Posters 07:30 - 19:00 Thursday, 27th September, 2018

P001 Comparison of different schemes of conservative treatment of anal incontinence

Oxana Fomenko1, Alexander Titov1, Svetlana Belousova1, Denis Aleshin1, Vladimir Kozlov2, Michail , Alekseev1, Andrey Mudrov1, Maxim Nekrasov1 1State Scietific Centre of Coloproctology, Moscow, Russian Federation. 2National Research University Higher School of Economics Institute of Demography, Moscow, Russian Federation P002 Replacement adaptor 09106 as a solution in case of end of stimulation of the Interstim I for patients with a dynamic graciloplasty: a feasibility and safety study.

Roman Assmann, Stephanie Breukink, Jarno Melenhorst MUMC+, Maastricht, Netherlands P003 Long-term results of sacral nerve stimulation for faecal incontinence in one tertiary referral center.

Mathilde Aubert, Diane Mege, Aurélie Maignan, Arnaud Sans, Julie Duclos, Remy Le Huu Nho, Nicolas Pirro, Igor Sielezneff Timone hospital, Marseille, France P004 Is percutaneous tibial nerve stimulation adequate to manage patients with fecal incontinence without having any type of surgery?

Onur Bayram, Berke Sengun, Orhan Agcaoglu, Emre Ozoran, Derya Uymaz, Emre Balik, Dursun Bugra Koc University School of Medicine Department of General Surgery, Istanbul, Turkey P005 Laparoscopic ventral rectopexy in treatment of rectal prolapse.

Oleg Biryukov, Alexander Titov, Grigory Zadachin State Scientific Centre of Coloproctology, Moscow, Russian Federation P006 Isolated fecal incontinence patients represent a different disease phenotype from patients who report fecal incontinence with concurrent constipation

Christy Cauley, Lieba Savitt, Milena Weinstein, May Wakamatsu, Hiroko Kunitake, Rocco Ricciardi, Kyle Staller, Liliana Bordeianou Massachusetts General Hospital, Boston, USA P007 Results of pelvic floor rehabilitation in patients with fecal incontinence

Leonardo Carcamo, Gonzalo Palominos, Felipe Bellolio, Oriana Molina, Gonzalo Urrejola, Tomas Larach, Rodrigo Miguieles, Alvaro Zuñiga, Maria Elena Molina Pontificia Universidad Católica de Chile, Santiago, Chile P008 Biofeedback for faecal incontinence improves functional outcomes and reduces long term healthcare utilisation

Aik Yong Chok1, Keerthana Sri Murali2, Nye Thane Ngo3, Cherylin Fu1, Choong Leong Tang1, Emile KW Tan1 1Department of Colorectal Surgery Singapore General Hospital, Singapore, Singapore. 2NUS Yong Loo Lin School of Medicine, Singapore, Singapore. 3Department of Histopathology Singapore General Hospital, Singapore, Singapore P009 Comparative quality of life in patients following transanal minimally invasive surgery(TAMIS) and healthy control subjects

Stefan Clermonts1,2, Tina van Loon1, Dareska Wasowicz1, Barbara Langenhoff1, David Zimmerman1 1Elisabeth-TweeSteden Hospital, Tilburg, Netherlands. 2Maastricht University Medical Center, Maastricht, Netherlands P010 A Systematic Review of Anterior Resection Syndrome (ARS)

Catherine Bryant1, Daniella Donato-Brown2, Henry Lee1, Christopher Chan3 1The Whittington NHS Trust, London, United Kingdom. 2Imperial College London, London, United Kingdom. 3Barts Health NHS Trust, London, United Kingdom P011 Sacral Nerve Stimulation at sub-sensory threshold does not compromise treatment efficacy in faecal incontinence patients.

Jakob Duelund-Jakobsen, Lilli Lundby, Steen Buntzen, Søren Laurberg Aarhus University Hospital, Pelvic Floor Unit, Aarhus, Denmark P012 Taeniectomy versus Transvere Coloplasty as Neorectum after Low Rectal Resection.

Ahmed Farag, Mohamed Yehia Elbarmelgi, Abdrabou N Mashhour Faculty of medicine, Cairo university, Cairo, Egypt P013 Utility of Mansoura Numeroalphabetic Constipation Score (MNCS) in Decision Making and Predicting the Outcome of Treatment of Obstructed Defecation Syndrome

Sameh Emile, Mostafa Shalaby, Ayman Elshobaky, Mohamed Youssef, Wael Khafagy, Mohamed Farid Mansoura University, Mansoura, Egypt P014 NEUROMODULATION OF THE POSTERIOR TIBIAL (PTNS) AS TREATMENT OF FECAL INCONTINENCE. OUR EXPERIENCE IN 62 PATIENTS

Lidia Cristobal-Poch1, Tamara Fernandez-Miguel1, Paula Martinez-Perez1, Noemi Cano1, MªFe Lastra1, Carmen Cagigas-Fernandez1,2, Marcos Gomez-Ruiz1,2, Manuel Gómez-Fleitas1,2,3, Julio del Castillo-Diego1,2 1Hospital Universitario Marques de Valdecilla, Santander, Spain. 2IDIVAL, Santander, Spain. 3Universidad de Cantabria, Santander, Spain P015 A comparative study on the sexual and urinary functions after transanal total mesorectal excision and low anterior resection for rectal cancer

Chi Chung Foo, Julian Tsang, Wayne Lam, Wai Lun Law, Oswens Lo University of Hong Kong, Hong Kong, Hong Kong P016 Functional Lumen Imaging Probe functional assessment of anal canal in Faecally Incontinent Patients

Kaori Futaba1, Ssu-Chi Chen1, Wing Wa Leung1, Cherry Wong1, Simon Chu2, Denis Ngo1, Tony Wing Chung Mak1, Simon Ng1, Hans Gregersen1 1Chinese University of Hong Kong, Shatin, Hong Kong. 2Chinee University of Hong Kong, Shatin, Hong Kong P017 Fecobionics: A novel defaecatory function test

Kaori FUtaba, Ssu-Chi Chen, Wing Wa Leung, Cherry Wong, Simon Chu, Dennis Ngo, Tony Wing Chung Mak, Simon Ng, Hans Gregersen Chinese University of Hong Kong, Shatin, Hong Kong P018 Altemeier’s procedure for complete rectal prolapse; outcome and function in 47 consecutive patients.

Mario Trompetto1, Roberta Tutino2, Alberto Realis Luc1, Eugenio Novelli3, Gaetano Gallo4, Giuseppe Clerico1 1Department of Colorectal Surgery. S Rita Clinic, Vercelli, Italy. 2Department of Surgical, Oncological and Stomatological Disciplines, University of Palermo, Palermo, Italy. 3Department of Biostatistics, S.Gaudenzio Clinic, Policlinico di Monza, Monza, Italy. 4Department of General Surgery, University of Catanzaro, Catanzaro, Italy P019 Stapled transanal rectal resection for the treatment of rectocele associated with obstructed defaecation syndrome: a large series of 262 patients

Gabriella Giarratano1, Claudio Toscana2, Mostafa Shalaby3,4, Pierpaolo Sileri4 1Casa di Cura Villa Tiberia, Rome, Egypt. 2Casa di Cura Villa Tiberia, Rome, Italy. 3Mansoura University, Mansoura, Egypt. 4Rome Tor Vergata University, Rome, Italy P020 Defecography: first-line diagnostic modality in patients with refractory constipation? Implications from a systematic review and meta-analysis

Ugo Grossi1, Gian Luca Di Tanna2, Henriette Heinrich3, Stuart Taylor4, Charles Knowles1, S Mark Scott1 1Centre for Trauma and Surgery, and GI Physiology Unit, Barts and the London School of Medicine and Dentistry, Queen Mary University of London, London, United Kingdom. 2Riskcenter - IREA, Department of Econometrics, Statistics and Applied Economics, Universitat de Barcelona, Barcelona, Spain. 3Department of Gastroenterology and Hepatology, University Hospital Zurich, Zurich, Switzerland. 4Centre for Medical Imaging, University College London, London, United Kingdom P021 The long-term results of Transtarr procedure to treat obstructed defecation syndrome (ODS)

Servane HAMEL1, Diane MEGE2, Marie DAZZA1, Mathieu LOIRE1, Anne-Marie LEROI1, Jean-Jacques TUECH1, Valérie BRIDOUX1 1Rouen University Hospital, Rouen, France. 2Timone Hospital, Marseille, France P022 Towards a core outcome set for slow-transit constipation in adults: a systematic review of outcomes reported in the literature

Stella CM Heemskerk1,2,3, Adriënne H Rotteveel1,4,2, Jarno Melenhorst1,3, Merel L Kimman1,2, Carmen D Dirksen1,2, Stéphanie O Breukink1,3 1Maastricht University Medical Center +, Maastricht, Netherlands. 2Care and Public Health Research Institute Maastricht University, Maastricht, Netherlands. 3School of Nutrition and Translational Research in Metabolism Maastricht University, Maastricht, Netherlands. 4National Institute for Public Health and the Environment, Bilthoven, Netherlands P023 Expectations and experiences of patients with idiopathic constipation regarding sacral neuromodulation: a qualitative approach

Adriënne H Rotteveel1,2,3, Stella CM Heemskerk1,2,4, Carmen D Dirksen1,2, Marla Woolderink2,1, Paul TJHM Janssen1, Laurens PS Stassen1,4, Jarno Melenhorst1,4, Stéphanie O Breukink1,4 1Maastricht University Medical Center +, Maastricht, Netherlands. 2Care and Public Health Research Institute Maastricht University, Maastricht, Netherlands. 3National Institute for Public Health and the Environment, Bilthoven, Netherlands. 4School of Nutrition and Translational Research in Metabolism Maastricht University, Maastricht, Netherlands P024 Episiotomy effects on fecal incontinence in multiparous patients in Shiraz

Seyed Vahid Hosseini, Hajar Khazraei, Alimohammad Bananzadeh Colorectal research center, Shiraz, Iran, Islamic Republic of P025 Defecography in the diagnosis of rectocele and prolapse of the rectum

Solmaz Imanova, Babak Zeynalov Azerbaijan medical universitety, Baku, Azerbaijan P026 Sexual function in women after laparoscopic ventral rectopexy with Permacol-biomesh, for rectal prolapse

Louis Johnson, Martin Lindsten, Ursula Aho Fält, Patricia Maldonado, Sara Strandberg, Mari Dahlberg, Antoni Zawadzki Malmö University Hospital-Pelvic Floor Centre, SUS, Malmö, Sweden P027 Long-term functional outcome and quality of life after redo-anastomosis following an anastomotic leak

Therese Juul1, Hossam Elfeki1,2, Søren Laurberg1, André D'Hoore3 1Aarhus University Hospital, Aarhus, Denmark. 2Mansoura University Hospital,, Mansoura, Egypt. 3University Hospitals Leuven, Leuven, Belgium P028 Colectomy for chronic constipation patients with features of colonic pseudo-obstruction

Sara Kim1, Yoon-Hye Kwon1, Kil-yong Lee1, Inho Song1, Eun Kyung Choe2, Kyu Joo Park1 1Seoul National University Hospital, Seoul, Korea, Republic of. 2Seoul National University Hospital Gang-nam center, Seoul, Korea, Republic of P029 Outcomes of treatment of fecal incontinence with sacral nerve stimulation - a Finnish national study

Jaan Kirss1,2, Tarja Pinta3, Pirita Varpe1, Tero Rautio4, Matti Kairaluoma5, Marja Hyöty6, Saija Hurme7, Camilla Böckelman8, Valtteri Kairaluoma4, Sinikka Salmenkylä8, Mikael Victorzon2,9 1Division of Digestive Surgery and Urology, Turku University hospital, Turku, Finland. 2Turku University, Turku, Finland. 3Seinäjoki Central Hospital, Department of Surgery, Seinäjoki, Finland. 4Oulu University Hospital, Oulu, Finland. 5Central Finland Central Hospital, Jyväskylä, Finland. 6Tampere University Hospital, Tampere, Finland. 7Department of Biostatistics, University of Turku, Turku, Finland. 8Helsinki University Hospital, Helsinki, Finland. 9Vaasa Central Hospitasa,Department of Surgery, Vaasa, Finland P030 Graciloplasty as an effective method for restoration of the perineal body in patients with passive fecal loss

Marloes Knol, Heleen Snijders, Hans van der Heyden, Coen Baeten Groene Hart Ziekenhuis, Gouda, Netherlands P031 Electrophysiological responses of the S3 sacral nerve in humans during neuromodulation for faecal incontinence

Gerrit E. Gmel1, John L. Parker1,2, Dave Mugan1, Paul F. Vollebregt3, Eleanor McAlees3, Charles H. Knowles3 1Saluda Medical Pty Ltd, Artarmon, Australia. 2Graduate School of Biomedical Engineering, The University of New South Wales, Sydney, Australia. 3National Bowel Research Centre, Blizard Institute, Queen Mary University of London, London, United Kingdom P032 Male sexual dysfunction after surgery for mid to low rectal cancer

Akihiro Kondo1,2, Yuji Nishizawa2, Yuichiro Tsukada2, Takeshi Sasaki2, Masaaki Ito2 1Kagawa University, Kagawa, Japan. 2National Cancer Center Hospital East, Chiba, Japan P033 Adverse obstetric history is not a risk factor for poor outcome after ventral mesh rectopexy for obstructive defecation syndrome

Darja Kremel1, Stefan Riss2, Catharina Müller2, Marco von Strauss3, Catherine Winstanley1, Joe Winstanley1, Mark Potter1, Hugh Paterson1, Mhairi Collie1 1Department of Colorectal Surgery, Western General Hospital, Edinburgh, United Kingdom. 2Medical University of Vienna, Department of Surgery, Vienna, Austria. 3Department of Surgery, University Hospital Basel, Basel, Switzerland P034 The impact of bariatric surgery on gastrointestinal function

Anthousa Kythreotou1, Christos Kontovounisios1,2,3, Evangelos Efthymiou3, Paris Tekkis1,2,3, Ara Darzi1, Hutan Ashrafian1 1Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 2Royal Marsden hospital, London, United Kingdom. 3Chelsea Westminster hospital, London, United Kingdom P035 Clinical evaluation and treatment of chronic diarrhoea following cancer in the colon and pelvic organs

Helene Mathilde Larsen1, Mette Borre1, Peter Christensen1, Asbjørn Drewes2, Søren Laurberg1, Klaus Krogh1, Janne Fassov3 1Aarhus University Hospital, Aarhus, Denmark. 2Aalborg University Hospital, Aalborg, Denmark. 3Aarhus Univesity Hospital, Aarhus, Denmark P036 How does bariatric surgery affect symptoms related to pelvic floor disorders in obese female patients? A prospective study

Clémentine Mazoyer1, Antonio Iannelli1, Patrick Treacy1, Emilie Duchalais2, Emmanuel Benizri3 1CHU, Nice, France. 2CHU, Nantes, France. 3CHU, NICE, France P037 Dynamic graciloplasty can be an option to treat severe faecal incontinence. 20-years’ experience from one tertiary referral centre

Diane Mege, Aurélie Maignan, Adel Omouri, Arnaud Sans, Julie Duclos, Rémy Le Huu Nho, Nicolas Pirro, Igor Sielezneff Timone hospital, Marseille, France P038 What is the best trans-anal procedure for rectocele treatment? A comparative study between Sullivan and STARR procedures

Diane Mege1, Valérie Bridoux2, Laure Mallet2, Rémy Le Huu Nho1, Servane Hamel2, Jean-Jacques Tuech2, Igor Sielezneff1 1Timone Hospital, Marseille, France. 2Charles Nicolle hospital, Rouen, France P039 A Retrospective Analysis of Botulinum Toxin for Anal Fissure at Wexham Park Hospital

Nick Li, Mitchell Burden, Giulio Cuffolo, Julia Merchant, Nadeen Low, Gisella Salerno Wexham Park Hospital, Slough, United Kingdom P040 Results of satisfaction survey after percutaneous tibial nerve stimulation (pTNS) in a serie of 62 patients with fecal incontinence

Tamara Fernández Miguel, Lidia Cristobal Poch, Paula Martinez Perez, Carmen Cagigas Fernandez, Marcos Gomez Ruiz, Manuel Gomez Fleitas, Julio Castillo Diego Hospital Universitario Marqués de Valdecilla, Santander, Spain P041 Delorme surgery for rectal mucosa prolapse after ISR in 28 patients

Naoko Miura, Yuji Nishizawa, Koji Ikeda, Yuichiro Tsukada, Takeshi Sasaki, Masaaki Ito Division of Colorectal Surgery, National Cancer Center Hospital East, Chiba, Japan P042 Old method – new century: the Altemeier procedure

Marijana Ninkovic, Sascha Czipin, Marcus Huth, Iris Mühlbacher, Irmgard Kronberger Department of Visceral-, Transplant and Thoracic Surgery, Medical University of Innsbruck, Austria, Innsbruck, Austria P043 Effectiveness of pelvic floor rehabilitation for bowel dysfunction after intersphincteric resection for lower rectal cancer

Hideaki Nishigori, Masayuki Ishii, Yujiro Kokado, Kouji Fujimoto, Hiroshi Higashiyama Shinko Hospital, Kobe, Japan P044 A total laparoscopic approach reduces erectile dysfunction after ileal pouch-anal anastomosis: a two-centre study

Picaud Olivier1, Laura Beyer-Berjot1, Yann Parc2, Stéphane Berdah1, Jérémie H. Lefèvre2 1Hôpital Nord APHM, Marseille, France. 2Hôpital Saint Antoine APHP, Paris, France P045 Risk factors for postoperative ileus following elective laparoscopic right colectomy:A retrospective multicentric study

Lise Courtot1, Bertrand Le Roy2, Thibault Voron3, Nicolas De angelis4, Nicolas Tabchouri1, Francesco Brunetti5, Anne Berger6, Didier Mutter7, Ephrem Salamé8, Denis Pezet9, Mehdi Ouaissi8 1Department of Digestive, Oncological, Endocrine, and Hepatic Surgery, and Hepatic Transplantation. Trousseau Hospital, Tours, Tours, France. 22Department of Digestive Surgery, Estaing University Hospital, Clermont Ferrand, France. 33Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, Strasbourg, France. 4Department of Digestive Surgery, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri-Mondor Hospital, AP-HP, Creteil, France. 5Department of Digestive Surgery, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri-Mondor Hospital, AP-HP, Créteil, France. 6Department of Digestive Surgery. George Pompidou European Hospital, Paris, France. 7Hepato-Biliary and Pancreatic Surgical Unit, IRCAD-IHU, University of Strasbourg, Strasbourg, France. 8Department of Digestive, Oncological, Endocrine, and Hepatic Surgery, and Hepatic Transplantation. Trousseau Hospital, Tours, France. 9Department of Digestive Surgery, Estaing University Hospital, Clermont-Ferrand, Clermont Ferrand, France P046 Low anterior resection syndrome and quality of life after sphincter sparing rectal cancer surgery: A long-term longitudinal follow-up

Emil Pieniowski1,2, Gabriella Palmer1, Therese Juul3, Pernilla Lagergren1, Asif Johar1, Katrine Emmertsen3,4, Caroline Nordenvall1, Mirna Abraham-Nordling1 1Department of Molecular medicine and Surgery, Stockholm, Sweden. 2Department of Suregery, Södersjukhuset, Stockholm, Sweden. 3Department of Surgery, Aarhus University Hospital, Aarhus, Denmark. 4Department of Surgery K, Regional Hospital Randers, Randers, Denmark P047 Low anterior resection syndrome: are we getting to the bottom of the problem with TaTME?

Claudia Reali1, Deborah S Keller2,3, Marta Penna4, Roel Hompes5 1Oxford University Hospitals, Churchill Hospital, Department of Colorectal Surgery, Oxford, United Kingdom. 2Columbia University Medical Center, Division of Colon and Rectal Surgery, New York, USA. 3University College London Hospitals, London, United Kingdom. 4Oxford University Hospitals, Churchill Hospitals, Department of Colorectal Surgery, Oxford, United Kingdom. 5University of Amsterdam, The Academic Medical Center, Division of Colorectal Surgery, Amsterdam, Netherlands P048 Evaluating response to sacral nerve stimulation in patients with Low Anterior Resection Syndrome: are scores good enough?

Ines Rubio-Perez, Isabel Pascual, Sara Gortazar, Mario Alvarez, Begoña Peinado, Jose L Marijuan Hospital Universitario La Paz, Madrid, Spain P049 Long-term results of sacral nerve stimulation for chronic refractory constipation: are patients satisfied with therapy?

Ines Rubio-Perez, Sara Gortazar, Jenny Guevara, Luis Asensio, Mario Alvarez, Jose L Marijuan, Isabel Pascual Hospital Universitario La Paz, Madrid, Spain P050 Risk factors for Low anterior resection syndrome after rectal cancer treatment

Mustafa Uygar Kalayci1, Inanc Samil Sarici1, Musa Diri1, Kemal Turker Ulutas2 1Kanuni Sultan Suleyman Training and Research Hospital Department of General Surgery, İstanbul, Turkey. 2Antakya State Hospital Medical Biochemistry, Hatay, Turkey P051 An analysis of surgical outcomes for rectal prolapse at a single institution: retrospective observational study

Jae Won Shin, Sung Yub Jung, In Kee Hong, Doo Seok Lee Daehang hospital, Seoul, Korea, Republic of P052 A systematic review and network meta-analysis comparing treatments for fecal incontinence

Constantinos Simillis, Nikhil Lal, Christos Kontovounisios, Paris Tekkis Department of Colorectal Surgery, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom P053 “Low anterior resection syndrome” after surgery for colon cancer – is right worse than left?

