD resections: 20 • Signifi cant exposure to private regular private operating assisting • Very good experience in colonoscopy, anorectal practice operating (assisting) • Major anal and transrectal operation: 60-80 procedures, anal physiology and ultrasound Expected “on call” roster • Minor anorectal procedures: 500-600 • Affi liation with Women’s Hospital provides Diagnostic exposure • One in four experience in management of pelvic • Colonoscopy: 400 Diagnostic exposure per year malignancy, endometriosis and complex pelvic • Anal EMG/pudendal nerve: 25 Other strengths of Unit • Colonoscopy: 1400 fl oor disorders • Manometry: 50 • The unit forms one part of the Northern • Anorectal physiology/endoanal • Affi liation with Children’s Hospital provides Colorectal Unit (in conjunction with TQEH and • Transanal ultrasonography: 100 ultrasound: 150-200 experience in congenital and paediatric Lyell McEwin) creating an active academic and colorectal conditions clinical attachment Research • Multidisciplinary Oncology Clinic Both clinical and laboratory including collaborative • Laparoscopic work programs within affi liated campus hospitals and • Management of bowel problems in spinal St George Hospital. Large prospective data base patients. available. Funded research assistants. Current research projects include rectal anastomotic techniques, AIN, paediatric anal physiology studies, haemorrhoidal treatment techniques, tumour markers, adjuvant treatment for rectal CA, management of faecal incontinence.

70 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 71 ACCREDITED AUSTRALIAN AND NEW ZEALAND SURGERY UNITS (CONTINUED)

ROYAL BRISBANE HOSPITAL ROYAL MELBOURNE HOSPITAL

Department of Colon & Rectal Surgery Department of Colorectal Surgery Royal Brisbane Hospital, Bowen Bridge Road Royal Melbourne Hospital, Parkville Herston, Queensland, Australia Melbourne Australia

Hospitals involved in program Hospital involved in program • Royal Brisbane Hospital • Royal Melbourne Hospital • Wesley Hospital • North West Private Hospital University affi liation • Holy Spirit Northside Hospital • University of Melbourne

University affi liation Colorectal Surgeons Research On call Roster: • Department of Surgery • Professor Ian Jones – Head of Unit • Accredited TBCRS • Appointment of the Fellow is to the Consultant University of Queensland Chairman CSSANZ Foundation Staff of the Division of Surgery (appropriate • Clinical research in laparoscopic colorectal • Mr Ian Hayes – Director of Colorectal Training Colorectal Surgeons surgery, pouch surgery, colorectal cancer and general surgery specialist registration and incontinence. Participation in ALCCaS trial • Mr Ian Hastie medical indemnity insurance as a specialist • Dr Andrew RL Stevenson – Head of Unit (Australasian multicentre randomised trial • Ms Susan Shedda – Research Director is a condition of employment) Director of Training, Member of TBCRS colon cancer: laparoscopic versus open). • The Unit participates in the on call general • Dr Russell W Stitz – Past President Operating Caseload surgery receiving roster which includes a Royal Australasian College of Surgeons (RACS) Method of funding • Major Colorectal Resection: 175 substantial workload in trauma. The Fellow • Dr John W Lumley – Honorary Treasurer • Lecturer position, Department of Surgery, (50% laparoscopic) will share receiving duties for the Unit in 24 CSSANZ University of Queensland • Anorectal, other: 200 hour shifts as the on call consultant surgeon • Dr David Clark • Private assisting supported by a registrar. This equates to • Dr Damien Petersen • On call payments as VMO. Colonoscopy approximately 6 to 9 receiving days for each • Dr Simon Sui 3 month roster period Each Unit member has a colonoscopy list and Expected “on call” roster commitments roster would allow Fellow access to 1.5-3 lists per • In addition to these duties the Fellow is Operative exposure per year for the Fellow expected to undertake ward rounds on One in fi ve or six. week ie 8-15 cases per week. (approximate fi gures) weekends alternating with the registrar. • Major colorectal resections: 340-400 Anorectal Physiology • Laparoscopic Resections: 150-200 Other strengths of unit Funding: • Pelvic Floor/sphincter repairs: 35 -50 Special interests in development and application Weekly endorectal ultrasound list supplemented Melbourne Health is reviewing the funding of this • Minor anorectal procedures: 140 of laparoscopic techniques in the treatment by manometry. Plans to substantially upgrade position. A base salary of ~$100,000 is likely and will • Rectal Cancer / TME: 50 of colorectal disorders. Extensive experience service and equipment in 2008. be supplemented by on call payment for receiving • Major IBD & Pouches: 25-30 in ileal pouch procedures and infl ammatory days (~$300 weekdays, $600 weekends) and recall at bowel disease. Also colonic pouches for rectal Unit Strengths: ~ $100 per hour. Fee for service payments apply to Diagnostic exposure cancer, sacral nerve stimulators and prosthetic • Signifi cant laparoscopic surgical caseload after hours work when not on call. Signifi cant fee augmentation. • Colonoscopy: 1 list per week, approximately • Strong emphasis on management of colorectal for service private assisting available. 100/year The colorectal unit also has a second training cancer with links to Melbourne Comprehensive • Anorectal manometry, pudendal nerve studies Fellow from overseas who has a similar operative Cancer Centre and partners including Ludwig and endoanal/endorectal ultrasound: fully experience and logbook numbers as the TBCRS Institute of Cancer Research equipped laboratory at Northwest Private Fellow. Both Fellows are intimately involved in a • Major role in colorectal cancer clinical data Hospital – up to 900 patients per year having 3-day workshop in laparoscopic colorectal surgery and tumour tissue collection through CSSANZ/ anorectal physiology available to Fellow held every 4 weeks, including use of fully equipped MMIM database with substantial research/ depending on level of interest of the trainee. skills centre and virtual reality simulators. publication activity. Fellows expected to participate in research project during the year under supervision of Ms Shedda.

72 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 73 ACCREDITED AUSTRALIAN AND NEW ZEALAND SURGERY UNITS (CONTINUED)

ROYAL PRINCE ALFRED HOSPITAL ST GEORGE HOSPITAL

Department of Colon & Rectal Surgery St George Hospital, Gray St, Kogarah Royal Prince Alfred Hospital Sydney, Australia Sydney, Australia Hospitals involved in program Hospital involved in program • St George Hospital • Royal Prince Alfred Hospital • Hurstville Community Private Hospital • St George Private Hospital University affi liation • Sutherland Hospital • University of Sydney University affi liation Colorectal Surgeons Research • University of New South Wales Diagnostic exposure • Dr Anthony Eyers – Head of Unit • Masters of Surgery by coursework (evenings) • Colonoscopy: 1200 • Prof Michael Solomon – Director of Colorectal available during clinical fellowship year or Colorectal Surgeons Training • Anorectal physiology: 400 studies full time MS attached to SOuRCe (Surgical • Dr Denis King • Dr Christopher Young • Weekly Biofeedback program Outcomes Research Centre) • Assoc Prof David Lubowski • Dr Caroline Wright • Notaras 3 year academic colorectal fellowship: • Dr Shevy Perera Research • Dr Christopher Byrne 1. Funded research year at SOuRCe with MS at • Dr Steven Gan • Ongoing clinical research including anorectal University of Sydney 2. Clinical fellowship year and colonic physiology Operative exposure at RPAH 3. Overseas fellowship year. Operative exposure • Major Colorectal Procedures: 500 Funding Funding • Major colorectal resections: 350 • Infl ammatory Bowel Disease: 20 pouches • $140,000 per annum funded via St George • Full hospital salary available • IBD: 40 • Crohn’s resections: 30 Hospital salary and private funding • Pelvic fl oor, sacral nerve stimulation: 40 • Pelvic fl oor surgery: 50-100 On Call roster • Laparoscopic colectomy: 50 On Call roster • Laparoscopic Colorectal Surgery No general surgery on call. Colorectal surgeons • Minor anorectal: 300 with RCTs (80-100) cancer, IBD, Permanent on-call for colorectal at St George and take fi rst call for colorectal emergencies and pelvic fl oor, rectal endometriosis Sutherland hospitals, including all weekends. contact fellow only for interesting surgical One night per week on call for general surgery • Minor colorectal procedures (GA): 280 procedures (excluding upper GI, vascular, breast, haematemesis Diagnostic exposure and melaena where there are separate rosters). Other strengths of unit • Colonoscopy: 4 colonoscopy lists/week in unit The colorectal unit is multi-disciplinary and has with >500 cases per year close ties with gastroenterologists in the clinical treatment and research of infl ammatory bowel • Anal EMG 2-4 lists/week: 200 cases disease, medical oncologists and radiation • Anal manometry 2-4 lists/week: 200 cases oncologists in the treatment and research of • Endoanal/Endorectal Ultrasound colorectal cancer and recurrent rectal cancer for cancer, infl ammatory, surgery and gynaecologists in the treatment and pelvic fl oor: 250 cases research of pelvic fl oor and continence disorders, endometriosis and advanced gynae malignancy. All surgeons perform laparoscopic surgery, both hand assisted and full laparoscopic with international trials and publications in rectal prolapse, colorectal cancer and IBD. Access to Cancer Family Clinic. Clinical research complements the wide tertiary referral.

74 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 75 ACCREDITED AUSTRALIAN AND NEW ZEALAND SURGERY UNITS (CONTINUED)

ST VINCENT’S HOSPITAL THE QUEEN ELIZABETH HOSPITAL

St Vincent’s Hospital, Victoria St, Fitzroy Department of Colorectal Surgery Melbourne Australia Queen Elizabeth Hospital Adelaide, Australia Hospitals involved in program • St Vincent’s Public Hospital Hospital involved in program • St Vincent’s Private Hospital • The Queen Elizabeth Hospital • Peter MacCallum Cancer Institute Colorectal Surgeons University affi liation • Mr Peter Hewett – Head of Unit, • University of Melbourne Director of Colorectal Training Program • Assoc Prof Nicholas Rieger Colorectal Surgeons (all CSSANZ members) Clinical The Queen Elizabeth Hospital. • Mr David Rodda • Mr Rodney Woods – Head of Unit • Pouch surgery, functional and fertility Funding • Assoc Prof John Mackay • Impact of multidisciplinary care in cancer and Operative exposure per year infl ammatory bowel disease • Mr James Keck • Colorectal resections: 150 Senior registrar hospital salary with on-call • Colorectal endometriosis surgery allowance and supplementation with private • Mr Michael Johnston – Director of Colorectal • Laparoscopic colorectal procedures: 100 Training • PTQ for incontinence operative assisting. • Minor anorectal procedures: 150 - 200 • Mr Alexander Heriot • Management of intestinal fi stulae • Stoma Closure techniques On Call roster Diagnostic exposure Operative exposure per year • Pain management after laparoscopic surgery. • Colonoscopy – 3 lists /week minimum 500 One in four remote call to cover emergency • Major Colorectal Procedures: 304 admissions at The Queen Elizabeth Hospital. • Rectal Cancer Surgery: 60 Method of funding • Anal manometry: 20 • St Vincent’s Public and Private • Infl ammatory Bowel Disease: 65 • Endoanal and endorectal Specialised clinics Hospitals: approximately $80,000 ultrasound clinics 20 patients/yr • Minor colorectal procedures: 149 • Combined oncology, radiotherapy & surgical • Laparoscopic Colorectal Procedures: 118 • Assisting in Private practice >$40,000 Research clinic for the treatment of anal & rectal cancer • Pelvic fl oor: 34 Expected “on call” roster commitments • Faecal Incontinence Clinic and PR Bleeding This unit has a strong emphasis on clinical • TEM: 5 Clinic. • Registrar general surgery cover every 3rd research. Ongoing projects include the Diagnostic exposure Monday night and every 3rd Friday coordination of the Australasian Multicentre • Some after hours private assisting Continuing education • Colonoscopy: 330 Prospective Randomised study of Laparoscopic • Occasional consultant emergency on call The Fellow will be expected to present regularly • Anorectal Physiology: 50 versus Conventional Surgical Treatment of Colon – depending on level of seniority. Cancer (follow-up only now occurring), Quality of at Unit meetings and journal clubs and to attend • Endoanal and endorectal Ultrasound: 50 Life Analysis in Rectal Cancer. Use of VSL3# after at least one national or international meeting for Strengths of Department which funding may be provided. Research ileostomy closure. Use of pain busters in fast • Close affi liation with gastroenterology track postoperative recovery. Randomised trials Laboratory Animal research centre available to department with large infl ammatory bowel involving adjuvant chemotherapy in colon cancer. Other strengths of Unit fellow disease referral base leading to excellent These projects are conducted within the structure Extensive exposure in surgical procedures operative exposure and research opportunities of the Adelaide Northern Colorectal Unit which • Laboratory, anorectal physiology laboratory, for colorectal cancer, faecal incontinence, • Affi liation with uro-gynaecologists at Mercy involves the Colorectal Surgical Departments access to animal laboratory at Bernard O’Brien infl ammatory bowel disease and rectal prolapse. Institute Hospital for Women and Royal Women’s of The Queen Elizabeth Hospital, Royal Adelaide Hospital and Lyell McEwin Hospital. Joint meetings • Current research interests include staging Hospital as primary colorectal care providers, between these departments are held each month. of rectal cancer, effects of chemo-radiation, with great exposure to pelvic fl oor problems In addition, numerous studies based on molecular infl iximab for Crohn’s disease and technical • All active members in laparoscopic surgical alterations of colorectal cancer are underway in aspects of anal sphincter repair. practice at an advanced level. conjunction with molecular biology groups at the IMVS and the Basil Hetzel Institute of Research at

76 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 77 ACCREDITED AUSTRALIAN AND NEW ZEALAND SURGERY UNITS (CONTINUED)

WESTERN HOSPITAL WESTMEAD HOSPITAL

Colorectal Surgery Unit, Western Hospital Westmead Hospital, Westmead Melbourne, Australia Sydney, Australia

Hospitals involved in program Hospital involved in program • Western Hospital • Westmead Hospital • Sunshine Hospital University affi liation University affi liation • University of Sydney • University of Melbourne Colorectal Surgeons Colorectal Surgeons • Dr Grahame Ctercteko – Head of Unit, Research Research • Mr Stephen McLaughlin – Head of Unit Director of Colorectal Training • There are opportunities for research in the Dept • Ongoing clinical research in unit • Dr Peter Loder • Mr Ian Faragher – Director of Colorectal Training of Surgery laboratories • Mr Iain Skinner • Dr Nimalan Pathma-Nathan Method of funding • Mr Matthew Croxford Method of funding • All are members of CSSANZ, Section of Colon • Paid as Senior Registrar with call back and • Salary from Western Health and Rectal Surgery, RACS and Sydney Colorectal unrostered overtime payments (via Resident Operative exposure per year Surgical Society. Support Unit) • Major Colorectal Procedures 150 Expected “on call” roster commitments Operative exposure per year • Approximately 1 in 6 Expected “on call” roster commitments Diagnostic exposure • Major Colorectal Procedures: 250 • Fellow cover for General Surgery Consultant • Colonoscopy: Each week, there are three Strengths of Department • Rectal Cancer Surgery: 75 1 day of week and every 5-7 weekends colonoscopy lists at Western Hospital, with • The trainees are exposed to a busy tertiary • Infl ammatory Bowel Disease: 40 • Colorectal cover working hours a further two colonoscopy lists at Sunshine referral colorectal unit with a large clinical • Minor colorectal procedures: 300 Hospital (affi liated). Depending on rostering, caseload particularly in colorectal cancer. Strengths of Department • Laparoscopic Colorectal Surgery: 75 at least three of these can be made available • Weekly MDT to the trainee with the potential for trainee to • Pelvic fl oor and sphincter repairs: 40 • Weekly US and Physiology Clinic be involved in four to fi ve hundred procedures per annum Diagnostic exposure • Weekly Colorectal Outpatient Clinic. • Endorectal ultrasound and physiology are • Colonoscopy: 400 performed by the colorectal unit. • Anorectal Physiology: 150 • Transanal ultrasonography: 400

78 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 79 EVIS EXERA II™ VIDEOSYSTEM CENTER: PRIZES, FELLOWSHIPS AND SCHOLARSHIPS UNIVERSALPLATFORM MARK KILLINGBACK RESEARCH PRIZE Section of Colon & Rectal Surgery, Royal Australasian College of Surgeons (RACS)

Background Selection MARCUS JAMES The best presentation will be selected by the current KILLINGBACK, Chairman of the Section of Colon and Rectal Surgery, A.M., MBBS (Syd), MS (Hon), FRCS (Ed), FRCS (Eng), FRACS, RACS, or nominee, and the current President of established a the Colorectal Surgical Society of Australia and reputation as a leader New Zealand, or nominee. Other judges may be in the development of appointed at the discretion of the Chairman and colorectal surgery as President. a specialty in Australia A selection score sheet is used so that the selection over the last 25 years. of the prize is objective and quantitative. In the He made signifi cant event of a tie, the casting vote in such a situation DrMark Killingback contributions to will be made by the Chairman of the Section of Colon the development of and Rectal Surgery, RACS. colon and rectal surgery by setting an exemplary standard in his own clinical practice, in research and publications, in presentations to honoured Mark Killingback Prize winners societies both nationally and internationally, and 1996 - Michael Solomon, University of Sydney The universal imaging platform more particularly, in establishing the CSSA of which he was the inaugural honorary secretary and later 1997 - Bruce Stewart, University of Melbourne Chairman, subsequently becoming the President of the Colorectal Surgical Society of Australia. 1998 - Arend Merrie, University of Otago

One important feature of his involvement in 1999 - Andrew Luck, University of Adelaide colorectal surgery has been to encourage young 2000 - Arend Merrie, University of Otago Australian surgeons to take up the challenge of establishing a practice in colorectal surgery. It was 2001 - Ian Lindsay, University of Oxford therefore appropriate to honour Dr Killingback’s contribution to colorectal surgery by creating a prize 2002 - Tania Edwards, University of Sydney in his name. 2003 - Justin Evans, Royal North Shore Hospital Specifi cations of the Prize 2004 - Michelle Thornton, University of NSW, The funding of the prize comes from the revenue St George Hospital of the Section of Colon and Rectal Surgery, RACS. Advanced general surgical trainees, colorectal 2005 - Michelle Thomas, University of Adelaide trainees and colorectal surgeons who have completed their Fellowship in the previous 5 years 2006 - Cuong Duong, Peter MacCallum, Melbourne are eligible. The prize is awarded to the presenter 2007 - Iain Thomson, University of Queensland (who is the principal author) of the best free paper presented at the Annual Scientifi c Congress of the Royal Australasian College of Surgeons (Section of Colon and Rectal Surgery program). The inaugural Mark Killingback Prize was presented at the ASC in

“ Melbourne in 1996. The prize is a return economy airfare, accommodation, and the registration fee to the Annual Meeting of the American Society of Colon

08/06 8 14“ x 11 and Rectal Surgeons. The winner is to present the _ paper at the ASCRS meeting (podium presentation), if deemed appropriate by the judges and the Section 7.030.866 4.3

W Executive.

r 80 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 81 PRIZES, FELLOWSHIPS AND SCHOLARSHIPS PRIZES, FELLOWSHIPS AND SCHOLARSHIPS ACPGBI TRAVELLING FELLOWSHIP COVIDIEN COLORECTAL RESEARCH FELLOWSHIP

Association of Coloproctology of Great Britain and Ireland (ACPGBI) Training Board in Colon and Rectal Surgery, Colorectal Surgical Society of Australia and New Zealand and Section of Colon & Rectal Surgery, RACS

RESEARCH SCHOLARSHIP IN COLORECTAL SURGERY This travelling fellowship (generously sponsored 2. Invite application for Fellowship including: SPONSORED BY COVIDIEN (FORMERLY TYCO HEALTHCARE PTY LTD) by the ACPGBI) was announced at the Tripartite – 250 words on why the individual should Meeting in Melbourne 2002 to foster relations be awarded the fellowship between young Australian and New Zealand A research scholarship in colorectal surgery has Application Procedure colorectal surgeons and their colleagues in Great – What units in the UK he/she would like been created by the CSSANZ and the Section Initial application to the Training Board in Colon Britain and Ireland. The recipient is provided with to visit of Colon and Rectal Surgery, RACS and will be and Rectal Surgery prior to the ASC in the year prior return airfare and accommodation to the ACPGBI administered through the Training Board in Colon – What else he/she could/would present, to planned project. annual conference and the opportunity to visit and Rectal Surgery (TBCRS). if asked several colorectal units in the host countries. 1. Curriculum vitae Objectives 3. Assessment of presentation at ASC, by TBCRS 2. One page research project proposal Guidelines To encourage research and experience in colorectal 3. Planned colorectal research unit 4. Presentation and involvement at Trainees’ research for a post-fellowship trainee. Principle Education Weekend. 4. Planned higher degree and university To support colorectal research in accredited 5. Planned supervisor of research and Must not compromise Mark Killingback Prize (MK), The decision re recipient would be made by the colorectal units by providing scholarship support thesis committee and would not be the same recipient. Training Board at the Trainees’ Education Weekend of research fellows. and announced at that time, for travel the Second round application after invitation from Eligibility following year. Prerequisites TBCRS. Colorectal Trainee, or within 2 years of completion ACPGBI Recipients 1. Australian or New Zealand colorectal trainee 1. Full research proposal and protocol in NHMRC of colorectal training. 2. Enrolment in Masters or PhD guidelines (10 copies) submitted to TBCRS by 2003 Anil Keshava Selection Criteria 3. Training Board accredited Clinical Training Unit 1 August. 2004 Elizabeth Murphy 4. Training Board accredited Colorectal 1. Applicants must have an accepted abstract for 2. Written support of research supervisor of Research Unit the MK prize at that year’s ASC. 2005 Michelle Thomas colorectal unit 5. At least one CSSANZ accredited colorectal 2006 Francis Lam surgeon research supervisor 3. Written guarantee by supervisor of training 2007 Susan Shedda of colorectal unit to limit clinical work Duration of Scholarship < 10 hrs/week. 12 months maximum. Subsequent years to be funded from peer-reviewed granting agencies and colorectal research unit and second year support Scholarship Selection only in exceptional circumstances. Training Board research selection committee Accreditation including representative from CSSANZ, Section and 12 months maximum accreditation for the an external reviewer. Australian and New Zealand Colorectal Training Program.

Stipend Deadline for Applications $20,000 scholarship to research fellow and $5,000 Initial application May 1, Second round invited support to colorectal research unit for support of proposals August 1, Notifi cation of successful the project. applicant October 1.

Covidien (Tyco) Research Fellowship Recipients: 2001 Matthew Rickard 2003 Ned Abraham 2004 Michelle Thomas 2006 Francis Lam

TRIENNIAL REPORT 2005-2007 – 83 PRIZES, FELLOWSHIPS AND SCHOLARSHIPS MITCHELL J NOTARAS FELLOWSHIP IN COLORECTAL SURGERY

Training Board in Colon and Rectal Surgery, Colorectal Surgical Society of Australia and New Zealand and Section of Colon and Rectal Surgery, RACS, University of Sydney and Royal Prince Alfred Hospital

The Mitchell J Notaras Fellowship in Colorectal Conditions of Award Year 1 Year 3 Surgery was established in 2003 following a 1. The Fellowship is advertised every two years The Notaras Fellow will spend the fi rst year The Notaras Fellow will spend Year 3 in an generous donation to the University of Sydney through the Training Board in Colon and Rectal based at Royal Prince Alfred Hospital Colorectal internationally recognised academic colorectal by a colorectal surgeon and graduate of the Surgery. Research Department and The Surgical surgical unit in a position funded by the University, Dr Mitchell J Notaras FRCS FRCS(E) FACS. Outcomes Research Centre (SouRCe) and be surgical unit involved, with a contribution of 2. Applicants must have been accepted into the enrolled in a higher degree in the Faculty of $25,000 from the Notaras Colorectal Fellowship Dr Notaras did his undergraduate training at Post Fellowship Colorectal Training Program of Medicine at the University of Sydney. Funding to support the work of the Notaras Fellow. the University of Sydney and resident training at the Training Board in Colon and Rectal Surgery for Year 1 will be a $50,000 postgraduate A $10,000 travel grant will be paid to the Notaras the Royal Prince Alfred Hospital in Sydney before of the Colorectal Surgical Society of Australia scholarship paid to the Notaras Fellow through Fellow. continuing his surgical training in the United and New Zealand and the Section of Colon the University of Sydney as a tax free stipend. Kingdom. He subsequently progressed to be a and Rectal Surgery, RACS and must indicate 7. All publications arising from research A contribution of $20,000 will also be made Consultant Surgeon in the United Kingdom where in the application for the training program conducted with the assistance of the Notaras available to the RPA Colorectal Research he specialised in colorectal surgery. He was the whether they also wish to be considered for Colorectal Award must include suitable Department & SouRCe to support the work fi rst to describe lateral internal sphincterotomy appointment as the Notaras Fellow. acknowledgement of the University of Sydney of the Notaras Fellow. and taught such international fi gures as Parks and the Notaras Colorectal Fellowship. at St Mark’s, Goligher in Leeds and Goldberg in 3. The Training Board submits a shortlist of ranked Year 2 Minnesota the procedure which they rapidly suitable applicants to a University of Sydney adopted. Dr Notaras has published widely and Notaras Colorectal Fellowship Committee In Year 2 the Notaras Fellow will be appointed Notaras Fellowship Recipients: travelled extensively around the world as an appointed by the Dean of the Faculty of to a position at Royal Prince Alfred Hospital 2004 Christopher Byrne invited guest lecturer in colorectal surgery. Medicine. This Committee may award or not as a Training Board clinical fellow. This position 2006 Catherine Turner award the Notaras Colorectal Fellowship with is funded by RPAH. This Fellowship offers clinical training in academic or without further interview. colorectal surgery both in Australia and in international colorectal units as well as training 4. Applicants must demonstrate an interest in and expertise in colorectal research including colorectal research and a future direction in the enrollment in a higher degree. It is aimed at a academic colorectal surgery as well as a desire young surgeon interested in pursuing an academic to obtain further training overseas. PRIZES, FELLOWSHIPS AND SCHOLARSHIPS colorectal surgical career. 5. Acceptance of the Fellowship is dependent TRAINEE PRESENTATION PRIZE The 3 year Fellowship is administered through the on the applicant enrolling in an appropriate University of Sydney under the supervision of the higher degree in the Faculty of Medicine at the Training Board in Colon and Rectal Surgery, Colorectal Surgical Training Board in Colon and Rectal Surgery. It is University of Sydney. Society of Australia and New Zealand and Section of Colon offered every 2 years. and Rectal Surgery, RACS. 6. The Fellowship is tenable for three years and The inaugural Notaras Fellow, Dr Chris Byrne, the program is overseen by the Training Board commenced his fellowship in 2004 and completed in Colon and Rectal Surgery. The following All trainees present a paper at the Annual his research and Masters into “patient preferences sequence of years is able to be varied from TBCRS Trainees’ Education Weekend. The best and surgical decision making in infl ammatory Fellow to Fellow: presentation is selected by the Board. bowel disease” under the supervision of Professor The winner receives a $1000 travel stipend to Michael Solomon at the University of Sydney. present the paper at the following annual CME.