Annika Sjövall, Anna Martling, Christian Buchli Karolinska Institutet, Stockholm, Sweden P054 A multicentre randomised controlled trial comparing surgical treatments for rectal prolapse

Jannica Smedberg1,2, Wilhelm Graf3, Klas Pekkari1, Fredrik Hjern1 1Department of Clinical Sciences, Danderyd Hospital, Karolinska Institutet, Stockholm, Sweden. 2Department of Surgery, Visby Hospital, Visby, Sweden. 3Department of Surgical Sciences, Uppsala University Hospital, Uppsala, Sweden P055 Management of faecal incontinence using the novel 4 stage FINCH Strategy

Kelly Stackhouse, Elizabeth Clarson, Jodie Smith, Rajeev Peravali sandwell and west birmingham NHS trust, Birmingham, United Kingdom P056 A targeted biofeedback programme improves functional outcome following low anterior resection.

Kelly Stackhouse, Elizabeth Clarson, Jodie Smith, Andrew Torrence, Rajeev Peravali Sandwell and West birmingham NHS trust, Birmingham, United Kingdom P057 Is digitation a serious complaint?

Marija Gačić Štotl, Valentin Sojar, Pavle Košorok Medical Center Iatros, Ljubljana, Slovenia P058 Assessment of outpatient pelvic floor ultrasound investigations by specialist nurse therapists

Sara Strandberg, Mari Dahlberg, Martin Lindsten, Peder Rogmark, Antoni Zawadzki, Louis Banka Johnson, Marianne Starck Malmö University Hospital - Pelvic Floor Centre, Malmö, Sweden P059 Ventral sacrocolporectopexy with biological mesh in the treatment of total rectal prolapse combined with vaginal vault prolapse

Pasquale Talento, Giovanni Ferreri, Simona Maggiore, Eugenio Cudazzo, Rosa Vernaglia, Ilaria Vecchioni, Valerio Annessi Pelvic Floor Center, Surgical Department, Franchini Hospital, AUSL Reggio Emilia, Reggio Emilia,, Italy P060 Anastomotic leakage impairs long-term quality of life after rectal resection

Mary Than1, Stella Dilke2, Christopher Hadjittofi1, Ana Wilson2, Carolynne Vaizey2, James Hernon1, Phil Tozer2, Adam Stearns1, On behalf of the EQuLAR Study Group1,2 1Norfolk & Norwich University Hospital, Norwich, United Kingdom. 2St Markʼs Hospital, London, United Kingdom P061 Factors associated with low anterior resection syndrome and comparative assessment of three validated questionnaires at Greek rectal cancer patients

George Theodoropoulos1, Artemis Liapi2, Constantinos Mavrantonis3, Eleni Kourkouni4 1Colorectal unit, 1st Department of Propaedeutic surgery, Athens medical school, Greece, Athens, Greece. 21st Surgical Department of the General Hospital of Athens, G. Gennimatas, Athens, Greece. 36th Department of Surgery, Hygeia Hospital, Athens, Greece. 4Center for Clinical Epidemiology and Outcomes Research (CLEO), Athens, Greece P062 Long-term outcome after segmental colonic resection for slow transit constipation

Konstantinos Tsimogiannis1,2, Urban Karlbom1,2, Lundin2, Wilhelm Graf1,2 1Uppsala University Hospital, Uppsala, Sweden. 2Institution of Surgical Sciences, Uppsala, Sweden P063 Long-term outcome after laparoscopic ventral rectopexy for external rectal prolapse

Akira Tsunoda, Tomoko Takahashi, Hiroshi Kusanagi Kameda Medical Center, Chiba, Japan P064 Biopsies in Normal Colons for Loose Stools: Should this Practice be Abandoned?

Clara Mead-Robson, Suzanne Tween, Sunila Prasad, Sophia Battle, Jennifer Dean, Faddy Kamel, Nigel D'Souza, Ian Swift Croydon University Hospital, London, United Kingdom P065 Water-perfused anorectal manometry and pull-through maneuvers are unreliable techniques because they inadvertently increase anal pressure

Maxime van Meegdenburg, Monika Trzpis, Paul Broens University Medical Center Groningen, Groningen, Netherlands P066 Long-term bowel dysfunction after surgery for colorectal cancer

Sanne J. Verkuijl, Monika Trzpis, Edgar J.B. Furnée, Paul M.A. Broens University of Groningen, University Medical Center Groningen, Groningen, Netherlands P067 Examination under anaesthetic is an important diagnostic tool for assessment of high grade internal rectal prolapse

Ian Bloomfield1, Sharon Price2, Mingshuang Ding3,4, Chris Gillespie3,4, Andrea Warwick3,4 1Logan Hospital, Brisbane, Australia. 2QEII Jubilee Hospital, Brisbane, Australia. 3QEII hospital, Brisbane, Australia. 4University of Queensland, Brisbane, Australia P068 DIETETICS IS INTEGRAL TO THE CONSERVATIVE MANAGEMENT OF FUNCTIONAL DEFAECATORY DISORDERS

Sally Courtice1, Melody Chaussende1, Anita Mohanlal1, Leanne Ward1, Nicola Weedon1, Andrea Warwick1,2, Chris Gillespie1,2 1QEII Jubilee Hospital, Brisbane, Australia. 2University of Queensland, Brisbane, Australia P069 A feasibility study of dynamic MRI enema pouchography – normal variation in asymptomatic participants

Guy Worley1,2, Rachel Baldwin-Cleland1, Alison Corr1, John Jenkins1,2, Omar Faiz1,2, Sue Clark1,2, David Burling1 1St Mark's Hospital and Academic Institute, London, United Kingdom. 2Department of Surgery and Cancer, Imperial College London, London, United Kingdom P070 MRI defaecating pouchography – a feasibility study in asymptomatic participants

Guy Worley1,2, Rachel Baldwin-Cleland1, Alison Corr1, John Jenkins1,2, Omar Faiz1,2, Sue Clark1,2, David Burling1 1St Mark's Hospital and Academic Institute, London, United Kingdom. 2Department of Surgery and Cancer, Imperial College London, London, United Kingdom P071 Biofeedback is cost-effective in treating functional constipation and obstructed defecation syndrome

Wei Liang Loh1, Xin Yan Yang1, Nye Thane Ngo2, Cherylin Fu1, Choong Leong Tang1, Emile Tan1 1Singapore General Hospital, Singapore, Singapore. 2Singapore, Singapore, Singapore P072 Effectiveness of biofeedback therapy in improving symptoms and quality of life of patients with chronic constipation

XinYan Yang, Emile John Tan, Wei-Liang Loh Singapore General Hospital, Singapore, Singapore P073 Quality of life in women after laparoscopic ventral rectopexy with Permacol-biomesh, for rectal prolapse

Antoni Zawadzki, Martin Lindsten, Ursula Aho Fält, Patricia Maldonado, Sara Strandberg, Mari Dahlberg, Louis Banka Johnson Malmö University Hospital - Pelvic Floor Centre, SUS, Malmö, Sweden P074 Are there patient or operative factors associated with septic complication following Ileocolonic resection for Crohn's Disease ? – single centre contemporaneous cohort

Samuel Adegbola, Kapil Sahnan, Ana Fareleira, Stephen Hiles, Omar Faiz, Ailsa Hart, Janindra Warusavitarne St Mark's Hospital, London, United Kingdom P075 A comparison of short-term outcomes for patients undergoing elective laparoscopic right hemicolectomy for crohn’s disease versus colon cancer within an enhanced recovery programme

Emma Anderson1, Craig Mackay2, George Ramsay2, Craig Parnaby2 1University of Aberdeen, Foresterhill, Aberdeen, United Kingdom. 2Department of Surgery, Aberdeen Royal Infirmary, Aberdeen, United Kingdom P076 Factors associated with requirement of surgery in patients with Crohn’s disease

Onur Atakul1, Özdal Ersoy1, Eren Esen1, Ismail Ahmet Bilgin2, Erman Aytaç1, Volkan Özben1, Bilgi Baca1, İsmail Hamzaoğlu1, Tayfun Karahasanoğlu1, Hülya Hamzaoğlu1, Nurdan Tözün1 1Acıbadem Mehmet Ali Aydınlar University, İstanbul, Turkey. 2Acıbadem Mehmet Ali Aydınlar University, Istanbul, Turkey P077 Pouch resection – how to avoid and when to decide

Tomasz Banasiewicz1, Jacek Paszkowski2, Łukasz Krokowicz1, Piotr Krokowicz1, Maciej Borejsza-Wysocki1, Adam Bobkiewicz1, Jarosław Walkowiak1 1Poznan University of Medical Sciences, Poznań, Poland. 2Poznan University of Medical Sciences, Poznan, Poland P078 Effect of anti TNFα on postoperative outcomes after ileocolic resection for Crohn disease

Benjamin Benichou1, Mohamed Amine Rahili2, Jean louis Bernard1, Xavier Hebuterne3, Emmanuel Benizri1 1Departement of General and oncologic surgery, Hôpital de l'Archet 2, Nice, France. 2Departement of General and oncologic surgery,Hôpital de l'Archet 2, Nice, France. 3Gastroenterology and Clinical Nutrition, Hôpital de l'Archet 2, Nice, France P079 Resection for primary ileocecal crohn’s disease: is temporary ileostomy associated with less surgical recurrence

Roel Bolckmans1, Keshara Ratnatunga1, Sandeep Singh1, Helen Jones1, Dakshitha Wickramasinghe2, Kapil Sahnan2, Samuel Adegbola2, Disa Kalman3, Janindra Warusavitarne2, Pär Myrelid3, Bruce George1 1Oxford University Hospitals, Oxford, United Kingdom. 2St Mark's Hospital, London, United Kingdom. 3Linköping University Hospital, Linköping, Sweden P080 An audit of processes and outcome for emergency colectomy for colitis in England and Wales: an analysis of data from the National Emergency Laparotomy Audit

Elaine M Burns1, Tom Poulton2,3, Thomas Pinkney4, Richard Guy5 1Imperial College London, London, United Kingdom. 2Health Service Research Centre, National Institute of Academic Anaesthesia, London, United Kingdom. 3Department of Applied Health Research, University College London, London, United Kingdom. 4Academic Department of Surgery, University of Birmingham, Birmingham, United Kingdom. 5Colorectal Department, Oxford University Hospitals NHS Foundation Trust, Oxford, United Kingdom P081 Ileal pouch-anal anastomosis for patients with ulcerative colitis: functional results, quality of life and morbidity in follow-up of more than 10 years

Leonardo Carcamo, Paula Miranda, Alvaro Zuñiga, Maria Elena Molina, Gonzalo Urrejola, Tomas Larach, Rodrigo Miguieles, Felipe Bellolio Pontificia Universidad Católica de Chile, Santiago, Chile P082 Review of surgical referral pathway for patients with acute severe colitis

Ismail Chaudhry1, Bryan Chew1, Firas Raheman2, Mike Norwood2 1University of Leicester Medical School, Leicester, United Kingdom. 2University Hospitals of Leicester, Leicester, United Kingdom P083 Risk factors for early postoperative complications and length of hospital stay in ileocecal resection and right hemicolectomy for Crohn’s disease: A single center experience

Christian Galata1, Christel Weiss2, Julia Hardt1, Steffen Seyfried1, Peter Kienle3, Christoph Reißfelder1, Karoline Horisberger4 1University Hospital Mannheim, Mannheim, Germany. 2Department of Medical Statistics and Biomathematics, Medical Faculty Mannheim, Mannheim, Germany. 3Theresienkrankenhaus Mannheim, Mannheim, Germany. 4University Hospital Zurich, Zurich, Switzerland P084 Risk factors for early endoscopic recurrence after ileocecal resection in Crohn’s disease

Antonios Gklavas, Margarita Karageorgou, Ira Sotirova, Georgios Exarchos, Konstantinos Nastos, Dionysios Dellaportas, Ioannis Papaconstantinou 2nd Surgical Department, National and Kapodistrian University of Athens, Aretaieion Hospital, Athens, Greece P085 Frequency of endoscopic surveillance of the defunctioned rectum/colon in Crohn’s disease

1. Daniel Hancu1, Ioannis Gkegkes2, Bruce George2 1Oxford University Hospitals, Oxford, United Kingdom. 2to Oxford University Hospitals, Oxford, United Kingdom P086 Pouch failures following restorative proctocolectomy in ulcerative colitis

Ilona Helavirta1, Marja Hyöty1, Kirsi Lehto1, Heini Huhtala2, Pekka Collin3, Petri Aitola3 1Tampere University Hospital, Tampere, Finland. 23School of Health Sciences, University of Tampere, Tampere, Finland. 3University of Tampere, Tampere, Finland P087 Severe anemia increases the risk of postoperative morbidity in patients undergoing surgery for colonic Crohn’s disease

Igors Iesalnieks1, Antonino Spinelli2, Matteo Frasson3, Horesh Nir4, Alaa El-Hussuna5 1Klinikum Bogenhausen, Munich, Germany. 2Humanitas Clinical and Research Center, Milan, Italy. 3La Fe University and Polytechnic Hospital, Valencia, Spain. 4Chaim Sheba Medical Center, Ramat Gan, Israel. 5Aalborg University Hospital, Aalborg, Denmark P088 STAT1 signal pathway is associated with inflammatory bowel disease

Shuhei Kii1,2, Hidemitsu Kitamura2, Yujiro Toyoshima1, Naoki Okada1,2, Ko Sugiyama1,2, Huihui Xiang2, Futoshi Kawamata1, Yosuke Ohno1, Nobuki Ichikawa1, Tadashi Yoshida1, Shigenori Homma1, Hideki Kawamura1, Norihiko Takahashi1, Akinobu Taketomi1 1Department of Gastroenterological Surgery I, Hokkaido University Graduate School of Medicine, Sapporo, Japan. 2Division of Functional Immunology, Section of Disease Control, Institute for Genetic Medicine, Hokkaido University, Sapporo, Japan P089 Laparoscopic surgery for inflammatory bowel disease – ten years experience

Eva Koblihova, Mojmir Kasalicky Central Military and University Hospital, Prague, Czech Republic P090 Donorscreening for faecal microbiota transplantation

Sabrina Just Kousgaard1,2, Karina Frahm Kirk3, Hans Linde Nielsen4, Ole Thorlacius-Ussing1,2 1Department of Gastrointestinal Surgery, Aalborg University Hospital, Aalborg, Denmark. 2Department of Clinical Medicine, Aalborg University Hospital, Aalborg, Denmark. 3Department of Infectious Diseases, Aalborg University Hospital, Aalborg, Denmark. 4Department of Clinical Microbiology, Aalborg University Hospital, Aalborg, Denmark P091 Sigmoidostomy or Hartmann’s procedure after laparoscopic subtotal colectomy for inflammatory bowel disease ? A case-matched study in 170 consecutive patients from 6 european centres.

Diane Mège1, Willem Bemelman2, Gianluca Sampietro3, Janindra Warusavitarne4, Antonino Spinelli5, André D'Hoore6, Yves Panis1 1Beaujon Hospital, Clichy, France. 2AMC, Amsterdam, Netherlands. 3Luigi Sacco University Hospital, Milan, Italy. 4Saint Mark's Hospital, Harrow, United Kingdom. 5Humanitas, Milan, Italy. 6University Hospital Leuven, Leuven, Belgium P092 Laparoscopic subtotal colectomy with double-end ileo-sigmoidostomy in right iliac fossa facilitate second step of ileorectal or ileal pouch-anal anastomosis: a bicentric study in 213 consecutive patients with inflammatory bowel disease.

Diane Mège1, Alice Frontali1, Gianluca Pellino2, Samuel Adegbola2, Léon Maggiori1, Janindra Warusavitarne2, Yves Panis1 1Beaujon Hospital, Clichy, France. 2St Mark's Hospital, Harrow, United Kingdom P093 Presentations and aetiologies of acute colitis: a prospective cohort study

Jeremy Meyer, Vaihere Delaune, Alexandre Balaphas, Renzi Guesele, Nicolas Christian Buchs, Philippe Bichard, Philippe Morel, Jacques Schrenzel, Jean-Louis Frossard, Frédéric Ris Hôpitaux Universitaires de Genève, Genève, Switzerland P094 Delta albumin is a better prognostic marker for complications following laparoscopic intestinal resection for Crohn's disease than albumin alone

Catharina Müller, Anton Stift, Stanislaus Argeny, Michael Bergmann, Michael Gnant, Sebastian Marolt, Lukas Unger, Stefan Riss Medical University of Vienna, Vienna, Austria P095 Use and success of in vitro fertilization in women following restorative proctocolectomy and ileal pouch-anal anastomosis. A nationwide 14-year cohort study

Frederik Rønne Pachler1, Gunnar Toft2, Thue Bisgaard3, Søren Laurberg1 1Colorectal Surgical Unit, Aarhus University Hospital, Aarhus C, Denmark. 2Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus C, Denmark. 3Gastrounit, Surgical Division, Centre for Surgical Research, Hvidovre Hospital, University of Copenhagen, Hvidovre, Denmark P096 Fertility in patients with failure of restorative proctocolectomy for ulcerative colitis

Frederik Rønne Pachler, Anders Mark-Christensen, Søren Laurberg Colorectal Surgical Unit, Aarhus University Hospital, Aarhus C, Denmark P097 Routine Biopsy For Microscopic Colitis: Worth the Cost?

Sophia Battle, Sunila Prasad, Suzanne Tween, Clara Meadrobson, Jennifer Dean, Faddy Kamel, NIgel D'Sou, Ian Swift Croydon University Hospital, London, United Kingdom P098 Postoperative complications in IBD patients: what are we worried about? A National Survey

Luis Sánchez-Guillén1, Francisco Blanco-Antona2, Beatriz Espina-Pérez3, Carlos Javier Gómez-Díaz4, Montserrat Guasch-Marcé5, Francisco López-Rodríguez-Arias1, Antonio Arroyo1, Monica Millán3 1University Hospital Elche, Elche, Spain. 2University Hospital Valladolid, Valladolid, Spain. 3University Hospital Joan XXIII, Tarragona, Spain. 4Hospital San Joan de Martorell, Barcelona, Spain. 5Hospital San Jorge, Huesca, Spain P099 The therapies controlling postoperative surgical recurrence in Crohn’s disease

Masaru Shinozaki The Institute of Medical Science, the University of Tokyo, Tokyo, Japan P100 Does cessation of smoking reduce surgical recurrence after primary ileocolic resections for Crohn’s disease in long-term

Sandeep Singh1, Disa Kalman2, Roel Bolckmans1, Keshara Ratnatunga1, Helen Jones1, Anton Risto2, Richard Guy1, Bruce George1, Pär Myrelid2 1Oxford University Hospital, Oxford, United Kingdom. 2Linköping University Hospital, Linköping, Sweden P101 Using patient’s preference in randomized controlled trials

Karin Wasmann1, Pieta Wijsman2, Susan van Dieren3, Willem Bemelman1, Christianne Buskens1 1department of surgery, AMC, Amsterdam, Netherlands. 2Department of internal medicine, Spaarne Gasthuis, Hoofddorp, Netherlands. 3Department of epidemiology, AMC, Amsterdam, Netherlands P102 Ileostomy reversal following surgery for Crohns disease is unaffected by smoking, open surgery or peri-anal disease – a tertiary centre experience.

Dakshitha Wickramasinghe1,2, Samuel Adegbola1, Kapil Sahnan1, Miguel Lantaro1, Janindra Warusavitarne1 1St. Mark's hospital, London, United Kingdom. 2Faculty of Medicine, University of Colombo, Colombo, Sri Lanka P103 Determining the predictors of 30-day readmission following ileo-cecal surgery in patients with Crohn’s disease

Dakshitha Wickramasinghe1,2, Kapil Sahnan1, Samuel Adegbola1, Miguel Lantaro1, Janindra Warusavitarne1 1St. Mark's hospital, London, United Kingdom. 2Faculty of Medicine, University of Colombo, Colombo, Sri Lanka P104 Predicting the length of stay after surgery for Crohns disease

Dakshitha Wickramasinghe1,2, Miguel Lantaro1, Samuel Adegbola1, Kapil Sahnan1, Janindra Warusavitarne1 1St. Mark's hospital, London, United Kingdom. 2Faculty of Medicine, University of Colombo, Colombo, Sri Lanka WP11 A nationwide cohort study of the cumulative risk of colectomy after emergency hospital admission for ulcerative colitis

Guy Worley1,2, Alan Askari1,2, Jonathan Segal1,2, Omar Faiz1,2 1St Mark's Hospital and Academic Institute, London, United Kingdom. 2Department of Surgery and Cancer, Imperial College London, London, United Kingdom P106 Prospective evaluation of accuracy in the diagnosis of benign anorectal conditions by clinicians and medical students

Tanvir Abbass1, John Camilleri-Brennan1,2 1Forth Valley Royal Hospital, Stirlingshire, United Kingdom. 2University of Glasgow, Glasgow, United Kingdom P107 Tactical PPI for TACTIC - an ileostomy closure trial

Vallance Abigail, Matthew Lee, Vaughan-Shaw Peter, Deena Harji, Nicola Fearnhead BDRF, London, United Kingdom P108 The role of endoscopic interventions and electroincision in benign anastomotic strictures following colorectal surgery

Turan Acar1, Fatih Aslan2, Nihan Acar1, Erdinç Kamer1, Belkıs Ünsal1, Mehmet Haciyanli1 1İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey. 2Koc University, İzmir, Turkey P109 OUTCOMES OF LOOP ILEOSTOMY CLOSURE BY DIFFERENT METHODS

Sergei Achkasov, Oleg Sushkov, Alexey Moskalev, Ivan Lantsov State Scientific Centre of Coloproctology named after A.N. Ryzhih., Moscow, Russian Federation P110 A colorectal perspective on management of Hidradenitis Suppurutiva

Samuel Adegbola, Kapil Sahnan, Nikhil Pawa, Dimitrios Patsouras, Robin Phillips, Philip Tozer St Mark's Hospital, London, United Kingdom P111 Preliminary results of randomized trial of study of perfusion of colorectal anastomosis using fluorescence angiography

Mikhail Alekseev1,2, Evgeny Rybakov1, Yury Shelygin1 1State Scientific Centre of Coloproctology, Moscow, Russian Federation. 2Russian Medical Academy of Postgraduate Education, Moscow, Russian Federation P112 Aggressive angiomyxoma of the perineum and lower pelvis: case series and literature review

Ignacio Aguirre Allende, Garazi Elorza Echaniz, Leyre Velaz Pardo, Mikel Osorio Capitán, Carlos Placer Galan, Jose Maria Enriquez Navascues Hospital Universitario Donostia, San Sebastian, Spain P113 Could hyponatremia be an indicator of colorectal anastomotic leak?