2007 Recipient:

Tim Eglington

84 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 85 PRIZES, FELLOWSHIPS AND SCHOLARSHIPS INTERNATIONAL COUNCIL OF COLOPROCTOLOGY (ASCRS) July 3-7 TRAVEL SCHOLARSHIP

AMERICAN SOCIETY OF COLON AND RECTAL SURGEONS

Purpose: The applications will be visit website To provide opportunities for further education for • Reviewed by Council of ICCP and those www.tripartite2011.org colorectal surgeons in training by attendance at an recommended for selection referred to Council annual scientifi c meeting of the American Society of ASCRS for confi rmation. and record your interest in staying of Colon and Rectal Surgeons. The Scholarships are • Matching guarantees will be confi rmed before intended for those who are undertaking colorectal fi nal offers are made. informed about the conference surgical training within an accredited colorectal training program or whose colorectal training The Scholarships: is being undertaken in a colorectal specialist • Currently, each award will be funded to unit in a country in which the specialty is still a (maximum) total value of $US 3000 on a in development but in which there is a national matching arrangement. This will consist of (up society or specialist grouping for the purposes to) $US2000 provided by the ASCRS provided the of supervision and support. amount is matched by $US1000 derived through the applicant’s (home) national colorectal Eligibility: society. Thus ASCRS will provide funding on a 2:1 The candidate should: basis. Confi rmation in writing will be required • Have completed general surgical training from the (national) organization. and be currently involved in a program of • Purpose is to assist with expenses to attend the specialized colorectal surgical training. next annual scientifi c meeting of the ASCRS. • Be able to demonstrate a commitment to a • The Registration fee for the meeting will be practice in specialized colorectal surgery. waived. • Have a guarantee of one third funding support • A one year subscription to Diseases of the Colon from within his/her national colorectal society, and Rectum will be provided (if the applicant organization or acceptable specialized group. does not already have access). • Be available to undertake the Scholarship at the Responsibilities of recipients: next meeting of the ASCRS. • Use the award to attend the meeting in the The candidates are encouraged to submit a podium year in which it is awarded. In general the or poster presentation for consideration for Scholarship will not be considered transferable. inclusion in the program for the meeting. • Provide a written report on the benefi ts of the experience (to include any suggestions) within Selection Process: one month following the meeting. The candidate should: • Consider submitting a podium or poster • Be proposed in writing by the current President presentation for possible inclusion in the or offi cial nominee (such as Secretary) of the program for the meeting. relevant National Society of the country of origin or the country in which he/she is training Caveats: or by the senior colorectal surgeon in the • The Council of the ASCRS is the determining national specialty grouping (essential), and in authority. In any year, the Executive of ICCP which the matching (one third) funding support may recommend awarding a lesser number of is guaranteed. Scholarships and modifi cation of the funding to • A further reference of recommendation is be offered. required from the Chairman of the Department • The reports provided by the recipients may be in which the candidate is currently working. published in the Newsletter of the ASCRS. • Provide current and complete curriculum vitae. For further information go to www.fascrs.org • Write a letter stating background, ambitions and follow the link to International or contact within colorectal surgery, his/her need for the Graham Newstead, Chairman, International Scholarship and benefi ts which might result Council of Coloproctology, from the award. [email protected]

86 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 87 • Johnson and Johnson Medical donated $450,000 • With knowledge of funds available, the Research CSSANZ FOUNDATION in the form of an unrestricted grant for future Committee will recommend approvals for research projects in three annual grants. project funding, will grade proposals and make recommendations regarding priorities, the • A program of corporate (and other) approaches amounts and intervals of funding. was proposed. • The Board will receive the Research Committee’s • A total of $500,000 will be placed with the RACS recommendations and has the right (and investment funds program, leaving over $100,000 responsibility) to modify (or reject) funding Background: Professor Frank Frizelle (Chairman, Section of to accommodate current annual funding recommendations, but will generally rely on Colon and Rectal Surgery, RACS), Dr K Chip Farmer commitments. • The CSSA Foundation Pty Ltd was incorporated its recommendations; funding is generally for (Vice President CSSANZ), Dr Rodney Woods and (in NSW) on 30 March 2004, (ACN 108 556 207). one year but may be extended for good reason Assoc Professor Graham Newstead. Projects A Corporate Key # was issued for the security and when funds permit; all projects must show • 2006: Approval was given to support Professor of records of the Company. Dr Peter Hewett has retired as (Founding) Chairman acceptable progress; in principle, agreed funds Michael Solomon’s multi-centre Laparoscopic will be released in only aliquots to be determined • The Company was accorded Research Industry of the Research Committee after steering the Rectopexy trial for one year – the fi rst supported by the Chairman of the Research Committee and status, ie. Tax exemption for the Company Committee through its formative three years. Assoc project by the Foundation. This trial was original in consultation with the Board based on evidence (the Foundation) and donations to the Company Professor Pierre Chapuis has taken on the role of funded in the amount of $60,000 for 1 year, half of satisfactory progress. to be tax deductible to donors. Chairman and leads a Committee consisting of of these funds having already been provided, Professor Frank Frizelle (Christchurch NZ), Dr Julian • The Company has a unitary Shareholder (to but slow accrual has required revision of various Summary and the Future Hayes (Auckland NZ), Dr Peter Hewett (Adelaide), aspects of the project. ensure the affairs and funds of the Foundation Dr Alan Meagher (Sydney), Professor Cameron • The CSSANZF constitution has been developed remain under the control of the shareholder). Platell (Perth), Assoc Professor Margaret Schnitzler • 2007: Professor Cameron Platell’s project on and the company is approved as a charitable That shareholder is the (membership of the) (Sydney) and Assoc Professor David Wattchow Survival Outcomes in Stage II Colon Cancer was entity with Research Industry status; the Colorectal Surgical Society of Australia and (Adelaide). approved for one year in the amount of $29,250 principles of management for Board and New Zealand. salary + $6,000 consumables for the fi rst 6 months Research Committee are in place; a moderate A summary of activities for 2005-7 follows: • The name of the Company was changed in 2006 (being half the amount requested for one year), level of assets (and their management) is now to the Colorectal Surgical Society of Australia Administrative the balance to be provided after acceptance of secure and (three) research projects are in and New Zealand Foundation Pty Ltd. a satisfactory progress report by end February progress. • Responsibilities and Principles were elaborated 2008. • Recommendations for appointment to the and adopted to ensure more optimal • The independence of the CSSANZ Foundation is Board and the Research Committee are made management of the business of the Foundation. • 2007: A/Prof Ian Bissett’s NZ Faecal Incontinence paramount, whilst ensuring ultimate control by by Council of CSSANZ to the Annual General study was approved for one year in the amount the membership of the CSSANZ. • An expansion of the membership of the of $30,000, with $15,000 provided initially, Meeting of the Society for ratifi cation, from • The primary responsibility of CSSANZF is support Research Committee was recommended the second $15,000 to be provided following time to time as required. for colorectal research. Medical industry is most and approved by the Board so as to ensure acceptance of a satisfactory progress report by important but it is essential to seek corporate • The responsibilities of the Board are to manage an appropriate pool of evaluators for future end February 2008. the affairs of the Company (the Foundation), analysis of research submissions. funding, in addition to donations from (affl uent) including solicitation of research funds, Principles for Assessment and Funding of Research patients and bequests from both members and • Administrative responsibilities were undertaken to approve recommendations for research Projects patients. by CSSANZ Secretariat under a budgeted projects made by the Research Committee contractual arrangement. These important principles were developed and are Having agreed initially to take on the responsibility and to control and monitor the allocation of summarised as follows: of forming the CSSA(NZ) Foundation until such resources. • The name change from CSSAF to CSSANZF time as the organisation and its processes were at occurred at the end of 2006. • The Research Committee consists of • Build a corpus of funds in an attempt to appropriate and satisfactory stages of development, nominees of considerable research standing • All CSSANZ members were notifi ed by letter (ultimately) “live” on the interest (to fund it is now an opportune time to have passed on the in the (colorectal) community as approved and in the newsletter about the availability projects), rather than by using capital (as far as is Chairmanship of CSSANZF into the most capable by the Federal Department of Health and of funding for research projects. possible). hands of Prof Ian Jones, Past-President of CSSA(NZ). recommended as such to the Australian Tax • Continue to encourage project funding to keep • The Research Committee developed a We remain in a state of development (which I know Offi ce to ensure the Research Industry status faith with membership and researchers whilst standardized approach for rating of projects will continue exponentially) and I am sure we will is maintained. actively canvassing corporate (and other) funds and added a preliminary ethics step to the continue to enthuse our membership, colleagues, providers. Assoc Professor Graham Newstead AM retired as assessment criteria for Research projects. corporate fraternity and the public with our (Founding) Chairman in October 2007 but remains • The composition of Board Membership was • Discourage specifi c purpose funds where activities. The initial developments and the revisions on the Board. The Board is comprised of senior defi ned. possible. as outlined should hopefully go some way to making colorectal surgeons but might ultimately include • An objective document enabling appraisal the process appear and be more effi cient and thus Funding other appropriate members of the community. and formal grading of research proposals is more attractive to potential research groups. The Board now consists of Professor Ian Jones • Methods and opportunities for fund-raising mandatory for the evaluation of all submitted (Chairman), Dr Andrew Luck (Honorary Secretary were explored, including from within projects. membership of CSSANZ (with positive early Graham Newstead CSSANZ), Dr John Lumley (Honorary Treasurer • A decision on the funds available for each year results). Chairman, CSSANZ Foundation 2004-2007 CSSANZ), Dr Philip Douglas (President CSSANZ), will be made by the Board at the CME with Sydney, Australia • The Section of Colon and Rectal Surgery, approvals on funding for recommended projects RACS gifted signifi cant funds to the CSSANZ occurring at the CME & ASC. Foundation with a second $150,000.

88 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 89 COLORECTAL SURGICAL SOCIETY OF AUSTRALIA RESEARCH COMMITTEE REPORT AND NEW ZEALAND FOUNDATION DONATION FORM

I wish to make a tax deductible gift to the Colorectal Surgical Society of Australia and New Zealand Chairman HISTORICAL PERSPECTIVE Foundation Pty Ltd to be used for Colorectal Research. Dr Peter Hewett The Research Committee of the Colorectal Surgical Department of Surgery Society of Australia was established at the Annual I would like to donate: University of Adelaide General Meeting of the Society at Sanctuary Cove $100 $250 $1000 $5000 The Queen Elizabeth Hospital, on Thursday, September 7, 1995. Adelaide Other $ ______The fundamental aim of the Society is to improve Committee: standards of colorectal surgery, and such Professor Frank Frizelle (New Zealand) standards are maintained by a combination of good training, peer review, audit and research. Dr Andrew Luck (South Australia) I would like more information about making a bequest through my Will, to Colorectal Research, through It is therefore logical that the Society should have the Colorectal Surgical Society of Australia and New Zealand Foundation Pty Ltd. Professor Cameron Platell (Western Australia) a Research Committee. A Research Committee Dr Andrew Stevenson (Queensland) maintains the credibility of the Society in a My personal details Dr Malcolm Wiley (Victoria) profession where clinical and laboratory research is essential to the gaining of new knowledge and to question existing dogma. Title: ______First Name: ______Surname: ______AIMS AND OBJECTIVES Address: ______1. To establish an executive infrastructure of ______Chairman and Secretary to act as a focus for all members of the Society for communication and Telephone (B/H) ______(A/H) ______establishment of protocols.

2. To foster the scientifi c endeavour of members of the Society, to encourage new frontiers in I enclose a cheque/money order payable to the: colorectal surgery and to question existing Colorectal Surgical Society of Australia and New Zealand Foundation Pty Ltd dogma. 3. To encourage colorectal fellows and advanced trainees in Colorectal Units to undertake Please charge my credit card for the amount indicated above: research projects in the fi eld of colorectal surgery, and support the Section of Colon Mastercard Visa and Rectal Surgery of the Royal Australasian Card No: ______/ ______/ ______/ ______Expiry: ____ / ____ College of Surgeons in providing a prize for high quality research papers presented by colorectal Cardholder’s Name: ______Fellows and advanced trainees.

4. To encourage the development of multi- centred studies, audits and trials within and between Colorectal Surgical Units in Australia and New Zealand. Signature: ______Date: ______5. To report on a regular basis to the Executive and members of the Society and to provide Please send your donation to: information on progress of existing trials and studies in which members of the Society may CSSANZ Foundation Pty Ltd be involved. C/- CSSANZ Secretariat Level 2, 4 Cato St, Hawthorn, VIC 3122 6. To encourage the establishment of research funds to enable trainee and trained colorectal Ph: +613 9822 8522 Fax: +613 9822 8400 surgeons to initiate surgical research and Email: [email protected]

90 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 91 RESEARCH COMMITTEE REPORT CSSANZ JOURNAL CLUBS (CONTINUED)

eventually to develop a credibility with research The Research Committee reports to the CSSANZ Members of the Colorectal Surgical Society of Meetings such as this ensure the CSSANZ remains fund granting bodies, such that the Society is Council but there are opportunities for it to Australia and New Zealand and their trainees a close knit fraternity, with participants enhancing seen as a body fostering research in Australia. assist the CSSANZ Foundation which has been gather together over a dinner meeting each month their knowledge base in the company of their created to raise funds specifi cally for colorectal to critically review 3 recently published colorectal colleagues. 7. To disseminate to members of CSSANZ research. Johnson & Johnson have committed articles. Interesting cases are then presented by knowledge of ongoing research projects in $450,000 over three years to support this goal. The one of the Colorectal Surgeons. These meetings The CSSANZ is grateful for the support and Australia and New Zealand. fi nancial commitment provided will allow research occur concurrently across Australia and New sponsorship of Johnson & Johnson Pty Ltd which projects promoted and promulgated through the Zealand and the same papers are discussed. Five has enabled the Journal Club concept to develop PAST TRIENNIUM AND FUTURE DIRECTIONS research committee to be funded after approval cities – Adelaide, Brisbane, Melbourne, Sydney and throughout Australia and New Zealand. The Research Committee of the CSSANZ was fi rst by the Foundation Board Research Committee. Perth - commenced this novel event in January Dr Matthew Rickard established in 1995 to coordinate and promote The intention is to provide initial funding for a 2001. The journal club concept was widened to National Journal Club Convenor academic research into colorectal disorders within project to begin and accrue patients with further include centres in Newcastle and New Zealand Sydney, Australia the framework of the CSSANZ. In the Research funding to be sought from governmental or non in 2003 and Tasmania in 2008. Committee report within the 1995-1998 Triennial government agencies. It is hoped that this will Report it was stated that the ultimate goal of any allow multicentered Australian and New Zealand Journal selection is done on a rotating basis with research body will be to facilitate randomised trials based on the model of the ALCCaS trial. each state selecting articles for a calendar year. State Journal Club Convenors: controlled trials in colorectal surgery. Critical appraisal at each centre is standardised Dr Phil Douglas, NSW The above mentioned ALCCaS trial has been with scientifi c review of intent, methods, statistical Dr Stephen Smith, Newcastle The Research Committee was restructured in running since 1998 and has fi nalised recruitment analysis and outcome. The presentations and September 2003. Current membership is Chairman: (602 patients in February 2005). rigorous debate that ensue are highlights of the Dr Ian Faragher, VIC Peter Hewett (South Australia), Frank Frizelle (New evenings. To have such widespread participation Dr Stephen White, QLD Zealand), Andrew Luck (South Australia), Cameron In summary, coordination of research activities by – New Zealand to Perth and Hobart to Brisbane, Dr Andrew Hunter, SA Platell (Western Australia), Andrew Stevenson the committee will expand with a greater emphasis ensures all surgeons and trainees keep up to date Dr Patrick Tan, WA (Queensland) and Malcolm Wiley (Victoria). The on clinical trials during the next triennium. The with the changing face of colorectal surgery. Even Dr Carey Gall, TAS committee meets twice a year to review projects. committee will look forward to working with the the selection of the papers for discussion warrants CSSANZ Foundation and our supporters in industry debate from some when the society gathers. Prof Frank Frizelle, New Zealand The current study which has been promulgated to achieve the goal of facilitating randomised through the committee is as follows: controlled trials in colorectal surgery. • Trial of parastomal mesh at time of surgery as a prevention of parastomal hernia formation. (Luck A, Hewett P.) Peter Hewett Chairman, Research and Development Committee The committee has worked with a number of Adelaide, Australia individuals and organizations in reviewing projects that would involve CSSANZ membership. These projects are often in the form of questionnaires or involvement in clinical studies.

92 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 93 CSSANZ WEBSITE CSSANZ SECRETARIAT

In 2005 the CSSANZ Secretariat relocated to a • Development of extensive monthly reporting commercial offi ce in the Melbourne suburb of and budget monitoring on a wider range of Hawthorn, with Jan Farmer responsible for the items. running of the Secretariat. In her thoroughly • Review of all patient brochures by Councillors organised manner, Jan created a functional for currency and consistency in presentation environment equipped to handle the multitude of and layout. An annual sponsorship has been tasks. In 2006 the Councillors decided to employ arranged by Council for each of the brochures Linda Anderson as an assistant to Jan, whose part- and all brochures have been restocked. time hours were increasing rapidly. • Update of Journal club budgeting and Over time it became apparent that the Secretariat administration to provide more detailed needed a full time staff member and in looking monitoring information. The Journal Club towards future needs, the Council decided to Meeting in most states now meets Australian alter the scope of the role and employ a full time Taxation Offi ce rulings for an education and manager. Linda fi nished in late 2006 and Jan in training event. early 2007, when Liz Neilson took over as Executive Administrator. Liz brings extensive business and In addition, the Secretariat has been involved administration experience to the Secretariat, with the in-house design of member newsletters, having worked previously in both corporate and promotional material design and sponsorship small business sectors. liaison for the 2007 Spring CME, as well as the routine day to day tasks. The Secretariat provides administration for the The Secretariat has a diverse and busy workload, Society, the Foundation, the Foundation Research and effi ciency is critical. Development of the role Committee and the Training Board in Colon and and improvement in processes will be ongoing to Rectal Surgery. It provides a vital communication allow the Secretariat to manage future change. link between these Boards and Committees to all members and fellows. Liz Neilson Executive Administrator During 2007 some signifi cant changes in the Melbourne, Australia Secretariat have been:

The Society’s new website has been active for most A recent addition to the Members’ section is a of the past 12 months and CSSANZ members have list of Practice Guidelines relating to colorectal found it easy to navigate. According to the hosting practice. service provider, the site is proving to be very popular. Council sees the website becoming an increasingly valuable resource for both members and the A signifi cant advantage of the new site is the public. Suggestions are welcome and should capability for Liz Neilson in the Society offi ce to be addressed to me via the Society offi ce. make instant changes to the content whenever Those without a password wishing to access required. the Members’ section should email a request to Liz Neilson in the Society offi ce. The website’s Home page contains a ‘Latest News’ box to alert members of conference dates and The website address is www.cssanz.org other recent information. Dr K Chip Farmer The Members’ section features dates of Journal Website Convenor Club meeting dates, highlights of council meetings, Melbourne, Australia and important information for Colorectal Trainees.

94 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 95 CSSANZ MEMBERS’ RESEARCH ACTIVITIES 2005-2007 RESEARCH GRANTS

Bissett I. 2005 The University of Adelaide Faculty of Health 2005-7 Research Funds for the CSSANZ Foundation: 2005 Solomon MJ, Hewett P, Hunter A, Young JM. 2007 University of Auckland PBRF Allocation Sciences Travel Grant ($1,000). Johnson and Johnson ($450,000), Section of Colon The Australasian Colorectal Cancer Network. ($8,570); University of Auckland Postgraduate and Rectal Surgery, RACS ($300,000). National Institute of Clinical Studies (NICS) Seeding 2007 ($79,750), 2006 ($69,750), 2005 ($79,750) - ($1,000); HRC ($1,397,629); CSSANZ Foundation Grant ($10,000). NH&MRC Grant 349381. Australasian Randomised ($30,000). Population Prevalence of Faecal Platell C. Clinical Trial comparing laparoscopic and open 2006 Young CJ, Salkeld G, Young JM, Solomon MJ, Incontinence. 2005-2007 NHMRC – AI. WA Bowel Health Study. surgical treatment of colon cancer: follow-up. Faragher I, Frizelle F. Project Grant: Surgery versus Heyworth, Fritschi, Iacopetta, McCaul, Crawford stent insertion for the management of non-curable Bokey EL. - Genetic and environmental risk factors for Ho Y-H. large bowel obstruction. University of Sydney 2005-2006 Cancer Institute NSW Clinical Fellowship colorectal cancer: anatomic site specifi city Bridging Grant ($23,000). Program, 2006 – “Proteomics and Colorectal Cancer 2006 Queensland Cancer Fund. Veitch C, Ho Y- ($500,000). H, Farmer J, Campbell N, Howat A. Experiences 2006 Randomised controlled trial of laparoscopic Project” with Dr F Lam, Dr C Chan, Prof EL Bokey 2006 NHMRC (458755) - CIB. The role of SPARC in of colorectal cancer and oncology services: a resection rectopexy compared with fi xation ($120,000). Duration: 2 years. colorectal cancer. Dr Ian Lawrance, Professor E rural/urban comparison to identify locational rectopexy for rectal prolapse. CSSANZ Foundation Helene Sage. www.uiadev.com/survey ($507,000). 2006 Sanofi -Aventis Sponsorship for: “Use of differences ($101,575). ($92,500). novel protein biomarkers to improve therapy 2007 Colorectal Surgical society of Australia 2005 James Cook University Program Grant . Ho Y-H, 2007-2009 Young JM, Butow P, Solomon MJ, of colorectal cancer” Prof EL Bokey, Prof S Clarke and New Zealand Foundation (8/2007) – Survival Raasch B, Salleh S, Butner P. The Clinicopathological Salkeld G, White K. NSW Cancer Institute HSR ($82,500). Duration: 1 year. outcomes in patients with Stage II Colon Cancer Signifi cance of Telomerase Activity in the Program Grant. Improving the patient’s journey: ($35,250). 2007 Translational Program Grant- the Sydney Pathogenesis of Colorectal & Skin Cancer ($25,000). effectiveness and cost effectiveness of remote collaborative for research into proteomic 2007 NHMRC (479205) – CID. The Western Australian access cancer care coordination (2007 $500,000, technology for CRC (SCRIPT). Cancer Institute NSW 2005-2007 Parkes Bequest. Ho Y-H, Buttner P, Safety and Quality of Surgical Care Project: 2008 $500,000, 2009 $500,000). Harrison SL, Lam A, Raasch B, Garbe C. North ($3,745,500). Duration: 5 years. Improving the Safety, Quality and Provision of 2007-2009 Young CJ, Young JM, Solomon MJ, Queensland Centre for Cancer Control & Research Surgical Care ($428,664). Faragher IG, Frizelle FA. NHMRC Project Grant: – molecular epidemiology of non-melanoma skin Chapuis PH. Improving the quality of life for people with cancer ($285,000). 2005-2006 Cancer Institute NSW Clinical Fellowship Solomon MJ. incurable large bowel obstruction: RCT of colonic Program, 2006 - “Proteomics and Colorectal Cancer 2005-2007 Hewett P, Stevenson A, Solomon MJ. Makin G. stent insertion. (2007 $55,400; 2008 $55,400; 2009 Project” with Dr F Lam, Dr C Chan, Prof EL Bokey Australasian randomised clinical trial comparing $81,525). ($120,000). 2006 NHMRC (458755) - CIB. The role of SPARC in laparoscopic and open surgical treatment of colon colorectal cancer. Dr Ian Lawrance, Professor E 2007 – 2008 Solomon MJ, Young JM. Cancer Surgery 2005-2007 Surgeon Scientist Scholarship - 2005 cancer: Follow-up. NH & MRC Grant 349381 (2005 Helene Sage. www.uiadev.com/survey ($507,000). Trials Unit. Cancer Institute NSW Clinical Trials (duration for up to 3 years) - awarded by the RACS - - $79,750; 2006 - $69,750; 2007 - $79,750). Establishment Grant ($84,900). “The application of proteomics in colorectal cancer Merrie A. 2005-2006 Butow PN, Dunn S, Alaf G, King M, Mason diagnosis, staging and treatment”, with Dr F Lam C, Meiser B, Solomon MJ, Stockler M, Tattersall 2005 Genesis Oncology Fund: The Colorectal Tjandra JJ. (PhD candidate) and collaborators, Prof EL Bokey M, White K. NSW Psycho-Oncology Cooperative Cancer Patients’ Journey – A pilot study. University and Dr C Chan. ($42,000: Note 25% of the value of Research Group. Friends of Melbourne Colorectal Service Grant. of Auckland, Department of Oncology and the scholarship to be self-funded). Department of Surgery. Cancer Institute NSW Research Infrastructure Medtronic Educational Grant to establish Asia- Pacifi c Training Centre in Pelvic Floor Surgery. 2007-2012 Cancer Institute NSW Translational Grants ($180,000 total). Program Grant – the Sydney collaborative for McMurrick P. 2005-2007 Simes J, Stockler D, Goldstein D, Solomon Wattchow DA. Awarded by Johnson and Johnson: Establishment research into proteomic technology for CRC MJ, Friedlander M. Infrastructure support for AGITG 2006 Clinicians’ Special Purpose Fund – Grant to of a browser based multi-institutional collaborative (SCRIPT). ($3,745,500) over 5 years. & ANZGOG through the NHMRC Clinical Trials establish a medical PhD programme ($140,000). colorectal neoplasia Database ($50,000). Centre - A NSW led initiative. Cancer Institute NSW Hayes JL. Research Infrastructure Grants (2005 $535,759; 2006 2007 Pfi zer Neuroscience Grant: DeFontgalland, 2005 Richard Stewart Scholarship, University Newstead GL. $586,320; 2007 $641,036). Brookes, Costa, Wattchow ($55,000). 2005 Various donations to The Colorectal of Otago ($10,000). 2005-2007 Armstrong B, Spigelman A, Leong Foundation: (Bowel Cancer Prevention and Young CJ. D, O’Connell D, Ackland S, Chapuis P, Dent O, Hewett P. Research projects), Baxter and TIMP ($150,000). Kneeborne A, Salkeld G, Solomon MJ, Young JM. 2006 University of Sydney Bridging Support Grant 2005 Johnson and Johnson Pty Ltd: Purchase 2006 Corporate and other donations for the The NSW Colorectal Cancer Care Survey. Cancer -In connection with ARC/NHMRC Grant Application: of Laparoscopic Surgical Simulator ($40,000). Australian Bowel Cancer Prevention Campaign Institute of NSW Patterns of Care Studies (2005 Surgery versus stent insertion for the management 2005 Mazda Foundation Grant: Purchase of ($350,000). $172,000; 2006 $232,933; 2007 $196,236). of non-curable large bowel obstruction ($23,000). Laparoscopic Surgical Simulator ($40,000).

96 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 97 PEER – REVIEWED PUBLICATIONS IN COLORECTAL SURGERY BY CSSANZ MEMBERS 2005 – 2007

1. CASE REPORTS 8. DIVERTICULITIS 2. COLONOSCOPY 9. LAPAROSCOPIC COLORECTAL SURGERY 1. Case Reports 2. Colonoscopy (a) Surgery 3. COLORECTAL CANCER (b) Research (a) Practice Parameters Dyer EJ, Faragher IG. Keating JP, Memon S. Computed tomography fi nding of portal venous Colonoscopic extraction of a giant appendicolith. (b) Surgery 10. PELVIC FLOOR AND INCONTINENCE gas in a patient who survived mesenteric Gastrointest Endosc 2005;61:292-3. (c) Research (a) Diagnostic infarction. (d) Diagnostic (b) Research ANZ J Surg 2005;75(5):363-4. Platell C, Salama P, Barwood N, Makin G. (e) Adjuvant Therapy Performing a colonoscopy 12 months after surgery 11. TECHNIQUES (f) Screening Omundsen M, Dennett ER. for colorectal neoplasia. (g) Prognostic/outcomes 12. MISCELLANEOUS An unusual case of small bowel obstruction ANZ J Surg 2005;75:282-285. in a 56-year old woman. 13. TRAINING, EDUCATION, ACCREDITATION 4. FAMILIAL ADENOMATOUS POLYPOSIS ANZ J Surg 2005;75(10):923-924. Pearson S, Maddern GJ, Hewett P. AND TRIALS Interacting effects of preoperative information 5. ANAL, FISSURE, FISTULA AND HAEMORRHOIDS 14. GENERAL TOPICS Frizelle FA, Colls BM. and patient choice in adaptation to colonoscopy. 6. CONSTIPATION Hyponatremia and seizures after bowel Randomized Controlled Trial. 15. CHAPTERS IN BOOKS preparation: report of three cases. Dis Colon Rectum 2005;48:2047-54. 7. INFLAMMATORY BOWEL DISEASE 16. LETTER, EDITORIALS AND COMMENTARIES Dis Colon Rectum 2005;48(2):393-6. (a) Surgery Tjandra JJ, Chan MKY, Tagkalidis P. (b) Medical Hemmings CT, Frizelle FA. Oral Sodium Phosphate (Fleet TM) is a superior (c) Research Carcinosarcoma of the anus: report of a case with colonoscopy preparation to PicoprepTM (sodium immunohistochemical study and literature review. picosulfate-based preparation). Pathology 2006;38(3):264-7. Dis Colon Rectum 2006;49:616-20.

Lam KY, Ho Y-H. Tan JJY, Tjandra JJ. Primary squamous cell carcinoma of the rectum What is the optimal bowel preparation for in a patient on immunosuppressive therapy. colonoscopy – a meta-analysis. Pathology 2006;38:74-6. Colorectal Dis 2006;8:247-58.

Lee J, Mackay J, Steel M, Keck J, Chen F. Tjandra JJ, Chan MKY. Perforated rectal cancer associated with US Gastroenterology Review on: Oral sodium neoadjuvant radiotherapy - A report of 4 cases. phosphate as a colonoscopy preparation. rectal wall layers Dis Colon Rectum 2006;49(10):1629-32. Touch Briefi ngs 2007:March;Issue1.

Da Costa G, Ng B, Kociumbas I, Wong S. Renaut AJ, Raniga S, Perry RE, Guilford L, Herniation of caecum through the foramen Frizelle FA. of Winslow. A randomized controlled trial comparing the Australasian Radiology 2007;Oct;51:B152-4. effi cacy and acceptability of phospo-soda buffered saline (Fleet® ) with sodium picosulphate/ magnesium citrate (Picoprep®) in the preparation of patients for colonoscopy. Colorectal Dis 2007;Sep 14.

98 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 99 PEER – REVIEWED PUBLICATIONS IN COLORECTAL SURGERY BY CSSANZ MEMBERS 2005 – 2007 (CONTINUED)

3. CR Cancer Heriot AG, Tekkis PP, Constantinides V, Paraskevas (c) Research Hall SE, Holman CD, Platell C, Sheiner H, Threlfall T, P, Nicholls RJ, Darzi A, Fazio VW. Semmens J. Warner BJ, Curnow LJ, Polglase AL, Debinski HS. (a) Practice Parameters A comparison of colonic reservoirs versus straight Colorectal cancer surgical care and survival: do coloanal anastomosis following anterior resection Factors infl uencing uptake of genetic testing private health insurance, socioeconomic and for colorectal cancer risk in an Australian Jewish Tjandra JJ, Kilkenny JW, Buie WD et al. – a meta-analysis. locational status make a difference? population. Practice parameters for the management of rectal Br J Surg 2006;93:19-32. ANZ J Surg 2005;75:929-35. J Genet Couns 2005;14:387-94. cancer. Dis Colon Rectum 2005;48:411-23. Aziz O, Constantinides V, Tekkis PP, Athanasiou T, Robinson B, Frizelle FA, Dickson M, Frampton C. Purkayastha S, Paraskeva P, Darzi AW, Heriot AG. Ward RL, Turner J, Williams R, Pekarsky B, Packham Colorectal cancer treated at Christchurch Hospital, D, Velickovic M, Meagher A, O’Connor T, Hawkins NJ. McMurrick P. Laparoscopic versus open surgery for rectal cancer New Zealand: a comparison of 1993 and 1998 Routine testing for mismatch repair defi ciency in Bowel cancer: a guide for the GP. – a meta-analysis. cohorts. sporadic colorectal cancer is justifi ed. Aust Fam Physician 2006;35:192-7. Ann Surg Oncol 2006;13:413-24. NZ Med J 2005;118:U1323. J Pathol 2005;207:377-84. Polglase AL. Chapuis PH, Lin B, Chan C, Dent OF, Bokey EL. Salkeld G, Solomon MJ, Butow P, Short L. Tekkis PP, Heriot AG, Smith JJ, Thompson MR, Finan Colorectal Cancer – MIMMS Disease Index article Risk factors for tumour present in a circumferential Discrete-choice experiment to measure patient PJ, Stamatakis JD. update. line of resection after excision of rectal cancer. preferences for the surgical management of Comparison of circumferential margin involvement Revised April 2007. Br J Surg 2006;93:860-5. colorectal cancer. between restorative and non-restorative resections Br J Surg 2005;92:742 -7. for rectal cancer;The Association of Coloproctology McMurrick P. Tilney HS, Tekkis PP, Sains PS, Constantinides VA, of Great Britain and Ireland. How to treat: bowel cancer. Heriot AG. Skandarajah AR, Moritz RL, Tjandra JJ, Simpson RJ. Colorectal Dis 2005;7:369-74. Australian Doctor 2007;Nov 29-36. Association of Coloproctology of Great Britain and Proteomic analysis of colorectal cancer: Ireland. Factors affecting circumferential resection discovering novel biomarkers. Expert Rev. (b) Surgery margin involvement after rectal cancer excision. Sitzler PJ, M. Taylor, Faragher I, McLaughlin S. Proteomics 2005;2:681-92. Dis Colon Rectum 2007;50:29-36. Colorectal Cancer Audit: A comparative study Tjandra JJ, Israel L. before and after establishing a specialty colorectal Wong CSM, Sengupta S, Tjandra JJ, Gibson P. Local excision of rectal cancer – A clinical decision Tilney HS, Lovegrove RE, Purkayastha S, Sains PS, surgery unit. The infl uence of specifi c luminal factors on making. Weston-Petrides GK, Darzi AW, Tekkis PP, Heriot AG. Colorectal Dis 2005;7:1-5 . the colonic epithelium: high dose butyrate and Sem Colorectal Surg 2005;16:47-55. Comparison of colonic stenting and open surgery physical changes suppress early carcinogenic for malignant large bowel obstruction. Surg Endosc Lim E, Jones IT, Gibbs P, McLaughlin S, Faragher I, events in rats. Heriot AG, Tekkis PP, Darzi A, Mackay J. 2007;21:225-33. Skinner I, Chao MW, Johns J. Dis Colon Rectum 2005;48(3):549-59. Surgery for local recurrence of rectal cancer. Subsite-specifi c colorectal cancer in diabetic and Colorectal Dis 2006;8:733-47. Watt AM, Faragher IG, Griffi n TT, Rieger NA, non-diabetic patients. Aggarwal G, Glare P, Clarke S, Chapuis PH. Maddern GJ. Cancer Epidemiol Biomarkers Prev 2005;14:1579-82. Palliative and shared concepts in patients with Ho Y-H. Self-expanding metallic stents for relieving advanced colorectal cancer. Techniques for restoring bowel continuity and malignant colorectal obstruction: a systematic Wright CM, Dent OF, Newland RC, Barker M, ANZ J Surg 2006;76:175-80. function after rectal cancer surgery. review. Ann Surg 2007;246:24-30. Chapuis PH, Bokey EL, Young JP, Leggett BA, Jass JR, World J Gastroenterol 2006;12:6252-60. MacDonald GA. Skandarajah A, Jaw J, Moritz R, Simpson RJ, Antoniou A, Lovegrove RE, Tilney HS, Heriot AG, Low-level micro satellite instability may be Tjandra JJ. Tekkis PP, Smith JJ, Heriot AG, Darzi AW, John TG, Rees M, Tekkis PP, Welsh FK. associated with reduced cancer-specifi c survival Role of proteomics in the development of Thompson MR, Stamatakis JD. Meta-analysis of clinical outcome after fi rst and in sporadic stage C colorectal carcinoma. biomarkers in colorectal cancer. On behalf of the Association of Coloproctology second liver resection for colorectal metastases. Gut 2005;54:103-8. ANZ J Surg 2006;76:497-504. of Great Britain and Ireland - A national study on Surgery 2007;141:9-18. lymph node retrieval in resectional surgery for Lu P-Y, Turner R, Roberts V, Ho Y-H. Hill AG, Perakath B, Bissett IP. colorectal cancer. Colorectal carcinoma among indigenous people: The management of rectal cancer in a resource Dis Colon Rectum 2006;49:1673-83. a public hospital-based study in Townsville and poor environment - A review. Cairns, North Queensland, Australia. Int J Surg 2006;4(2);127-130. ANZ J Surg 2005;75:972-6.

100 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 101 PEER – REVIEWED PUBLICATIONS IN COLORECTAL SURGERY BY CSSANZ MEMBERS 2005 – 2007 (CONTINUED)

Colebatch A, Hitchins M, Williams R, Meagher A, Butow P, Solomon MJ, Young JM, Whelan T, Salkeld Chapuis PH, Chan C, Lin BPC, Armstrong K, (d) Diagnostic Hawkins NJ, Ward RL. G, Wilson K, Harrison JD, et al. Armstrong B, Spigelman A, O’Connell D, Leong D, The role of MYH and microsatellite instability in the Consumer impact of an interactive decision aid for Dent OF. Chao M, Gibbs P, Tjandra J, Darben P, Lim-Joon D, development of sporadic colorectal cancer. rectal cancer patients offered adjuvant therapy. Pathology reporting of resected colorectal cancers Jones IT. Br J Cancer 2006;95:1239-43. Epub 2006 Oct 10. Colorectal Dis 2006;8:676-82. in New South Wales in 2000. Evaluation of the use of computed tomography ANZ J Surg 2007;77:963-69. versus conventional orthogonal X-ray simulation in Iacopetta B, Grieu F, Li W, Ruskiewicz R, Caruso M, Ellmark P, Belov L, Huang P, Lee CS, Solomon MJ, the treatment of rectal cancer. Moore J, Watanabe G, Kawakami K. Morgan DK, Christopherson RI. Dent OF, Haboubi N, Chapuis PH, Chan C, Lin BPC, Aust Radiol 2005;49:122-6. APC gene methylation is inversely correlated with Multiplex detection of surface molecules on Wong SKC, Bokey EL. features of the CpG island methlator phenotype in colorectal cancers. Assessing the evidence for an association between Skandarajah A, Tjandra J. colorectal cancer. Proteomics 2006;6:1791-802. circumferential tumour clearance and local Preoperative locoregional imaging in rectal cancer. Int J Cancer 2006;119;2272-8. recurrence after resection of rectal cancer. ANZ J Surg 2006;76:1-8. Evans C, Morrison I, Heriot AG, Bartlett JB, Finlayson Colorectal Dis 2007;9:112-22. Qi Li W, Kawakami K, Ruskiewicz A, Bennett G, C, Dalgleish AG, Kumar D. Watson AJM, Lolohea S, Robertson GM, Frizelle FA. Moore J, Iocapetta B. The correlation between colorectal cancer rates of Kohonen-Corish MRJ, Sigglekow ND, Susanto J, The Role of Positron Emission Tomography (PET) BRAF Mutations are associated with distinctive proliferation and apoptosis and systemic cytokine Chapuis PH, Bokey EL, Dent OF, Chan C, Lin BPC, Scan In The Management Of Recurrent Colorectal clinical, pathological and molecular features of levels; plus their infl uence upon survival. Tzer JS, Laird PW, Young J, Leggett BA, Jass JR, Cancer; A Review. colorectal cancer. Br J Cancer 2006;9:1412-9. Sutherland RL. Dis Colon Rectum 2007;50:102-14. Mol Cancer 2006; 5:2doi:10.1186/1476-4598-5-2. Promotor methylation of the mutated in colorectal Hitchins MP, Lin VA, Buckle A, Cheong K, Halani N, cancer (MCC) gene is a frequent early event in Purkayastha S, Tekkis PP, Athanasiou T, Tilney HS, Lloyd JM, McIver CM, Stephenson S, Hewett PJ, Ku S, Kwok CT, Packham D, Suter CM, Meagher A, colorectal cancer. Darzi AW, Heriot AG. Rieger N, Hardingham JE. Stirzaker C, Clark S, Hawkins NJ, Ward RL. Oncogene 2007;26:4435-41. Diagnostic precision of magnetic resonance Identifi cation of Early-Stage Colorectal Cancer Epigenetic inactivation of a cluster of genes imaging for preoperative prediction of the Patients at Risk of Relapse Post-Resection by fl anking MLH1 in microsatellite-unstable Platell C. circumferential margin involvement in patients Immunobead Reverse Transcription-PCR Analysis colorectal cancer. Changing patterns of recurrence following with rectal cancer. of Peritoneal Lavage Fluid for Malignant Cells. Cancer Res 2007;67:9107-16. treatment for colorectal cancer. Colorectal Dis 2007;9:402-11. Clin Cancer Res 2006;12:417-23. Int J Colorectal Dis 2007;22(10):1223-31. Gibbs P, Steel S, McLaughlin S, Jones IT, Faragher I, (e) Adjuvant Therapy Lam KY, Ong K, Ho Y-H. Skinner I, Croxford M, Johns J, Chapman M, Lipton L. Frizelle FA. Colorectal mucinous adenocarcinoma: Type 2 Diabetes Mellitus, Smoking and Colorectal Colorectal cancer in New Zealand. Chao M, Gibbs P, Cullinan M, Tjandra J, McLaughlin The clinicopathological features and signifi cance Cancer. NZ Med J 2007;120:U2628. S, Faragher I, Skinner I, Jones IT. of p16 and p53 expression. Am J Gastro 2007;102:909-10. Pre-operative chemotherapy and radiotherapy for Dis Colon Rectum 2006;49:1275-83. Harrison JD, Solomon MJ, Young JM, Meagher A, locally advanced rectal cancer. Grieu F, Phillips M, Ruskiewicz A, Moore J, Hruby G, Salkeld G, Clarke S. ANZ J Surg 2005;75:286-91. Roberts RL, Gearry RB, Allington MD, Morrin HR, Minamoto T, Kawakami K. Surgical and oncology trials for rectal cancer: who Robinson BA, Frizelle FA. Methylation levels of LINE-1 repeats and CpG will participate? Heriot AG, Tekkis PP, Neary P, Fazio VW, Lavery I. Caspase recruitment domain-containing protein island loci are inversely related in normal colonic Surgery 2007;142:94-101. Adjuvant radiotherapy is associated with increased 15 mutations in patients with colorectal cancer. mucosaIacopetta B. sexual dysfunction in patients undergoing Cancer Res 2006;1;66:2532-5. Cancer Science 2007;98:9:1454-60. Young JM, Leong D, Armstrong K, O’Connell D, resection for rectal cancer – a predictive model. Armstrong B, Spigelman A, Ackland S, Chapuis P, Ann Surg 2005;242:502-10;discussion 510-1. Shin JS, Hong A, Solomon MJ, Lee CS. Morris M, Platell C. Kneebone A, Solomon MJ. The role of telomeres and telomerase in the Surgical Volume infl uences Survival in patients Concordance with national guidelines for Gibbs P, McLaughlin S, Skinner I, Jones I, Hayes I, pathology of human cancer and aging. undergoing resections for stage II colon cancers. colorectal cancer care – a population-based Chapman M, Johns J, Lim L, Faragher I. Pathology 2006;38:103-13. ANZ J Surg 2007;77:902-6. patterns of care study of 3,096 patients. Completion of therapy by medicare patients Med J Aust 2007;186:292–5. with stage III colon cancer. J Natl Cancer Inst 2006;98:1582.

102 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 103 PEER – REVIEWED PUBLICATIONS IN COLORECTAL SURGERY BY CSSANZ MEMBERS 2005 – 2007 (CONTINUED)

Lim JF, Tjandra JJ, Hiscock R, Chao M, Gibbs P. Walleser S, Griffi ths A, Lord SJ, Howard K, Keating JP, Yong D, Cutler G, Johnston J. Kosmider S, Jones IT, Hayes IP, Gibbs P. Preoperative chemoradiation for rectal cancer Solomon MJ, Gebski V. Multidisciplinary treatment of colorectal cancer Comparing survival outcomes for patients with causes prolonged pudendal nerve terminal motor What is the value of computed tomography in New Zealand: survival rates from 1997-2002. colorectal cancer. latency. colonography in patients screening positive for NZ Med J 2006;119:1242. Med J Aust 2007;187:250-1. Dis Colon Rectum 2006;49(1):12-19. faecal occult blood? A systematic review and economic evaluation. Chan CLH, Bokey EL, Chapuis PH, Renwick AA, Lim L, Chao M, Shapiro J, Millar JL, Kipp D, Rezo A, Morris M, Platell C, McCaul K, Millward M, van Hazel Clin Gastroenterol 2007;5:1439-46. Dent OF. Fong A, Jones IT, McLaughlin S, Gibbs P. G, Bayliss E, Trotter J, Ransom D, Iacopetta B. Local recurrence after curative resection for rectal Long term outcomes of patients with localised Survival rates for stage II colon cancer patients (g) Prognostic/ Outcomes cancer is associated with anterior position of the rectal cancer treated with chemoradiotherapy treated with or without chemotherapy in a tumour. or radiotherapy alone because of medical population based setting. Luke CG, Koczwara B, Moore JE, Olver IN, Br J Surg 2006;93:105-112. inoperability or patient refusal. Int J Colorectal Dis 2007;22:887-95. Penninment, MG, Pittman K, Price TJ, Rieger NA, Dis Colon Rectum 2007;50:2032-9. Roediger BWE, Wattchow DA, Young GP, Roder DM. Morris M, Platell C, de Boer B, McCaul K, Morris M, Platell C, Fritschi L, Iacopetta B. Treatment and Survival from Colorectal Cancer: Iacopetta B. Morris M, Iacopetta B, Platell C. Failure to complete adjuvant chemotherapy is The Experience of Patients at South Australian Population-based study of prognostic factors in A Population-based Study of Age-related Variation associated with adverse survival in stage III colon Teaching Hospitals Between 1980 and 2002. stage II colon cancer. in Clinicopathological Features, Molecular Markers cancer patients. Clinical Oncol 2005;17:372-81. Br J Surg 2006;93:866-71. and Outcome from Colorectal Cancer. Br J Cancer 2007;96:701-7. Anticancer Res 2007;27:2833-8. Chafai N, Chan CLH, Bokey EL, Dent OF, Sinclair G, Rothwell LA, Bokey EL, Keshava A, Chapuis PH, (f) Screening Chapuis PH. Dent OF. Morris M, Iacopetta B, Platell C. What factors infl uence survival in patients with Outcomes after admission on the day of elective Comparing survival outcomes in public and private Wong C, Gibbs P, Johns J, Jones IT , Faragher I, Lynch unresected synchronous liver metastases after resection for colorectal cancer. hospitals for patients with colorectal cancer. E, Macrae F, Lipton L. resection of colorectal cancer? ANZ J Surg 2006;76:14-9. Med J Aust 2007;186:296-300. Value Of Database Linkage: Are Patients At Risk Colorectal Dis 2005;7:176-81. Of Familial Colorectal Cancer Being Referred Heriot AG, Tekkis PP, Smith JJ, Cohen CRG, Keshava A, Chapuis PH, Chan C, Lin BPC, Bokey EL, For Genetic Counseling And Testing. Kohonen-Corish MR, Daniel JJ, Chan C, Lin BP, Montgomery A, Thompson MR, Stamatakis JD. Dent OF. Intern Med J 2007;Oct3. Kwun SY, Dent OF, Dhillon VS, Trent RJ, Chapuis PH, Prediction of postoperative mortality in elderly The signifi cance of involvement of a free serosal Bokey EL. patients with colorectal cancer. surface for recurrence and survival following Iacopetta B, Platell C. Low microsatellite instability is associated with Dis Colon Rectum 2006;49:816-24. resection of clinicopathological stage B and C Population-based screening for hereditary non- poor prognosis in Stage C Colon Cancer. rectal cancer. polyposis colorectal cancer: A New Approach. J Clin Oncol 2005;23:2318-24. Wattchow D, Heller D, Esterman A, Pilotto L, Colorectal Dis 2007;9:609-18. ANZ J Surg 2007;77:197-8. McGorm K, Hammett Z, Platell C. Smith JJ, Tilney HS, Tekkis, PP, Heriot AG, Darzi AW, General practice versus surgical based followup Gall CA, Weller D, Esterman A, Pilotto L, McGorm K, Parry S, Richardson A, Green T, Marshall B, Bissett I, Forbes H, Thompson MR, Stamatakis JD. of patients with colon cancer: randomized Hammett Z, Wattchow D. Bloomfi eld A, Chadwick V, Cunningham C, Findlay Social deprivation and outcomes in clinical trial. Patient satisfaction and health-related quality M, Greer B, McMenamin J, Strid J, Robertson G, colorectal cancer. Br J Cancer 2006;94:1116-21. of life after treatment for colon cancer. Teague C. Br J Surg 2006;93:1123-31. Dis Colon Rectum 2007;50:801-9. Prospects for population colorectal cancer Lin Y, Friederichs J, Black MA, Mages J, Rosenberg screening in New Zealand. R, Guilford PJ, Phillips V, Thompson-Fawcett M, Tjandra JJ, Chan MKY. NZ Med J 2007;120:1258. Kasabov N, Toro T, Merrie AE, van Rij AM, Yoon H, Follow up after curative resection of colorectal McCall Jl, Siewert JR, Holzmann B, Reeve AE. cancer – a meta-analysis. Multiple gene expression classifi ers from different Dis Colon Rectum 2007;50(11):1783-1799. array platforms predict poor prognosis of colorectal cancer. Clin Cancer Res 2007;13:498-507.