Ahmad Alsaleh1, Olliver Waren1, Sarah Mills1, Paris Tekkis2,1,3, Christos Kontovounisios2,3,1 1Chelsea Westminster hospital, London, United Kingdom. 2Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 3Royal Marsden hospital, London, United Kingdom P114 Can We Predict and Prevent Surgically Complicated Diverticulitis?

YUKSEL ALTINEL1, RONALD BLEDAY2, MARC RUBIN3, ROCCO RICCIARDI1, TODD Francone4, Liliana Bordeianou1 1MASSACHUSETTS GENERAL HOSPITAL, BOSTON, USA. 2BRIGHAM AND WOMENS' HOSPITAL, BOSTON, USA. 3North Shore Medical Center, BOSTON, USA. 4Newton-Wellesley Hospital, BOSTON, USA P115 one year survival following emergency colectomy

Samim Al-Zubadi, Anisa Kushari, Abeed Chowdhury, Avinder Chana, J.A Simpson, Victoria Banks, Ayan Banerjea, David Humes Nottingham Colorectal Service, Nottingham, United Kingdom P116 Is a discharge at day 3 after colectomy or 5 after rectal resection safe? A Prospective cohort of 145 patients included in an Enhanced recovery program.

Morgan Anyla1, Jeremie H. Lefevre2, Conor Shields2, anais Laforest2, christophe Gutton3, Emmanuel Tiret4, Thomas Lescot2, Yann Parc2 1Hôpital Saint-Antoine, paris, France. 2Hôpital Saint-Antoine, Paris, France. 3Hôpital Saint-Antoine, Paris Area, France, France. 4Hôpital Saint-Antoine, PAris, France P117 Safe adoption of robotic colorectal surgery using structured training: early Irish experience

Mohammed Aradaib1,2, Paul Neary1, Adnan Hafeez1, Reza Kalbassi1, Amjad Parvaiz3,2,4, Diarmuid O'Riordain1 1Beacon Hospital, Dublin, Ireland. 2University of Portsmouth, Portsmouth, United Kingdom. 3Champalimaud Foundation, Lisbon, Portugal. 4Poole Hospital NHS, Poole, United Kingdom P118 Colonoscopy quality assurance in Irish hospitals: is participating in quality improvement programs beneficial?

Mohammed Aradaib1,2, Reza Kalbassi1 1Beacon Hospital, Dublin, Ireland. 2University of Portsmouth, Portsmouth, United Kingdom P119 A rare cause of lower gastrointestinal bleeding: a case report of midgut malrotation in an adult patient

Mohammed Aradaib1,2, Diarmuid O'Riordain1 1Beacon Hospital, Dublin, Ireland. 2University of Portsmouth, Portsmouth, United Kingdom P120 Wound infection in elective colorectal resection by using a double-ring wound- protection device

Juan J Arenal1,2, John H. Herrera1, Claudia Tinoco3, César Benito2, Miguel A. Citotes2, Carmen Benito4, José M. Eiros2,5 1Hospital Recoletas Campo Grande, Valladolid, Spain. 2Hospital Universitario Río Hortega, Valladolid, Spain. 3Hospital Universitario Río Hortega, Valadolid, Spain. 4Facultad de Medicina. Universidad de Valladolid, Valladolid, Spain. 5University of Valladolid, Valladolid, Spain P121 Morbidity and mortality: learning from ‘free lessons’ through a novel A-Z approach

James Ashcroft1,2, Duncan Alston1, John Platt1 1West Middlesex University Hospital, Chelsea and Westminster Hospital NHS Foundation Trust, Isleworth, London, United Kingdom. 2Imperial College London, London, United Kingdom P122 A new technique of completely diverted tube ileostomy for protection of colorectal anastomosis

Wafi Attaallah, Alisina Bulut, Tevfik Kivilcim Uprak, Cumhur Yegen Marmara University School of Medicine, Department of General Surgery, Istanbul, TURKEY, Istanbul, Turkey P123 Treatment of mild uncomplicated acute diverticulitis without antibiotics:a systematic review and meta-analysis

Stephanie Au1, Emad Aly2 1Royal Infirmary of Edinburgh, Edinburgh, United Kingdom. 2Aberdeen Royal Infirmary, Aberdeen, United Kingdom P124 Medical nutrition therapy and perioperative complications: a prospective non-interventional study incorporating mobile technologies

Tomasz Banasiewicz1, Wojciech Francuzik2, Krzysztof Łuczak3, Piotr Piątek4 1Poznan University of Medical Sciences, Poznan, Poland. 2Klinik für Dermatologie, Venerologie und Allergologie; Charité Universitätsmedzin, Berlin, Germany. 3University of Economy, Poznan, Poland. 4Medigent Foundation, Poznań, Poland P125 Medigent.leak application – first 300 colorectal patients in advanced smartphone app for calculation the risk of leak, data collection and registry of complications

Tomasz Banasiewicz1, Wojciech Francuzik2, Krzysztof Łuczak3, Adam Dziki4, Paweł Lampe5, Zbigniew Lorenc5, Marek Szczepkowski6, Jacek Zieliński7, Marek Zawadzki8, Paweł Bury9, Jacek Dziedzic9, Piotr Piątek10, Grzegorz Wallner9 1Poznan University of Medical Sciences, Poznan, Poland. 2Klinik für Dermatologie, Venerologie und Allergologie; Charité Universitätsmedzin, Berlin, Germany. 3University of Economy, Poznań, Poland. 4Medical University, Łódź, Poland. 5Medical University, Katowice, Poland. 6Center of Postgraduate Medical Education, Warsaw, Poland. 7Medical University, Gdańsk, Poland. 8Center of Robotic Surgery, Poznań, Poland. 9Medical University, Lublin, Poland. 10Medigent Foundation, Poznań, Poland P126 NPWT – method for treatmnet of complicated stoma

Tomasz Banasiewicz, Jacek Paszkowski, Łukasz Krokowicz, Maciej Borejsza-Wysocki, Adam Bobkiewicz Poznań Medical University of Medical Sciences, Poznań, Poland P127 Routine histopathological examination of appendectomy specimens: a systematic review

Vivian Bastiaenen, Wies Allema, Charlotte Klaver, Pieter Tanis, Willem Bemelman Department of Surgery, Academic Medical Center, Amsterdam, Netherlands P128 Effect of closed incision negative pressure wound therapy on incidence rate of surgical site infection after stoma reversal: a preliminary report

Adam Bobkiewicz1, Wojciech Francuzik2, Lukasz Krokowicz1, Maciej Borejsza-Wysocki1, Dominik Walczak3, Jacek Szmeja1, Tomasz Banasiewicz1 1Department of General, Endocrinological Surgery and Gastroenterological Oncology Poznan University of Medical Sciences, Poznan, Poland. 2Department of Dermatology, Venerology and Allergology Charité - Universitätsmedizin, Berlin, Germany. 3Department of Oncological and Reconstructive Surgery, The Maria Sklodowska-Curie Memorial Cancer Center and Institute of Oncology, Gliwice, Poland P129 Non-cancer colorectal multidisciplinary meeting improves patient care and contributes to a more effective colorectal cancer MDT

Georgios Bointas1, Yasuko Maeda1,2,3, Ashish Sinha1,2,3, Tushar Agarwal1,2,3 1Ealing Hospital, Southall, United Kingdom. 2St Mark's Hospital, Harrow, United Kingdom. 3Imperial College, London, United Kingdom P130 Worth the wait: a closed-loop audit confirming the need for preoperative imaging in appendicitis

Anna Borissova1, Alexander Hotouras2, Pallavi Huma Arya1, Jonjo Miller3, Isa Ouwehand3, Frances Hughes1 1Royal London Hospital, London, United Kingdom. 2Whipps Cross Hospital, London, United Kingdom. 3Barts and the London Medical School, London, United Kingdom P131 Mechanical bowel preparation (MBP) decreases postoperative anastomotic leak rate to the same extent after both right and left colectomies

Markus Bormann, Irmgard Weindl, Ayman Agha, Igors Iesalnieks Klinikum Bogenhausen, Munich, Germany P132 Systematic review of psychological effects of emergency laparotomy

Kathryn Boyce1, Anna Powell Chandler2, Julie Cornish1 1University Hospital of Wales, Cardiff, United Kingdom. 2Wales Deanery, Cardiff, United Kingdom P133 Cytomegalovirus and human herpesvirus 6 in the development of acute appendicitis in children

Marjolijn Timmerman1, Annelies Riezebos-Brilman2, Monika Trzpis1, Paul Broens1 1University of Groningen, University Medical Center Groningen, Groningen, Netherlands. 2University Medical Center Utrecht, Utrecht, Netherlands P134 Intracorporeal laparoscopic anastomoses in segmental colonic resections – a single center retrospective study

Musa Büyükuslu1, Thomas Buchbjerg2, Lasse Bugge2, Mark Ellebæk3 1Department of Surgery, Hospital South West Jutland, Esbjerg, Denmark. 2Department of Surgery, Svendborg Hospital, Svendborg, Denmark. 3Department of Surgery, Odense University Hospital, Odense, Denmark P135 COMPARATIVE STUDY OF PERIOPERATIVE COMPLICATIONS IN PATIENTS WITH AND WITHOUT PLACEMENT OF COLONIC STENT

Ana Cabrera1, Jonás García1, Valentina Sosa1, Elena Pérez1, Altea Arango1, Anazazu Alvarez2, José Pérez Pariente2, Carlos Alvarez Laso1, Eusebio Mosquera1 1Servicio de Cirugía. Hospital Universitario de Cabueñes, Gijón, Spain. 2Servicio de Digestivo. Hospital Universitario de Cabueñes, Gijón, Spain P136 GHOST VERSUS LATERAL ILEOSTOMY. INDICATION AND MORBIDITY COMPARISON

Valentina Sosa, Ana Cabrera, Jonás García, Elena Pérez, Altea Arango, Helena Padín, Carlos Alvarez, Jose Ignacio Rodríguez Servicio de Cirugía. Hospital Universitario de Cabueñes, Gijón, Spain P137 3D PRINTED DEVICES USE IN TRANSANAL ENDOSCOPIC APPROACH. A CASE SERIES.

Ana Cabrera1, Valentina Sosa1, Marta Villazón2, José Manuel Sierra2, Elena Pérez1, José Luis Cortizo2, Altea Arango1, José Ignacio Rodríguez1 1Servicio de Cirugía. Hospital Universitario de Cabueñes, Gijón, Spain. 2Escuela Politécnica de Ingeniería de Gijón. Universidad de Oviedo, Gijón, Gijón, Spain P138 IMPLEMENTATION OF A ENHANCED RECOVERY PROGRAM(ERAS) AFTER COLORECTAL SURGERY. PROBLEMS AND POSSIBLE SOLUTIONS. IF ERAS IS BENEFICIAL, WHY IS NOT THE STANDARD OF CARE?

Carmen Cagigas- Fernandez1,2, Lidia Cristobal-Poch1,2, Marcos Gomez-Ruiz1,2, Sonia Castanedo-Bezanilla1, Tamara Fernandez-Miguel1, Manuel Gomez-Fleitas1,2,3, Julio del Castillo-Diego1,2 1Hospital Universitario Marqués de Vadecilla, Santander, Spain. 2IDIVAL, Santander, Spain. 3Universidad de Cantabria, Santander, Spain P139 ERAS PROGRAM AND MINIMALLY INVASIVE SURGERY(MIS).EVIDENCE OF A GOOD FRIENDSHIP.

Lidia Cristobal-Poch1,2, Carmen Cagigas-Fernandez1,2, Marcos Gomez-Ruiz1,2, Sonia Castanedo-Bezanilla1, Manuel Gomez-Fleitas1,2,3, Julio Del Castillo-Diego1,2 1Hospital Universitario Marques de Valdecilla, Santander, Spain. 2IDIVAL, Santander, Spain. 3Universidad de Cantabria, Santander, Spain P140 QUALITY OF CARE SURVEY WITHIN THE ERAS PROGRAM AFTER COLORECTAL SURGERY AND HOME HOSPITALIZATION CARE (HHC)

Lidia Cristobal-Poch1, Carmen Cagigas-Fernandez1,2, Sonia Castanedo-Bezanilla1, Tamara Fernandez-Miguel1, Marcos Gómez-Ruiz1,2, Marcos Pajaron-Guerrero1, Manuel Gómez-Fleitas1,2,3, Julio del Castillo-Diego1,2 1Hospital UniversitarioMarqués de Valdecilla, Santander, Spain. 2IDIVAL, Santander, Spain. 3Universidad de Cantabria, Santander, Spain P141 Is reoperation for Hartmann’s reversal after failure of previous colorectal or coloanal anastomosis reasonable ? An analysis of 43 consecutive procedures.

Clémentine Caille, Maxime Collard, Léon Maggiori, David Moszkowicz, Yves Panis Beaujon Hospital, Clichy, France P142 COMPARATIVE STUDY OF THE CLOSURE TECHNIQUE OF LOOP ILEOSTOMY IN OUR CENTER IN A SERIES OF 157 PATIENTS IN FOR 4 CONSECUTIVE YEARS

Sonia Castanedo-Bezanilla1, Tamara Fernandez-Miguel1, Carmen Cagigas-Fernandez1,2, Marcos Gomez-Ruiz1,2, Joaquin Alonso-Martin1,2, Manuel Gómez-Fleitas1,2,3, Julio del Castillo-DIego1,2 1Hospital Universitario Marqués de Valdecilla, Santander, Spain. 2IDIVAL, Santander, Spain. 3Universidad de Cantabria, Santander, Spain P143 Diagnostic profitability of colonoscopy to rule out colon cancer after an episode of acute diverticulitis.

Pablo Muriel-Álvarez, Carlos Cerdán-Santacruz, Mireia Merichal-Resina, Nuria Mestres-Petit, Ana Pinillos- Somalo, Elena Cuello-Guzmán, Jaume Ortega-Alcaide, José Enrique Sierra-Grañón, Jorge Juan Olsina-Kissler Hospital Universitario Arnau de Vilanova, Lleida, Spain P144 What is the outcome of a postoperative drainage for low colo-rectal or colo-anal anastomosis leakages? A prospective cohort of 43 patients.

Alexandre Challine, Jeremie H. Lefevre, Najim Chafai, Clotilde Debove, Emmanuel Tiret, Yann Parc Hopital Saint-Antoine, Paris, France P145 Development and delivery of a standardised investigator training package for a multicentre interventional trial across low, middle and high income settings

GlobalSurg Collaborative NIHR Unit on Global Surgery, Birmingham, United Kingdom P146 Laparoscopic colorectal surgery and Enhanced Recovery After Surgery (ERAS) in the elderly

Corrado Pedrazzani, Cristian Conti, Giulia Turri, Alfredo Guglielmi AOUI Verona, Verona, Italy P147 3D Modelling of pelvic anatomy for colorectal cancer staging and dynamic function simulation

Christos Kontovounisios1,2,3, Seth Cox3, Nasir Khan3, Paris Tekkis1,2,3, Fernando Bello1 1Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 2Royal Marsden hospital, London, United Kingdom. 3Chelsea Westminster hospital, London, United Kingdom P148 An Audit of the Use of Mechanical Bowel Preparation in Combination with Oral Antibiotics for Elective Colorectal Resection

Joanna Craven, Pranesh Nagarajan, Ahsan Javed Warrington Hospital, Warrington, United Kingdom P149 Individualised prediction of prehabilitation window before colorectal cancer resection using artificial neural networks

Nathan Curtis1,2, Emad Salib3, Daniel Hashimoto4, Godwin Dennison1, Nader Francis1,5 1Yeovil District Hospital, Yeovil, United Kingdom. 2Imperial College London, London, United Kingdom. 3University of Liverpool, Liverpool, United Kingdom. 4Massachusetts General Hospital, Boston, USA. 5University of Bath, Bath, United Kingdom P150 Peculiarities of recovery surgeries in patients with colon injuries across the war conflict in Ukraine

Dmytro Davydchuk, Olena Umanets, Oleksiy Ossovskiy, Tsema, Vladislav Nechay, Alexander Biba, Ruslan Palienko National Military Medical Clinical Center of Ministry of Defense of Ukraine, , Ukraine P151 Non-operatively treated appendicitis; the need for interval appendectomy and risk of neoplasms

Joske de Jonge1, Matthijs D.M. Bolmers1, Gijsbert D. Musters2, Charles C. van Rossem3, Willem A. Bemelman2, Anna A.W. van Geloven1 1Tergooi Hospital, Hilversum, Netherlands. 2Academic Medical Center, Amsterdam, Netherlands. 3Maasstad Hospital, Rotterdam, Netherlands P152 Discrepancies between intraoperative and histological evaluation of the appendix in acute appendicitis.

Joske de Jonge1, Matthijs D.M. Bolmers1, Charles C. van Rossem2, Anna A.W. van Geloven1, Willem A. Bemelman3 1Tergooi Hospital, Hilversum, Netherlands. 2Maasstad Hospital, Rotterdam, Netherlands. 3Academic Medical Center, Amsterdam, Netherlands P153 Comparison between biologic mesh and current management of the open abdomen in non-trauma emergency patients

Fleur de Vries1, Jasper Atema1, Jeroen Claessen1, Gijs van Acker2, Caroline Andeweg3, Eric Belt4, Willem Bemelman1, Marcus Brouwers5, Esther Contsten6, Sebastiaan Festen7, Tjarda van Heek8, Tom Karsten7, Flip Kruyt8, Bas Lamme4, Eric Manusama9, John Maring10, Willem Steup5, Jan Stoot11, Pieter Tanis1, Willem van Tets7, Tammo de Vries - Reilingh12, Dania Wasowicz10, Johannes Wegdam12, Marinke Westerterp2, Oddeke van Ruler13, Marja Boermeester1 1AMC, Amsterdam, Netherlands. 2MC Haaglanden, Den Haag, Netherlands. 3St Jansdal, Harderwijk, Netherlands. 4ASZ, Dordrecht, Netherlands. 5Haga Ziekenhuis, Den Haag, Netherlands. 6Meander, Amersfoort, Netherlands. 7OLVG, Amsterdam, Netherlands. 8Gelderse Vallei, Ede, Netherlands. 9MCL, Leeuwarden, Netherlands. 10ETZ, Tilburg, Netherlands. 11Zuyderland, Sittard, Netherlands. 12Elkerliek, Helmond, Netherlands. 13Ijsselland Ziekenhuis, Capelle a/d Ijssel, Netherlands P154 Continuous versus intermittent vital signs monitoring in patients admitted to surgical wards: a cluster-randomised, controlled trial

Candice Downey1, Rebecca Randell1, Julia Brown2, David Jayne1 1University of Leeds, Leeds, United Kingdom. 23. Leeds Institute of Clinical Trials Research, Leeds, United Kingdom P156 Variation in Landmarks for the Rectum: An MRI Study

Nigel D'Souza1,2, Svetlana Balyasnikova1, Amy Lord2,1, Annabel Shaw2,1, Vera Tudyka3, Muti Abulafi2, Paris Tekkis1, Gina Brown1 1Royal Marsden Hospital, London, United Kingdom. 2Croydon University Hospital, London, United Kingdom. 3Kingston Hospital, London, United Kingdom P157 A novel view on the variant anatomy of the inferior mesenteric artery

Sergey Efetov, Kirill Seurko, Nora Oganyan, Karina Kochneva, Ludmila Sidorova, Inna Tulina, Kirill Pusakov, Petr Tsarkov Clinic of colorectal and minimally invasive surgery Sechenov First Moscow State Medical University, Moscow, Russian Federation P158 Routine follow up endoscopy in CT proven acute sigmoid diverticulitis. Is endoscopic assessment necessary in the era of high resolution imaging ?

Ahmed El Hadi1, Qubekani Moyo2, Andrew Gales1, R justin Davies1, James Wheeler1 1Cambridge Colorectal Unit, Addenbrooke`s Hospital, Cambridge, United Kingdom. 2University of Cambridge, Cambridge, United Kingdom P159 Avoiding ileocolic vessel injury in the second stage of a three-stage ileal pouch anal anastomosis: an observational study

AHMED ABOU-ZEID1, ISLAM ELABBASSY1,2, AHMED KHALIL1, MAHMOUD FARGHALY1, SHERIF BORAEI3 1Ain Shams University, Cairo, Egypt. 2Queen Elizabeth The Queen Mother Hospital, Margate, United Kingdom. 3National Hepatology and Tropical Medicine research Institute, Cairo, Egypt P160 Overlap repair of isolated internal anal sphincter injury: success and failure

Mohamed Nada1, ISLAM ELABBASSY1,2 1Ain Shams University, Cairo, Egypt. 2Queen Elizabeth The Queen Mother Hospital, Margate, Kent, United Kingdom P161 Concomitant colorectal cancer with aortic and bilateral iliac aneurysms – a rare surgical dilemma.