104 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 105 PEER – REVIEWED PUBLICATIONS IN COLORECTAL SURGERY BY CSSANZ MEMBERS 2005 – 2007 (CONTINUED)

Cornish JA, Tilney HS, Heriot AG, Lavery IC, Fazio VW, 5. Anal, Fissure, Fistula Whiteford M, Kilkenny J, Hyman N, Newstead GL, Young CJ. Tekkis PP. and Haemorrhoids Tjandra JJ et al. How to do deal with a thrombosed external A meta-analysis of quality of life for Practice parameters for the treatment of perianal haemorrhoid or perianal haematoma. abdominoperineal excision of rectum versus abscess and fi stula-in-ano (revised). Medicine Today 2007;8:70-2. Ho K-S, Ho Y-H. anterior resection for rectal cancer. Dis Colon Rectum 2005;48:1337-42. Randomized clinical trial comparing oral nifedipine Ann Surg Oncol 2007;14:2056-68. Epub 2007 Apr 13. Tjandra JJ, Tan JJY, Lim JF, Murray-Green C, with lateral anal sphincterotomy and tailored Ho K-S, Ho Y-H. Kennedy ML, Lubowski DZ. sphincterotomy in the treatment of chronic Gan S, Wilson K, Hollington P. Controlled, randomized trial of island fl ap Rectogesic (glyceryl trinitrate 0.2%) ointment anal fi ssure. Surveillance of patients following surgery with anoplasty for treatment of transsphincteric fi stula- relieves symptoms of haemorrhoids associated Br J Surg 2005;92:403-8. curative intent for colorectal cancer. in-ano. with high resting anal canal pressures. World J Gastroenterol 2007;13:3816-23. Tech Coloproctol 2005;9:166-8. Colorectal Dis 2007;9:457-63. Hossack T, Solomon MJ, Young JM. Ano-cutaneous fl ap repair for complex and Ho K-S, Ho Y-H. Ho Y-H, Buettner PG. recurrent suprasphincteric anal fi stulae. Prospective randomized trial comparing stapled Open compared with closed haemorrhoidectomy: 4. Familial Adenomatous Polyposis Colorectal Dis 2005;7:1-6. hemorrhoidopexy versus closed Ferguson meta-analysis of randomized, controlled trials. Church J, Berk T, Boman B, Guillem J, Lynch C, hemorrhoidectomy. Tech Coloproctol 2007;11:135-43. Wong SW, Chen F, Keck J, Woods R. Lynch P, Rodriguez-Bigas M, Rusin L, Weber T. Tech Coloproctol 2006;10:193-7. Fibrin or fl ap for fi stula-in-ano. Staging Intra-Abdominal Desmoid Tumors in Colorectal Dis 2005;7:35. Familial Adenomatous Polyposis: A Search for Tilney HS, Heriot AG, Trickett JP, Massouh H, 6. Constipation a Uniform Approach to a Troubling Disease. Edwards DP, Mellor SG, Gudgeon AM. Yuen A, Pincott S, McLaughlin S, Faragher I. Dis Colon Rectum 2005;48(8):1528-34. The use of intra-operative endo-anal ultrasound Botulinum Toxin as second line treatment for Dinning PG, Bampton PA, Kennedy ML, in perianal disease. anal fi ssure. Lubowski DZ, King D, Cook IJ. Lovegrove RE, Tilney HS, Heriot AG, Von Roon A, Colorectal Dis 2006;8:338-41. ANZ J Surg 2005;75:10;A140. Impaired proximal colonic motor response to Thomas HJ, Church J, Fazio VW, Tekkis PP. rectal mechanical and chemical stimulation in Hill AG, Merrie AEH. A comparison of adverse events and functional Rickard MJFX. obstructed defecation. Stapled haemorrhoidectomy. outcomes following restorative proctocolectomy Anal abscesses and fi stulas. Dis Col Rectum 2005;48:1777-84. Surgical Technol Int 2006;15:71-4. for familial adenomatous polyposis and ulcerative ANZ J Surg 2005;75:64-72. colitis. Lawrentschuk N, Nguyen MH. Jones OM, Ramalingam T, Merrie A, Cunningham C, Dis Colon Rectum 2006;49(9);1293-1306. Tjandra JJ. Cauda Equina Syndrome secondary to George BD, Mortensen NJ. Lindsey I. Ambulatory haemorrhoidectomy – has the time constipation: an uncommon occurrence. Randomized clinical trial of botulinum toxin plus Von Roon AC, Tekkis PP, Clark SK, Heriot AG, come? ANZ J Surg 2005;75:498-500. glyceryl trinitrate vs. botulinum toxin alone for Lovegrove RE, Truvolo S, Nicholls RJ, Phillips RK. ANZ J Surg 2005;75:183. The impact of technical factors on outcome medically resistant chronic anal fi ssure: overall Lynch AC, Frizelle FA. poor healing rates. of restorative proctocolectomy for familial Iswariah H, Stephens J, Rieger N, Rodda D, Hewett P. Colorectal motility and defecation after spinal cord Dis Colon Rectum 2006;49:1574-8. adenomatous polyposis. Randomised prospective controlled trial of lateral injury in humans. Dis Colon Rectum 2007;50(7):952-61. internal sphincterotomy versus injection of Prog Brain Res 2006;152:335-43. Tjandra JJ, Chan MKY. botulinum toxin for the treatment of idiopathic Systematic review on PPH stapled hemorroidopexy. fi ssure in ano. Dinning PG, Fuentealba SE, Kennedy ML, Dis Colon Rectum 2007;50(6):878-892. ANZ J Surg 2005;75(7):553-5. Lubowski DZ, Cook IJ. Sacral nerve stimulation induces pan-colonic Chew SSB, Adams WJ. Ellis CN, Cataldo, P, Hyman N, Newstead GL, propagating pressure waves and increases Anal sphincter advancement fl ap for low trans- Tjandra JJ et al. defaecation frequency in patients with slow sphincteric anal fi stula. Practice parameters for the management transit constipation. Dis Colon Rectum 2007;50:1090-3. of hemorrhoids (revised). Colorectal Dis 2007;9:123-32. Dis Colon Rectum 2005;48:189-94.

106 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 107 Lovegrove RE, Constantinides V, Heriot AG, Gearry R, Frizelle FA. PEER – REVIEWED PUBLICATIONS Athanasiou T, Darzi A, Remzi FH, Nicholls RJ, Fazio Management of dysplasia in patients with VW, Tekkis PP. ulcerative colitis by surgeons: truth or speculation. IN COLORECTAL SURGERY A comparison of handsewn versus stapled Gastrointest Endosc 2007;66:1069-70. BY CSSANZ MEMBERS 2005 – 2007 (CONTINUED) ileal pouch anal anastomosis (IPAA) following proctocolectomy – a meta-analysis of 4045 Reese GE, Lovegrove RE, Tilney HS, Yamamoto patients. T, Heriot AG, Fazio VW, Tekkis PP. The effect of Ann Surg 2006;244:18-26. Crohn’s disease on outcomes after restorative proctocolectomy. Kelly MG, Frizelle FA, Thornley PT, Beckert L, Epton Dis Colon Rectum 2007;50:239-50. M, Lynch AC. Wong SW, Lubowski DZ. Choy PYG, Merrie A, Parry BR, Bissett IP, Infl ammatory bowel disease and the lung: is there Das P, Smith JJ, Tekkis PP, Heriot AG, Antropoli M, Slow transit constipation: evaluation and Docherty JG. a link between surgery and bronchiectasis? Nicholls RJ. treatment. Stapled versus handsewn methods for ileocolic Int J Colorectal Dis 2006;21:754-7. Quality of life after indefi nite diversion/pouch ANZ J Surg 2007;77:320-8. anastomoses. excision in ileal pouch failure patients. Cochrane Database Syst Rev 2007;(3):CD004320. Tekkis PP, Purkayastha S, Lanitis S, Athanasiou T, Colorectal Dis 2007;9:718-24. Chew SSB. Heriot AG, Orchard TR, Nicholls RJ, Darzi A. Peer reviewed clinical update: Obstructed Uraiqat AA, Byrne CM, Phillips RKS. A comparison of segmental versus subtotal/total Lovegrove RE, Heriot AG, Constantinides V, Tilney defecation. Gaining length in ileal-anal pouch reconstruction: colectomy for colonic Crohn’s disease: a meta- HS, Darzi AW, Fazio VW, Nicholls RJ, Tekkis PP. ANZ Continence Journal 2007;13:34-9. - a review. analysis. Meta-analysis of short-term and long-term Colorectal Dis 2007;9:557-61. Colorectal Dis 2006;8:82-90. outcomes of J, W and S ileal reservoirs for restorative proctocolectomy. 7. Infl ammatory Bowel Disease Rickard MJFX, Young CJ, Bissett I, Stitz R, Tilney HS, Constantinides VA, Heriot AG, Nicolaou Colorectal Dis 2007;9:310-20. Solomon MJ et al. M, Athanasiou T, Ziprin P, Darzi AW, Tekkis PP. (a) Surgery Ileal pouch-anal anastomosis: The Australasian Comparison of laparoscopic versus open ileocaecal Thompson-Fawcett MW, Mortensen NJ, Warren BF. Experience. resection for Crohn’s disease – a meta-analysis. Use of a monoclonal antibody to sucrase- Heriot AG, Tekkis PP, Smith JJ, Bona R, Cohen CRG, Colorectal Dis 2007;9:139-45. Surg Endosc 2006;20:1036-44. isomaltase for evaluation of the columnar cuff Nicholls RJ. after stapled restorative proctocolectomy. Management and outcome of pouch-vaginal Bissett IP. Shedda S, Frizelle FA. Dis Colon Rectum 2007;50:1428-35. fi stulas following restorative proctocolectomy. Ileocolic Anastomosis. Crohn’s Disease and the Olive. Dis Colon Rectum 2005;48:451-8. Br J Surg 2007;94:1447-8. N Engl J Med 2006;Nov 9;355(19):e22. 8. Diverticulitis Tekkis PP, Fazio VW, Remzi FH, Heriot AG, Strong S. Thompson-Fawcett MW. Dozois EJ, Wolff BG, Drelichman ER, Tremaine WJ, Risk factors associated with ileal pouch-related Pouches and Stomas. Watson WJ, Carne PW. Janes S, Meagher A, Frizelle FA. fi stula following restorative proctocolectomy. Medicine 2007;35:311-16. Maternal and fetal outcome after colectomy for Elective surgery after acute diverticulitis. Br J Surg 2005 Oct;92:1270-6. fulminant ulcerative colitis during pregnancy: Br J Surg 2005;92:133-42. (b) Medical Case Series and Literature Review. Thornton M, Solomon MJ. Dis Colon Rectum 2006;49:64-73. Watson AJ, Frizelle FA. Long-term indwelling seton for complex anal Talbot C, Sagar PM, Johnston MJ, Finan PJ, Burke D. Some pathological and clinical aspects of acquired fi stulas in Crohn’s disease. Infl iximab in the surgical management of complex Seddiki N, Santner-Nanan B, Tangye SG, Alexander (false) diverticula of the intestine. Dis Colon Rectum 2005;48:459-63. fi stulating anal Crohn’s disease. SI, Solomon MJ, Lee S, et al. Persistence of naive Colorectal Dis 2005;7:107. Colorectal Dis 2005;7:164-8. CD45RA+ regulatory T cells in adult life. Cohen JL, Strong SA, Hyman NH, Tjandra JJ et al. Blood 2006;107:2830 - 8. Janes SE, Meagher A, Frizelle FA. (c) Research Practice Parameters for the Surgical Treatment Management of diverticulitis. of Ulcerative Colitis. Seddiki N, Santner-Nanan B, Martinson J, Zaunders J, BMJ 2006;332:271-5. Dis Colon Rectum. 2005;48:1997-2009. Leung R, Jones IT. Sasson S, Landay A, Solomon MJ, Selby W, Alexander Clinical spectrum of Crohn’s disease in a single SI, Nanan R, Kelleher A, Fazekas de St Groth B. Rafferty J, Shellito P, Hyman N, Newstead G et al. surgeon’s experience. Lolohea S, Lynch AC, Robertson GB, Frizelle FA. Expression of IL-2 and IL-7 receptors discriminates Practice parameters for sigmoid diverticulitis. ANZ J Surg 2005;75:471-4. Ileal pouch-anal anastomosis-vaginal fi stula: between human regulatory and activated T cells. Dis Colon Rectum 2006;49:939-44. a review. J Exp Med 2006;203:1693 -1700. Tekkis PP, Heriot AG, Smith O, Smith JJ, Windsor ACJ, Dis Colon Rectum 2005;48:1802-10. Constantinides VA, Aydin HN, Tekkis PP, Fazio VW, Nicholls RJ. Byrne C, Solomon MJ, Young JM, Selby WS, Heriot AG, Remzi FH. Long-term outcomes of restorative Tekkis PP, Heriot AG, Smith JJ, Das P, Canero A, Harrison JD. Long-term, health-related, quality of life proctocolectomy for Crohn’s disease RJ Nicholls. Patient preference between surgical and medical comparison in patients undergoing single and indeterminate colitis. Long-term results of salvage surgery following treatment for Crohn’s disease. stage vs. staged resection for complicated Colorectal Dis 2005;7:218-23. restorative proctocolectomy. Dis Colon Rectum 2007;50:586-97. diverticular disease. Br J Surg 2006;93:231-7. Colorectal Dis 2006;8:663-71.

108 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 109 Guo DY, Eteuati J, Nguyen MH, Lloyd D, Ragg JL. (b) Research PEER – REVIEWED PUBLICATIONS Laparoscopic Assisted Colectomy: Experience From A Rural Centre. Abbas SM, Bissett IP, Neill ME, Macmillan AK, IN COLORECTAL SURGERY ANZ J Surg 2007;77:283–286. Milne D, Parry BR. BY CSSANZ MEMBERS 2005 – 2007 (CONTINUED) Long-term results of the anterior delormes Abraham NS, Byrne CM, Young JM, Solomon MJ. operation in the management of symptomatic The short-term outcomes of laparoscopic resection rectocele. for colorectal cancer in meta-analysis of non- Dis Colon Rectum 2005;48:317-22. randomised comparative studies. ANZ J Surg 2007;77(7):508-516. Thornton MJ, Kennedy ML, Lubowski DZ. Extracorporeal magnetic stimulation of the pelvic Meagher AP, Frizelle FA, Janes S. Purkayastha S, Constantinides V, Tekkis PP, Kumar A, Hewett P. fl oor; impact on anorectal function and physiology. Practice parameters for sigmoid diverticulitis. Athanasiou T, Aziz O, Tilney H, Darzi AW, Heriot AG. Fast-Track or Laparoscopic Colorectal Surgery. A pilot study. Dis Colon Rectum 2007;50:683-5. Laparoscopic vs. Open Surgery for Diverticular ANZ J Surg 2007;77(7):517-518. Dis Colon Rectum 2005;48:1945-50. Disease: a meta-analysis. Constantinides VA, Heriot A, Remzi F, Darzi A, Dis Colon Rectum 2006;49(4):446-63. Yeh CH, Kwok T, Chan M, Tjandra JJ. Byrne CM, Solomon MJ, Young JM, Rex J, Heggie D, Senapati A, Fazio VW, Tekkis PP. Prospective, Case-matched Study of Heated, Merlino C. Operative strategies for diverticular peritonitis: Tilney H, Lovegrove RE, Purkayastha S, Heriot AG, Humidifi ed Carbon Dioxide Insuffl ation in Telephone vs face-to-face biofeedback for fecal a decision analysis between primary resection Darzi AW, Tekkis PP. Laparoscopic Colorectal Surgery. incontinence – comparison of two techniques in and anastomosis versus Hartmann’s procedures. Laparoscopic versus Open Subtotal Colectomy Colorectal Dis 2007;9;8:695. 239 patients. Ann Surg 2007;245:94-103. for benign and malignant disease. Colorectal Dis Dis Colon Rectum 2005;48:2281-8. 2006;8(5):441-50. Tan JJY, Tjandra JJ. Laparoscopic surgery for Crohn’s disease – Abbas SM, Bissett IP, Neill ME, Parry BR. 9. Laparoscopic CR Surgery Heriot AG. a meta-analysis. Long term outcome of postanal repair in the Whither Laparoscopy? Dis Colon Rectum 2007;50(5):576-585(10). treatment of faecal incontinence. (a) Surgery ANZ J Surg 2006;76(11):961. ANZ J Surg 2005;75:783-6.

Ashari L, Lumley J, Stevenson A, Stitz R. Tjandra JJ, Chan MKY. 10. Pelvic Floor and Incontinence Ho Y-H, Muller R, Veitch C, Rane A, Durrheim D. Laparoscopic-assisted resection rectopexy. Systematic review on the short term outcome of Faecal incontinence: an unrecognized epidemic Colorectal Dis 2005;48(5):982-7. laparoscopic resection for colon and rectosigmoid (a) Diagnostic in rural North Queensland? Results of a hospital cancer. based outpatient study. Jatan A, Solomon MJ, Young JM, Cooper M, Colorectal Dis 2006;8:375-88. Morren GL, Balasingham A, Coates R, Aust J Rural Health 2005;13:28-34. Pathma-Nathan N. Welles E, Perry RE. Laparoscopic management of rectal endometriosis. Tan JJY, Tjandra JJ. Triphasic MRI of pelvic organ descent: sources Coolen JCG, Florisson JMG, Bissett IP, Parry BR. Dis Colon Rectum 2006;49:169 -174. Laparoscopic surgery for ulcerative colitis – of measurement error. Evaluation of knowledge and anxiety level of a meta-analysis. European J Radiol 2005;54:276-83. patients visiting the colorectal pelvic fl oor clinic. Lakshman N, Chang R, Ho Y-H. Colorectal Dis 2006;8:626-36. Colorectal Dis 2006;8:208-11. Laparoscopic combined anterior resection and Simpson RR, Kennedy ML, Nguyen H, Dinning PG, total hysterectomy with bilateral salphingo- Lyons SD, Chew SSB, Thomson AJM et al. Lubowski DZ. Thornton MJ, Lubowski DZ. oophorectomy. Clinical and quality of life outcomes after fertility- Anal manometry: a comparison of techniques. Obstetric-induced incontinence: a black hole of Tech Coloproct 2006;10:350-2. sparing laparoscopic surgery with bowel resection Dis Colon Rectum 2006;49:1033-8. preventable morbidity. for severe endometriosis. ANZ J O G 2006;46:468-73. Jafari M, Ho Y-H. J Min Invasive Gynecol 2006;13:436-41. Florisson JMG, Coolen JCG, Bissett IP, Plank LD, Laparoscopic concurrent right hemicolectomy and Parry BR, Menzi E, Merrie AEM. Chan MKY, Tjandra JJ. ultra-low anterior resection with colonic J-pouch. Von Papen M, Ashari LHS, Lumley JW, A novel method used to compare water-perfused Injectable silicone biomaterial (PTQTM) to treat Tech Coloproct 2007;11:55-7. Stevenson ARL, Stitz RW. and solid-state anorectal manometry. Tech fecal incontinence after hemorrhoidectomy. Functional Results of Laparoscopic Coloproctol 2006;10:17-20. Epub 2006 Mar 15. Dis Colon Rectum 2006;49;433-9. Chew SSB and Adams WJ. Resection Rectopexy for Symptomatic Rectal Laparoscopic hand-assisted extended right Intussusception. Tjandra JJ, Dykes SL, Kuman RR, Ellis CN, Hyman NH, Byrne CM, Solomon MJ, Young JM, Rex J, Merlino C. hemicolectomy for cancer management (video). Dis Colon Rectum 2007;50(1):50-55. Buie WD. Biofeedback for fecal Incontinence – short-term Surg Endosc May 2007. Practice parameter on Fecal Incontinence. outcomes of 513 consecutive patients & predictors Hayes JL, Hansen P. Dis Colon Rectum 2007;50(10):1497-1507. of successful treatment. (b) Research Is laparoscopic colectomy for cancer cost-effective Dis Colon Rectum 2007;50:417-27. relative to open colectomy? Tjandra JJ, Tan JJY, Chan MKY. Ashari LHS, Lumley JW, Stevenson ARL, Stitz RW. ANZ J Surg 2007;77:782-786. Evolving therapy for fecal incontinence. Laparoscopically-Assisted Resection Rectopexy Dis Colon Rectum 2007;50(11):1950-1967. for Rectal Prolapse: Ten years Experience. Dis Colon Rectum 2005;48:982-987.