Mohamad El-Farran, Daniel Gearon, Arshad Malik Ipswich Hospital, Ipswich, United Kingdom P162 Sublay overlapping split mesh (SOSM) incisional hernia repair

Hazim Eltyeb, Mark Katory, Paul Oloughlin Queen Elizabeth Hospital, Gateshead, United Kingdom P163 A comparison of anastomotic leak rate following end-side hand sewn (ESHS) versus stapled functional end anastomosis (SFE) with laparoscopic right hemicolectomy

Hazim Eltyeb, Mo Fagger, Paul O'loughlin, Mark Eltringham, Mark Katory Queen Elizabeth Hospital, Gateshead, United Kingdom P164 A prospective cohort study examining the usefulness of the SEPSIS-3 guidelines in patients undergoing major abdominal surgery

William English1,2, Kathryn Waller3, Polychronis Kemos3, Alexander Hotouras1,2, Charles Knowles1,2, William Alazawi1,3 1Royal London Hospital, Barts Health NHS Trust, London, United Kingdom. 2National Bowel Research Centre, Blizard Institute, London, United Kingdom. 3Centre for Immunobiology, Blizard Institute, London, United Kingdom P165 A tailored prehabilitation-ERAS programme improves postoperative outcomes in elderly patients with colorectal cancer

Beatriz Espina-Perez, Aleidis Caro-Tarrago, Anna Vallverdu-Rivero, Francesc Feliu-Villaro, Jordi Escuder-Perez, Teresa Sole-Baiges, Rosa Jorba-Martin, Monica Millan-Scheiding Joan XXIII University hospital, Tarragona, Spain P166 Surgical management of deep pelvic endometriosis with involvement of the rectum

Eduardo Mordojovich1, Leonardo Espindola2, Ernesto Melkonian2, Daniella Espinola2, Christian Jensen2, Aldo Cuneo2, Constanza Villalon2, Marco Puga2, Cesar Sandoval2, Ignacio Miranda2 1Hospital Padre Hurtado, Santiago, Chile. 2Clinica Alemana, Santiago, Chile P167 Robot-assisted sigmoidectomy for diverticular disease

Sofia Esposito, Giampaolo Formisano, Giuseppe Giuliani, Pasquale Misitano, Lucia Salvischiani, Paolo Pietro Bianchi Misericordia Hospital, Grosseto, Italy P168 Will the Surgeon become independent of the Gastroenterologist? Intraoperative evaluation of the colorectal lumen - An innovative and cost- effective method.

Edgar Amorim, Miguel F. Cunha, Juan Rachadell Centro Hospitalar e Universitário do Algarve, Portimão, Portugal P169 A feasability study of the enhanced recovery program in an Asian population with colorectal cancer.

Ridzuan Farouk1, Rachael Nakawungu1, Adam Allen2 1National University Hospital, Singapore, Singapore. 2University of Liverpool, Liverpool, United Kingdom P170 Early postoperative endoscopy of colorectal anastomosis for anastomotic pathology: a prospective multicenter study

Alexander Ferko1, Jan Rejholec2, Matěj Škrovina3, Marek Adámik1 1Department of Surgery, Comenius University in Bratislava, Jessenius Medical Faculty Martin and University Hospital Martin, Martin, Slovakia. 2Department of General Surgery, Regional Health Ltd., Hospital Decin, Decin, Czech Republic. 3Department of Surgery, Hospital Nový Jičín, Nový Jičín, Czech Republic P171 Prioritising research into areas of unmet clinical need relevant to patients undergoing surgery in low and middle income countries: a modified Delphi process

. GlobalSurg Collaborative at NIHR Unit on Global Surgery Research GlobalSurg Collaborative at NIHR Unit on Global Surgery Research, Birmingham, United Kingdom P172 Outpatient Management of Acute Diverticulitis

Laura Gould, Encarl Uppal, Eliana Kalakouti, Chetan Parmar, Chetan Bhan Whittington Hospital, London, United Kingdom P173 AMBULATORY MANAGEMENT OF UNCOMPLICATED DIVERTICULITIS: A Systematic Review

NIKOLAOS GOUVAS1, Georgios Pechlivanides2, Paolo Millo3, Evaghelos Xynos4 1Worcester Royal Hospital, Worcester, United Kingdom. 2Metropolitan Hospital of Pireaus, Pireaus, Greece. 3Regional Hospital of Vale D Aosta, Aosta, Italy. 4Creta InterClinic Hospital of Heraklion, Heraklion, Greece P174 C-reactive protein monitoring reduce length of stay of patients undergoing laparoscopic sphincter-saving surgery for rectal cancer. A case- controlled prospective study in 282 patients.

Elisabeth Hain, Léon Maggiori, Anaïs Laforest, Justine Prost à la Denise, Yves Panis Beaujon Hospital, Clichy, France P175 Management of sigmoid volvulus in elderly patients: 10-year Systematic review

Sonal Halai, Alistair Slesser, Alistair Myers, Yasser Mohsen The Hillingdon Hospitals Foundation Trust, London, United Kingdom P176 Force-based assessment of tissue manipulation skills in TaTME training

Sem F. Hardon1, Rhea Van Kasteren2, T Horeman2, J.B Tuynman1 1Department of Gastro-intestinal Surgery, VU University Medical Center, Amsterdam, Netherlands. 2Department of BioMechanical Engineering, Delft University of Technology, Delft, Delft, Netherlands P177 An evaluation of the prevalence and factors associated with the development of a “complex” surgical abdomen in a cohort of patients presenting to a national intestinal failure centre for home parenteral nutrition

Jonathan Hodgkinson1,2, Sid Oke1,2, Janindra Warusavitarne1,2, George Hanna2, Simon Gabe1,2, Carolynne Vaizey1,2 1St Mark's Hospital, London, United Kingdom. 2Imperial College, London, United Kingdom P178 Is CT imaging useful in the evaluation of the abdominal wall prior to contaminated complex abdominal wall reconstruction?

Jonathan Hodgkinson1,2, Fleur de Vries3, Phillip Lung1, Jeroen Claessen4, Cosimo Leo1,2, Raj Ilangovan1, Rachel Baldwin1, Janindra Warusavitarne1,2, Marja Boermeester3, Carolynne Vaizey1,2 1St Mark’s Hospital, London, United Kingdom. 2Imperial College, London, United Kingdom. 3Academic Medical Centre, Amsterdam, Netherlands. 4Academic Medical Centre, Amsterdam, United Kingdom P179 Can Interferon-γ (IFNγ) improve immune dysfunction in surgical or trauma patients? A systematic literature review

Alex Hotouras, William English, Will Alazawi, Rupert Pearce, Charles Knowles Royal London Hospital, London, United Kingdom P180 Surgical management of immune-mediated colitis: a case series.

Zhen Hou, Charlotte Kwik, Alexander Menzies, Neomal Sandanayake, Stephen Tattersall, Justin Evans, Alexander Engel Royal North Shore Hospital, Sydney, Australia P181 Incidence of and survival following diverticular abscess: A population- based cohort study from England

Harmony Oete, Colin Crooks, Joe West, Dvaid Humes University of Nottingham, Nottingham, United Kingdom P182 PERipoerative Fluid management in Elective ColecTomy (PERFECT) - a national snapshot audit

Irish Surgical Research Colaborative Ireland Irish Surgical Research Collaborative, Dublin, Ireland P183 Early diagnosis of pelvic abscess after Hartmann’s operation for rectal cancer with CRP postoperative day 2, 3 and 5?

Kaveh Dehlaghi Jadid, Bayar Baban, Niklas Magnusson, Peter Matthiessen Department of Surgery, Örebro Univeristy Hospital, Örebro, Sweden P184 Indications and outcomes of interventional radiology in relation to aetiology of per rectal bleeding

Thomas Lee Jeffries Jr1,2, Kar Yin Fok2, Richard Maher2, Alexander Engel1,2 1Sydney Medical School, Sydney, Australia. 2Royal North Shore Hospital, Sydney, Australia P185 Obturator hernias: open approaches vs. laparoscopic methods

Furqaan Kaji1, Mana Rahimzadeh1, Paris Tekkis2,3,1, Christos Kontovounisios2,3,1 1Chelsea Westminster hospital, London, United Kingdom. 2Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 3Royal Marsden hospital, London, United Kingdom P186 The effect of colorectal surgery fellowship on colorectal cancer patients treated with laparoscopic surgery, the experience of a general surgeon.

Bora Karip, Ahmet Çakmak Fatih Sultan Mehmet Training and Research Hospital, Department of General Surgery, Istanbul, Turkey P187 Endoscopic clip application is reliable and successful treatment in colonic perforations

Osman Köneş1, Ali Kocataş1, Cevher Akarsu1, Ahmet Cem Dural1, Abdulcabbar Kartal2, Kemal Tekeşin3, Mehmet Emin Güneş1 1University of Health Sciences,Faculty of Medicine Bakırkoy Dr. Sadi Konuk Training & Research Hospital, İstanbul, Turkey. 2Okan University Hospital,Department of General Surgery, Division of Coloproctology, İstanbul, Turkey. 3Provincial health directorate, istanbul, Turkey P188 Risk factors of stoma complications; Multivariate analysis of 350 consecutive patients.

Shunichiro Kato, Akio Shiomi, Hiroyasu Kagawa, Yuushi Yamakawa, Hitoshi Hino Shizuoka cancer center, Nagaizumi-tyo, Japan P189 Index C-reactive protein predicts increased severity in acute sigmoid diverticulitis

Aristotelis Kechagias1,2, Anastasios Sofianidis1, Georgios Zografos3, Emmanouel Leandros3, Nicholas Alexakis3, Christos Dervenis1 1Department of Surgery, Konstantopouleion Hospital, Athens, Greece. 2Department of Gastrointestinal Surgery, Hämeenlinna Central Hospital, Hämeenlinna, Finland. 3First Department of Propaedeutic Surgery, National and Kapodistrian University of Athens, Hippocratio Hospital, Athens, Greece P190 Comparison of different surgical techniques for closure of diverting loop ileostomy: A clinical trial

Amir Keshvari, Mohammad Reza Keramati, Alireza Kazemeini, Mohammad Sadegh Fazeli, Seyyed Mostafa Meshkati Yazd Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of P191 Successful use of ultrasound percutaneous ablation for extraperitoneal desmoid, in 6 patients: A single centre experience.

Azam Khan, James Hill, Balashanmugam Rajashanker, Nicholas Stylianides Manchester University NHS Foundation Trust, Manchester, United Kingdom P192 Psoas muscle index as a prognostic factor in patients with emergency surgery for colorectal perforation

Seong UK Jang, Jeong Eon Kim, Young Hun Kim, Kyung Jong Kim Deparment of Surgery. Chosun University Medical School, Gwangju, Korea, Republic of P193 Experience of 73 patients of Fecal Deverting Device(FDD) for the substitution of defunctioning stoma

Jae Hwang Kim1,2, Sohyun Kim3,2 1School of Medicine Yeungnam University, Daegu, Korea, Republic of. 2Yeungnam University Hospital, Daegu, Korea, Republic of. 3School of Medicene Yeungnam University, Daegu, Korea, Republic of P194 The multiple variations of inferior mesenteric artery branches in a Russian cohort

Yuriy Kitsenko, Kirill Seurko, Nora Oganyan, Sergey Efetov, Inna Tulina, Petr Tsarkov Clinic of Colorectal and Minimally Invasive Surgery Sechenov First Moscow State Medical University, Moscow, Russian Federation P195 Anatomical variations in the branching pattern of middle rectal artery - radiological evaluation by 3D-CT angiography

Tomomichi Kiyomatsu, Yoshimasa Gohda, Katsuya Deguchi, Kensuke Otani, Yuzo Nagai, Makoto Tokuhara, Kazuhiko Yamada, Nobuyuki Takemura, Norihiro Kokudo Center Hospital of the National Center for Global Health and Medicine, Tokyo, Japan P196 A review of wearable technology in abdominal surgical patients

Edmund Kong1, Olliver Warren1, Sarah Mills1, Paris Tekkis2,3,1, Christos Kontovounisios2,3,1 1Chelsea Westminster hospital, London, United Kingdom. 2Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 3Royal Marsden hospital, London, United Kingdom P197 Fasciotens - a new device to facilitate closure of the open abdomen

Christian Krieglstein St. Elisabeth Hospital, Cologne, Germany P198 Booster medication to achieve capsule excretion in colon capsule endoscopy, a randomized controlled trial on three regimens

Rasmus Krøijer, Gunnar Baatrup Department of Surgery, Odense University Hospital, Odense, Denmark P199 Negative predictive value of temperature and inflammatory markers for acute appendicitis

Dulitha Kumarasinghe, Brandon Huynh, Andrew Ong Sydney South West LHD, Sydney, Australia P200 ERAS in high risk patients-identification of risk and postoperativ monitoring

Frida Ledel1, Malin Colling2, Dan Kornfeld1, Erik Larsson1, Richard Bernhoff1, Lars Grankvist1, Amelie Sondell3 1Capio Sankt Görans Sjukhus, Department of Colorectal Surgery, Stockholm, Sweden. 2Capio Sankt Görans Sjukhus, Department of Anesthesiology, Stockholm, Sweden. 3Capio Sankt Görans Sjukhuts, Department of Colorectal Surgery, Stockholm, Sweden P201 Aortoiliac calcification as a possible risk factor for anastomotic leakage after rectal cancer surgery

Soo Young Lee1, Seung-Seop Yeom1, Chang Hyun Kim1, Hyeong Rok Kim1, Han Deok Kwak2, Jae Kyun Ju2, Young Jin Kim1 1Chonnam National University Hwasun Hospital and Medical School, Hwasun, Korea, Republic of. 2Chonnam National University Hospital and Medical School, Gwangju, Korea, Republic of P202 Endo-hook versus endo-shears cautery during laparoscopic surgery for right colon cancer: a case-control study for technical benefits

Jeehye Lee, Myung Jo Kim, Sung Il Kang, Min Hyun Kim, Heung-Kwon Oh, Duck-Woo Kim, Sung-Bum Kang Department of Surgery, Seoul National University Bundang Hospital, Seongnam, Korea, Republic of P204 Comparison of recovery courses between open and laparoscopic surgery in patients with peritonitis due to perforated colonic diverticulitis

SANG-JEON LEE1,2, SUNG BAK AN2, TAEK-GU LEE1 1Department of Surgery, Chungbuk National University Hospital, Cheongju, Korea, Republic of. 2Department of Surgery, College of Medicine, Chungbuk National University, Cheongju, Korea, Republic of P205 Surgical management of sigmoid volvulus: a multicenter observational study

Keunchul Lee1, Heung-Kwon Oh1, Sung Il Kang1, Myung Jo Kim1, Min Hyun Kim1, Duck-woo Kim1, Sung-Bum Kang1, Hyung-Jin Kim2, Hyoung-Chul Park3, Rumi Shin4, Seung Chul Heo4, Seung-Bum Ryoo5, Kyu Joo Park5 1Seoul National University Bundang Hospital, Seongnam, Korea, Republic of. 2The Catholic University of Korea, St. Vincent Hospital, Suwon, Korea, Republic of. 3Hallym University Sacred Heart Hospital, Anyang, Korea, Republic of. 4Seoul Metropolitan Government - Seoul National University Boramae Medical Center, Seoul, Korea, Republic of. 5Seoul National University Hospital, Seoul, Korea, Republic of P206 Use of imaging in suspected appendicitis cases to reduce negative appendicectomy rates (NAR) - an audit

Aagat Sharma Khatiwada1, Zhia Lim1, James Stephenson2,1, Ahmed AlNowfal2, Mike Norwood1,2 1University of Leicester, Leicester, United Kingdom. 2University Hospitals of Leicester NHS Trust, Leicester, United Kingdom P207 Title: Realistic medicine in diverticular disease: can we rationalise CT colonography?

Pracheta Mehtaji, Carly N Bisset, Edele Owens, Claire McKenzie, Angus Macdonald University Hospital Monklands, Glasgow, United Kingdom P208 Antibiotic prescribing and antibiotic resistance patterns in acute appendicitis

Anna Jarchow-MacDonald1, Jamie Leask2, Euan MacDonald2 1Ninewells Hospital and Medical School, Dundee, United Kingdom. 2NHS Forth Valley, Larbert, United Kingdom P209 Lateral internal sphincterotomy versus V-Y advancement flap in treatment of anal fissure in females (A prospective study)

Sabry Mahmoud, Marwa Sobhi, Mohamed Abo Elkhir, Ahmed Abd El Mawla Faculty of Medicine, Mansoura University, Mansoura, Egypt P210 Robotic colorectal surgery with utilisation of a next generation single port system: A cadaveric feasibility study

Tony Mak1, John Marks2, Simon Ng1 1Division of Colorectal Surgery, Department of Surgery, The Chinese University of Hong Kong, Hong Kong, China. 2Division of Colorectal Surgery, Lankenau Hospital, Wynnewood, Pennsylvania, USA P211 INTRACORPOREAL ANVIL INTRODUCTION DURING ROBOTIC RECTAL RESECTION “VIJAN POP TECHNIQUE” : TECHNIQUE AND INITIAL RESULTS

Marco Vito Marino1, Galyna Shabat2 1Azienda Ospedaliera Villa Sofia, Palermo, Italy. 2Brigham and Women’s Hospital, Boston, USA P212 ROBOTIC-ASSISTED VERSUS LAPAROSCOPIC LEFT HEMICOLECTOMY: A COMPARATIVE STUDY

Marco Vito Marino1, Galyna Shabat2 1Azienda Ospedaliera Villa Sofia, Palermo, Italy. 2Brigham and Women's Hospital, Boston, USA P213 Medium Care observation after colorectal surgery in high-risk patients.

Carla Marres1, Tara Mackay1, Christianne Buskens2, Roel Sentjens1, Susan van Dieren2, Anthony van de Ven1,2 1Flevoziekenhuis, Almere, Netherlands. 2AMC, Amsterdam, Netherlands P214 Laparoscopic local excision; a good alternative for colonic resection in endoscopically unresectable benign colon polyps?

Carla Marres1, Marieke Smit1, Anthony van de Ven1,2 1Flevoziekenhuis, Almere, Netherlands. 2AMC, Amsterdam, Netherlands P215 The value of rectal contrast before CT-abdomen for detecting anastomotic leakage after colorectal surgery.

Carla Marres1, Hester Haak1, Lieve Leijssen1, Anthony van de Ven1,2 1Flevoziekenhuis, Almere, Netherlands. 2AMC, Amsterdam, Netherlands P216 Analysis of 50 fluorescent-guided colorectal anastomoses: does fluorescence have a real impact on intraoperative decisions and clinical consequences?

Gonzalo P. Martin-Martin, Jose M. Olea, Laura Fernandez, Myriam Fernandez, Aina Ochogavia, Natalia Alonso, Juan J. Segura, Margarita Gamundi, Francisco J. Gonzalez Hospital Universitario Son Espases, Palma de Mallorca, Spain P217 SURGICAL TREATMENT OF COLONOSCOPIC PERFORATIONS

Beatriz Martin-Perez, Victor Turrado-Rodriguez, F Borja DeLacy, Ana Otero-Piñeiro, Silvia Valverde-Lahuerta, Raquel Bravo-Infante, Raul Almenara-Santacristina, Antonio M Lacy Hospital Clinic, Barcelona, Spain P218 Conservative treatment for acute appendicitis - beware of appendicular cancers – a DGH experience over 7 yrs

Linu Mathew, Sameer Mittwally, Rebecca Webb, Aarti Varma, Nicholas Ting Lincoln County Hospital, Lincoln, United Kingdom P219 Neutrophil-Monocyte ratio (NMR) , a reliable predictor for diagnosing acute appendicitis.

Linu Mathew, Nicholas Ting, Tarun Jacob, Piyush Vanmali, Nikhil Kulkarni, Suresh Pillai Lincoln County Hospital, Lincoln, United Kingdom P220 USS, a better radiological test in diagnosis of acute appendicitis in males <18yrs of age than females of similar age.

Linu Mathew, Nicholas Ting, Sindhoo Rangarajan, Tarun Jacob, Piyush Vanmali, Aarti Varma, Suresh Pillai Lincoln County Hospital, Lincoln, United Kingdom P221 An unusual case of intestinal occlusion – Phytobezoar in Meckel Diverticulum - Case presentation

Nadiim Maudarbaccus1,2, Victor Lazar1, Manuela Oprea1 1Emergency County Hospital, Oradea, Romania. 2OLOL Hospital, Drogheda, Ireland P222 A 10 year review of emergency general surgery at a central london teaching hospital

Simon McCluney1, Vas Panayi1, Gemma G Sheehan-Dare1, Mina Al-Janabi1, Paris Tekkis2,3,1, Christos Kontovounisios2,3,1, Hector Gonzalez1, Nebil Behar1 1Chelsea Westminster hospital, London, United Kingdom. 2Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 3Royal Marsden hospital, London, United Kingdom P223 Is symptom-based tailoring of colonic investigation safe?

Emily McFiggans1, Yasuko Maeda1,2,3, Ashish Sinha1,2,3, Tushar Agarwal1,2,3 1Department of Surgery, Ealing Hospital, London, United Kingdom. 2Department of Surgery, St Mark's Hospital, London, United Kingdom. 3Imperial College London, London, United Kingdom P224 Follow-up Endoscopy after Acute diverticulitis: Is it necessary?

Julia Merchant, Giulio Cuffolo, Rebecca Gerrity, Connor Swinford, Waseem Hameed, Nadeen Low Wexham Park Hospital, Slough, United Kingdom P225 Do radiologically inserted intraperitoneal drains delay or prevent surgery in acute complicated diverticulitis?

Julia Merchant, Rebecca Gerrity, Connor Swinford, Giulio Cuffolo, Waseem Hameed, Nadeen Low Wexham Park Hospital, Slough, United Kingdom P226 Risk of colorectal adenocarcinoma in patients with acute diverticulitis: a systematic review and meta-analysis of observational studies

Jeremy Meyer, Lorenzo Orci, Christophe Combescure, Alexandre Balaphas, Philippe Morel, Nicolas Christian Buchs, Frédéric Ris Hôpitaux Universitaires de Genève, Genève, Switzerland P227 Role of C-Reactive protein and procalcitonine in colorectal surgery

Fernando Mendoza-Moreno1,2, Ana María Minaya-Bravo1, María del Rocío Díez-Gago1, Javier Mínguez-García2, Diego Tristán Enjuto-Martínez2, Benjamín Tallón-Iglesias2, Manuel Solana-Maoño2, Jesús Manuel Argüello-de- Andrés2 1Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain. 2Hospital Universitario Sanitas La Moraleja, Madrid, Spain P228 Laparoscopic splenic flexure mobilization in sigmoid and rectal resection: A systematic review and meta-analysis of observational studies.Laparoscopic splenic flexure mobilization in sigmoid and rectal resection: A systematic review and meta-analysis of observational studies.

Artur Mukhamed-Aliev1, Hanjoo Lee1, Abraham Fingerhunt2, Selman Uranues2, Luigi Boni3, Mahir Gachabayov1, Roberto Bergamaschi1 1Westchester Medical Center, Valhalla, NY, USA. 2University of Graz, Graz, Austria. 3University of Milan, Milan, Italy P229 The abdominal wall hernia in laparoscopic assisted surgery for colorectal cancer, midline incision versus transverse incision.

Koji Munakata, Ryo Ikeshima, Hirofumi Ota, Daiki Hokkoku, Ryohei Wada, Noriko Wada, Daisuke Takiuchi, Takashi Azama, Eiji Okura, Osakuni Morimoto, Yusuke Akamaru, Masashi Kitada, Kunitaka Shibata Ikeda city hospital, Ikeda, Japan P230 Appropriate antibiotic treatment in acute diverticulitis

Dorin-Stelian Nita1, Harjeet Narula2 1Chesterfield Royal Hospital, c, United Kingdom. 2Chesterfield Royal Hospital, Chesterfield, United Kingdom P231 The effect of road distance to hospital on stoma reversal rate

Simon Näverlo, Ulf Gunnarsson, Karin Strigård Department of Surgical and Perioperative Sciences, Umeå, Sweden P232 The effect of road distance to hospital on quality of life in stoma patients after rectal cancer surgery

Simon Näverlo, Ulf Gunnarsson, Karin Strigård Department of Surgical and Perioperative Sciences, Umeå, Sweden P233 Availability of Resources on Smartphones and Social media for Patients with Anal Cancer

Uzma Nawaz, Peter Coyne, Richard Brady, Ben Griffiths Newcastle University and Newcastle Upon Tyne University Hospitals NHS Foundation Trust, Newcastle Centre for Bowel Disease, Newcastle Upon Tyne, United Kingdom P234 Assessing the outcomes of a Virtual Clinic Pathway at a single centre participating in the Accelerate, Coordinate, Evaluate (ACE) Programme

Cho Ee Ng, Sue Hemer, Claire Kilbride, James Anderson, Vasile-Liviu Titu Wirral University teaching hospital NHS foundation trust, Liverpool, United Kingdom P235 Management of colorectal anastomotic leaks at high-volume university hospital

Gregor Norcic, Bostjan Plesnik, Jan Grosek, Ales Tomazic UMC Ljubljana, Ljubljana, Slovenia P236 Parastomal hernia repair; rarely performed and seldom reported: results from a national survey.l christoffer odensten, Karin Strigård, Michael Dahlberg, Ulf Gunnarsson, Pia Näsvall institution of surgery and perioperative sciences, Umeå University, Umeå, Sweden P237 The effect of Preventive Surgical Site Infection (SSI) Bundle On Infection Rates Following Colon and Rectal Resections

Ersin Ozturk, Ersoy Taşpınar, Barış Gülcü Medicana Hospital, Bursa, Turkey P238 Post colonoscopy colorectal cancer rates in Denmark: colonoscopy quality in an international perspective

Lasse Pedersen1, Inge Bernstein1, Karen Lindorff-Larsen2, Charlotte Green3, Christian Torp-Pedersen4 1Department of Surgery, Aalborg University Hospital, Aalborg, Denmark. 2NordSim, Center for Skills Training and Simulation, Aalborg University Hospital, Aalborg, Denmark. 3Emergency Department, Aarhus University Hospital, Aarhus, Denmark. 4Department of Health Science and Technology, Aalborg University Hospital, Aalborg, Denmark P239 The current state of colorectal surgical training in Italy: a survey of the young group of the Italian Society of Colorectal Surgery (Y-SICCR)

Gianluca Pellino1,2, Elisabetta Moggia3,2, Eugenio Novelli4, Donato F Altomare5, Klaus Matzel6, R John Nicholls7, Mario Trompetto8, Gaetano Gallo9,8,2, Y SICCR Committee2 1Department of Medical, Surgical, Neurological, Metabolic and Ageing Sciences, Università della Campania “Luigi Vanvitelli”, Naples, United Kingdom. 2Y-SICCR, Turin, Italy. 3Department of General Surgery, ASL Alessandria, SS Antonio & Margherita Civil Hospital,, Tortona, Italy. 4Department of Biostatistics and Clinical Research, S. Gaudenzio Clinic, Novara, Italy. 5Department of Emergency and Organ Transplantation and Inter- department Research Center for Pelvic Floor Diseases (CIRPAP), University 'Aldo Moro' of Bari, Bari, Italy. 6Department of General and Visceral Surgery, University Hospital Erlangen, Friedrich-Alexander University Erlangen-Nürnberg,, Erlangen, Germany. 7Department of Surgery and Cancer, Imperial College, London, United Kingdom. 8Department of Colorectal Surgery, S. Rita Clinic, Vercelli, Italy. 9Department of Medical and Surgical Sciences, University of Catanzaro, Catanzaro, Italy P240 RETROSPECTIVE MULTICENTER STUDY OF POST-OPERATIVE STENOSIS AFTER STAPLED COLORECTAL ANASTOMOSIS

Giuseppe Portale1, Alberto Sartori2, Maurizio De Luca2, Valentino Fiscon1, Cansas Study Group3 1ULSS 6 Euganea, Cittadella, Italy. 2ULSS 2, Montebelluna, Italy. 3Multiple, Multiple, Italy P241 Scientific research during medical training in Portugal: a trainee prospective survey

PT Surg Portuguese Surgical Research Collaborative Portugal, Portugal, Portugal P242 Risk factors for colorectal anastomotic leak: 5 year single center experience

Neringa Pranskeviciute1,2, Eligijus Poskus1,2, Gabija Makunaite1, Donatas Danys1,2, Andrej Kolosov1,2, Virgilijus Beisa1,2, Valdemaras Jotautas1,2, Saulius Mikalauskas1,2, Kestutis Strupas1,2, Antanas Mainelis3, Tomas Poskus1,2 1Faculty of Medicine, Vilnius University, Vilnius, Lithuania. 2Centre of Abdominal Surgery, Vilnius University Hospital Santaros Clinics, Santariskiu 2, LT-08661, Vilnius, Lithuania. 3Faculty of Mathematics and Informatics, Vilnius University, Vilnius, Lithuania P243 Is robotics more cost-effective than standard laparoscopy in colorectal patients? A systematic reviewIs robotics more cost-effective than standard laparoscopy in colorectal patients? A systematic review

Hannah Reilly1, Nathan Gothard1, Richard Wharton2, Gabby Thorpe3, James Hernon2 1Norwich Medical School, Norwich, United Kingdom. 2Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, United Kingdom. 3University of East Anglia, Norwich, United Kingdom P244 Identifying patients with right iliac fossa pain at very low risk of appendicitis: Prospective, multicentre validation and calibration of risk scores

. RIFT Study Group West Midlands Research Collaborative, Birmingham, United Kingdom P245 National audit of the management of right iliac fossa pain in children

. RIFT Study Group West Midlands Research Collaborative, Birmingham, United Kingdom P246 Single Incision Laparoscopic Surgery for Colorectal Emergencies

Ellen Ross, Deena Harji, Prem Thambi, Talvinder Gill University Hospital of North Tees, Stockton-on-Tees, United Kingdom P247 Transanal total mesorectal excision: how many cases are necessary to overcome learning curve?

Stanislav Chernyshov, Evgeny Rybakov, Ludmila Kazieva, Yuri Shelygin State Scientific Centre of coloproctology, Moscow, Russian Federation P248 Antibiotic prophylaxis in rectal cancer surgery: oral with intravenous versus intravenous antibiotics. Preliminary results of randomized trial.

Evgeny Rybakov1, Marat Nagudov1, Stanislav Chernyshov1, Mikhail Alekseev1,2, Vladimir Kashnikov1 1State Scientific Centre of coloproctology, Moscow, Russian Federation. 2Russian Academy of postgraduate medical education, Moscow, Russian Federation P249 3D reconstructions to guide decision-making in advanced colorectal surgery - posterior extentorations

Kapil Sahnan, Amarasingam Sasikumar, Alison Corr, Samuel Adegbola, Phil Tozer, John Jenkins, David Burling, Anthony Antoniou, Phillip Lung St Mark's Hospital, London, United Kingdom P250 Results in colon surgery after the establishment of a multimodal rehabilitation program

Ana Soto Sánchez, Nelida Díaz Jiménez, Moisés Hernández Barroso, Guillermo Hernández Hernández, Luisa Gambra Michel, Jose Gregorio Díaz Mejías, Alicia Goya Pacheco, Eduardo Pérez Sánchez, Irene Ferrer Vilela, Manuel Barrera Gómez Hospital Nuestra Señora de Candelaria, Tenerife, Spain P251 Risk factors of anastomotic leak and morbidity and mortality after ileocolic anastomosis

Luis Sánchez-Guillén, Matteo Frasson, Álvaro García-Granero, GianLucca Pellino, Blas Flor-Lorente, Eduardo Álvarez-Sarrado, Eduardo García-Granero University Hospital La Fe, Valencia, Spain P252 The Use of Botulinum Toxin A combined with Component Separation in Massive Abdominal Wall Reconstruction (AWR) with Enterocutaneous Fistulas (ECF)

Kathryn Schlosser, Javier Otero, Michael Arnold, Paul Colavita, Todd Heniford Carolinas Medical Center, Charlotte, USA P253 The lack of consensus on emergency repairs of parastomal hernias

Parisah Seyed-Safi1, Alex Hotouras2, Chetan Bhan1 1Whittington Hospital, London, United Kingdom. 2Whipps Cross Hospital, London, United Kingdom P254 A systematic review of endoluminal vacuum-assisted therapy as a salvage treatment for rectal anastomotic leakage

Mostafa Shalaby1,2, Sameh Emile1, Hossam Elfeki1,3, Ahmad Sakr1, Steven Wexner4, Pierpaolo Sileri2 1Mansoura University, Mansoura, Egypt. 2Rome Tor Veragata University, Rome, Italy. 3Aarhus University, Aarhus, Denmark. 4Cleveland Clinic Florida, Weston, USA P255 Transanal tube drainage as a conservative treatment for anastomotic leakage following rectal resection

Mostafa Shalaby1,2, Waleed Thabet1, Oreste Buonomo2, Nicola Di Lorenzo2, Mosaad Morshed1, Giuseppe Petrella2, Mohamed Farid1, Pierpaolo Sileri2 1Mansoura University, Mansoura, Egypt. 2Rome Tor Vergata University, Rome, Italy P256 The role of transanal tube drainage as a mean of prevention of anastomotic leakage

Mostafa Shalaby1,2, Ilaria Capuano2, Federica Saraceno2, Sara Mastrovito2, Giuseppe Petrella2, Pierpaolo Sileri2 1Mansoura University, Mansoura, Egypt. 2Rome Tor Vergata University, Rome, Italy P257 LAPAROSCOPIC PERITONEAL LAVAGE DRAINAGE (LLD) IN TREATMENT OF PURULENT AND FECAL PERITONITISAS AS COMPLICATIONS OF THE COLONIC DIVERTICULAR DISEASE

Vitalii Shapovalov1, Roman Enin2 1Odessa national medical university, Odessa, Ukraine. 2Military-medical clinical center of the South region, Odessa, Ukraine P258 Effectiveness of preoperative CT-modeling of vascular anatomy for extended lymph node dissection

Lyudmila Sidorova, Yuriy Kitsenko, Nora Oganyan, Sergey Efetov, Inna Tulina, Petr Tsarkov Clinic of Colorectal and Minimally Invasive Surgery Sechenov First Moscow State Medical University, Moscow, Russian Federation P259 Macroscopic accuracy in identifying hyperplastic polyps

Nala Sivarajasingham, Assad Aghahoseini, Stevan Stojkovic, Dib Bandyopadhyay, Srinivas Chintapatla York teaching hospitals Foundation Trust, York, United Kingdom P260 International variation in use of imaging for patients presenting with right iliac fossa pain

António Sampaio Soares West Midlands Research Collaborative, Birmingham, United Kingdom P261 Non-response on conservative treatment of acute sigmoid diverticulitis: assessment of clinical and radiological predictors

Maximilian Sohn, Ayman Agha, Daphne Roussos, Fabian Bloss, Igors Iesalnieks Klinik für Allgemein-, Viszeral-, Endokrine- und Minmalinvasive Chirurgie, Klinikum Bogenhausen, Städtisches Klinikum München GmbH, Munich, Germany P262 Influence of sigmoid colectomy on quality of life in patients with uncomplicated and complicated diverticulitis of the colon

Maimilian Sohn, Ayman Agha, Daphne Roussos, Fabian Bloss, Igors Iesalnieks Klinik für Allgemein-, Viszeral-, Endokrine- und Minimalinvasive Chirurgie, Klinikum Bogenhausen, Städtisches Klinikum München GmbH, Munich, Germany P263 The impact of intravenous contrast on post-operative acute kidney injury following major gastrointestinal and liver surgery

. STARSurg Collaborative STARSurg Collaborative, Birmingham, United Kingdom P264 The effects of perioperative Angiotensin Converting Enzyme Inhibitors and Angiotensin Receptor Blockers on acute kidney injury in major elective non- cardiac surgery. A multicentre, prospective cohort study

. STARSurg Collaborative STARSurg Collaborative, Birmingham, United Kingdom P265 Impact of post-operative acute kidney injury on long-term survival following major abdominal surgery

. STARSurg Collaborative STARSurg Collaborative, Birmingham, United Kingdom P266 The impact of the non-technical skills training and surgical simulation in a regional training program – is it worthy to develop the study of the human factors in surgery in a Deanery?

Samuel Stefan1,2,3, Mick Harper2, Jim Khan1,2, Simon Dennis3 1Portsmouth Hospitals NHS Trust, Portsmouth, United Kingdom. 2University of Portsmouth, Portsmouth, United Kingdom. 3HEE Wessex Deanery, Winchester, United Kingdom P267 Implementation of the Enhanced recovery program for colorectal surgery in clinical practice. A survey of surgeons of Russian federation.

Sergei Achkasov, Oleg Sushkov, Ilona Lukashevych, Evgenii Surovegin State Scientific Centre of Coloproctology, Moscow, Russian Federation P268 Effect of human amniotic membrane on anastomosis leakage in dog model

Mehdi Tahamtan, Seyed Vahid Hosseini, Hajar Khazraei, Majid Forozesh, Alimohammad Bananzadeh, Maral Mokhtari, Shahla Fereidooni Colorectal Research Center, Shiraz, Iran, Islamic Republic of P269 Clinical and functional outcomes following stapled transanal rectal resection with high volume stapled devices

Pasquale Talento, Giovanni Ferreri, Simona Maggiore, Eugenio Cudazzo, Rosa Vernaglia, Ilaria Vecchioni, Valerio Annessi Pelvic Floor Center, Surgical Department, Franchini Hospital, AUSL Reggio Emilia, Reggio Emilia,, Italy P270 CT scan in suspected anastomotic leakage after colorectal surgery: mortality increasing after false-negative imaging.

Nicolò Tamini1, Diletta Cassini2, Marco Angrisani1, Alessandro Giani1, Simone Famularo1, Mauro Montuori1, Gianandrea Baldazzi2, Luca Gianotti1,3 1Asst Monza - Ospedale San Gerardo, Monza, Italy. 2Policlinico Abano Terme, Abano Terme, Italy. 3Università degli studi Milano Bicocca, Milano, Italy P271 Ultrasound (USS) and Neutrophil-Lymphocyte Ratio (NLR) in ruling out acute appendicitis in patients 16-55 yrs

Nicholas Ting1, Linu Mathew2, Tarun Jacob2, Piyush Vamali2, Aarti Varma2, Suresh Pillai2 1Derbyshire Healthcare NHS Foundation Trust, Derby, United Kingdom. 2United Lincolnshire Hospitals NHS Trust, Lincoln, United Kingdom P272 CT scans and Neutrophil-Lymphocyte Ratio (NLR) in diagnosing acute appendicitis in patients above 50 years of age

Nicholas Ting1, Linu Mathew2, Piyush Vanmali2, Tarun Jacob2, Aarti Varma2, Suresh Pillai2 1Derbyshire Healthcare Foundation NHS Trust, Derby, United Kingdom. 2United Lincolnshire Hospitals NHS Trust, Lincoln, United Kingdom P273 Right-sided colonic diverticulitis – 10 years’ experience from a tertiary centre

Julian Tsang, Jeremy Yip, Chi Chung Foo, Hok Kwok Choi, Rockson Wei, Ka kin Ng, Oswens Lo, Wai Lun Law Division of Colorectal Surgery, Department of Surgery, Queen Mary Hospital, University of Hong Kong, Hong Kong, SAR, Hong Kong P274 Early experience with use of Davinci robotic platform to perform Total Mesorectal Excision (TME) surgery without the need for a diverting stoma in rectal resections

Ahmed Waqas, Filippos Sagias, Jim Khan Queen Alexandra Hospital, Portsmouth Hospitals NHS Trust, Portsmouth, United Kingdom P275 Retrorectal tumors - 20 years experience

Nikolay Yaramov1, Racho Ribarov2, Deyan Todorov1, Atanas Batashki3, Ventsislava Yaramova4, Dgevdet Chakarov3, Ilia Batashki1 1Medical Institute – Ministry of Interior, Sofia, Bulgaria. 2Medical University – Faculty of Public Health, Sofia, Bulgaria. 3Medical University Plovdiv, Plovdiv, Bulgaria. 4NBational Heart Hospital, Sofia, Bulgaria P276 Should patients aged 50 or over who present with appendicitis receive whole bowel imaging to detect underlying right-sided polyps or malignancy?

Tariq Yasin, Rhiannon Harries, Francis de Castro, Simon Philips University Hospital of Wales, Cardiff, United Kingdom P277 effect of mechanical bowel preparation for complications after right hemicolectomy and ileo-colic anastomosis

Seung-Seop Yeom, Soo Young Lee, Chang Hyun Kim, Hyeong Rok Kim, Young Jin Kim Chonnam National University Hwasun Hospital, Hwasun, Korea, Republic of P278 The role of intraoperative colonoscopy evaluating colonic anastomosis after anterior or low anterior resection

Ri Na Yoo, HyungJin Kim, Hyeon-min Cho, Seungrim Han St. Vincent Hospital, The Catholic University of Korea, Suwon, Korea, Republic of P279 Colorectal surgery in the NHS: Are we getting busier?

Efthymios Ypsilantis King's College Hospital, London, United Kingdom P280 Is the ghost ileostomy (GI) a useful procedure in colorectal surgery?