110 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 111 Platell C, Barwood N, Makin G. Polglase A, McMurrick PJ, Simpson PJB, Wale RJ, PEER – REVIEWED PUBLICATIONS A Clinical Trial Evaluating Bowel Preparation with Carne PWG, Johnson W, Chee J, Ooi CW, Chong JW, either a Single Phosphate Enema or Polyethylene Kingsland SR, Buchbinder R. IN COLORECTAL SURGERY Glycol before Elective Colorectal Surgery. Continuous wound infusion of local anaesthetic BY CSSANZ MEMBERS 2005 – 2007 (CONTINUED) Br J Surg 2006;93:427-33. in the control of pain after elective abdominal colorectal surgery. Stahl T, Gregorcyk S, Hyman N, Newstead GL, Dis Col Rectum 2007;50:2158-67. Tjandra JJ et al. Practice parameters for the prevention of venous Chilvers CR, Nguyen MH, Robertson IK. thrombosis. Changing from epidural to multimodal analgesia Dis Colon Rectum 2006;49:1477-83. for colorectal laparotomy: an audit. 11. Techniques Keshava A, Young CJ, Rickard MJFX, Sinclair G. Anaesth Intensive Care 2007;35:230-8. Karydakis fl ap repair for sacrococcygeal pilonidal Woodfi eld J, Parry B, Bissett I, M McKee. Fazio VW, Heriot AG. sinus disease. How important is technique? Experience with the use of vacuum dressings in the Abbas SM, Bissett IP, Parry BR. Proctectomy with Coloanal Anastomosis. ANZ J Surg 2007;77:181-3. management of acute enterocutaneous fi stulae. Meta-analysis of oral water-soluble contrast agent Surg Oncol Clin N Am 2005;14:157-81. ANZ J Surg 2006;76:1085-7. in the management of adhesive small bowel obstruction. Polglase AL, McLaren WJ, Skinner SA, Kiesslich R, 12. Miscellaneous Lipska M, Bissett IP, Merrie AEH, Parry BR. Br J Surg 2007;94:404-11. Neurath MF, Delaney PM. Anastomotic leakage after lower gastrointestinal A fl uorescence confocal endomicroscope for Yao V, Platell C, Hall J. anastomosis. Men are at higher risk. Watson AJM, Gendall KA, Kennedy R, Frizelle FA. in vivo microscopy of the upper and the lower Lavage enhances the production of pro- ANZ J Surg 2006;76:579-85. The effect of epidural analgesia on post-operative GI tract. infl ammatory mediators by peritoneal mesothelial outcome after colorectal surgery. Gastrointest Endosc 2005;62:686-95. cells in an experimental model. Watson AJM, Smith B, Whitehead MR, Sykes P, Colorectal Dis 2007;9:584-98. Dis Colon Rectum 2005;48:560-6. Frizelle FA. Gett R, Johnston M. Malignant progression of anal intra-epithelial Speake D, Biyani D, Frizelle FA, Watson AJ. Appendix retrieval after laparoscopic Appu S, Valentine R, McLaughlin S. neoplasia. Flat adenomas. appendectomy: a safe and inexpensive technique. Gastroinstestinal Haemorrhage Complicating ANZ J Surg 2006 Aug;76(8):715-7. ANZ J Surg 2007;77:4-8. Surg Laparosc Endosc Percutan Tech 2006;16:378. Small Bowel Neurofi bromatas. ANZ Surg 2005;75:(1)83-84. Furness JJ, Hind A, Ngui K, Robbins HL, Clerc N, Postgate A, Saunders B, Tjandra JJ, Vargo J. Tong S, Jacobs R, McLaughlin S. Merrot T, Tjandra JJ, Poole DP. Argon plasma coagulation in chronic radiation Laparoscopic repair of Morgagni diaphragmatic Platell C, Barwood N, Makin G. The distribution of PKC isoforms in enteric neurons, proctitis. hernia. The clinical utility of a de-functioning loop muscle and interstitial cells of the human intestine. Endoscopy 2007;39:361-365. Surgical Practice 2006;159-62. ileostomy in patients undergoing colorectal J Histochem & Cell Biology 2006;126:537-548. surgery. Brouwer R, Woods R. Tilney HS, Heriot AG, Simson JNL. ANZ J Surg 2005;75:147-51. Lubowski DZ, Newstead GL. Rectal Endometriosis: Results Of Radical Excision Transanal Endoscopic Microsurgery (TEMS) Rigid sigmoidoscopy: a potential hazard for cross- And Review Of Published Work. – A necessary requirement? Burge J, Abbas SM, Roadley G, Donald J, Connolly A, contamination. ANZ J Surg 2007:77:562–571. Colorectal Dis 2006;8:663-71. Bissett IP, Hill AG. Surg Endosc 2006;20(5):812-4. Epub 2006 Jan 17. Randomized controlled trial of Gastrograffi n in Corso OH, Morris RG, Hewett PJ, Karatassas A. Polglase A, McLaren W, Delaney P. adhesive small bowel obstruction. LaPointe L, Dunne R, Worthely D, Molloy P, Safety of 96-hour incision-site continuous infusion The Pentax Confocal Endomicroscope – A novel ANZ J Surg 2005;75:672-4. Wattchow D, Young G. of ropivacaine for postoperative analgesia after imaging device for In Vivo histology of the upper Mapping gene expression along the anterior- bowel cancer resection. and lower GI tract. Abbas SM, Bissett IP, Holden A, Woodfi eld JC, posterior axis of the adult human colon. Ther Drug Monit 2007;29:57-63. Expert Rev Med Devices 2006;3:549-56. Parry BR, Duncan D. DDW May 2006. Clinical variables associated with positive Ghosh J, Eglinton T, Frizelle FA, Watson AJ. Keshava A, Renwick A, Stewart P, Pilley A. angiographic localisation of lower gastrointestinal Platell C, Barwood N, Dorfman G, Makin G. Presacral tumours in adults. A non surgical means of fecal diversion: bleeding. The incidence of anastomotic leaks in patients Surgeon 2007;5:31-8. The Zassi Bowel Management System. ANZ J Surg 2005;75:953-7. undergoing colorectal surgery. Dis Col Rectum 2007;50:1017-22. Colorectal Dis 2007;9:71-9. Keshava A, Collie MH, Anderson DN. Abbas SM, Bissett IP, Parry BR. Nosocomial Clostridium diffi cile infection: possible Bretagnolf F, Merrie A, George B, Warren BF, Oral water soluble contrast for the management Haas EM, Bailey HR, Faragher I. cause of anastomotic leakage after anterior Mortensen NJ. of adhesive small bowel obstruction. Cochrane Application of 10 percent formalin for the resection of the rectum. Local excision of rectal tumours by transanal Database Syst Rev 2005:1;CD004651. Update: treatment of radiation-induced hemorrhagic J Gastroenterol Hepatol 2007 May;22(5):764. endoscopic microsurgery. 2007;(3):CD004651. proctitis. Br J Surg 2007;94:627-33. Dis Colon Rectum 2007;50:213-7.

112 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 113 Collins JP, Gough IR, Civil ID, Stitz RW. Rickard MJFX, Brohi K, Bautz P. PEER – REVIEWED PUBLICATIONS A New Surgical Education and Training Programme. Pancreatic and duodenal injuries: Keep it simple. IN COLORECTAL SURGERY Med J Aust 2007;77:497-501. ANZ J Surg 2005;75:581-586. BY CSSANZ MEMBERS 2005 – 2007 (CONTINUED) Laine C, Horton R, DeAngelis CD, Drazen JM, Omundsen M, Dennett ER. Frizelle FA, Godlee F, Haug C, Hebert PC, Kotzin S, Delay to appendicectomy and associated Marusic A, Sahni P, Schroeder TV, Sox HC, Van der morbidity, a retrospective review. Weyden MB, Verheugt FW. ANZ J Surg 2006;76:153-155. Clinical trial registration. BMJ 2007; 334: 1177-8. (Epub 2007 Jun 4). This article Jarvis J, Trivedi S, Shedda S, Frizelle FA. was published in 9 further Journals. Primary peritonitis in adults; a case series. Is it time Keshava A, Stewart P. De Angelis CD, Drazen JM, Frizelle FA, Haug C, Hoey to look for a better diagnostic classifi cation? Education and Imaging. Gastrointestinal: small J, Horton R, Kotzin S, Laine C, Marusic A, Overbeke Laine C, Horton R, De Angelis C, Drazen JM, ANZ J Surg 2006;76(3):127-9. bowel evisceration with chronic rectal prolapse. AJ, Schroeder TV, Sox HC, Van Der Weyden MB. Frizelle FA, Godlee F, Haug C, Hebert PC, Kotzin S, J Gastroenterol Hepatol 2007;22(6):957. Is this clinical trial fully registered? A statement Marusic A, Sahni P, Schroeder TV, Sox HC, van der Harris I, Mourad M, Kadir A, Solomon MJ, Young JM. from the international committee of medical Weyden MB, Verheugt FW. International Committee Publication bias in papers from the Australian Lee J, Rieger N, Stephens J, Hewett PJ, Rodda D, journal editors. of Medical Journal Editors (ICMJE). Orthopaedic Association Annual Meeting. Lawrence M. Lancet 2005;365:1827-9. This article was published Clinical trial registration: looking back and ANZ J Surg 2006;76:427 - 431. Six year prospective analysis of the rectal bleeding in 11 further Journals. moving ahead. clinic at the Queen Elizabeth Hospital Adelaide Lancet 2007;369:1909-11. This article was published Collins JP, Hillis DJ, Stitz RW. South Australia. Abraham NS, Durairaj R, Young JM, Young CJ, in 8 further Journals. Task transfer: the view of the Royal Australasian ANZ J Surg 2007;77;7:553-556. Solomon MJ. College of Surgeons. How does an historic control study of a surgical Med J Aust 2006;185:25-26. Krishnaswamy M, McLaughlin S, Yu JC. procedure compare with the gold standard? 14. General Topics Gastrointestinal: Stromal cell tumours of the small Dis Colon Rectum 2006;49:1141-8. Lipska MA, Brouwer RR, Parry BR, Bissett IP, bowel. Doughty C, MacCormick A, Roake J, Fraser J, Hider P, Wagener JO, Merrie AE. J Gastroenterol Hepatol 2007;22;6:958-958(1). Young JM, Hollands MJ, Solomon MJ. Kirk R, Parry BR, van Rij A, Theis JC. Self-adjusting your headlamp: a tip. Surgeons’ participation in continuing medical Prioritisation of elective surgery in New Zealand: Tech Coloproctol 2006;10(2):147 Epub Jun 19. Gendall KA, Raniga S, Kennedy R, Frizelle FA. education – is it evidence-based? the reliability study. The impact of obesity on outcome after major Medical Education 2006;40:423-9. NZ Med J 2005;118;1219;21-33. Riley R, Manias E, Polglase A. colorectal surgery. Governing the surgical count through Dis Colon Rectum 2007; Sep 27; [Epub ahead of Abraham N, Hewett P, Young JM, Solomon MJ. Frizelle FA. communication interaction. print]. A prospective study of reasons for non-entry Health expenditure and the ageing population. Quality and Safety in Health Care 2006;15(5):369-74. of eligible patients into a surgical multi-centre NZ Med J 2005;28;118(1208):U1251. randomised controlled trial (The ALCCaS). Frizelle FA. 13. Training, Education, ANZ J Surg 2006;76:825–9. Harrison JD, Young JM, Butow P, Solomon MJ. When does a specialist assume the “duty of care” Is it worth the risk? A systematic review of Accreditation and Trials for a patient? The signifi cance of Case 04HDC13909. Wong SW, Crowe P. instruments that measure risk propensity for use NZ Med J 2006 Jul 7;119(1237):U2072. Does presentation at the Registrars Paper Day in a health setting. Renwick AA, Bokey EL, Chapuis PH, Zelas P, predict publication? Social Science and Medicine 2005;60:1385-1396. Stewart PJ, Rickard MJFX, Dent OF. Effect of Kevin B, Shedda S, Frizelle FA. ANZ J Surg 2006;76(6):522-5. The New Zealand Mobile Surgical Bus Service. What supervised surgical training on outcomes after Harris I, Mugford J, Van Gelder J, Solomon MJ, resection of colorectal cancer. is it achieving? Abraham N, Young JM, Solomon MJ. Young JM. Br J Surg 2005;92:631-6. NZ Med J 2006;119;1236(2025). A systematic review of reasons for non-entry The association between compensation status of eligible patients into surgical randomised and outcome after surgery - a meta analysis. Jones IT. Jarvis J, Frizelle FA. controlled trials. JAMA 2005;293:1644-1652. More evidence of the benefi ts of case volume Patients complaints about doctors in surgical Surgery 2006;139:469–83. training. and specialization in colorectal surgery. Woodfi eld JC, Van Rij AM, Pettigrew RA, van der ANZ J Surg 2005;75:839. NZ Med J 2006;119;1236(2026). Byrne CM, Harrison JD, Young JM, Selby WS, Linden AJ, Bolt D. Solomon MJ. Using the cost of infection as a tool to demonstrate Heriot AG, Smith AM. Frizelle FA. Including the study questionnaire with a letter of a difference in prophylactic antibiotic effi cacy. A A Surgical fellowship in the USA: How and Why? Is it ethical for doctors to strike? invitation: A strategy for improving response rates comparison of the clinical and pharmacoeconomic Bull RCS Eng 2005;87(6):206-210. NZ Med J 2006;119;1236(2037). in a telephone based survey? effectiveness of Ceftriaxone and Cefotaxime J Clin Epidemiol 2007;60:1312-4. prophylaxis in abdominal Surgery. World J Surg 2005;29:18-24.

114 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 115 Northover JMA, Byrne CM. Heriot AG, Windsor ACJ. PEER – REVIEWED PUBLICATIONS Follow-up after colorectal cancer resection – is it Intestinal Failure. In: Colorectal Surgery worthwhile? In: Scholefi eld J, Abcarian H, Grothey A, – Companions in Specialist Surgery, 3rd Edition. IN COLORECTAL SURGERY Maughan T (eds). Challenges in Colorectal Cancer. Chapter 17: 321-338. BY CSSANZ MEMBERS 2005 – 2007 (CONTINUED) Blackwell Scientifi c Press, 2006 2nd Edition. Elsevier Saunders 2005.

Wong SW. M W Thompson-Fawcett, N J McC Mortensen. Rectal bleeding and haemorrhoids. In: Talley NJ, Crohn’s disease. In: Volume IV Colorectal Surgery Weltman MD, Segal I (eds). Gastroenterology and - A Companion to Specialist Surgical Practice, 3rd Hepatology: A Clinical Handbook. Second edition. Edition. Harrison JD, Carter J, Young JM, Solomon MJ. 15. Chapters in Books Elsevier 2007. W B Saunders Company Ltd, London 2005. Diffi cult clinical decisions in gynaecologic oncology: Identifying priorities for future Cartmill J, Wong SW. Midgley RS, Merrie AEH, Kerr DJ, Mortenson NJM. Lubowski DZ. clinical research. Colorectal cancer: a multidisciplinary approach. In: Anal pain. In: Talley NJ, Weltman MD, Segal I (eds). Perianal Pain. In: Talley NJ, Martin CJ (eds). Clinical Weinstein WM, Hawkey CJ, Bosch J. (eds). Clinical Int J Gynecologic Cancer 2006;16:1 - 7. Gastroenterology and Hepatology: A Clinical Gastroenterology. A Practical Problem-Based Gastroenterology and Hepatology. Approach. Handbook. Second edition. MacCormick AD, Parry BR. Elsevier Mosby; Chapter 60D, 2005:421-30. Elsevier 2007. Judgment analysis of surgeons’ prioritisation Elsevier (Churchill Livingstone), London, 2006:179- 200. of patients for elective surgery. MacMillan A, Merrie AE. Hollington P, Grover R, Northover JMA. Med Decis Making 2006;26:255-64. Lubowski DZ. Epidemiology of faecal incontinence. In Ratto, Plastic Surgical Techniques Around the Anus. In: Incontinence. In: Talley NJ, Martin CJ (eds). Clinical Doglietto (eds). Faecal Incontinence. Woodfi eld J, Pettigrew R, Van Rij A, Plank L. Phillips RK & Clark S (eds). Frontiers in Colorectal Gastroenterology. A Practical Problem-Based Surgery. Springer. 2007 Chapter 2. Accuracy of the surgeons’ clinical prediction Approach. of perioperative complications using a visual Harley, UK: tfm Publishing Ltd 2005. Elsevier (Churchill Livingstone), London, 2006:253- Choy PY, Bissett IP, Docherty JG, Parry BR, analogue scale. 269. Merrie AE. World J Surg 2007;31,10:1912-1920(9). Ho Y-H. Stapled versus handsewn methods for ileocolic Chronic constipation. In: Tjandra JJ, Clunie GJA, Kaye Thornton MJ, Lubowski DZ. anastomoses. In: Cochrane Database of Systematic Parry BR. AH, Smith JA (eds). Textbook of Surgery. Reviews. (3):CD004320, 2007. CUSUM: timely and trendy. Assessment of the Constipated Patient: Overview. In: Zbar AP, Pescatori M, Wexner SD (eds). Blackwell Publishing Ltd 2006; 563-7. ANZ J Surg 2007;77(7):523. Polglase A. Complex Anorectal Disorders – Investigation and Management. Lynch AC, Frizelle FA. Large Bowel Obstruction. In: Tjandra J, Clunie G, Woodfi eld J, Beshay N, Pettigrew R, Van Rij A, Kaye A, Smith J (eds). Textbook of Surgery; Chapter Colorectal Motility and Defecation after spinal Plank L. Springer-Verlag, London 2005:412-428. 20, 3rd Edition. cord injury in humans. In: Weaver LC (ed). Progress American Society of Anaesthesiologists in Brain Research: Autonomic Dysfunction after Wong SW, Lubowski DZ. Blackwell Publishing 2006. classifi cation of physical status as a predictor Spinal Cord Injury. of wound infection. Surgical Treatment of Colonic Inertia. In: Wexner Parry BR, Hill AG. ANZ J Surg 2007;77,9:738-741(4). SD, Duthie G (eds). Constipation: Etiology, Elsevier 2006:335-343. Evaluation and Management. Nutrition and the surgical patient. In: Tjandra J, Clunie G, Kaye A, Smith J (eds). Textbook of Surgery Jones IT. Chew S. Springer-Verlag, London 2006:145-160. 3rd Edition. Writing to the next of kin after the death of Rectal/Perianal Mass and Colorectal Cancer. a patient. Kennedy ML, Moore K, Lubowski DZ. In: Talley NJ, Martin CJ. (eds). Clinical Blackwell, Melbourne. 2006; 37-43. Gastroenterology: A practical problem-based Med J Aust 2007;187:200. Anorectal physiology. In: Schussler, Moore, Norton, approach. Frizelle FA, Barclay M. Stanton (eds). Pelvic fl oor re-education – Principles Rozen WM, Ma EH, Jones IT, Judson RT. and Practice. Churchill Livingstone, Elsevier Australia, 2nd Ed. Constipation in Adults. In: Chapter in Clinical An emerging epidemic in Australia: abdominal 2006:337-352. Evidence. Volume 15. Springer-Verlag, London, 2007. stab wounds. BMJ publishing, London UK July 2007. Emerg Med Australas 2007;19:262-268. Chew S. McMurrick PJ, Johnston MJ, Carne PWG. Faecal Incontinence. In: Talley NJ, Segal I, Weltman Frizelle FA, Barclay M. Rare colorectal malignancies. In: Yeo CJ et al (eds). Harris I, Young JM, Solomon MJ, Rae H. M (eds). Pocket Clinical Gastroenterology. Shackelford’s Surgery of the Alimentary Tract 6th Constipation in Adults In: Chapter in Clinical Predictors of health after major trauma. edition. p. 2312-19. Elsevier Australia 2007. Evidence. Volume 14. J Trauma 2007;38;1102-1108. Saunders-Elsevier, Philadelphia, 2007 BMJ publishing, London UK Dec 2006. Heriot AG. Operative Techniques in Laparoscopic Colorectal surgery: A DVD provided step-wise approach. Delaney CP, Neary P, Heriot AG, Senagore AJ (eds). Lippincott and Williams 2007.

116 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 117 PEER – REVIEWED PUBLICATIONS Tjandra JJ. 16. Letters, Editorials Radiation injuries to the small and large bowel. and Commentaries In: Tjandra JJ, Clunie GA, Kaye AH, Smith JA (eds). IN COLORECTAL SURGERY Australasian Textbook of Surgery. BY CSSANZ MEMBERS 2005 – 2007 (CONTINUED) Blackwell Sci, Melbourne, 2006:233-8. Platell C. Author’s reply: Randomized clinical trial of bowel Tjandra JJ. preparation with a single phosphate enema or Enterocutaneous fi stula. In: Tjandra JJ, Clunie GA, polyethylene glycol before elective colorectal Kaye AH, Smith JA (eds). Australasian Textbook of surgery. (Br J Surg 2006;93:427-433). Surgery. Br J Surg 2006;93:1147-8 [Epub ahead of print]. Frizelle FA, Barclay M. Tjandra JJ. Blackwell Sci, Melbourne, 2006:239-44. Constipation in Adults. In: Chapter in Clinical Small bowel obstruction. In: Tjandra JJ, Clunie GA, Frizelle FA. Evidence. Volume 13. Kaye AH, Smith JA (eds). Australasian Textbook of Tjandra JJ. Writing Medicolegal reports. Surgery. Rectal prolapse. In: Tjandra JJ, Clunie GA, Kaye AH, BMJ publishing, London UK June 2006. BMJ 2004 (Rapid response) Smith JA (eds). Australasian Textbook of Surgery. Blackwell Sci, Melbourne, 2006:159-64. http://bmj.bmjjournals.com/cgi/ Blackwell Sci, Melbourne, 2006:245-50 Frizelle FA, Barclay M. eletters/329/7478/1353 also published in print form. Constipation in Adults. In: Clinical Evidence. Tjandra JJ. Tjandra JJ. Volume 12. Mesenteric vascular disease. In: Tjandra JJ, Clunie Frizelle FA. GA, Kaye AH, Smith JA (eds). Australasian Textbook Intestinal stomas. In: Tjandra JJ, Clunie GA, Kaye AH, BMJ publishing, London UK Dec 2005. Negligence of medical experts: Issues in writing Smith JA (eds). Australasian Textbook of Surgery. of Surgery. medicolegal reports must be considered. Blackwell Sci, Melbourne, 2006:251-6. Frizelle FA, Barclay M. Blackwell Sci, Melbourne, 2006:171-8. BMJ 2005;330:1027. Constipation in Adults. In: Clinical Evidence. Bokey L, Chapuis P, Tjandra JJ. Volume 11. Tjandra JJ. Frizelle FA. The appendix and Meckel’s diverticulum. In: Tjandra Anal and perianal disorders. In: Tjandra JJ, Clunie BMJ publishing, London UK June 2005:557-66. The importance (and cost) of editorial GA, Kaye AH, Smith JA (eds). Australasian Textbook JJ, Clunie GA, Kaye AH, Smith JA (eds). Australasian independence. (Editorial) Textbook of Surgery. of Surgery. Frizelle FA. NZ Med J 2006 Mar 10;119(1230):U1893. Blackwell Sci, Melbourne, 2006:179-84. Blackwell Sci, Melbourne, 2006:257-72. Introduction. In: Peter Cartwright (ed). Coping with Diverticulitis. Tjandra JJ, Collins JP. Byrne CM, Solomon MJ. Tjandra JJ. Publisher Sheldon Press 2007. Breast Surgery. In: Tjandra JJ, Clunie GA, Kaye AH, Old vs New St Mark’s Score Author’s Reply. Tumours of the small bowel. In: Tjandra JJ, Clunie Smith JA (eds). Australasian Textbook of Surgery. (Letter to Editor) GA, Kaye AH, Smith JA (eds). Australasian Textbook Frizelle FA, Barclay M. of Surgery. Blackwell Sci, Melbourne, 2006:273-292. Dis Col Rectum 2007;50 No 10. Constipation. In: Best Treatment. Blackwell Sci, Melbourne, 2006:185-190. BMJ Publishing, London UK 2006. Tjandra JJ. Byrne CM, King DW, Perera DS. Tjandra JJ. Faecal incontinence. In: Tjandra JJ, Clunie GA, Kaye Does Rectal Washout During Anterior Resection AH, Smith JA (eds). Australasian Textbook of Surgery. Prevent Local Tumor Recurrence? (Letter to Editor) Lynch AC, Frizelle FA. Colorectal cancer and adenoma. In: Tjandra JJ, Bowel function following spinal cord injury. Clunie GA, Kaye AH, Smith JA (eds). Australasian Blackwell Sci, Melbourne, 2006:569-72. Dis Col Rectum 2005;48, No 1:172-3; author reply In: LC Weaver (ed). Brain Research. Textbook of Surgery. 173-4, Jan. Elsevier Science, The Netherlands 2006. Blackwell Sci, Melbourne, 2006:191-210. Tjandra JJ. Rectal bleeding. In: Tjandra JJ, Clunie GA, Kaye AH, Bokey EL, Chapuis PH, Dent, OF. Newstead G. Tjandra JJ. Smith JA (eds). Australasian Textbook of Surgery. Recurrence after Total Mesorectal Excision. (Letter to Editor) Complications of Colonoscopy. In: Fazio VW, Diverticular disease of the colon. In: Tjandra JJ, Blackwell Sci, Melbourne, 2006:573-576. Church JM, Delaney CP (eds). Current Therapy Clunie GA, Kaye AH, Smith JA (eds). Australasian Dis Colon Rectum 2005;48:1323-24. in Colon and Rectal Surgery (2nd Ed). Textbook of Surgery. Tjandra JJ. Chapuis PH, Slim K. Elsevier 2005: 529-34. Blackwell Sci, Melbourne, 2006:211-8. Peritonitis and intra-abdominal abscess. In: Tjandra JJ, Clunie GA, Kaye AH, Smith JA (eds). Digest of articles published in the Annales de Tjandra JJ. Tjandra JJ. Australasian Textbook of Surgery. Chirurgie 2004, Issues 1-10. Solitary rectal ulcer syndrome. In: Fazio VW, Infl ammatory bowel disease . In: Tjandra JJ, Clunie Blackwell Sci, Melbourne, 2006:593-6. ANZ J Surg 2006;76:190-92. Church JM, Delaney CP (eds). Current therapy GA, Kaye AH, Smith JA (eds). Australasian Textbook in colon and rectal surgery (2nd Ed). of Surgery. Books: Chapuis PH, Slim K. Elsevier Mosby, Philadelphia, 2005;135-8. Digest of articles published in the Annales de Blackwell Sci, Melbourne, 2006:219-232. Tjandra JJ, Clunie GJA, Kaye A, Smith JA. Chirurgie 2005; Issues 1-10 and 2006; Issues 1-5. Textbook of Surgery (3rd ed). ANZ J Surg 2006;76:1121-24. Blackwell Sci, Oxford. 2006.