Serkan Zenger1, Bülent Gürbüz1, Emre Balık2, Tunç Yaltı1,2, Dursun Buğra1,2 1VKF American Hospital, Department of General Surgery, Istanbul, Turkey. 2Koc University School of Medicine, Department of General Surgery, Istanbul, Turkey P281 A literature review of the use of social media in medical education

Benjamin Zucker1, Christos Kontovounisios2,1,3 1Chelsea Westminster hospital, London, United Kingdom. 2Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 3Royal Marsden hospital, London, United Kingdom P282 Suture choice to reduce occurrence of surgical site infection (SSI), hernia, wound dehiscence, and sinus/fistula. A network meta-analysis

Benjamin Zucker1, Constantinos Simillis2, Paris Tekkis1,3,2, Christos Kontovounisios1,2,3 1Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 2Chelsea Westminster hospital, London, United Kingdom. 3Royal Marsden hospital, London, United Kingdom P283 Is reality limiting patient understanding? A discussion of the implications of augmented and virtual reality technology to patient understanding

Benjamin Zucker1, Paris Tekkis2,3,1, Christos Kontovounisios2,3,1 1Chelsea Westminster hospital, London, United Kingdom. 2Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 3Royal Marsden hospital, London, United Kingdom P284 Outcome of delayed coloanal anastomosis in difficult low rectal cancer

George Octavian Popescu1,2, Giuseppe Portale1,3, Vincent Assenat1, Marc-Olivier Francois1, Quentin Denost1, Eric Rullier1 1Department of Colorectal Surgery, Magellan Centre, Haut-Lévèque Hospital, University of Bordeaux, Pessac, France. 2Department of General and Visceral Surgery, Klinikum Aschaffenburg-Alzenau, University of Wurzburg, Aschaffenburg, Germany. 3Department of General Surgery Azienda ULSS 6, University of Padova, Cittadella, Italy P285 Evaluation of the relationship between appendectomy and colorectal cancer

Szabolcs Abraham1, Tibor Nemeth1, Ria Benkő2, Maria Matuz2, Daniel Vaczi1, Gyorgy Lazar1 1Department of Surgery, University of Szeged, Szeged, Hungary. 2Department of Clinical Pharmacy, University of Szeged, Szeged, Hungary P286 Impact of tumor localization, microsatellite instability and mismatch repair deficiency on the prognosis of colorectal cancer

Turan Acar1, Nihan Acar1, Erdinç Kamer1, Mustafa Agah Tekindal2, Fatma Tatar1, Ercüment Tarcan1, Mehmet Haciyanli1, Osman Nuri Dilek1 1İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey. 2Selçuk University, Konya, Turkey P287 Factors affecting the lymph node positivity in colorectal cancers

Nihan Acar, Turan Acar, Feyyaz Güngör, Fevzi Cengiz, Erdinç Kamer, Halis Bağ, Kemal Atahan, Mehmet Haciyanli İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey P288 Prognostic value of tumor localization in colon cancer

Nihan Acar, Turan Acar, Fevzi Cengiz, Erdinç Kamer, Feyyaz Güngör, Halis Bağ, Emine Özlem Gür, Ercüment Tarcan, Osman Nuri Dilek, Mehmet Haciyanli İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey P289 A comparison of clinicopathologic features of patients with colorectal cancer after emergency and elective surgery

Nihan Acar, Mustafa Peşkersoy, Turan Acar, Fevzi Cengiz, Kemal Atahan, Haldun Kar, Mehmet Haciyanli İzmir Katip Çelebi University Atatürk Training and Research Hospital, İzmir, Turkey P290 Investigation of hereditary colorectal cancer

Y. A. Shelygin, S. I. Achkasov, V.P. Shubin, O.I. Sushkov, D.A. Semenov, S.A. Frolov, A.S. Tsukanov State Scientific Centre of Coloproctology, Moscow, Russian Federation P291 Validation of MRI scoring system to predict postoperative recurrence rates of low rectal cancer

Yoko Adachi1, Koji Okabayashi2, Masashi Tsuruta1, Takashi Ishida1, Tomofumi Ando1, Nozomi Iwama1, Naoyuki Toyota1, Akiyoshi Ikebata1, Satoru Morita1, Ken Yamataka1, Akitsugu Makino1, Shinsei Matsuoka1, Yuko Kitagawa1 1Department of Surgery, Keio University School of Medicine, Tokyo, Japan. 2Department of Surgery, Keio University School of Medicine, Tokyo, Jersey P292 The abdominoperineal resection in open and laparoscopic approaches

Rustem Aiupov1,2, Dmitriy Feoktistov1,2, Nikita Tarasov1, Marat Garipov1, Nail Suleymanov1, Rustem Agliullin1, Felix Zainullin2 1Republican Oncologycal Clinical Dispensary, Ufa, Russian Federation. 2Bashkirs State Medical University, Ufa, Russian Federation P293 Prolonged interval between neoadjuvant treatment and surgery has no impact on short-term outcomes and complete pathologic response in patients with locally advanced rectal cancer

Ata Cem Akbaba1, Fuat Barış Bengür1, Volkan Özben1, Eren Esen1, Serkan Zenger2, Bilgehan Şahin1, Bülent Gürbüz2, Onur Bayram3, Erman Aytaç1, Bilgi Baca1, Emre Balık3, Sibel Erdamar Çetin1, Banu Atalar1, Duygu Sezen3, İsmail Hamzaoğlu1, Tayfun Karahasanoğlu1, Dursun Buğra3 1Acıbadem Universtiy School of Medicine, İstanbul, Turkey. 2American Hospital, İstanbul, Turkey. 3Koç Universtiy School of Medicine, İstanbul, Turkey P294 Diagnostic Accuracy of MRI in assessing Tumour Regression and Identifying CompleteResponse in Patients with Locally Advanced Rectal Cancer After NeoadjuvantTreatment

Medhat Aker1, Tan Arulampalam2, Darren Boone2 1NNUH, Norwich, United Kingdom. 2Colchester General Hospital, Colchester, United Kingdom P295 Comparison of systemic inflammatory biomarkers as prognostic factors in stage II and III colon cancer

Takashi Akiyoshi, Shinsuke Suzuki, Toshiya Nagasaki, Tsuyoshi Konishi, Yoshiya Fujimoto, Yosuke Fukunaga, Masashi Ueno Cancer Institute Hospital, Tokyo, Japan P296 Surgical treatment of left colic angle neoplasm: a multicentric study on short-term outcomes.

Gian Andrea Binda1, Giuliano Maria Alberton1, Paolo Secondo2, Sebastiano Biondo3, Jaime Lòpez-Borao3, Claudio Fucini4, Rosina Giudicissi4, Francesco Bianco5, Armando Falato5, Marco Bruzzone6, Antonio Amato2 1Galliera Hospital, Genova, Italy. 2Ospedale di Sanremo, Sanremo, Italy. 3Hospital Universitari de Bellvitge, Barcelona, Spain. 4Azienda Ospedaliero-Universitaria di Careggi, Firenze, Italy. 5Istituto Nazionale Tumori Fondazione G. Pascale, Napoli, Italy. 6Ospedale Policlinico S. Martino, Genova, Italy P297 Abdominoprineal resection in low rectal cancer with or without appendicostomy:comparison of quality of life

Mina Alvandipour, Hamed Khodabakhsh mazandaran university of medical sciences, sari, Iran, Islamic Republic of P298 Colonic doughnut morphology can predict the risk of anastomosis leakage following double stapled colorectal surgery in colorectal cancer mina alvandipour1, saeed yousefi1, elham kamali hakim2 1mazandaran university of medical science, sari, Iran, Islamic Republic of. 2mazandaran university of medical science, sari, Iran, Islamic Republic of P299 Systematic immunohistochemistry for microstatellite instability in colorectal cancer specimens. A comprehensive approach for personalized treatment?

Peter C. Ambe1,2,3, Hubert Zirngibl1, Gabriela Möslein4 1Department of Surgery, Helios University Hospital Wuppertal, Wuppertal, Germany. 2Center for Hereditary Gastrointestinal Tumor, Helios University Hospital Wuppertal , Witten / Herdecke University, Wuppertal, Germany. 3Department of Visceral, Minimally Invasive and Oncologic Surgery, Marien Hospital Düsseldorf, Düsseldorf, Germany. 4Center fo Hereditary Gastrointestinal Tumor, Helios University Hospital, Wuppert, Wuppertal, Germany P300 Initial experience with taTME in patients undergoing laparoscopic restorative proctocoloctomy for familial adenomatous polyposis.

Peter C. Ame1,2, Gabriela Möslein1 1Center for Hereditary Gastrointestinal Tumors, Helios University Hospital Wuppertal, Witten / Herdecke University, Wuppertal, Germany. 2Department of Visceral, Minimally Invasive and Oncologic Surgery, Marien Hospital Düsseldorf, Düsseldorf, Germany P301 Long-term outcomes following stent placement as bridge to surgery compared to emergency resection in patients with acute left-sided colonic obstruction: a propensity score matched analysis from a national cross-sectional cohort study.

Femke Amelung1, Esther Consten1, Emo van Halsema2, Jeanin van Hooft2, Peter Siersema3, Willem Bemelman2, Pieter Tanis2 1Meander Medical Center, Amersfoort, Netherlands. 2Academic Medical Center Amsterdam, Amsterdam, Netherlands. 3Radboud Medical Center, Nijmegen, Netherlands P302 Differential immune response and predictability of length of stay and morbidity in laparoscopic and robotic colorectal surgery

Michael Apostolides, Filippos Sagias, Karen Flashman, Jim Khan Queen Alexandra Hospital, Portsmouth, United Kingdom P303 Influence of neoadjuvant radiation on short-term surgical outcomes in rectal cancer: a systematic review

Mohammed Aradaib1,2, Sofoklis Panteleimonitis1, Mick Harper1, Amjad Parvaiz1,3,4 1University of Portsmouth, Portsmouth, United Kingdom. 2Beacon Hospital, Dublin, Ireland. 3Poole Hospital NHS, Poole, United Kingdom. 4Champalimaud Foundation, Lisbon, Portugal P304 The variety of Scandinavian watchful waiting follow-up programs in patients with a malignant colorectal polyp. A web-based questionnaire survey.

Zain Elabedin Asheer1, Thue Bisgaard1, Odd Mjåland2, Eva Angenete3, Orhan Bulut1, Katarina Levic Souzani1 1Hvidovre University Hospital, Copenhagen, Denmark. 2Sorlandet Hospital Trust, Kristiansand, Norway. 3Sahlgrenska University Hospital, Gothenburg, Sweden P305 The relationship between proportion of stroma in pre-treatment biopsy, response to chemoradiotherapy and survival in patients with rectal cancer

Stijn Wenmaekers, Sade Assmann, Heike Grabsch, Jarno Melenhorst MUMC, Maastricht, Netherlands P307 Concordance of pre- and postoperative tumor staging of colon cancer

Najia Azhar1, Kevin Korsbakke2, Niklas Karlsson1, Sophia Zachrisson3, Pamela Buchwald1 1Department of Surgery, Malmoe, Sweden. 2Departement of Surgery, Malmoe, Sweden. 3Department of Translation Medicine, Malmöe, Sweden P308 Predicting the response to preoperative radiation therapy by next- generation sequencing of the gene expression profiles in rectal cancer

Sung Uk Bae, Hyun-Gyo Lee, Woon Kyung Jeong, Seong Kyu Baek Keimyung University Dongsan Medical Center, Daegu, Korea, Republic of P309 The obesity paradox in beyond total mesorectal excision surgery for locally advanced and recurrent rectal cancer

Daniel Baird1,2, Constantinos Simillis3, Gianluca Pellino3, Christos Kontovounisios2,3,1, Shahnawaz Rasheed2,1, Paris Tekkis2,1,3 1Royal Marsden hospital, London, United Kingdom. 2Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 3Chelsea Westminster hospital, London, United Kingdom P310 Evolution of perineal reconstruction in salvage abdominoperineal excision (APE): a decade of outcomes from a single centre

Richard Bamford, James W F Kynaston, Thomas Maccabe, Robert J Longman, David Messenger, Michael G Thomas Bristol Royal Infirmary, Bristol, United Kingdom P311 The use of colonic stents as a therapeutic option in obstructive colon neoplasia.

Olga Anabitarte Bautista, Lucia del Carmen Calvo del Val, Maria Ais Dávila, Gonzalo Sanz Ortega, Claudia Jimena Gonzalez, Daniel Rivera, Inmaculada Dominguez, Mauricio Garcia Alonso, Antonio Jose Torres Hospital clinico San Carlos, Madrid, Spain P312 Adherence to surveillance guidelines for histologically diagnosed sessile serrated lesions

Sophia Beeby, Thomas Dudding, Adrian Bateman University Hospital Southampton, Southampton, United Kingdom P313 Does complete mesocolic excision for sigmoid cancer increase the risk of bowel dysfunction?

Claus Anders Bertelsen1, Hossam Elfeki2, Anders Ulrich Neuenschwander1, Søren Laurberg2, Bent Kristensen3, Katrine J Emmertsen4 1Department of Surgery, North Zealand Hospital Hillerød, Hillerød, Denmark. 2Department of Surgery, Aarhus University Hospital, Aarhus, Denmark. 3Department of Clinical Physiology, Herlev University Hospital, Herlev, Denmark. 4Department of Surgery, Regionshospitalet Randers, Randers, Denmark P314 MUC-16 and KLK13 are independent prognostic biomarkers in colon cancer

Kajsa Björkman1,2, Harri Mustonen1,2, Tuomas Kaprio1,2, Caj Haglund1,2, Camilla Böckelman1,2 1University of Helsinki, Helsinki, Finland. 2Helsinki University Hospital, Helsinki, Finland P315 A retrospective multicentre cohort study comparing perineal morbidity following abdominoperineal resection with and without omentoplasty in rectal cancer patients

Robin Blok1, Joske de Jonge2, Marlou de Koning1, Anthony van de Ven3, Jarmila van der Bilt3, Nanette van Geloven2, Willem Bemelman1, Pieter Tanis1 1Academic Medical Centre, Amsterdam, Netherlands. 2Tergooi Hospital, Hilversum, Netherlands. 3Flevo Hospital, Almere, Netherlands P316 The addition of MUC-16 and KLK13 serum biomarkers improves prognostication of colon cancer patients

Kajsa Björkman1,2, Harri Mustonen1,2, Tuomas Kaprio1,2, Caj Haglund1,2, Camilla Böckelman1,2 1University of Helsinki, Helsinki, Finland. 2Helsinki University Hospital, Helsinki, Finland P317 Patterns of complications after urinary tract reconstruction in multivisceral surgery for colorectal and anal cancer

Björn Bolmstrand, Per J Nilsson, Torbjörn Holm, Christian Buchli, Gabriella Palmer Department of Molecular Medicine and Surgery, Karolinska Institutet and Center of Digestive Diseases, P9:03, Karolinska University Hospital, Stockholm, Sweden P318 Surgical resection for treatment of colorectal polyps: a single centre retrospective cohort study

Dianne Bosch1, Wouter H de Vos tot Nederveen Cappel1, Nina AC Vermeer2, Koen CMJ Peeters2, Henderik L van Westreenen1 1Isala Zwolle, Zwolle, Netherlands. 2LUMC, Leiden, Netherlands P319 1 year survival of colorectal cancer patients in England and Wales

Jemma Boyle1, Angela Kuryba1, Jan van der Meulen1,2, Kate Walker1,2, James Hill3, Michael Braun4 1Clinical Effectiveness Unit, Royal College of Surgeons (England), London, United Kingdom. 2London School of Hygiene and Tropical Medicine, London, United Kingdom. 3Central Manchester University Hospitals, Manchester, United Kingdom. 4The Christie Hospital, Manchester, United Kingdom P320 Establishing the current burden of colorectal cancer patients who are surviving less than 12 months in England and Wales

Jemma Boyle1, Angela Kuryba1, Jan van der Meulen1,2, Kate Walker1,2, James Hill3, Michael Braun4 1Clinical Effectiveness Unit, Royal College of Surgeons (England), London, United Kingdom. 2London School of Hygiene and Tropical Medicine, London, United Kingdom. 3Central Manchester University Hospitals, Manchester, United Kingdom. 4The Christie Hospital, Manchester, United Kingdom P321 Place of death for colorectal cancer patients in England and Wales

Jemma Boyle1, Angela Kuryba1, Jan van der Meulen1,2, Kate Walker1,2, James Hill3, Michael Braun4 1Clinical Effectiveness Unit, Royal College of Surgeons (England), London, United Kingdom. 2London School of Hygiene and Tropical Medicine, London, United Kingdom. 3Central Manchester University Hospitals, Manchester, United Kingdom. 4The Christie Hospital, Manchester, United Kingdom P322 Anal Squamous Cell Carcinoma. A 10-year case series at Chelsea and Westminster Hospitals NHS Foundation Trust.

Danielle Browning1,2, Christopher Khoo1, Costas Simillis1, Marie-Francoise Lawson1, Christos Kontovounisios1, Oliver Warren1,2, Mark Bower1,2, Paris Tekkis1,2, Sarah Mills1 1Chelsea and Westminster Hospitals NHS Hospitals Trust, London, United Kingdom. 2Imperial College London, London, United Kingdom P323 UK Rectal Cancer Management – An Algorithm

Catherine Bryant1, Henry Lee1, Daniella Donato-Brown2, Christopher Chan3,4 1Whittington NHS Trust, London, United Kingdom. 2Imperial College London, London, United Kingdom. 3Barts Health NHS Trust, London, United Kingdom. 4Queen Mary University of London, London, United Kingdom P324 Is re-evaluation by MRI, CT and discussion at MDT necessary after neoadjuvant radio-chemo-therapy in rectal cancer?

Karen Busk Hesseldal1, Nina Sonne Bundgaard2, Torben Henrik Pold3, Ole Roikjær4, Per Vadgaard Andersen5, Lene Hjerrild Iversen1 1Aarhus university Hospital, Aarhus, Denmark. 2Bispebjerg Hospital, Copenhagen, Denmark. 3Herning Hospital, Herning, Denmark. 4Sjællands Universitetshospital, Roskilde, Denmark. 5Odense Universitetshospital, Odensen, Denmark P325 Ex-vivo intra- arterial methylene blue injection in colorectal cancer

Francisco Cabral1, Bárbara Silveira1, Filipa Antunes2, João Maciel2, Rita Barroca2, Ricardo Fonseca2, Luis Manoel2, Paula Chaves2, Manuel Limbert1, Nuno Abecasis2 1IPOLFG, lisboa, Portugal. 2IPOLFG, Lisboa, Portugal P326 Is local excision for suspicion of complete tumor response after radiochemotherapy for rectal cancer safe and feasible ? A case-matched study versus total mesorectal excision in 110 patients.

Mélanie Calmels, Elisabeth Hain, Léon Maggiori, Justine Prost à la Denise, Yves Panis Beaujon Hospital, Clichy, France P327 Does visceral obesity at diagnosis have an impact on oncologic outcomes of patients operated for colorectal cancer with curative intent?

Leonardo Carcamo, Eduardo Peñailillo, Lucas Oberpaur, Maria Teresa Martinez, Valeria Tapia, Isabela Tapia, Julieta Klassen, Felipe Bellolio, Gonzalo Urrejola, Rodrigo Miguieles, Maria Elena Molina, Alvaro Zuñiga, Tomas Larach Pontificia Universidad Católica de Chile, Santiago, Chile P328 Primary anastomosis in emergency resection for obstructing left sided colonic cancers: is it safe?

Jonathan Leunbach, Richard Cassidy, Hugh Paterson Colorectal Unit, Western General Hospital, Edinburgh, United Kingdom P329 Survey regarding personal and family members’ colorectal cancer screening among general surgeons: a preliminary result

Suleyman Utku Celik, Hasan Gorkem Cay, Esra Nur Ince, Ersin Bayrakdar, Yasemin Celik, Yunus Emre Yucel, Aysima Ince, Mehmet Ali Koc, Siyar Ersoz, Cihangir Akyol Ankara University School of Medicine, Ankara, Turkey P330 ASA 3 colon cancer patients with emergency surgery

Fevzi Cengiz, Kemal Erdinç Kamer, Turan Acar, Hızır Taner Coşkun, Halıs Bağ, Atahan Acar, Mehmet Hacıyanlı Izmir Katip Celebi University Ataturk Training and Research Hospital, Izmir, Turkey P331 Pathologic complete response after neodyuvant treatment in locally advanced rectal cancer, is it predictable using pretreatment inflammatory indexes?

Carlos Cerdán-Santacruz, Mireia Merichal-Resina, Lucía Milla-Collado, Pablo Muriel-Álvarez, Jordi Tarragona- Foradada, José Enrique Sierra-Grañón, Jorge Juan Olsina-Kissler Hospital Universitario Arnau de Vilanova, Lleida, Spain P332 Oncologic results after salvage surgery for recurrent colon cancer.

Carlos Cerdán-Santacruz, Mireia Merichal-Resina, Lucía Milla-Collado, Pablo Muriel-Álvarez, Jordi Tarragona- Foradada, José Enrique Sierra-Grañón, Jorge Juan Olsina-Kissler Hospital Universitario Arnau de Vilanova, Lleida, Spain P333 Oncological results of locally advanced rectal cancer in the elderly.

Mireia Merichal-Resina, Carlos Cerdán-Santacruz, Lucía Milla-Collado, Pablo Muriel-Álvarez, Nuria Mestres-Petit, José Enrique Sierra-Grañón, Jorge Juan Olsina-Kissler Hospital Universitario Arnau de Vilanova, Lleida, Spain P335 LS-surgery of colorectal cancer with transvaginal specimen extraction: experience of one centre.

Ilya Charnikovskiy, Artem Gavriliukov, Nina Savanovich, Alexey Smirnov, Vladimir Moyseenko St Peterburg Cancer Centre, St Peterburg, Russian Federation P336 Impact of neoadjuvant Imatinib treatment for rectal GIST

Chinock Cheong1, Kang Young Lee2 1Ajou University School of Medicine, Suwon, Korea, Republic of. 2Yonsei Univsersity College of Medicine, Seoul, Korea, Republic of P337 Preoperative assessment of circumferential resection margin involvement in rectal cancer using magnetic resonance imaging: can perinodal extension be defined as circumferential resection margin involvement in rectal cancer?

Chinock Cheong1, Kang Young Lee2 1Ajou University School of Medicine, Suwon, Korea, Republic of. 2Yonsei University College of Medicine, Seoul, Korea, Republic of P338 Exploring long-term unmet supportive care needs and coping strategies of asian colorectal cancer survivors: a qualitative study

Sungwon Yoon1, Teck Beng Chua2, Iain Tan3, Dawn Chong3, Melissa Teo3, David Matchar1, Choong Leong Tang4, Emile KW Tan4 1Duke NUS, Singapore, Singapore. 2Duke NUS Medical School, Singapore, Singapore. 3National Cancer Centre Singapore, Singapore, Singapore. 4Department of Colorectal Surgery Singapore General Hospital, Singapore, Singapore P339 Does robotic total mesorectal excision provide optimal pathologic outcome in overweight males with low rectal cancer? Analysis of 890 cases

Alexandra Chudner, Caterina Foppa, Hanjoo Lee, Mahir Gachabayov, Roberto Bergamaschi Westchester Medical Center, Valhalla, USA P340 Transanal minimally invasive surgery(TAMIS) for local excision of selected rectal tumors: investigating differences between individual learning curves and suggested institutional training pathway

Stefan Clermonts1,2, Tina van Loon1, Jasper Stijns3, Hans Pottel4, Dareczka Wasowicz1, David Zimmerman1 1Elisabeth-TweeSteden Hospital, Tilburg, Netherlands. 2Maastricht University Medical Center, Maastricht, Netherlands. 3Gasthuisberg University Medical Center, Leuven, Belgium. 4Leuven University Medical Center, Leuven, Belgium P341 Is Carmofur a potential radiosensitizer for locally advanced rectal cancer?

Rachael Clifford1, Naren Govindarajah1, David Bowden1, Paul Sutton1, Jason Parsons1, Dale Vimalachandran2 1Institute of Cancer Medicine, Liverpool, United Kingdom. 2The Countess of Chester Hospital, Chester, United Kingdom P342 A qualitive study of Cancer patients perspective of the straight to test two-week wait colorectal cancer pathway, lessons for pathway implementation.

Rory Collins1, Pauline Millan1, Miles Geldhart1, Richard Wharton2, Gabby Thorpe3, Hernon James2 1Norwich Medical School, Norwich, United Kingdom. 2Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, United Kingdom. 3University of East Anglia, Norwich, United Kingdom P343 Can preoperative18F-FDG PET/CT predict KRAS mutations in a european population with metastatic colorectal cancer?

Mónica Mogollón, Raquel Conde, Mar Navarro-Pelayo, Francisco Huertas, Inmaculada Segura, Pablo Palma, Tomás Torres Virgen de las Nieves University Hospital, Granada, Spain P344 Prognostic impact in survival of sequential [18F]-FDG-PET/CT before and after chemoradiotherapy in locally advanced rectal cancer

Raquel Conde-Muiño, Carmen Ferrer-Castro, María Ángeles Herrero-Torres, Inmaculada Segura-Jiménez, Francisco Huertas-Peña, Pablo Palma, Tomás Torres-Alcalá Hospital Universitario Virgen de las Nieves, Granada, Spain P345 The impact of laparoscopic versus open rectal resections on the grade of mesorectal excision, a systematic review and meta-analysis

Ben Creavin, Michael Kelly, Eanna Ryan, Des Winter St Vincent's University Hospitlal, Dublin, Ireland P346 Abdominoperineal ressection – experience of a reference center

Rui Cunha1, Manuel Morais2, Mariana Sousa3, Manuel Limbert3, Luis Manoel3, Rita Barroca3, Nuno Abecasis3 1Centro Hospitalar Cova da Beira, Covilhã, Portugal. 2Faculdade de Medicina da Universidade de Lisboa, Lisboa, Portugal. 3Instituto Português de Oncologia, Lisboa, Portugal P347 Downstaging effects of neoadjuvant chemotherapy in locally advanced colon cancer

Marlies G Verstegen1, Jan Marie de Gooyer1, Jorine ’t Lam-Boer1, Sandra A. Radema1, Rob H.A. Verhoeven2, Cees Verhoef3, Jennifer MJ Schreinemakers4, Johannes H.W. de Wilt1 1Radboudumc, Nijmegen, Netherlands. 2IKNL, Utrechts, Netherlands. 3Erasmus MC, Rotterdam, Netherlands. 4Amphia hospital, Breda, Netherlands P348 Adenocarcinoma of the ileoanal pouch

Rosane Louzada1, JULYANNA FRANÇA1, PRISCILLA DE MEDEIROS2, EDUARDO VIEIRA1, JOAO PUPO NETO1 1FEDERAL UNIVERSITY OF RIO DE JANEIRO, RIO DE JANEIRO, Brazil. 2AERONAUTICS CENTRAL HOSPITAL, RIO DE JANEIRO, Brazil P349 The predictive role of pelvimetry and restaging magnetic resonance imaging studies in locally advanced rectal cancer: the EuMaRCSstudy group

Nicola de'Angelis1, Aleix Martinez-Perez2, Frederic Pigneur1, Giulio Cesare Vitali3, Filippo Landi4, Francesco Brunetti1, Eloy Espin4, Frederic Ris3, Alain Luciani1 1Henri Mondor University Hospital, Creteil, France. 2Hospital Universitario Doctor Peset, Valencia, Spain. 3Geneva University Hospitals and Medical School, Geneva, Switzerland. 4Hospital Universitario Vall d’Hebron, Barcelona, Spain P350 Impact of the Uk Bowel Cancer Screening Program (BCS) and the Two Weeks Referral Pathway (2WW) on 5 years Colorectal Cancer (CRC) Survival

Gabriele Di Benedetto1, Paul Harris1, Gi Di Benedetto2 1Royal Bolton Hospital, Bolton, United Kingdom. 2Molinette Hospital, Turin, Italy P351 Postoperative outcomes in cT4 rectal cancer patients undergoing standard or multivisceral resection

Luuk Drager, Marlies Verstegen, Hans de Wilt Radboudumc, Nijmegen, Netherlands P352 The Faecal Immunochemical Test: FIT to Rule Out Bowel Cancer in Symptomatic Patients?

Nigel D'Souza1, Georgina Hicks1, Sally Benton2, Muti Abulafi1 1Croydon University Hospital, London, United Kingdom. 2Royal Surrey County Hospital, Guildford, United Kingdom P354 Late anastomotic leak after rectal resection in cancer patients.

Jana Dziakova1,2, Gonzalo Sanz Ortega1, Inmaculada Dominguez Serrano1, Mauricio Garcia Alonso1, Julio Mayol Martinez1, Antonio Torres Garcia1 1Hospital Clinico San Carlos, Madrid, Spain. 2Complutense University, Madrid, Spain P355 Feasibility of Natural Orifice Specimen Extraction (NOSE) Surgery for Colorectal Cancer Treatment: Case-matched Study

Sergey Efetov, Yuriy Kitsenko, Galina Milovanova Clinic of Colorectal and Minimally Invasive Surgery Sechenov First Moscow State Medical University, Moscow, Russian Federation P356 Short-term results of right hemicolectomy with D3-lymph node dissection for right colon cancer

Sergey Efetov, Lyudmila Sidorova, K. Kochneva, Inna Tulina, Petr Tsarkov Clinic of Colorectal and Minimally Invasive Surgery Sechenov First Moscow State Medical University, Moscow, Russian Federation P357 Are Colorectal malignant polyp cancer guidelines followed and predict which patients benefit from a colorectal resection? A retrospective audit

Ayomide Ekunola1, Aaron Carlisle1, Richard Wharton2, Hernon James2 1Norwich Medical School, Norwich, United Kingdom. 2Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, United Kingdom P358 Splenic flexure cancer resections, stuck between left & right .

Ahmed El Hadi, Katherine Meadows, Nigel Hall, James Wheeler Cambridge Colorectal Unit, Addenbrooke`s Hospital, Cambridge, United Kingdom P359 Risk factors of anastomotic leakage after colorectal surgery:our institutional experience

Mohamed Elhemaly, Ibrahim lotfy, Waleed Askar, Helmy Ezzat Gastrointestinal Surgical Center, Mansoura, Egypt P360 Predictors for local recurrence and distant metastasis of mucinous colorectal adenocarcinoma

Sameh Emile, Alaa Magdy, Waleed Elnahas, Omar Hamdy, Mahmoud Abdelnaby, Wael Khafagy Mansoura university, Faculty of Medicine, Mansoura, Egypt P361 Mapping oncological colorectal surgery complications: Major role for functional performance over patient age range

Miguel F. Cunha, Joana Roseira, Juan Rachadell, Edgar Amorim, Mahomede Americano Centro Hospitalar e Universitário do Algarve, Portimao, Portugal P362 Long-term ano-rectal function in rectal cancer patients treated with radiotherapy and endorectal brachytherapy (watchful waiting cohort).

Pia Møller Faaborg1,2, Susanne Haas2, John Pløen3, Anders Kristian Møller Jacobsen3, Hans Bjarke Rahr1, Søren Laurberg2, Lillli Lundbye2, Peter Christensen2, Klaus Krogh4 1Department of Surgery, Danish Colorectal Cancer Center South, Vejle, Denmark. 2Pelvic Floor Unit, Department of Surgery P, Aarhus University Hospital, Aarhus, Denmark. 3Department of Oncology, Danish Colorectal Cancer Center South, Vejle, Denmark. 4Neurogastroenterology Unit, Department of Hepatology and Gastroenterology, Aarhus University Hospital, Aarhus, Denmark P363 Accuracy of endoanal ultrasound for local staging of rectal cancer in comparison with final pathologic findings

Mohammad Sadegh Fazeli, Mohammad Reza Keramati, Amir Keshvari, Alireza Kazemeini, Mohaddeseh Amini, Amir Reza Fazeli Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of P364 Our experience in laparoscopic surgical treatment of colorectal cancer in elderlypatients

Dmitriy Feoktistov1,2, Rustem Aiupov1, Nikita Tarasov1, Marat Garipov1, Nail Suleymanov1, Rustem Agliullin1, Felix Zainullin2,1 1Republican Oncologycal Clinical Dispensary, Ufa, Russian Federation. 2Bashkirs State Medical University, Ufa, Russian Federation P365 A core outcome set for trials of chemoradiotherapy interventions for anal cancer (The CORMAC project): Systematic review, qualitative interviews and Delphi survey

Rebecca Fish1,2, Caroline Sanders3, Richard Adams4, Julie Brewer2, Sara Brookes5, Jill DeNardo2, Rohit Kochhar2, Mark Saunders2, David Sebag-Montefiore6, Paula Williamson7, Andrew Renehan1,2,8 1University of Manchester, Division of Cancer Sciences, Manchester, United Kingdom. 2The Christie NHS Foundation Trust, Manchester, United Kingdom. 3University of Manchester, Centre for Primary Care, Manchester, United Kingdom. 4Centre for Trials Research, Cardiff University School of Medicine, Cardiff, United Kingdom. 5Cancer Research UK Clinical Trials Unit, University of Birmingham, Birmingham, United Kingdom. 6University of Leeds, Leeds Cancer Centre, Leeds, United Kingdom. 7MRC North West Hub for Trials Methodology Research, University of Liverpool, Liverpool, United Kingdom. 8Manchester Cancer Research Centre and NIHR Biomedical Research Centre, Manchester, United Kingdom P366 Does the learning curve of the robotic rectal cancer surgery affect circumferential resection margin? A meta-analysis and a risk-adjusted cumulative sum analysis.C

Caterina Foppa, Karen You, Mahir Gachabayov, Roberto Bergamaschi Division of Colon and Rectal Surgery, State University of New York, Stony Brook, NY, USA P367 Long-term oncological outcomes of robotic total mesorectal excision

Giampaolo Formisano, Sofia Esposito, Giuseppe Giuliani, Pasquale Misitano, Adelona Salaj, Paolo Pietro Bianchi Misericordia Hospital, Grosseto, Italy P368 Pattern of referral for contact X-ray brachytherapy (Papillon) in patients not suitable for surgery or stoma phobic and refusing surgery

Vicky Fretwell1, Fraser Smith1, Chris Rao2, Raj Sripadam3, Karen Whitmarsh3, Lois Barnes3, Karen Jopson3, Kate Perkins3, Ann Anderson3, Arthur Sun Myint3 1Royal Liverpool and Broadgreen University NHS Trust, Liverpool, United Kingdom. 2Imperial College, London, United Kingdom. 3Clatterbridge Cancer Centre, Liverpool, United Kingdom P369 Is follow-up still mandatory more than 5 years after surgery for colorectal cancer ?

Alice Frontali, Benjamin Benichou, Ionut Valcea, Léon Maggiori, Justine Prost à la Denise, Yves Panis Beaujon Hospital, Clichy, France P370 The incidence of colorectal cancer in young patients – is it increasing? A population based study in Denmark

Erik Frostberg1,2, Hans B. Rahr1 1Department of Surgery, Colorectal Cancer Center South, Vejle Hospital, Vejle, Denmark. 2Institute of Regional Health Services Research, University of Southern Denmark, Odense, Denmark P371 Artificial intelligence in local advanced rectal cancer staging: utility of a mathematical 3d-method applied to the magnetic resonance for r0 resection

ALVARO GARCIA-GRANERO1,2, GIANLUCA PELLINO1, MATTEO FRASSON1, JORGE SANCHO-MURIEL1, DELFINA FLETCHER-SANFELIU3, BLAS FLOR-LORENTE1, FRANCISCO GINER1, EDUARDO GARCIA-GRANERO1 1HOSPITAL UNIVERSITARIO Y POLITECNICO LA FE, VALENCIA, Spain. 2HUMAN ANATOMY AND EMBRYOLOGY DEPARTMENT. UNIVERSITY OF VALENCIA, VALENCIA, Spain. 3HOSPITAL UNIVERSITARIO SON ESPASES, MALLORCA, Spain P372 Robotic complete mesocolic excision with central vascular ligation and Intracorporeal anastomosis versus laparoscopic conventional approach in right sided colon cancer. Is there any difference? Results of a matched pilot study.

Marcos Gómez Ruiz1,2,3, Carmen Cagigas Fernandez1,3, Lidia Cristobal Poch1, Manuel Gómez Fleitas1,2,3, Julio Castillo Diego1,3 1Hospital Universitario Marqués de Valdecilla, Santander, Spain. 2IDIVAL, Santander, Spain. 3Universidad de Cantabria, Santander, Spain P373 Acid ceramidase and radioresistance in rectal cancer – is apoptosis the key to a novel mechanism?

Narendranath Govindarajah1,2, Rachael Clifford1,2, Paul Sutton1, David Bowden1, Jason L Parsons1, Dale Vimalachandran2,1 1University of Liverpool, Liverpool, United Kingdom. 2Countess of Chester Hospital, Chester, United Kingdom P374 Surgical anatomy of the Denonvilliers fascia – technical implications in total mesorectal excision

Florin Grama1,2, Traean Burcos1,2, Daniel Cristian1,2 1Coltea Clinical Hospital, Bucharest, Romania. 2Carol Davila University of Medicine and Pharmacy, Bucharest, Romania P375 Correlation between imaging patterns of response and long-term functional outcome in complete responding rectal cancer patients followed with MRI as part of a wait-and-see program.

Hester E. Haak1,2, Doenja M.J. Lambregts3, Monique Maas3, Thierry N. Boellaard3, Andrea Delli Pizzi4, Marit van der Sande1,2, Max J. Lahaye3, Britt J.P. Hupkens1,5, Regina G.H. Beets-Tan2,3, Geerard L. Beets1,2 1Department of Surgery, Netherlands Cancer Institute – Antoni van Leeuwenhoek, Amsterdam, Netherlands. 2GROW School for Oncology and Developmental Biology – Maastricht University, Maastricht, Netherlands. 3Department of Radiology, Netherlands Cancer Institute – Antoni van Leeuwenhoek, Amsterdam, Netherlands. 4Department of Neuroscience and Imaging, Gabriele d’Annunzio University, SS. Annunziate Hospital, Chieti, Italy. 5Department of Surgery, Maastricht University Medical Centre, Maastricht, Netherlands P376 Sacral bone marrow changes and insufficiency fractures on MRI during long-term follow-up after chemoradiotherapy for rectal cancer.

Hester E. Haak1,2, Doenja M.J. Lambregts3, Monique Maas3, Thierry N. Boellaard3, Max J. Lahaye3, Regina G.H. Beets-Tan3,2, Geerard L. Beets1,2 1Department of Surgery, Netherlands Cancer Institute – Antoni van Leeuwenhoek, Amsterdam, Netherlands. 2GROW School for Oncology and Developmental Biology – Maastricht University, Maastricht, Netherlands. 3Department of Radiology, Netherlands Cancer Institute – Antoni van Leeuwenhoek, Amsterdam, Netherlands P377 OX40+ and CD16+ predict improved overall survival in colorectal cancer patients

Fabian Haak1, Isabelle Obrecht1, Nadia Tosti2, Benjamin Weixler1, Robert Mechera1, Silvio Däster1, Sebastian Staubli1, Marco von Strauss1, Tarik Delko1, Giulio C Spagnoli3, Luigi M Terracciano2, Giuseppe Sconocchia4, Raoul A Droeser1,3, Marko Kraljevic1 1Department of Surgery, University Hospital Basel, Basel, Switzerland. 2Institute of Patholgy, University Hospital Basel, Basel, Switzerland. 3Department of Biomedicine, University of Basel, Basel, Switzerland. 4Institute of Translational Pharmacology, CNR, Rome, Italy P378 Restrospective review of outcomes of endoscopic submucosal dissection vesus laparoscopic surgery in management of colonic lateral spreading tumor (LST)

Alex Lik Hang Leung, Chi Wai Lau, Chung Ngai Tang Pamela Youde Nethersole Eastern Hospital, Hong Kong, Hong Kong P379 Decreasing deep sleeping time may induce neutropenia in patients undergoing chemotherapy with 5-fluorouracil.

Keisuke Hara1, Takeshi Yamada1, Michihiro Koizumi1, Seiichi Shinji1, Yasuyuki Yokoyama1, Goro Takahashi1, Masahiro Hotta1, Kohki Takeda1, Kouji Ueda1, Hayato Ohwada2, Hiroshi Yoshida1 1Department of Digestive Surgery, Nippon Medical School, Tokyo, Japan. 2Department of Industrial Administration, Tokyo University of Science, Chiba, Japan P380 FGF8: a candidate target in radioresistant rectal cancer

Felix Harpain1, Edgar Selzer2, Gerd Jomrich1, Bettina Grasl-Kraupp3, Michael Grusch3, Brigitte Marian3, Gerd Silberhumer1 1Department of Surgery, Medical University of Vienna, Vienna, Austria. 2Department of Radiotherapy and Radiobiology, Medical University of Vienna, Vienna, Austria. 3Institute of Cancer Research, Department of Medicine I, Medical University of Vienna, Vienna, Austria P381 A retrospective study comparing the compliance of colorectal cancer follow up, with NICE guidance, in nurse-led versus consultant-led clinics

Philip Hartley1, Kiranpreet Gill1, Martina Cusack2, Jason Smith2, Nikhil Pawa2 1Imperial College London, London, United Kingdom. 2Chelsea and Westminster NHS Foundation Trust, London, United Kingdom P382 The learning curve in the Netherlands; results of the implementation of transanal total mesorectal excision (TaTME) with the training pathway

Marloes Veltcamp Helbach1, Stefan Oostendorp1, Joep Knol2, Jaap Bonjer1, Colin Sietses3, Jurriaan Tuynman1 1VU Medical Centre, Amsterdam, Netherlands. 2Jessa Ziekenhuis, Hasselt, Belgium. 3Gelderse Vallei, Ede, Netherlands P383 The role of extended D3 mesenterectomy anterior/posterior to the superior mesenteric vessels in patients with small bowel neuroendocrine tumors

Anne Helene Lilleaas1, Bojan Stimec2, Bjørn Edwin3, Espen Thiis-Evensen3, Arne Bakka1, Ola Røkke1, Dejan Ignjatovic1 1Akershus University Hospital, Lørenskog, Norway. 2University of Geneva, Geneva, Switzerland. 3Oslo University Hospital, Oslo, Norway P384 Personalized oncological resection of colon cancer with the use of Indocyanide green lymph node mapping: feasibility study

Man-fung HO1, Kaori Futaba2, Tony, Wing-chung MAK2, Simon, Siu-man NG2, Janet, Fung-yee LEE1 1Prince of Wales Hospital, Hong Kong SAR, Hong Kong. 2Chinese University of Hong Kong, Hong Kong SAR, Hong Kong P385 Anterior resection for rectal cancer: Defunctioning stoma as a risk factor for a permanent stoma and relation to the extent of mesorectal excision

Klas Holmgren1, Markku M Haapamäki1, Peter Matthiessen2, Jörgen Rutegård1, Martin Rutegård1 1Department of Surgical and Perioperative Sciences, Umeå University, Umeå, Sweden. 2Department of Surgery, Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro University, Örebro, Sweden P386 Outcomes after hepatic and pulmonary metastasectomies compared with pulmonary metastasectomy alone in patients with colorectal cancer

Tomoko Horie1,2, Yukihide Kanemitsu1, Shunsuke Tsukamoto1, Dai Shida1 1National Cancer Center, Tokyo, Japan. 2Koto Hospital, Tokyo, Japan P387 Pressurised Intraperitoneal Aerosol Chemotherapy (PIPAC) for Colorectal Peritoneal Carcinomatosis

Ines Silva1, Alexander Hotouras2, Jamie Murphy1 1Imperial College NHS Trust, London, United Kingdom. 2Barts Health NHS Trust The Royal London Hospital, London, United Kingdom P388 The impact of ligation level on survival and recurrence in rectal cancer surgery

Daniel Kverneng Hultberg1, Petrus Boström1, Jenny Häggström2, Markku M. Haapamäki2, Peter Matthiessen3, Jörgen Rutegård1, Martin Rutegård1 1Department of Surgical and Perioperative Sciences, Surgery, Umeå University, Umeå, Sweden. 2Department of Statistics, Umeå School of Business and Economics, Umeå University, Umeå, Sweden. 3Department of Surgery, Faculty of Medicine and Health, School of Health and Medical Sciences, Örebro, Sweden P389 HPV-related anal precancerosis screening in HIV infected MSM: it's possibile? First results

Roberto Paolo Iachetta1, Carlotta Rogati2, Margherita Digaetano2, Alberto Farinetti2, Francesco Spatafora2, Alessandra Cola1, Monica Pecorari2, A Bonazza2, V Borghi2, M Menozzi2, Cristina Mussini2, Roberto Dino Villani1 1Nuovo Ospedale Civile di Sassuolo, Sassuolo, Italy. 2Policlinico di Modena, Modena, Italy P390 Increase of peripheral lymphocyte-monocyte ratio after the primary site resections related with the prolonged survival in unresectable colorectal carcinoma

Nobuki Ichikawa1, Shigenori Homma1, Tadashi Yoshida1, Tomoko Mitsuhashi2, Hiroaki Iijima3, Kazuhiro Ogasawara4, Keizo Kazui5, You Kamiizumi6, Yosuke Ohno1, Futoshi Kawamata1, Susumu Shibasaki1, Hideki Kawamura1, Akinobu Taketomi1 1Department of Gastroenterological Surgery I, Graduate School of Medicine, Hokkaido University,, Sapporo, Japan. 2Department of Surgical Pathology, Hokkaido University Hospital, Sapporo, Japan. 3Clinical Research and Medical Innovation Center, Hokkaido University Hospital, Sapporo, Japan. 4Department of Surgery, Kushiro Rosai Hospital, Japan Labour Health and Welfare Organization, Kushiro, Japan. 5Department of Surgery, Hokkaido Hospital, Japan Community Healthcare Organization, Sapporo, Japan. 6Department of Surgery, Iwamizawa Municipal Hospital, Iwamizawa, Japan P391 Second primary rectal cancer following pelvic radiation therapy – a population based study

Anouk JM Rombouts1, Marloes AG Elferink2, Niek Hugen1, Philip MP Poortmans1,3, Iris D Nagtegaal1, Johannes HW de Wilt1 1Radboudumc, Nijmegen, Netherlands. 2Netherlands Comprehensive Cancer Organisation, Enschede, Netherlands. 3Institut Curie, Paris, France P392 Sentinel node in colon cancer.