118 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 119 PEER – REVIEWED PUBLICATIONS INTERNATIONAL PRESENTATIONS AND LECTURES IN COLORECTAL SURGERY 2005-2007 BY CSSANZ MEMBERS 2005 – 2007 (CONTINUED)

Yeap B, Platell C, Ferrari P. Frizelle FA. Bissett IP. Chapuis PH. Apparent addison’s disease following ileostomy. Lawyers and letters (Editorial) Tripartite Colorectal Meeting. Tripartite Colorectal Meeting. (Letter) Evaluation of knowledge and anxiety levels of Risk factors for residual tumour in a NZMJ 2005. patients visiting the pelvic fl oor clinic. Coolen JC, circumferential line of resection after excision Nephrology 2005;10:531-532. URL http://www.nzma.org.nz/journal/118- Florisson JM, Bissett IP, Parry BR. of the rectum for cancer. 1222/1664/content.pdf Dublin, Ireland, July 2005. Dublin, Ireland, July 2005. Young CJ. Tripartite Colorectal Meeting. Book Review: Ghose J Watson AJ, Frizelle FA. Frizelle FA. A novel model used to compare water-perfused Surgical and Medical Treatment In Art. Emery AEH Malignant transformation of high-grade anal Tripartite Colorectal Meeting. and solid state manometery. Coolen JC, Florisson and Emery MLH (2006). Pathology 2006:38(5):478. intraepithelial neoplasia. Scholefi eld JH, Castle MT, Invited speaker. Emergency colorectal surgery. JM, Bissett IP, Parry BR. Poster. Watson NF. (Letter to Editor) Dublin, Ireland, July 2005. Bissett I. Dublin, Ireland, July 2005. Br J Surg 2005;92(9):1133-6 E-Pub BJS 2005. Tripartite Colorectal Meeting. Good news for patients with colorectal cancer? Tripartite Colorectal Meeting. Endoscopic and histological changes seen in ileum (Comment. Editorial) An anatomically accurate computational model of Salkeld G, Young JM, Solomon MJ. following exposure to true faecal stream Frye J, the pelvic fl oor and anal canal. Bissett IP, Noakes NZ Med J 2005;118(1210):U1330, Feb 25. Consumer choice and the National Bowel Cancer Mears L, Frizelle F, Williams N. Poster. KF, Pullan AJ, Cheng LK. Poster. Screening Program (Editorial). Dublin, Ireland, July 2005. Frizelle FA. Dublin, Ireland, July 2005. Med J Aust 2006; 184:541 - 542. Peer review of NZMJ articles: issues raised after Hayes JL. Bokey EL. publication of the viewpoint article on Janet Frame. Tripartite Colorectal Meeting. Tjandra JJ. World Congress of Coloproctology & Pelvic Meta-analysis of outcomes of laparoscopic NZ Med J 2007;Oct 26th;120. Commentary on endoanal ultrasound in the Diseases – Innovation & Current Debates – Italian colectomy for cancer. Hayes JL, McLeay EH. URL http://www.nzma.org.nz/journal/120- assessment of patients with fecal incontinence. Unitarian Coloproctology Society (SIUCP). Colorectal Disease, 2005;7 (Suppl. 1),11. 1264/2788/content.pdf In: GA Santoro, G Di Falco. Benign Anorectal Session – Rectal Cancer: Comparison of Techniques Dublin, Ireland, July 2005. Diseases – diagnosis with endoanal and endorectal and Results – Ultralow Rectal Cancer – Round Table ultrasonography. Frizelle FA. discussion. Heriot A. Springer-Verlag Italia 2006;127-8. Rome, Italy, June 2005. Commentary. American Surgical Association Annual Meeting. Colorectal Dis 2007 Jul;9(6):501-2. Adjuvant radiotherapy is associated with increased Tjandra JJ. Byrne CM. sexual dysfunction in patients undergoing Treatment of fecal incontinence – commentary. Tripartite Colorectal Meeting. Frizelle FA. resection for rectal cancer – a predictive model. Patient Preferences for Surgical Treatment Options In: Ratto C, Doglietto GB (eds). Fecal incontinence: Heriot A, Tekkis PP, Neary P, Fazio VW, Lavery I. Response to Salamol and asthma in New Zealand. diagnosis and treatment. in Infl ammatory Bowel Disease. Byrne CM, Solomon Palm Beach FL, USA, April 2005. Robin Taylor, Julian Crane, John Kolbe, NZMJ 2006. MJ, Young J, Selby W. Springer-Verlag 2007;October. URL http://www.nzma.org.nz/journal/119- Dublin, Ireland, July 2005. Tripartite Colorectal Meeting. 1245/2328/ Adjuvant radiotherapy is associated with increased Tripartite Colorectal Meeting. sexual dysfunction in patients undergoing Long Term Follow-up After RCT and Subsequent resection for rectal cancer – a predictive model. Rectopexies at RPAH from 1994-2004. Byrne CM, Heriot A, Tekkis PP, Neary P, Fazio VW, Lavery I. Smith SR, Solomon MJ, Young J, Eyers AA, Young CJY, Dublin, Ireland, July 2005. Merlino C. Dublin, Ireland, July 2005. American Society of Colon and Rectal Surgeons. Phenotypic factors can predict the risk of Tripartite Colorectal Meeting. proctectomy after total colectomy and Short Term Results after Biofeedback Treatment for ileorectal anastomosis for patients with familial Faecal Incontinence – results of 513 patients. Byrne adenomatous polyposis (FAP) - A multifactorial CM, Solomon MJ, Rex J, Young J, Heggie D, Merlino C. model. Tekkis PP, Heriot A, Gallagher M, Nicholls R, Dublin, Ireland, July 2005. Fazio VW, Phillips R, Church J. Philadelphia, USA, May 2005.

120 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 121 INTERNATIONAL PRESENTATIONS AND LECTURES 2005-2007 (CONTINUED)

Hewett P. Management of hemorrhoids with preservation of 10th Congress of Asian Federation Tjandra JJ. First International Colorectal Surgery Forum and the anal cushions – the scientifi c evidence to date. of Coloproctology. International Colorectal Disease Symposium. Fourth National Symposium of Sphincter Saving Indonesia, May 2005. Surgical management of Pilonidal Sinus disease. Invited Speaker. Optimising Outcome of Rectal Procedure in Rectal Cancer. An audit of fi ve years experience using Karydakis Cancer. Siriraj Hospital. Laparoscopic Surgery for Colorectal Cancer. Flap repair. Keshava A, Young CJ, Rickard MJFX. Hong Kong, 2005. Live demonstrations – laparoscopic high anterior Tianjin, China, November 2005. Singapore, March 2005. resection and laparoscopic extended right International Colorectal Disease Symposium. Jinan Surgical Symposium. hemicolectomy. Laparoscopic Colectomy Invited Speaker. What is the Optimal Technique Lumley J. An update of the treatment of faecal incontinence. (Meet the experts and live demonstration). for a Sphincter Repair. Samsung Medical Centre Colorectal Conference. Jinan, China, September 2005. Bangkok, Thailand, March 2005. Hong Kong, 2005. Laparoscopic surgery for cancer - the past, present Tripartite Colorectal Meeting. Siriraj Hospital. and future. International Colorectal Disease Symposium. Laparoscopic resection of splenic fl exure lesions, Laparoscopic Total Mesorectal Excision (Lap TME). Korea, 2005. Invited Speaker. Pelvic Floor Anatomy Revisited. in the left lateral position. Video presentation. Laparoscopic Colectomy (Meet the experts and live Hong Kong, 2005. Dublin, Ireland, July 2005. demonstration). Parry BR. 10th Congress of Asian Federation of Bangkok, Thailand, March 2005. Tripartite Colorectal Meeting. Tripartite Colorectal Meeting. Coloproctology. Evaluation of knowledge and anxiety levels of Implantation of Ethylene-vinyl-alcohol copolymer Siriraj Hospital. Invited Speaker. Workshop on Sacral nerve patients visiting the pelvic fl oor clinic. Bissett IP, (EVOH) into the anal intersphincteric plane for the Experience in Laparoscopic colectomy and vessel stimulation and Endorectal Ultrasound. Coolen JCG, Florisson JMG, Parry BR. management of faecal incontinence: A Pilot Study. sealing. Laparoscopic Colectomy (Meet the experts Singapore, March 2005. Dublin, Ireland, July 2005. Dublin, Ireland, July 2005. and live demonstration). 10th Congress of Asian Federation of Bangkok, Thailand, March 2005. Tripartite Colorectal Meeting. Coloproctology. Ho Y-H. A novel model used to compare water – perfused Invited Speaker. Faecal Incontinence – new options. Laparoscopic Colorectal Surgery Workshop, Keshava A. and solid state manometery. Bissett IP, Florisson Singapore, March 2005. Selayang Hospital. Tripartite Colorectal Meeting. JMG, Coolen JCG, Plank LD, Parry BR. Poster. Principles of Laparoscopic Colorectal Surgery A comparison between surgical training in Dublin, Ireland, July 2005. American Society of Colon and Rectal Surgeons. (Plenary lecture) and live televised demonstrations the United Kingdom and Australia. Keshava A, Sacral neuromodulation in patients with fecal (of laparoscopic right hemicolectomy and Tytherleigh MG, Renwick A, Chapuis PH. Platell C. incontinence: a randomized controlled study abdominoperineal resection for advanced cancer). Dublin, Ireland, July 2005. Tripartite Colorectal Meeting. on effi cacy and quality of life. A Clinical Trial Evaluating Bowel Preparation with Philadelphia, May 2005. Kuala Lumpur, Malaysia, November 2005. Tripartite Colorectal Meeting. either a Single Phosphate Enema or Polyethylene Department of Surgery, Jichi University. Surgical management of pilonidal sinus disease. American Society of Colon and Rectal Surgeons. Glycol before Elective Colorectal Surgery. Invited Lecture: Laparoscopic colorectal surgery. An audit of fi ve years experience using Karydakis Laparoscopic-assisted high anterior resection: Dublin, Ireland, July 2005. Omiya, Japan, September 2005. Flap repair. Keshava A, Young CJ, Rickard MJFX. intra-corporeal anastomosis vs open anastomosis: Dublin, Ireland, July 2005. St Mark’s Hospital, Visiting Lecturer. a case-controlled comparison. 11th convention of the Japanese Society for A Clinical Trial Evaluating Bowel Preparation with Philadelphia, May 2005. colorectal and anal function disorders. 10th Congress of Asian Federation of either a Single Phosphate Enema or Polyethylene Plenary lecture. Functional outcome of colonic Coloproctology. American Society of Colon and Rectal Surgeons. Glycol before Elective Colorectal Surgery. J-pouch and coloplasty in rectal cancer surgery. Non-Surgical Means of Defunctioning Bowel Benefi ts of injectable silicone biomaterial for fecal Harrow, UK, July 2005. Tokyo, Japan, September 2005. – Prospective Cohort Trial of the Zassi Bowel incontinence due to internal sphincter dysfunction Management Tube at Concord Hospital. Keshava A, is sustained at 12 months: a randomized trial. 11th convention of the Japanese Society for Solomon MJ. Renwick AA, Pilley A, Stewart P. Philadelphia, May 2005. colorectal and anal function disorders. Invited Tripartite Colorectal Meeting. Singapore, March 2005. Presentation: Anorectal biofeedback for bowel Opening Plenary Lecture. American Society of Colon and Rectal Surgeons. dysfunction after rectal cancer surgery. 10th Congress of Asian Federation of Dublin, Ireland, July 2005. Preoperative chemoradiation for rectal cancer Tokyo, Japan, September 2005. Coloproctology. causes prolonged pudendal nerve terminal Stapled haemorrhoidectomy – video presentation. motor latency. Keshava A, Tytherleigh MG, Young CJ. Philadelphia, May 2005. Singapore, March 2005.

122 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 123 INTERNATIONAL PRESENTATIONS AND LECTURES 2005-2007 (CONTINUED)

Tripartite Colorectal Meeting. Wattchow DA. Tripartite Colorectal Meeting. 35th World Congress of the International College Position statements on follow-up for colorectal Tripartite Colorectal Meeting. Karydakis fl ap repair for pilonidal sinus. Keshava A, of Surgeons. cancer. A randomised controlled trial comparing Young C, Rickard MJFX – Poster. Symposium session. Challenges in laparoscopic Dublin, Ireland, July 2005. followup of patients with colon cancer by general Dublin, Ireland, July 2005. colectomy: Tips and pitfalls. practitioners or surgeons. Wattchow DA, Lewis Pattaya, Thailand, October 2006. European Society of Coloproctology First Annual M, Weller D, McGorm K, Pilotto L, Esterman A, Meeting. Bokey EL. 35th World Congress of the International College Hammett Z. Invited Speaker. Injectable therapy for faecal Cleveland Clinic, Florida 17th Annual International of Surgeons. Dublin, Ireland, July 2005. incontinence. Colorectal Disease Symposium. Plenary lecture. Challenges in faecal incontinence. Bologna, Italy, 2005. Tripartite Colorectal Meeting. An International Exchange of Medical and Surgical Pattaya, Thailand, October 2006. Prolonged followup of women with childbirth Concepts. European Society of Coloproctology First Annual Jiansu Hospital, Nanjing Medical College. induced trauma to the anal sphincter mechanism. Guest Professor. Meeting. Invited Lecture: Laparoscopic large bowel surgery: Lewis M, Rieger N, Voyvodic F, Schloithe A. Session: Complex challenges in Anal and Rectal Invited International Panel on: Training in ultra-low anterior resection. Dublin, Ireland, July 2005. Cancer Surgery. Lecture: The Effect of Anastomotic Colorectal Surgery. Nanjing, China, September 2006. Leakage on Survival and Recurrence. Bologna, Italy, 2005. Digestive Disease Week. Fort Lauderdale, USA, February 2006. Perkimpunan Dokter Spesialis Bedah Indonesia. Small Intestinal Lymphangiectatic Cysts, a Possible Second Joint Meeting of European Council Invited Keynote Lecture: Management of Cause of a False Positive Capsule Endoscopy. Cleveland Clinic, Florida 17th Annual International of Coloproctology and European Association haemorrhoidal disease – how by the general Martin JE, Wattchow D, Coleman M, Fraser R. Colorectal Disease Symposium. of Coloproctology. practitioner and when by the specialist. Chicago, USA, May 2005. Session: Laparoscopy for Colorectal Carcinoma: Invited Lecturer. Wilayah Jakarta (Ikabi Jaya). Jakarta, Indonesia, A Global Perspective of Trials and Data. Lecture: Bologna, Italy, 2005. August 2006. Wong SW. Australia and New Zealand. China Association of Surgeons 15th Annual Tripartite Colorectal Meeting. Fort Lauderdale, USA, February 2006. Lumley J. Meeting, Satellite Symposium. Fibrin or fl ap for anal fi stula. Wong SW, Keck J, Cleveland Clinic, Florida 17th Annual International Singapore General Hospital. Invited Speaker. New Technology in Colorectal Chen F, Woods R. Colorectal Disease Symposium. Laparoscopic Surgery – the future. Surgery. Dublin, Ireland, July 2005. Session: Cost Containment and Patient Safety Singapore, 2006. Jinan, China, 2005. Young CJ. – Are They Compatible? Lecture: Does Surgical 4th Jakarta Digestive Week. 10th Congress of Asian Federation of Training Compromise Outcome? Newstead GL. Invited Speaker. Preoperative staging for rectal Coloproctology. Fort Lauderdale, USA, February 2006. Korean Society of Coloproctology. cancer. Video presentation of stapled haemorrhoidectomy Invited Lecturer. Jakarta, Indonesia, 2005. – steps to safe fi ring. Keshava A, Tytherleigh MG, Heriot A. Seoul, Korea, 2006. Young CJ. Association of Coloproctology, Surgeons of 4th Jakarta Digestive Week. Singapore, March 2005. Great Britain and Ireland. Solomon MJ. Invited Speaker. Laparoscopic Surgery for rectal Factors affecting survival following surgery European Society of Coloproctology. cancer – is it safe? 10th Congress of Asian Federation of for recurrent rectal cancer. Heriot AG, Woods RJ, International Visitor and Plenary Lecture - Jakarta, Indonesia, 2005. Coloproctology. Ngan S, Tekkis PP, Mackay J. Inaugural meeting. Karydakis fl ap repair for pilonidal sinus. Keshava A, 4th Jakarta Digestive Week. Invited Speaker. Gateshead, UK, July 2006. Lisbon, Portugal, October 2006. Young CJ, Rickard MJFX. PPH in the treatment of hemorrhoids: complication Singapore, March 2005. and long-term result. Ho Y-H. Stitz RW. Jakarta, Indonesia, 2005. Tripartite Colorectal Meeting. 35th World Congress of the International College Japanese College of Surgeons. Long term follow-up after RCT of open vs of Surgeons. Laparoscopic Colorectal Surgery – The Challenge 4th Jakarta Digestive Week. laparoscopic rectopexy and subsequent Plenary Lecture. Challenges in laparoscopic ultra- of Training. Invited Expert Panel & Surgeon. Rectal cancer. rectopexies. Byrne CM, Solomon MJ, Eyers AA, low anterior resection. Kanazawa, Japan, June 2006. Jakarta, Indonesia, 2005. Young CJ, Young JM, Smith S. Pattaya, Thailand, October 2006. The PNG Medical Symposium. 7th Asia Pacifi c Congress of Endoscopic Surgery. Dublin, Ireland, July 2005. Educational Outreach - Leaving Footprints Address. Invited Lecturer. September, 2006. Hong Kong, 2005.

124 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 125 INTERNATIONAL PRESENTATIONS AND LECTURES 2005-2007 (CONTINUED)

Thompson-Fawcett M. 4th Malaysian Colorectal Conference. Bokey EL. Chapuis PH. International Society of University Colon and Invited Surgeon & Speaker. Laparoscopic colorectal International Colorectal Disease Symposium. 11th Congress of Asian Federation of Rectal Surgeons Biannual Meeting. surgery Workshop. Session – Multi-modality treatment for colorectal Coloproctology. Conservative management of faecal incontinence. Kuala Lumpur, Malaysia 2006. cancer: what constitutes an optimal therapy? Participant in Symposium: Problems in sphincter Istanbul, Turkey, June 2006. Lecture: Results of surgery for rectal cancer. saving operations for low rectal cancer - Malaysian Colorectal Workshop. Hong Kong, January 2007. anastomotic leakage. Live Surgery Demonstration: Laparoscopic Tjandra JJ. Tokyo, Japan, September 2007. Anterior resection. 9th Postgraduate Course in Surgical Oncology– Singapore Colorectal Week. 2006. Schwerpunkt Symposium 2007 (Swiss Society of 11th Congress of Asian Federation of Invited Surgeon & Speaker. Laparoscopic colorectal Surgery in collaboration with CAO and ACO). Coloproctology. surgery for cancer. Malaysian Colorectal Workshop. Guest Professor. Lecture: Session: Colorectal Participant in Symposium: Functional disorders Singapore 2006. Live Surgery Demonstration: Laparoscopic Cancers – Effects of anastomotic leakage on of the anorectum. Total Colectomy. Singapore Colorectal Week. survival and recurrence. Tokyo, Japan, September 2007. 2006. Invited Surgeon & Speaker. Sacral neuromodulation Biel/Bienne, Switzerland, May 2007. for faecal incontinence. Chinese Society of Colorectal Surgery - Inaugural Chew S. 9th Postgraduate Course in Surgical Oncology Singapore 2006. National Meeting. 2nd Tri Nations Meeting. – Schwerpunkt Symposium 2007. Invited Plenary Lecture. New technology and Invited speaker: Hand-assisted Laparoscopic American Society of Colon and Rectal Surgeons. Lecture: Session: Colorectal Cancers – Does surgical colorectal surgery. Colectomy, Obstructed Defaecation. Current Topics Long-term results of injectable silicone biomaterial training impact outcome? China 2006. in Gastroenterology. for passive fecal incontinence – a randomized trial. Biel/Bienne, Switzerland, May 2007. Mauritius, March 2007. Seattle, USA, June 2006. Seoul International Symposium for Proctology. 11th Congress of Asian Federation of Invited Speaker. Evaluation & treatment of pelvic American Society of Colon and Rectal Surgeons. Coloproctology. Frizelle FA. fl oor disorder. Reinjection of injectable silicone biomaterial Guest Professor. Co-Chair: Symposium 1: Association of Coloproctology of GB & Ireland. Seoul, Korea, 2006. (PTQTM) is not as effective as the initial injection. Laparoscopic Rectal Cancer Surgery (5 speakers). Extended Radical Resection – The Choice For Seattle, USA, June 2006. Seoul International Symposium for Proctology. Tokyo, Japan, September 2007. Locally Recurrent Rectal Cancer. Invited Speaker. Injection therapy for anal Glasgow, Scotland, July 2007. American Society of Colon and Rectal Surgeons. 11th Congress of Asian Federation of incontinence. Systematic review on PPH stapled Coloproctology. American Society of Colon and Rectal Surgeons. Seoul, Korea, 2006. hemorrhoidectomy. Lecture: Luncheon Seminar 2: Current Status Extended Radical Resection – The Choice For Seattle, USA, June 2006. Cleveland Clinic. of Laparoscopic Colorectal Cancer Surgery in Locally Recurrent Rectal Cancer. Invited Keynote Speaker - Chairman’s Oration. American Society of Colon and Rectal Surgeons. Australia. St Louis, USA, June 2007. Uptake of new technology in Colorectal Surgery. Follow up after curative resection of colorectal Tokyo, Japan, September 2007. Cleveland, USA, 2006. Heriot A. cancer – a meta-analysis. ASEAN Society of Colorectal Surgeons – American Society of Colon and Rectal Surgeons. Seattle, USA, June 2006. 3rd International Scientifi c Congress. Wattchow DA. The impact of 18-FDG positron emission Guest Professor: Plenary Session 1: Lecture: American Society of Colon and Rectal Surgeons. Digestive Disease Week. tomography-computed tomography (PET-CT) on Chemotherapy in Colorectal Cancer. Invited Speaker. Optimal therapy of Fecal Mapping gene expression along the anterior- the staging and management of advanced primary Singapore, November 2007. incontinence. posterior axis of the adult human colon. LaPointe L, rectal cancer. Heriot A, Davey K, Drummond E, Seattle, USA, June 2006. Dunne R, Worthely D, Molloy P, Wattchow D, Hogg A, Milner A, Mackay J, Hicks R. Young G. American Society of Colon and Rectal Surgeons. St Louis, USA, June 2007. Los Angeles, USA, May 2006. Invited Speaker. Breakfast session – Pelvic fl oor American Society of Colon and Rectal Surgeons. testing – when is it useful? Association of Coloproctology, Surgeons of Extended radical resection – the choice for locally Seattle, USA, June 2006. Great Britain and Ireland. recurrent rectal cancer. Heriot AG, Byrne CM, Lee P, Perineal approach to repair of a perineal hernia Dobbs B, Tilney H, Solomon MJ, Mackay J, Frizelle F. with mesh. Appleton B, Carr G, Wattchow DA. St Louis, USA, June 2007. Gateshead, UK, July 2006.

126 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 127 INTERNATIONAL PRESENTATIONS AND LECTURES 2005-2007 (CONTINUED)

Association of Coloproctology of GB & Ireland. Sir Run Run Shaw Hospital, Linda Loma Medical Solomon MJ. 5th Malaysian Colorectal Conference. The impact of 18-FDG positron emission Centre, Zhejiang University. National Cancer Centre & National Cancer Hospital. Invited Speaker. What’s happening down under - tomography-computed tomography (PET-CT) on Invited Lecture: Laparoscopic restorative Guest Professor and Plenary Lecturer. colorectal training and accreditation. the staging and management of advanced primary proctocolectomy. Tokyo, Japan, February 2007. Kuala Lumpur, Malaysia, 2007. rectal cancer. Heriot A, Davey K, Drummond E, Hangzhou, China, September 2007. Association of Coloproctology of GB & Ireland. 5th Malaysian Colorectal Conference. Hogg A, Milner A, Mackay J, Hicks R. Sir Run Run Shaw Hospital, Linda Loma Medical Invited International Plenary Lecture. Invited Speaker. Solitary rectal ulcer syndrome Glasgow, Scotland, July 2007. Centre, Zhejiang University. Glasgow, Scotland, July 2007. – is there hope? Association of Coloproctology of GB & Ireland. Invited Lecture: Laparoscopic anterior resection Kuala Lumpur, Malaysia, 2007. Canadian Association of Colon & Rectal Surgery Extended radical resection – the choice for locally for sigmoid diverticulitis. and Canadian Association of General Surgery. recurrent rectal cancer Heriot AG, Byrne CM, Lee P, Hangzhou, China, September 2007. Wattchow DA. Philip Gordon Lecture. Dobbs B, Tilney H, Solomon MJ, Mackay J, Frizelle F. St. Mark’s Hospital Grand Round. Gu-Lou Hospital (previously Macklin Hospital), Toronto, Canada, September 2007. Glasgow, Scotland, July 2007. The relevance of neuroscience to surgery. Nanjing University. London, UK, April 2007. Invited Lecture: Laparoscopic total mesorectal Thompson-Fawcett M. Hewett P. excision. European Society of Coloproctology. Gastroenterology Grand Round, Surgical Leaders Summit. Nanjing, China, September 2007. Bacteria not commonly associated with human University of Bologna. Short-term Outcomes of the Australasian, Multi- faeces implicated in etiology of pouchitis. Surgical dabblings in Neuroscience. Centre, Prospective, Randomised, Clinical Study Gu-Lou Hospital (previously Macklin Hospital), Thompson-Fawcett M, Tannock W, Lay C, Baladjay L, Bologna, Italy, May 2007. comparing Laparoscopic and Conventional Open Nanjing University. Daynes C, McLeod RS. Surgical Treatments of Colon Cancer in Adults. Invited Lecture: Laparoscopic total Malta, September 2007. The ALCCaS Trial. Presented on behalf of the proctocolectomy with ileo-anal pouch anastomosis. ALCCaS trial group by Peter Hewett. Tjandra JJ. Nanjing, China, September 2007. Beijing, China, June 2007. 5th Malaysian Colorectal Conference. Invited Speaker. Anastomotic leaks – Ho Y-H. Jones IT. Implications and salvage. 11th Congress of Asian Federation of Meeting of the Asian Federation of Coloproctology. Kuala Lumpur, Malaysia, 2007. Coloproctology. Total Mesorectal Excision for Rectal Cancer. Laparoscopic rectal cancer surgery. Symposium Tokyo, September 2007. 5th Malaysian Colorectal Conference. presentation. Invited Speaker. Assessment and surgical options Tokyo, Japan, September 2007. Lumley J. for faecal incontinence. St Vincents Colorectal Symposium. Kuala Lumpur, Malaysia, 2007. 11th Congress of Asian Federation of Laparoscopic Transverse Colectomy. Coloproctology. 5th Malaysian Colorectal Conference. Korea, June 2007. Problems in sphincter saving surgery for rectal Invited Speaker. Sacral nerve stimulation – video presentation. cancer. Symposium presentation. Newstead GL. Kuala Lumpur, Malaysia, 2007. Tokyo, Japan, September 2007. Asian Federation of Coloproctology. Sir Run Run Shaw Hospital, Linda Loma Medical Invited Lecturer. 5th Malaysian Colorectal Conference. Centre, Zhejiang University. Tokyo, Japan 2007. Invited Speaker. Surveillance strategies for Stage II Invited Lecture: Laparoscopic extended low or III colorectal cancer. anterior resection for rectal cancer. Parry BR. Kuala Lumpur, Malaysia, 2007. Hangzhou, China, September 2007. Surgical Leaders Forum. Rectal Surgery in New Zealand. Beijing, PR China, 2007.

128 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 129 AWARDS 2005-2007

Bokey EL. Newstead GL. 2005 Member of the Order of Australia – A.M. 2005 Member of the Order of Australia – A.M. For service to medicine as a colorectal surgeon and For service to medicine in the fi eld of colorectal through the establishment of surgical education surgery, particularly through the development of programs, research, and medical administration. the Colorectal Surgical Society of Australasia, the implementation of international specialist surgical training programmes, and the promotion of health Byrne CM. awareness initiatives. 2006 Dr Bernard Lake Award from Faculty of Medicine, University of Sydney for publication: Perry RE. Telephone vs Face-to-Face Biofeedback for Fecal Incontinence – comparison of two techniques in 2006 Certifi cate of Outstanding Service, 239 patients. Royal Australasian College of Surgeons.

Frizelle FA. Stitz RW. 2007 Fellowship of the New Zealand Medical 2007 Member, Court of Honour, Royal Australasian Association for service to medicine in New Zealand. College of Surgeons. 2006 The NZ Association of General Surgeons Award for Clinical Teaching (The Sumner Award).

Hayes JL. 2004-2006 McKenzie Repatriation Fellowship, University of Otago, Dunedin NZ (inaugural recipient).

130 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND HISTORICAL APPENDIX HISTORICAL APPENDIX DEVELOPMENT OF AUSTRALIAN AND NEW ZEALAND COLORECTAL UNITS POST FELLOWSHIP TRAINEES IN COLORECTAL SURGERY

Year Year 1948 Rectal Clinic Sydney Hospital 1988/1989 P Douglas 1970-83 Colorectal Unit – Sydney Hospital (Edward Wilson Colorectal Unit 1973) 1989/1990 A Hunter 1978 Colorectal Clinic St Vincent’s Hospital, Melbourne 1990/1991 J Keck 1979 Concord Hospital, Sydney 1991/1992 A Meagher, P Stewart 1980 The Austin Hospital, Melbourne 1992/1993 W Adams, P Hewett, J Moore 1981 Royal Melbourne Hospital, Melbourne 1993/1994 F Chen, J Lumley 1983 Royal Adelaide Hospital, Adelaide 1994/1995 P Allen, H Nguyen, C Platell 1984 St Vincent’s Hospital, Sydney 1995/1996 J Keating, C Young, 1988 Royal Brisbane Hospital, Brisbane 1996/1997 A Stevenson, B Stewart 1989 Royal Prince Alfred Hospital, Sydney 1997/1998 B Draganic, N Rieger St Vincent’s Hospital, Melbourne 1998/1999 - 1990 Princess Alexandria Hospital, Brisbane 1999/2000 J Evans, I Hayes, A Luck, C Wright 1991 John Hunter Hospital, Newcastle 2000/2001 I Bissett, N Pathma-Nathan, D Perera, M Rickard, R Simpson, M Steel, M Wiley, 1992 St George Hospital, Sydney 2001/2002 N Barwood, S Bell, S Chew, E Dennett, M Johnston Sir Charles Gairdner Hospital, Perth 2002/2003 P Carne, J Hayes, M Lawrence, C Lynch, A Merrie, E Murphy, D Petersen, M Thornton 1995 Prince of Wales Hospital, Sydney 2003/2004 C Byrne (Notaras Fellow), P Hollington, L Israel, S Lolohea, S Pincott, S Smith, The Alfred Hospital, Melbourne M Von Papen, S Wong Auckland City Hospital, Auckland 2004/2005 G Guest, M Thomas 1996 Queen Elizabeth Hospital, Adelaide 2005/2006 J Frye, R Gett, B Meade, R Varghese, J Warusavitarne, R Winn Westmead Hospital, Sydney 2006/2007 T Eglington, J Ellis-Clark, S Gan, J Jarvis, F Lam, P Lee, W Teoh, C Turner (Notaras Fellow) 1999 Monash Medical Centre, Melbourne 2007/2008 C Chow, N Lutton, E Mignanelli, P Ranchod, A Sutherland Western Hospital, Melbourne Box Hill Hospital, Melbourne 2000 Christchurch Hospital, Christchurch 2001 Frankston Hospital, Melbourne Royal Perth Hospital, Perth PROVISIONAL FELLOWSHIP TRAINEES IN COLORECTAL SURGERY 2002 Flinders Medical Centre, Adelaide Royal North Shore Hospital, Sydney Fremantle Hospital, Fremantle 2003/2004/2005 R Brouwer, C Gall, A Keshava North Shore Hospital, Auckland 2004/2005/2006 S Shedda 2004 Wellington Hospital, Wellington 2005/2006/2007 I Al-Alawi, D Tonkin, M Warner Middlemore Hospital, Auckland 2006 St John of God Hospital, Perth

132 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 133 HISTORICAL APPENDIX HISTORICAL APPENDIX ST MARK’S HOSPITAL 1896-2007 CLEVELAND CLINIC FOUNDATION 1960-2007

AUSTRALIAN AND NEW ZEALANDERS APPOINTED TO SURGICAL POSTS AUSTRALIAN AND NEW ZEALANDERS APPOINTED TO SURGICAL FELLOW POSITIONS

Appointed Name From Appointed Name From 1896 John E Barrett Melbourne 1971 Brian W Smith Melbourne 1960 Alan Cuthbertson Melbourne 1897 Arthur M Cudmore Adelaide 1972 Samuel Sakker Sydney 1971 Malcolm Stuart Sydney 1907 Joseph B Dawson Migrated 1973 Ian Fielding Sydney 1973 Malcolm G Goldsmith Sydney to Glenelg 1975 Russell W Stitz Brisbane 1974 Victor W Fazio Sydney 1910 Archibald C Magarey Adelaide 1977 Adrian Polglase Melbourne 1974 Ian Cunningham Melbourne 1921 Clement Chapman Sydney 1978 Tim Wilson Sydney 1976 Ian C Lavery Brisbane 1923 John Whittaker Melbourne 1979 Anthony A Eyers Sydney 1977 Terence W O’Connor Sydney 1928 Leslie Le Souëf Perth 1986 David Lubowski Sydney 1978 Peter J Zelas Sydney 1929 TB Seed Melbourne 1990 Michael Levitt Perth 1978 John Collins Melbourne 1929 Thomas O Sayle Melbourne 1991 Graham Clarke Melbourne/ 1979 John R Mackay Melbourne 1930 John G Sandrey Sydney Perth 1980 Christopher Hadgis Sydney 1931 HA Body Melbourne 1991 Chip Farmer Melbourne 1980 Paul E Anseline Newcastle 1931 Bert W Nairn Perth 1993 Peter B Loder Sydney 1983 John D Leslie Melbourne 1937 Robert Offi cer Melbourne 1994 Paul J Sitzler Melbourne 1983 John R Oakley Adelaide 1937 Thomas H Ackland Melbourne 1996 Stewart Skinner Melbourne 1984 Ian T Jones Melbourne 1941 Frederick W Connaughton Melbourne 1997 Matthew Morgan Sydney 1984 Richard Sarre Adelaide 1947 T Edward Wilson Melbourne 1999 Michael Mar Fan Brisbane 1985 Grahame C Ctercteko Sydney 1949 Edward SR Hughes Melbourne 1999 Greg Makin Perth 1986 Rodney J Woods Melbourne 1949 Graeme L Grove Melbourne 2001 Tamaris Hoffman Melbourne 1988 Matthew J McNamara Sydney 1950 James S Guest Melbourne 2002 David Lloyd Tasmania 1991 Joe J Tjandra Melbourne 1952 John W Graham Sydney 2002 Paul Hollington Adelaide 1992 K Chip Farmer Melbourne 1956 Robert I Mitchell Sydney 2004 Matthew Lawrence Adelaide 1994 John Cartmill Sydney 1956 Solomon Levitt Perth 2005 Chris Byrne Sydney 1996 Frank Chen Melbourne 1958 A Brian Vivien Perth 2006 Janindra Warusavitarne Sydney 1996 Graham Hool Sydney 1960 Raymond M Hollings Sydney 2007 Darren Tonkin Adelaide 1999 Christopher J Young Sydney 1960 Mark Killingback Sydney 2001 Malcolm Steel Melbourne 1960 John G Smith Sydney 2002 Craig Lynch Christchurch 1962 Bruce Fox Melbourne 2003 - 1963 Anthony BG Carden Melbourne 2004 - 1963 H Reginald McGee Brisbane 2005 - 1965 Brian T Collopy Melbourne 2006 Susan Shedda Melbourne 1966 Mitchell J Notaras Sydney 2007 1969 Roy I Fink Melbourne 1969 Kerry Larkin Rockhampton 1971 J Campbell Penfold Melbourne

134 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 135 HISTORICAL APPENDIX HISTORICAL APPENDIX MAYO CLINIC CHAIRMEN: SECTION COLON AND RECTAL SURGERY, RACS AUSTRALIAN AND NEW ZEALANDERS APPOINTED TO COLORECTAL FELLOW POSITIONS

Overseas training and experience in colorectal 1978 G Thynne surgery for Australian and New Zealand surgeons 1983 Michael Agrez Year of Election Year of Election has a long and interesting history. To their credit 1989 Andrew Bell 1963 A Lendon 1990 GL Newstead these surgeons have invariably performed to a 1990 Richard Perry (NZ) 1964 GMW Clemons 1991 AR McLeish high standard. This report includes details of those who have held surgical appointments at three 1993 Eva Juhasz (NZ) 1965 BW Nairn 1992 AR McLeish well known centres of excellence. It is intended to 1994 Frank Frizelle (NZ) 1966 GL Grove 1993 R Stitz document past appointments to other prestigious 1994 Alan Meagher 1967 GL Grove 1994 R Stitz overseas clinics and members of the Society will 1997 Paul McMurrick 1968 MK Smith 1995 J Mackay be requested to make such details available. 2003 Peter Carne 1969 AF Hunter 1996 J Mackay Such information will therefore recognise the importance of training centres for example in 1970 D Lane 1997 J Oakley Boston, Minneapolis, New Orleans, New York, 1971 TE Wilson 1998 J Oakley Toronto (Canada), Basingstoke, Birmingham, Leeds, 1972 JDH Muir 1999 I Jones London and Oxford. 1973 S Levitt 2000 I Jones 1974 J Heslop 2001 J Sweeney 1975 MK Smith 2002 J Sweeney 1976 AM Cuthbertson 2003 R Woods 1977 MT Theils 2004 R Woods 1978 M Davis 2005 M Levitt 1979 M Killingback 2006 M Levitt 1980 JDH Muir 2007 F Frizelle 1981 JR Davidson 1982 P Ryan 1983 P Ryan 1984 D Hoffmann 1985 D Hoffmann 1986 S Levitt 1987 J Cohen 1988 M Stuart 1989 M Stuart

136 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 137 INAUGURAL MEETING OF THE PROCTOLOGICAL SECTION OF COLON AND RECTAL SURGERY, RACS SECTION OF THE ROYAL AUSTRALASIAN COLLEGE ANNUAL GSM/ASC MEETINGS OF SURGEONS 28th May 1963

PROGRAM Sarcoma of the rectum Year Venue Visitor

Lesions of the anus simulating simple fi ssure T F Moran (Seranton, USA) 1963 Melbourne HE Bacon (Philadelphia, USA) RM Hollings 1964 Hobart - Comparative results following the Miles’ operation anterior resection and the pullthru in terms of 1965 Sydney - Non - specifi c infl ammatory lesions of the anus mortality, morbidity and long term survivals other than ulcerative colitis 1966 Perth - HE Bacon (Philadelphia, USA) TH Ackland 1967 Melbourne AM Veale (Dunedin, NZ) Bowel function following pull through resection of The obscure case of bleeding per rectum 1968 Adelaide - the rectum for carcinoma D Lane 1969 Auckland - AM Cuthbertson 1970 Brisbane - Management of the complications of volvulus of Twelve cases of Crohn’s disease presenting with the sigmoid colon 1971 Sydney HE Lockhart-Mummery (London, UK) steatorrhoea, obstruction or as a colon lesion JH Pryor WE King, DJ Fone 1972 Hobart B Brooke (London, UK) Recurrent volvulus of sigmoid colon in a young 1973 Singapore J Remington (Rochester, NY, USA) Necrotising colitis patient 1974 Perth I Todd (London, UK) M Killingback NA Myers 1975 Queenstown - A case of ulcerative colitis presenting with features Ernest Miles and the Gordon Hospital 1976 Adelaide M Veidenheimer (Boston, USA) diffi cult to differentiate from multiple polyposis CH Lawes M Smith 1977 Melbourne A Parks (London, UK) Treatment of pilonidal sinus 1978 Kuala Lumpur R Turnbull (Cleveland, USA), Solitary sigmoid diverticulitis ESR Hughes O Beahrs (Rochester, MN, USA) P Ryan 1979 Surfers Paradise M Adson (Rochester, MN, USA) Is aortoileopelvic lymphadenectomy concomitant Presentations of papillary tumours of rectum and with resection for cancer of the left colon and 1980 Sydney P Hawley (London, UK) colon rectum a worthwhile procedure? G Pestell 1981 Hobart V Fazio (Cleveland, USA) HE Bacon (Philadelphia) 1982 Christchurch S Goldberg (Minneapolis, USA) Tension pneumoperitoneum Combined anaesthesia for haemorrhoidectomy 1983 Hong Kong J Alexander-Williams (Birmingham, UK) J Buntine G Houseman 1984 Melbourne F Gall (Erlangen, Germany), H Abcarian (Chicago, USA) Modifi cation of the Thiersch operation Gas cysts of the colon and rectum 1985 Sydney R Beart (Rochester, MN, USA) S Levitt J Guest 1986 Adelaide P Hawley (London, UK) Constipation caused by redundant colon and Case report: volvulus of caecum: pneumatosis coli 1987 Perth D Johnston (Leeds, UK) indication for colectomy L Sisley 1988 Brisbane D Rothenberger (Minneapolis, USA) IA Hamilton 1989 Melbourne M Keighley (Birmingham, UK) Cyst of the rectum, probably due to implantation Film and showing metaplasia of its epithelium 1990 Wellington L Smith (Washington DC, USA) Routine anorectal and sigmoidoscopic E Wilson examination with differential diagnosis 1991 Sydney Z Cohen (Toronto, Canada) The use of the colon for replacement in surgery MR Hill (Los Angeles, USA) 1992 Canberra J Northover (London, UK), E MacMahon Stan Goldberg (Minneapolis, USA) 1993 Adelaide M Killingback (Sydney, Australia)

138 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 139 SECTION OF COLON AND CSSANZ/SECTION OF COLON AND RECTAL SURGERY, RECTAL SURGERY, RACS RACS ANNUAL GSM/ASC MEETINGS ANNUAL CME MEETINGS (CONTINUED)

Combined with CSSANZ since 1997

Why let adhesions Year Venue Title Guest Lecturer

1994 Hobart R McLeod 1963 Sydney Large Bowel Obstruction E Muir (London, UK) destroy your work? (Toronto, Canada) 1975 Melbourne Colostomy Today 1995 Perth D Schoetz (Boston, USA) 1984 Adelaide Techniques in Colorectal Surgery A Li (Hong Kong) 1996 Melbourne EL Bokey 1985 Brisbane Controversies in Colorectal Surgery I Lavery (Cleveland, OH, USA) (Sydney, Australia) 1997 Brisbane N Mortensen 1986 Melbourne What’s new in the World of V Fazio (Cleveland, OH, USA) (Oxford, UK) Colorectal Surgery? 1998 Sydney H Stern N William (London, UK) (Ottawa, Canada) 1987 Sydney Complications in Colorectal G Ekelund (Malmo, Sweden) Cement belly – cohesive adhesions Seprafi lm wrapping: protecting the 1999 Auckland G Hill (Auckland, NZ) Surgical Practice (with SCSS) between loops of small bowel# bowel from adhesions# 2000 Melbourne J Church 1988 Wellington Costs in Colorectal Surgery P Schofi eld (Manchester, UK) Seprafi lm has been proven (Cleveland, USA) 2001 Canberra B Wolff 1989 Adelaide Colorectal Update M Corman (Santa Barbara, USA) effective in reducing (Rochester, MN, USA) 1990 Sydney WORLD CONGRESS OF adhesions in colorectal 2002 Adelaide R Stitz COLOPROCTOLOGY (Brisbane, Australia) surgical procedures1 1991 Brisbane Spring Meeting S Nivatvongs (Rochester, MN, USA) 2003 Brisbane R Madoff (Minneapolis, USA) 1992 Melbourne Colorectal Disease in 1992 D Jagelman (Fort Lauderdale, USA) Seprafi lm 1,2 2004 Melbourne R Phillips 1993 Sydney TRIPARTITE MEETING • Reduces time and complexity at (London, UK) subsequent surgery 1994 McLaren Vale (SA) Spring Continuing Robin Phillips (London, UK) 2005 Perth Sir Ara Darzi Education Meeting • Reduces the risk of re-operative (London, UK) 1995 Sanctuary Cove (QLD) Spring CME B Wolff (Rochester, MN, USA) small bowel obstruction 2006 Sydney M Thompson (Portsmouth, UK) 1996 Sydney Spring CME (with SCSS) N Williams (London, UK) For a demonstration of Seprafi lm or 2007 Christchurch J Church Options for Faecal Incontinence and to arrange to have Seprafi lm in your (Cleveland, USA) Total Anorectal Reconstruction* theatre, please call Genzyme Australasia 1997 Sydney Combined Australian Colorectal L Pahlman (Uppsala, Sweden) on +61 2 9978 3900 Conference (with SCSS and CSSA) Preoperative Adjuvant Treatment for Rectal Cancer*

R Billingham (Seattle, USA) Developing Consensus on Best practice and Outcome Management #

1998 Adelaide Spring CME (with CSSA) P Finan (Leeds, UK) Genzyme Australasia Pty Ltd. ABN 24 083 420 526 Functional Results of Restorative Level 1, Building C, 12-24 Talavera Road Surgery forRectal Cancer* North Ryde NSW 2113 T: +61 2 9978 3900 F: +61 2 9889 3900 J Fleshman (St Louis, USA) www.genzyme.com.au Familial Cancer Syndromes – References: 1. Kusunoki M, et al. Surg Today 2005; 35:940-945 2. Fazio VW, et al. Recent Developments # Dis Colon Rectum 2005; 49:1-11. # Images from Genzyme Biosurgery, USA. SEP AU 0804-17a

140 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 141 CSSANZ/SECTION OF COLON AND RECTAL SURGERY, SYDNEY COLORECTAL SURGICAL SOCIETY RACS ANNUAL SCIENTIFIC MEETINGS ANNUAL CME MEETINGS (CONTINUED)

Combined with CSSANZ since 1997

1999 Twin Waters Spring CME (with CSSA) F Seow-Choen (Singapore) Year International Guest Edward Wilson Lecture

(QLD) Laparoscopic Surgery for 1983 - - Rectal Cancer* 1984 I Todd (London, UK) - 2000 Hobart Combined Meeting R McLeod (Toronto, Canada) 1985 M Veidenheimer (Boston, USA) - (with CSSA and GESA) 1986 E Salvati (Plainville, USA) Offi ce and Day Surgery Management of 2001 Dunsborough (WA) Spring CME (with CSSA) D Bartolo (Edinburgh, UK Anorectal Disease Emergency Colonic Resection* 1987 B Gathright (New Orleans, USA) Rescue and Reconstructive Surgery – The Tertiary Referral Problem 2002 Melbourne Tripartite Meeting M Killingback (Sydney) The History of the Tripartite 1988 T Muto (Tokyo, Japan) A New Aspect on the Pathogenesis of Meetings* Colorectal Carcinoma

2003 Sydney Combined Australasian Colorectal I Findlay (Glasgow, UK ) 1989 H Abcarian (Chicago, USA) Civilian Colonic Trauma Conference (with SCSS & CSSA) Rectal Prolapse – What Operation 1990 S Goldberg (Minneapolis, USA) Education in Colorectal Surgery and for whom?* 1991 A Gerard (Brussels, Belgium) Adjuvant Radiotherapy in the Treatment of Rectal Cancer D Wong (USA) 1992 - - Current trends in the management of advanced abdominal disease# 1993 - TRIPARTITE MEETING

2004 Sanctuary Cove (QLD) Spring CME (with CSSA) J Milsom (USA 1994 P Gordon (Montreal, Canada) Stapling in Colorectal Surgery: Pitfalls and Complications Laparoscopic Surgery for 1995 Hak-Su Goh (Singapore) Practical Implications of Molecular Genetics Colorectal Cancer* 1996* I Kodner (St Louis, USA) Surgical Management of Crohn’s Disease J Campbell (Brisbane) 1997† R Parc (Paris, France) The Place of the Colonic Pouch in Surgery for Rectal

Development of Autologous Cancer Blood Vessels# 1998 S Wexner (Ft Lauderdale, USA) Surgical Variables in Rectal Cancer Surgery 2005 Brisbane Spring CME (with CSSANZ P Sagar (Leeds, UK) and GESA) Options and outcomes for advanced 1999 J Pemberton (Rochester, MN, USA) Rectal Cancer: The Mayo Experience pelvic disease* 2000 - OLYMPIC GAMES R Stitz (Brisbane) 2001 J Monson (Hull, UK) Laparoscopic Surgery for Colorectal Cancer Specialisation in General Surgey – 2002 - TRIPARTITE MEETING An opportunity not a Threat# 2003† C van de Velde (Leiden, Netherlands) Pre-operative radiotherapy plus TME: 5- year Dutch data 2006 Queenstown Spring CME (with CSSA) C Delaney (Cleveland, USA) Laparoscopic CR Surgery 2004 J Northover (London, UK) Rectal carcinoma: 20th century lessons for the 21st century F Griffi n (Otago, NZ) 2005 - TRIPARTITE MEETING Emerging Diseases# 2006 B Moran (Basingstoke, UK) Recent advances in pre-operative MRI imaging, 2007 Victor Harbor (SA) Spring CME (with CSSANZ) P R O’Connell (Dublin UK) neo-adjuvant treatment and operative management of Strictures in Crohn’s Disease* rectal cancer – a European perspective A Gallus (Adelaide) 2007 N Mortensen (Oxford, UK) Surgery in IBD – conservation and reconstruction Prevention and management of deep venous thrombosis and pulmonary embolism# * Combined with Section RACS CME

* ESR Hughes Lectures # CSSANZ Oration † Combined with Section RACS CME and CSSA

142 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 143 COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND APPLICATION FOR MEMBERSHIP

(Please complete all components and include a current CV)

SURNAME: ______TITLE: ______• Postgraduate Research Projects: ______

FIRST NAMES: ______DOB: ______

MAILING ADDRESS: ______

______• Academic Diplomas/Degrees: ______

EMAIL ADDRESS: ______

TELEPHONE: ______(Home) ______(Work)

______(Mobile) ______(Fax) • Colorectal Honours (Awards/Prizes): ______

______TRAINING

• Primary Degree (Year): ______CURRENT APPOINTMENTS • Other Degrees/Diploma (Institution/Year): ______

• College Fellowship (Year): ______• Public Hospital: ______

______

• Colorectal Fellowship: ______

Year 1: ______

Year 2: ______• Status of Appointment:

Year 3: ______VMO STAFF ACADEMIC

Other: ______• Style of Unit: GENERAL GASTROINTESTINAL COLORECTAL

• Certifi cate of Completion of CSSANZ Training Program (Date) (Enclose copy of Certifi cate) • Position in Unit:

______HEAD DEPUTY MEMBER

• Other Colorectal Skills (Indicate Certifi cate or Institution)

Colonoscopy: ______• University Appointment: ______

Anorectal Manometry: ______

Endorectal Ultrasound: ______

Advanced Laparoscopy: ______• Private Hospitals: ______

Other: ______

• Other Postgraduate Courses/Diplomas: ______

______

______

144 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 145 COLORECTAL SURGICAL SOCIETY REQUIREMENTS FOR CSSANZ MEMBERSHIP OF AUSTRALIA AND NEW ZEALAND APPLICATION FOR MEMBERSHIP (CONTINUED)

(Please complete all components and include a current CV)

• Year commenced in Consultant Colorectal Practice: ______ORDINARY MEMBERSHIP

______1. a. A commitment to colorectal surgery and support of • References (2 must be current CSSANZ Members and please include Email address): colorectal surgery as a specialty 1. ______b. Majority of practice in colorectal surgery after a minimum ______of 3 years beyond advanced training ______c. A recognized period of training in colorectal surgery 2. ______(not less than 2 full years*) ______d. A hospital appointment in colorectal surgery ______

3. ______OR ______

______2. Provided a. and b. are met, an extensive experience in and a demonstrable contribution to colorectal surgery.

DECLARATION: (Please read extract from Constitution attached)

I have read the requirements for membership of the Colorectal Surgical Society of Australia and New Zealand and believe my training, experience and current practice are commensurate with the principles outlined. In particular, I have a commitment to colorectal surgery and support its development as an offi cially recognized specialty. PROVISIONAL MEMBERSHIP

As for criterion (1) for Ordinary Membership but where colorectal surgery has NOT been practiced for a minimum of three years beyond completion of a satisfactory programme of advanced training. Reviewed annually. Signature: ______Date: ______

*The Society limits its membership to Surgeons who have demonstrated a commitment to the specialty Please send your completed form to the following address with full Curriculum Vitae (including a separate of colorectal surgery and have undergone a recognised programme of training in colorectal surgery. list of colorectal publications and scientifi c papers delivered) and the names, addresses, telephone numbers Where the period of colorectal training is less than two years, special conditions apply and can be found and email addresses of three referees, two of whom are CSSANZ Members. in the Membership Section of the Society’s website (www.cssanz.org).

Colorectal Surgical Society of Australia and New Zealand Level 2, 4 Cato Street Hawthorn, VIC 3122

Tel: +61 3 9822 8522 Fax: +61 3 9822 8400 Email: [email protected]

146 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 147 CSSANZ PATIENT INFORMATION BROCHURES COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND ABN 750 555 446 64 BROCHURE ORDER FORM

Mail to: Cost of Brochures (AUD excl. GST) CSSANZ Secretariat Members of CSSANZ 40c each Level 2, 4 Cato Street Non-members of CSSANZ 60c each Hawthorn, VIC 3122 Hospital/Clinic $1 each Tel: +613 9822 8522 Fax +613 9822 8400 Email: [email protected] 1. Anal Abscess/Anal Fistula 2. Anal Fissure 3. Bowel Cancer – After my operation, what check ups should I have 4. Bowel Cancer – Answers to your questions

Name of Brochure Number Required Cost 1. Anal Abscess/Anal Fistula 2. Anal Fissure 3. Bowel Cancer – After my operation, what check ups should I have 4. Bowel Cancer – Answers to your questions 5. Colonoscopy 6. Constipation 7. Crohn’s Disease 8. Diverticular Disease of the large bowel 9. Faecal Incontinence 10. Haemorrhoids/Modern Management 5. Colonoscopy 6. Constipation Disease 7. Crohn’s 8. Diverticular Disease of the large bowel 11. Irritable Bowel Syndrome 12. Polyps 13. Proctitis 14. Pruritus Ani 15. Rectal Prolapse 16. Ulcerative Colitis

Cost of brochures includes postage and handing Subtotal ______plus 10% GST (Aust only) ______TOTAL AUD ______Payments by cheque to: Colorectal Surgical Society of Australia and New Zealand 9. Faecal Incontinence 10. Haemorhroids/Modern Management 11. Irritable Bowel Syndrome 12. Polyps Credit Card Payment: Mastercard Visa Card No: ______/ ______/ ______/ ______Expiry: ____ / ____

Cardholder’s Name: ______

Signature: ______Date: ______

Delivery address for brochures :

Name ______

Address ______13. Proctitis 14. Pruritis Ani 15. Rectal Prolapse Colitis 16. Ulcerative

148 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 149 MEMBERS OF CSSANZ CURRENT MEMBERS

Australia Dr Alan Meagher Dr Stuart Pincott Dr Peter Stewart Suite 607 St Vincent’s Clinic Suite 21, 4 Delmar Parade Suite 211 Concord Hospital NSW Dr Philip Douglas Dr Stephen Jancewicz 438 Victoria Street Dee Why NSW 2099 Medical Centre Suite 17, Level 7 Suite 3, 325 Edward Street Darlinghurst NSW 2010 02 9982 6333 Hospital Road Dr Paul Anseline Prince of Wales Private Hospital Wagga Wagga NSW 2650 02 8382 6681 Concord NSW 2139 118 Elder Street Locked Bag 2 02 6925 7477 Dr Matthew Rickard 02 9767 8163 New Lambton NSW 2299 Randwick NSW 2031 Dr Matthew Morgan Suite 210 02 4952 2877 1300 553347 Dr Anil Keshava Suite 12, 170 George St Concord Hospital Medical Dr Janindra Warusavitarne Suite 210 Liverpool NSW 2170 Centre 58 Kitchener Parade Prof E Leslie Bokey AM Dr Brian Draganic Concord Hospital Medical 02 9369 1400 Hospital Road Bankstown NSW 2200 Head of Department of G7, Ground Floor Centre Concord NSW 2139 02 9790 2168 Colon & Rectal Surgery Newcastle Private Hospital Hospital Road A/Prof Graham Newstead AM 02 9767 8317 / 02 9767 8319 Concord Hospital Medical Suites Concord NSW 2139 Suite 17, Level 7 A/Prof Richard West Concord NSW 2139 14 Lookout Road 02 9767 8317 / 02 9767 8319 Prince of Wales Private Hospital Dr Anaimattan Santhanam Suite G01 E (Ground fl oor) 02 9767 6846 New Lambton Heights NSW 2305 Locked Bag 2 Suite 2, 7-9 Lambton Road 138-140 Carillon Avenue 02 49563244 Dr Denis King Randwick NSW 2031 Broadmeadow NSW 2292 Newtown NSW 2042 Dr Christopher Byrne Ground Floor 1300 553347 02 4969 3557 02 9519 7905 Suite 415 RPA Medical Centre Dr Justin Evans St George Private Hospital 100 Carillon Ave Suite 402 Northern Sydney 1 South Street Dr Terence O’Connor A/Prof Margaret Schnitzler Dr Shing Wong Newtown NSW 2042 Colorectal Clinic Kogarah NSW 2217 Suite 607 St Vincent’s Clinic Suite 402 Northern Sydney Department of Surgery 02 9519 7576 (Fri only) 69 Christie St 1300 553347 438 Victoria Street Colorectal Clinic Edmund Blackett Building St Leonards NSW 2065 Darlinghurst NSW 2010 69 Christie St Prince of Wales Hospital A/Prof John Cartmill 02 9436 4550 Dr Peter Loder 02 8382 6682 St Leonards NSW 2065 Barker St Level 5 South Block Suite 2, 2 Redleaf Avenue 02 9436 4550 Randwick NSW 2031 Nepean Hospital Dr Anthony Eyers PO Box 439 Dr Nimalan Pathma-Nathan 02 9382 2894 PO Box 63 Suite 202 RPAH Medical Centre Wahroonga NSW 2076 PO Box 419 Dr Richard Simpson Penrith NSW 2751 100 Carillon Avenue 02 9489 9211 Westmead NSW 2145 48 Hills Street Dr Siu Kin Cyril Wong 02 4721 4387 Newtown NSW 2042 02 9845 5555 Gosford NSW 2250 Suite 103 02 9519 4110 A/Prof David Lubowski 02 4324 8711 68 Eldridge Road A/Prof Pierre Chapuis Ground Floor Dr John Percy Bankstown NSW 2200 Department of Surgery Dr Stephen Fulham St George Private Hospital Suite 2, Level 5 Dr Stephen Smith 02 9709 8119 Clinical Sciences Building PO Box 575 1 South Street North Shore Private Hospital Grd Floor, Newcastle Private Concord Hospital Fairfi eld NSW 1860 Kogarah NSW 2217 Westbourne Street Medical Suites Dr Caroline Wright Concord NSW 2139 02 9726 5377 1300 553347 St Leonards NSW 2065 14 Lookout Road Suite 415, RPAH Medical Centre 02 9767 6736 02 9439 1500 New Lambton Heights NSW 2305 100 Carillon Avenue Dr Andrew Gatenby Dr Matthew McNamara 02 4956 3243 Newtown NSW 2042 Dr Simon Chew PO Box 1376 Suite 501 San Clinic Dr Dayashan S Perera 02 9650 4954 PO Box 698 Campbelltown NSW 2560 Sydney Adventist Hospital Ground Floor Prof Michael Solomon Penrith NSW 2751 02 4625 5288 185 Fox Valley Rd St George Private Medical Suite 415 RPAH Medical Centre Dr Christopher Young 02 4722 9978 Wahroonga NSW 2076 Centre 100 Carillon Avenue Suite 415, RPAH Medical Centre Dr Henry Hicks 02 9473 8511 1 South Street Newtown NSW 2042 100 Carillon Avenue Dr Grahame Ctercteko Suite 4, 325-327 Edward Street Kogarah NSW 2217 02 9519 7576 (Mon PM + Thurs) Newtown NSW 2042 153 Windsor Road Wagga Wagga NSW 2650 1300 553347 02 9519 7576 Northmead NSW 2152 02 6925 6805 02 9688 7088

150 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 151 MEMBERS OF CSSANZ CURRENT MEMBERS (CONTINUED)

Dr Peter Zelas Dr Mark Doudle Dr Damien Petersen A/Prof William Roediger 3 Grafton Street Pacifi c Private Clinic Suite 290 SA Department of Surgery VIC Blacktown NSW 2148 123 Nerang Street St Andrew’s Place The Queen Elizabeth Hospital 02 9621 7644 Southport QLD 4215 33 North Street Dr Peter Hewett Woodville Road Dr Stephen Bell 07 5591 7355 Spring Hill QLD 4000 142 Ward Street Woodville SA 5011 Suite 27 Cabrini Medical Centre 07 3311 2072 North Adelaide SA 5006 08 8222 6750 Isabella St QLD Dr John Hansen 08 8267 3355 Malvern VIC 3144 96 Beerburrum Street A/Prof Andrew Renaut Dr Richard Sarre 03 9509 8033 Dr Stephen Allison Caloundra QLD 4551 Suite 290 St Andrew’s Place Dr Paul Hollington 306 South Terrace Suite 26 Specialist Centre 07 5492 0221 33 North Street Level 3 Adelaide SA 5000 Dr Richard Brouwer Greenslopes Hospital Spring Hill QLD 4000 Department of Surgery 08 8232 1181 Level 3, 41 Victoria Parade Newdegate Street Prof Yik-Hong Ho 07 3831 9322 Flinders Medical Centre Fitzroy VIC 3065 Greenslopes QLD 4120 PO Box 1898 Flinders Dve Dr James Sweeney 03 9419 3377 07 3397 2634 Townsville QLD 4810 Dr David Schache Bedford Park SA 5042 252 East Terrace 07 4796 1417 PO Box 8163 08 8204 6360 Adelaide SA 5000 Dr Andrew Bui Dr Andrew Bell Woolloongabba QLD 4102 08 8232 6118 Suite 4, 210 Burgundy Street PO Box 8163 Dr John Lumley 07 3844 5150 Dr Andrew Hunter Heidelberg VIC 3084 Woolloongabba QLD 4102 Wesley Medical Centre 252 East Terrace A/Prof David Wattchow 03 9459 6555 07 3844 5150 40 Chasely Street Dr Andrew Stevenson Adelaide SA 5000 Department of Surgery Auchenfl ower QLD 4006 Holy Spirit Northside 08 8232 6118 Flinders Medical Centre Dr Peter Carne Dr Michael Borten 07 3871 1419 Ground Floor Medical Centre Flinders Dve Suite 27 Cabrini Medical Centre 20 Walker Drive 627 Rode Rd Dr Matthew Lawrence Bedford Park SA 5042 Isabella St Worongary QLD 4213 Dr Michael Mar Fan Chermside QLD 4032 252 East Terrace 08 8204 4253 Malvern VIC 3144 07 5525 1424 PO Box 8062 07 3256 4504 Adelaide SA 5000 03 9509 1177 Sunnybank QLD 4109 08 8232 6118 TAS Dr Frank Chen Dr David Clark 07 3275 6111 Dr Russell Stitz Epworth Eastern Medical Centre Level 3 Unit 24 /2nd Floor Dr Andrew Luck Dr Carey Gall Suite 14, 1 Arnold Street Holy Spirit Northside Medical Dr Brian Miller Wesley Medical Centre Lister House 49 Augusta Road Box Hill VIC 3128 Centre Dept. of Surgery 40 Chasely Street 142 Ward Street Lenah Valley TAS 7008 03 9895 7610 627 Rode Road Princess Alexandra Hospital Auchenfl ower QLD 4006 North Adelaide SA 5006 03 62282688 Chermside QLD 4032 Ipswich Road 07 3371 6488 08 8267 3355 Dr Martin Chin 07 3350 2088 Woolloongabba QLD 4102 Dr David Lloyd Suite 27 Cabrini Medical Centre 07 32405309 Dr Michael von Papen Dr James Moore PO Box 3103 Isabella St A/Prof Jonathan Cohen Dept of Surgery 2nd Floor, 50 Hutt Street Launceston TAS 7250 Malvern VIC 3144 Athol Place Dr Geoffrey Mumme (died Gold Coast Hospital Adelaide SA 5000 03 6331 0717 03 95000711 303 Wickham Terrace March 2008) 108 Nerang St 08 8210 9484 Brisbane QLD 4000 Suite 3 Southport QLD 4215 Dr Hung Nguyen Dr Ian Cunningham 07 3839 7566 137 Flockton Street 07 5519 8062 A/Prof Nicholas Rieger 26 Lyttleton Street Suite 27 Cabrini Medical Centre Everton Park QLD 4053 142 Ward Street Launceston TAS 7250 Isabella Street Dr David Colledge 07 3246 3190 Dr Stephen White North Adelaide SA 5006 03 6334 2242 Malvern VIC 3144 Selangor Medical Centre Suite 5G 08 8267 3355 03 9509 5592 PO Box 2611 John Flynn Medical Centre Dr John Oakley Nambour West QLD 4560 Inland Drive Dr David Rodda Joynton House Dr Ian Faragher 07 5476 3434 Tugun QLD 4224 89 Payneham Road 49 Augusta Road Level 4, 55 Victoria Parade 07 5598 0955 St Peters SA 5069 Lenah Valley TAS 7008 08 8362 1474 03 62282688 Fitzroy VIC 3065 03 9417 0600

152 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 153 MEMBERS OF CSSANZ CURRENT MEMBERS (CONTINUED)

Dr K Chip Farmer Prof Ian Jones Dr Ian Pilmer Dr Marcus Thorne WA New Zealand Suite 27 Cabrini Medical Centre Suite 5-7 Private Medical Centre Suite 9 Warringal Medical Centre Suite 2, Level 5 Isabella St Royal Melbourne Hospital 214 Burgundy Street St John of God Hospital Dr Robert Aitken Dr Philip Allen Malvern VIC 3144 Parkville VIC 3050 Heidelberg VIC 3084 80 Myers Street Suite 23 Auckland Surgical Clinic 03 9509 8384 03 9347 4077 03 9459 4088 Geelong VIC 3220 Hollywood Specialist Centre 9 St Marks Road 03 5224 2355 95 Monash Avenue Remuera Dr Glenn Guest Dr James Keck Prof Adrian Polglase Nedlands WA 6009 09 529 4172 Level 2, Suite 5 Level 3, 41 Victoria Parade Suite 20 Cabrini Medical Centre Dr Stephen Tobin 08 6389 0244 St John of God Hospital Fitzroy VIC 3065 Isabella Street Central Highlands Surgeons Dr Janet Ansell 80 Myers Street 03 9419 3377 Malvern VIC 3144 607 Mair Street Dr Nigel Barwood PO Box 14144 Geelong VIC 3220 03 9509 8233 Ballarat VIC 3350 Suite 28 Medical Clinic Tauranga 03 5226 7899 Dr Craig Lynch 03 5332 8100 St John of God Hospital 07 579 5513 Suite 14, 1 Arnold Street Dr Susan Shedda Murdoch Drive Dr Ian Hastie Box Hill VIC 3128 PO Box 2052 Dr Roger Wale Murdoch WA 6150 A/Prof Ian Bissett Suite 15, Level 3 03 9895 7633 RMH VIC 3050 Suite 44 Cabrini Medical Centre 08 9366 1775 Department of Surgery Melbourne Private Consulting 03 9387 1000 183 Wattletree Rd The University of Auckland Suites A/Prof John Mackay Malvern VIC 3144 Dr Graham Hool Private Bag 91029, Royal Pde Suite 14, 1 Arnold Street Dr Paul Sitzler 03 9576 1411 PO Box 1111 Auckland 1142 Parkville VIC 3050 Box Hill VIC 3128 77 Erin Street Nedlands WA 6909 09 373 7599 ext 89 821 03 9347 3630 03 9895 7633 Richmond VIC 3121 A/Prof Bruce Waxman 08 9389 9748 03 9428 8064 Academic Surgical Unit Dr Andrew Connolly Dr Ian Hayes Dr Stephen McLaughlin Dandenong Hospital Dr Michael Levitt 32 Prospect Terrace Suite 2 Private Consulting Suite 44 Mercy Private Dr Iain Skinner PO Box 478 Suite 212 Mt Eden Rooms Consulting Suite PO Box 306 Dandenong VIC 3175 St John of God Healthcare Auckland 1003 Royal Melbourne Hospital 141 Grey Street Laverton VIC 3028 03 9554 8657 25 McCourt Street 09 276 0000 Parkville VIC 3050 East Melbourne VIC 3002 03 9741 9300 Subiaco WA 6008 03 9349 4882 03 9417 1616 Dr Malcolm Wiley 08 9382 4571 Dr Elizabeth Dennett Dr Stewart Skinner Suite 1 LaTrobe University PO Box 7087 Dr Alexander Heriot Dr John McLeish Suite 56 Cabrini Medical Centre Hospital Dr Gregory Makin Wellington 6242 Dept of Surgical Oncology Bayside Colorectal Group Isabella St Kingsbury Drive Suite 28 Medical Clinic 04 381 8120 Peter MacCallum Cancer Centre Linacre Hospital Consulting Malvern VIC 3144 Bundoora VIC 3083 St John of God Hospital St Andrews Place Suites 03 9509 8188 03 9473 8772 100 Murdoch Drive Prof Frank Frizelle East Melbourne VIC 3002 12 Linacre Road Murdoch WA 6150 University Department 03 9656 1110 Hampton VIC 3188 Dr Malcolm Steel Dr Rodney Woods 08 9366 1775 of Surgery 03 9521 8992 Suite 14, 1 Arnold Street Suite 14, 1 Arnold Street Christchurch Hospital Dr Tamaris Hoffman Box Hill VIC 3128 Box Hill VIC 3128 Prof Cameron Platell Riccarton Avenue 134 Templeton Street Dr Paul McMurrick 03 9895 7633 03 9895 7633 Suite 212, 25 McCourt Street Christchurch Wangaratta VIC 3677 Suite 20 Cabrini Medical Centre St John of God Hospital 03 364 0640 ext 80 445 03 5721 6957 Isabella Street Dr Bruce Stewart Subiaco WA 6008 Malvern VIC 3144 Ballarat Specialist Clinic 08 9382 4577 Dr Julian Hayes Dr Michael Johnston 03 9500 0154 108 Drummond Street North PO Box 110123 Level 3, 41 Victoria Parade Ballarat VIC 3350 Dr Patrick Tan Auckland 1148 Fitzroy VIC 3065 Dr Campbell Penfold 03 5331 8289 301/25 McCourt Street 09 358 4626 03 9419 3377 Suite 2.5, 62 Erin Street Subiaco WA 6008 Richmond VIC 3121 08 9382 9488 03 9429 1181

154 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 155 MEMBERS OF CSSANZ CURRENT MEMBERS (CONTINUED)

Dr Michael Hulme-Moir Prof Bryan Parry Retired Members Deceased Members Honorary Members Department of Surgery Division of Surgery North Shore Hospital Faculty of Medical & Health A/Professor Michael Agrez (2005) A/Professor Joe Tjandra (2007) Richard P Billingham Private Bag 93503 Science Takapuna University of Auckland Dr A Carden Dr Fred Collins A Cuthbertson Auckland PO Box 92019 Dr Brian Collopy Dr Walter Hughes (2005) N Davis 09 441 2750 Auckland 1001 Mr David G Failes Dr Peter Ryan D Failes 09 373 7599 ext 89 820 Dr Lincoln Israel A/Professor Roy Fink Vic Fazio Auckland Colorectal Centre Dr Richard Perry Dr Graham Hill James Fleshman 15 Gilgit Road, Epsom Oxford Clinic Auckland 1023 38 Oxford Terrace Dr Desmond Hoffmann Roger Grace 09 623 7510 PO Box 3932 Dr Ray Hollings Peter Hawley Christchurch Dr Eva Juhasz 03 379 0555 Dr Mark Killingback ESR Hughes Department of Surgery Dr Stanley Koorey Prof Ole Kronberg North Shore Hospital Dr Gregory Robertson Dr Sol Levitt Sam Labow Private Bag 93503 Department of Surgery Takapuna Christchurch Hospital Dr Andrew McLeish (2007) Ian Lavery Auckland Private Bag 4710 Dr Ken Merten Neil Mortensen 09 441 2750 Christchurch 03 364 0640 Dr David Muir John Nicholls (2006) Dr John Keating Dr John Parer M Pheils Department of General Surgery Dr Mark Thompson-Fawcett Wellington Hospital Department of Surgery Dr Samuel Sakker (2007) W Douglas Wong Riddiford Street University of Otago Dr David Steinberg (2006) Wellington South PO Box 913 04 385 5999 Dunedin Dr Malcolm Stuart 03 474 0999 Dr Donald Tindal Dr Simione Lolohea Dr James Young (2006) 140 Rosebank Drive Dr Reolof M Van Dalen Tamahere Waikato Hospital Hamilton Pembroke St 07 839 8899 ext 4873 Hamilton 3240 07 839 8899 Dr Arend Merrie Auckland Colorectal Centre Dr John Woodfi eld 15 Gilgit Road, Epsom Kalene Mission Hospital Auckland 1023 PO Box 10 09 623 7510 Ikelenge North West Province ZAMBIA

156 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 157 You’ve spent your career improving what you do and how you do it – striving towards excellence...so have we.

EVIS EXERA II™ VIDEOSYSTEM CENTER: UNIVERSALPLATFORM

ACKNOWLEDGEMENT OF SUPPORT THE COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND GRATEFULLY ACKNOWLEDGES THE SUPPORT OF THE FOLLOWING SPONSORS WHO HAVE CONTRIBUTED TO THE PRODUCTION COSTS FOR THIS REPORT:

The universal imaging platform “ 08/06 8 14“ x 11 _ 7.030.866 4.3 W

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158 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND TRIENNIAL REPORT 2005-2007 – 159 Notes

160 – COLORECTAL SURGICAL SOCIETY OF AUSTRALIA AND NEW ZEALAND