Garcia Jonás1, Alvarez Laso Carlos2, Diana Rodríguez3, María Folch4, Ana Cabrera2, Valentina Sosa5, Eusebio Mosquera2 1Sevicio de Cirugía. Hospital Universitario de Cabueñes, Gijón, Spain. 2Servicio de Cirugía Hospital Universitario de Cabueñes, Gijón, Spain. 3Servicio de Anatomía Patológica Hospital Universitario de Cabueñes, Gijón, Spain. 4Servicio de Anatomía patológica Hospital Universitario de Cabueñes, Gijón, Spain. 5Servicio de Cirugía. Hospital Universitario de Cabueñes, Gijón, Spain P393 Rectal washout does not increase the complication risk after anterior resection for rectal cancer

Fredrik Jörgren1, Karl Teurneau-Hermansson1, Rebecca Svensson Neufert1, Pamela Buchwald2 1Department of Surgery, Helsingborg Hospital, Helsingborg, Lund University, Lund, Sweden. 2Department of Surgery, Skåne University Hospital, Malmö,Lund University, Lund, Sweden P394 Sensitivity of evaluating modalities for predicting a pathologic complete response after preoperative chemoradiation therapy for locally advanced rectal cancer

Sung Woo Jung1, Chang Sik Yu1, Seong Ho Park2, Jong Seok Lee2, Ah Young Kim2, Jong Lyul Lee1, Chan Wook Kim1, Yong Sik Yoon1, In Ja Park1, Seok-Byung Lim1, Jin Cheon Kim1 1Division of Colon and Rectal Surgery, Department of Surgery, University of Ulsan College of Medicine and Asan Medical Center, Seoul, Korea, Republic of. 2Department of Radiology, Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea, Republic of P395 Incidental finding of appendiceal tumors

Erdinc Kamer, Danial Khabbazazar, Turan Acar, Gulden Ballı, Emine Ozlem Gur, Haldun Kar, Ercument Tarcan, Mehmet Haciyanli Izmir Katip Celebi University, Ataturk Training and Research Hospital,Department of Surgery, Izmir, Turkey P396 Interventions used to improve compliance to colorectal cancer screening amongst ethnic minorities: a systematic review

Lenoj Kanageswaran1, Nikhil Lal2, Azeem Majeed3, Nikhil Pawa4 1Imperial College London, London, United Kingdom. 2University of Liverpool, Liverpool, United Kingdom. 3CLAHRC NWL, Imperial College London, London, United Kingdom. 4CLAHRC NWL, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom P397 Impact of tumor depth and nodal positivity on 30-day operative outcomes following descending colectomy

Angela Kao, Michael Arnold, Tanushree Prasad, Todd Heniford, Bradley Davis, Kevin Kasten Carolinas Medical Center, Charlotte, USA P398 Predictors of anastomotic leak in ascending and descending colon malignancies

Angela Kao, Kathryn Schlosser, Tanushree Prasad, Todd Heniford, Bradley Davis, Kevin Kasten Carolinas Medical Center, Charlotte, USA P399 Tetraspanin CD63 independently predicts poor prognosis in colorectal cancer

Tuomas Kaprio, Jaana Hagst, Leif Andersson, Caj Haglund University of Helsinki, Helsinki, Finland P400 Malnutrition incidence in patients with colorectal cancer: An Experience of Surgical Clinic

Barkın Kabalar1, Eray Kara2, Hasan Aydede2, Yamaç Erhan2 1Manisa Celal Bayar ÜUniversity, Dept.of General Surgery, Manisa, Turkey. 2Manisa Celal Bayar University, Dept.of General Surgery, Manisa, Turkey P401 Comparison of potential predictors of recurrence in local versus distant recurrent rectal cancers

Mohammad Reza Keramati1,2, Amir Keshvari1, Mohammad Sadegh Fazeli1, Alireza Kazemeini1, Amir Reza Fazeli1, Mohammad Kazem Nouri-taromlou1 1Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of. 2Barts Health NHS, Department of Colorectal Surgery, London, United Kingdom P402 Primary conclusion from TATME experience - the most benefit for “difficult” rectal cancer patients.

Dzhumabaev Khasan, Rasulov Arsen, Mamedli Zaman, Kozlov Nikolay, Lapteva Maria, Kulushev Vadim N.N. Blokhin Russian Cancer Research Center, Moscow, Russian Federation P403 Real-time near-infrared endoscopic probing of rectal cancer as a clinical diagnostic adjunct: pilot study

Haseeb Anwar Khokhar1, Eamon Loughman2, Nial Mulligan3, Dan Wu4, Donal O'Shea4, Ronan Arnold Cahill1,5 1Department of Colorectal surgery, Mater Misericordiae University Hospital, Dublin, Ireland. 2Department of Medical Physics,Mater Misericordiae University Hospital, Dublin, Ireland. 3Department of Pathology,Mater Misericordiae University Hospital, Dublin, Ireland. 4Department of Medicinal Chemistry, Royal College of Surgeons Ireland, Dublin, Ireland. 5Section of Surgery and Surgical Specialities, School of Medicine, University College Dublin, Dublin, Ireland P404 Oncologic safety of laparoscopic surgery after metallic stent interstion for obstructing left-sided colorectal cancer: a multicenter comparative study

Min Hyun Kim1, Heung-Kwon Oh1, Myung Jo Kim1, Duck-Woo Kim1, Sung-Bum Kang1, Rumi Shin2, Seung-Chul Heo2, Eui-Gon Youk3, Sung-Chan Park4, Dae Kyung Sohn4, Jae Hwan Oh4, Min Jung Kim5, Ji Won Park5, Seung- Bum Ryoo5, Seung-Yong Jeong 5, Kyu Joo Park5 1Seoul National University Bundang Hospital, Seongnam, Korea, Republic of. 2Seoul Metropolitan Government Seoul National University Boramae Medical Center, Seoul, Korea, Republic of. 3Daehang Colorectal Hospital, Seoul, Korea, Republic of. 4National Cancer Center, Goyang, Korea, Republic of. 5Seoul National University Hospital, Seoul, Korea, Republic of P407 Prognostic Significance of Radial Resection Margin for Colon Cancer

Min Jung Kim1,2, Hyoung Min Oh3, Ji Won Park1,2, Seung-Bum Ryoo1, Kyu Joo Park1, Boram Park4, Sung Chan Park3, Dae Kyung Sohn3, Hee Jin Chang3, Heung Kwon Oh5, Duck-Woo Kim5, Sung-Bum Kang5, Jae Hwan Oh3, Seung-Yong Jeong 1,2 1Department of Surgery, Seoul National University College of Medicine, Seoul National University Hospital, Seoul, Korea, Republic of. 2Cancer Research Institute, Seoul National University, Seoul, Korea, Republic of. 3Center for Colorectal Cancer, Research Institute and Hospital, National Cancer Center, Goyang, Korea, Republic of. 4Biometric Research Branch, Division of Cancer Epidemiology and Prevention, Research Institute and Hospital, National Cancer Center, Goyang, Korea, Republic of. 5Department of Surgery, Seoul National University College of Medicine, Seoul National University Bundang Hospital, Seongnam, Korea, Republic of P408 Clinical effect of histological mixed type on prognosis of patients with colon cancer

Takuma Kishimoto, Tomohiro Arita, Masayoshi Nakanishi, Yoshiaki Kuriu, Yasutoshi Murayama, Michihiro Kudou, Katsutoshi Shoda, Toshiyuki Kosuga, Hirotaka Konishi, Ryo Morimura, Atsushi Shiozaki, Hisashi Ikoma, Takeshi Kubota, Hitoshi Fujiwara, Kazuma Okamoto, Eigo Otsuji Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan P409 Risk of lymph node metastasis in patients undergoing radical surgery for T1 and T2 colorectal adenocarcinoma

Cansu Kızıltaş, Sultan Cemre Ayhan, Sibel Erdamar, Eren Esen, Erman Aytaç, Volkan Özben, Bilgi Baca, İsmail Hamzaoğlu, Tayfun Karahasanoğlu, Ümit İnce Acıbadem Mehmet Ali Aydınlar University, İstanbul, Turkey P410 Preoperative anatomical road-mapping reduces variability of operating time, estimated blood loss and lymph node yield in right colectomy with extended D3 mesenterectomy for cancer

Erik Kjaestad1, Christer-Daniel Willard1, Bojan V. Stimec2, Bjorn Edwin3,4, Dejan Ignjatovic1,4 1Department of Digestive Surgery, Akershus University Hospital, University of Oslo, Oslo, Norway. 2Faculty of Medicine, Department of Cellular Physiology and Metabolism, Anatomy Sector, University of Geneva, Geneve, Switzerland. 3Interventional Centre, Gastrointestinal and Pediatric Surgery, Oslo University Hospital– Rikshospitalet, Oslo, Norway. 4Institute of Clinical Medicine, University of Oslo, Oslo, Norway P411 Distal intramural spread of rectal cancer following neoadjuvant chemotherapy without radiotherapy

Michihiro Koizumi, Takeshi Yamada, Seiichi Shinji, Yasuyuki Yokoyama, Goro Takahashi, Takuma Iwai, Keisuke Hara, Kohki Takeda, Koji Ueda, Keiichiro Ueda, Hiroshi Yoshida Department of Gastrointestinal and Hepato-Biliary-Pancreatic Surgery, Nippon Medical School, Tokyo, Japan P412 Systematic review of the impact of socioeconomic, demographic and religious factors on quality of life in ostomized colorectal cancer survivors

Helle Ø Kristensen, Anne Thyø, Peter Christensen Danish Cancer Society Centre for Research on Survivorship and Late Adverse Effects After Cancer in the Pelvic Organs, Department of Surgery, Aarhus University Hospital, Aarhus C, Denmark P413 Outcomes between right- and left-side colon cancers following laparoscopic resection with radical lymphadenectomy

HAN DEOK KWAK, JAE KYUN JU, JA RAM LEE Chonnam National University Hospital, Gwangju, Korea, Republic of P414 The distal resection margin (DRM) in low anterior resection: laparoscopic TME versus taTME

James W F Kynaston, Stephen Dalton, Edward Courtney Royal United Hospital, Bath, United Kingdom P415 Management of early anal squamous cell cancer: observational cohort study

James W F Kynaston, Thomas Maccabe, Iram Parwaiz, William Cullen, Robert J Longman, David Messenger, Michael G Thomas Bristol Royal Infirmary, Bristol, United Kingdom P416 Anal squamous cell carcinoma (ASCC): a tertiary referral unit 11-year review

James W F Kynaston, Iram Parwaiz, Thomas Maccabe, William Cullen, David Messenger, Michael G Thomas Bristol Royal infirmary, Bristol, United Kingdom P417 Local excision of rectal cancer: The Basingstoke experience from 2005 to 2017

Chee Wan Lai, Kandiah Chandrakumaran, Steven Arnold, Sanjeev Dayal, Arcot Venkatasubramaniam, Faheez Mohamed, Francesco Di Fabio, Tom Cecil, Brendan Moran Basingstoke and North Hampshire Hospital, Basingstoke, United Kingdom P418 Ethnic disparities in the uptake of colorectal cancer screening: a systematic review

Nikhil Lal1, Azeem Majeed2, Nikhil Pawa3 1University of Liverpool, Liverpool, United Kingdom. 2CLAHRC NWL, Imperial College London, London, United Kingdom. 3CLAHRC NWL, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom P419 A retrospective analysis of the impact of socioeconomic deprivation on the uptake of colorectal cancer screening in London

Nikhil Lal1, Azeem Majeed2, Nikhil Pawa3 1University of Liverpool, Liverpool, United Kingdom. 2CLAHRC NWL, Imperial College London, London, United Kingdom. 3CLAHRC NWL, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom P420 Indocynine green-enhanced fluorescence angiography during robotic rectal cancer surgery: preliminary results from 25 cases at a single institution

Daniel Langer, Jaroslav Kalvach, Miroslav Ryska Central Military Hospital, Prague, Czech Republic P421 Expression of RNA-binding Motif Protein 3 Is Associated with Improved Clinical Outcome in Colon Cancer

Wonseok Lee1, Hohee Chang2 1Gil Hospital, Incheon, Korea, Republic of. 2Department of Biochemistry, College of Medicine, Lee Gil Ya Cancer and Diabetes Institute, Gachon Univerisity, Incheon, Korea, Republic of P422 Outcomes of laparoscopic radical lymphadenectomy according to the position of metastatic lymph nodes for stage III colon cancer

JA RAM LEE, JAE KYUN JU, HAN DEOK KWAK Chonnam National University Hospital, Gwangju, Korea, Republic of P423 Correlation Analysis between Ascite CEA and Risk Factors Known as Predictors of Peritoneal Metastasis of Colorectal Cancer

In Kyu Lee, Byung Chul Kim Seoul St. Mary's Hospital, The Catholic University of Korea, Seoul, Korea, Republic of P424 Necessity of genetic evaluation of metachronous metastases of colorectal cancer: Quantitative analysis of genetic discordance between metachronous metastases and radically resected primary colorectal cancers using next- generation sequencing

Kyung Ha Lee, Jin Soo Kim, Ji Yeon Kim Chungnam National University Hospital, Daejeon, Korea, Republic of P425 The significance of clinically abnormal pelvic side wall (PSW) nodes on MRI in rectal cancer patients following neoadjuvant chemoradiotherapy

Hong Xiang Lee1,2, Tim Wells1, Chinmayee Jog1, Jian Liang Liu2, Tarik Sammour1,2, James Moore1,2, Michelle Thomas1,2 1Royal Adelaide Hospital, Adelaide, Australia. 2University of Adelaide, Adelaide, Australia P426 The significance of clinically abnormal lymph nodes at the circumferential resection margin (CRM) on MRI in rectal cancer patients

Hong Xiang Lee1,2, Tim Wells1, Chinmayee Jog1, Jian Liang Liu2, Tarik Sammour1,2, James Moore1,2, Michelle Thomas1,2 1Royal Adelaide Hospital, Adelaide, Australia. 2University of Adelaide, Adelaide, Australia P427 Outcomes of surgery for colorectal cancer patients in patients 85 years and older

Rodrigo Nemesio, Antonio Manso, Julio Leite Coimbra University Hospital, Coimbra, Portugal P428 TaTME for low rectal cancer: short-term outcomes and specimen quality

Julio Leite, Ana Oliveira, Manuel Rosete, Rodrigo Nemesio, Alexandre Monteiro, Maria Koch, Antonio Manso Coimbra University Hospital, Coimbra, Portugal P429 Cytoreduction and hyperthermic intra-peritoneal chemotherapy for colorectal peritoneal carcinomatosis : results of the association of oxaliplatine with a closed abdominal technique

Sandrine Barbois1, Daniel Leonard1, Eddy Cotte2, Radu Bachmann1, Christophe Remue1, Nora Abbes Orabi1, Marc Van den Eynde1, Anne Jouret-Mourin1, Alex Kartheuser1 1Cliniques universitaires Saint-Luc, Brussels, Belgium. 2Centre Hospitalier Universitaires de Lyon Sud, Lyon, France P430 Predictors of readmission after beyond total mesorectal excision operations

Filomena Liccardo1, Daniel Baird1, Shahnawaz Rasheed1,2, Christos Kontovounisios2,1,3, Paris Tekkis2,1,3 1Royal Marsden hospital, London, United Kingdom. 2Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 3Chelsea Westminster hospital, London, United Kingdom P431 Thymidine phosphorylase and CD163+macrophages inrelation to MSI status in colorectal cancer stage II

Donia Kaidi1, Louis Szeponik2, Ulf Yrlid2, Yvonne Wettergren3, Elinor Bexe Lindskog3 1University of Gothenburg, Gothenburg, Sweden. 2Institute of Biomedicin, University of Gothenburg, Gothenburg, Sweden. 3Institute of Clinical Sciences, University of Gothenburg, Gothenburg, Sweden P433 Therapy of colorectal neoplasias – are there limits for endoscopic interventions?

Mathias Loehnert Klinikum Bielefeld, Bielefeld, Germany P434 Assessment of remaining tumour involved lymph nodes with MRI in patients with complete luminal response after neoadjuvant treatment of rectal cancer

Per Loftås1, Margrét Sturludóttir2, Olof Hallböök3, Karin Almlöv4, Gunnar Arbman4, Lennart Blomqvist5 1Institution for clinical and experimental medicine, Linköping University, Linköping, Sweden., LInköping, Sweden. 2Department of Diagnostic Radiology, Karolinska University hospital, Department of Molecular Medicine and Karolinska Institutet., Stockholm, Sweden. 3Institution for clinical and experimental medicine, Linköping University, Linköping, Sweden. 4Institution for clinical and experimental medicine, Linköping University, Norrköping, Sweden. 5Department of Diagnostic Radiology, Karolinska University hospital. Department of Molecular Medicine and Surgery, Karolinska Institutet., Stockholm, Sweden P435 Diagnosis of extranodal tumour deposits on staging MRI scan in rectal cancer; description of an underutilised prognostic marker

Amy Lord1, Annabel Shaw1, Nigel D'Souza1, Muti Abulafi2, Brendan Moran3, Shahnawaz Rasheed1, Gina Brown1 1Royal Marsden Hospital, London, United Kingdom. 2Croydon University Hospital, London, United Kingdom. 3Basingstoke and North Hampshire Hospital, Basingstoke, United Kingdom P436 MRI-diagnosed extranodal tumour deposits and extramural venous invasion predict poor prognosis

Amy Lord1, Nigel D'Souza1, Annabel Shaw1, Muti Abulafi2, Brendan Moran3, Shahnawaz Rasheed1, Gina Brown1 1Royal Marsden Hospital, London, United Kingdom. 2Croydon University Hospital, London, United Kingdom. 3Basingstoke and North Hampshire Hospital, Basingstoke, United Kingdom P437 MRI-diagnosed extranodal tumour deposits are a better predictor of synchronous metastasis than MRI-predicted lymph node status

Amy Lord1, Nigel D'Souza1, Annabel Shaw1, Muti Abulafi2, Brendan Moran3, Shahnawaz Rasheed1, Gina Brown1 1Royal Marsden Hospital, London, United Kingdom. 2Croydon University Hospital, London, United Kingdom. 3Basingstoke and North Hampshire Hospital, Basingstoke, United Kingdom P438 10 Year regional experience of salvage surgery for anogenital squamous cell carcinoma

Ian Lord1, Johnathan Morton1, James Wheeler1, Charles Wilson1, Justin Davies1, Nicola Fearnhead1, on behalf of Cambridge anal cancer collaboration2 1Addenbrookes, Cambridge, United Kingdom. 2Addenbrookes, Cambridghe, United Kingdom P439 A systematic review and meta-analysis of prognostic biomarkers in anal squamous cell carcinoma treated with primary chemoradiotherapy

Thomas Maccabe, Iram Parwaiz, Michael Thomas, David Messenger Bristol Royal Infirmary, Bristol, United Kingdom P440 Differential gene expression profile of the aquaporin (AQP) gene family components in rectal cancer

Dimitrios Magouliotis1, Vasiliki Tasiopoulou2, Ioannis Baloyiannis1, George Tzovaras1 1Department of Surgery, University Hospital of Larissa, Larissa, Greece. 2Faculty of Medicine, University of Thessaly, Larissa, Greece P441 Transcriptomic analysis of the tight junction proteins in rectal cancer

Dimitrios Magouliotis, Vasiliki Tasiopoulou, Ioannis Baloyiannis, George Tzovaras Department of Surgery, University Hospital of Larissa, Larissa, Greece P442 Prognosis of patients with obstructive colon cancer : multivariate analysis from a series of 2,325 patients

Gilles Manceau1, Diane Mege2, Valérie Bridoux3, Zaher Lakkis4, Aurélien Venara5, Thibault Voron6, Francesco Brunetti7, Mehdi Ouaissi8, Igor Sielezneff2, Mehdi Karoui1 1Department of Digestive and Hepato-Pancreato-Biliary Surgery, Pitié-Salpêtrière Hospital, Assistance Publique - Hôpitaux de Paris, Sorbonne University, Paris, France. 2Department of Digestive Surgery, Timone Hospital, Aix-Marseille University, Marseille, France. 3Department of Digestive Surgery, Rouen University Hospital, Rouen, France. 4Department of Digestive Surgery and Liver Transplantation, University Hospital of Besançon, Besançon, France. 5Department of Visceral Surgery, University Hospital of Angers, Angers, France. 6Department of Digestive Surgery, Hôpital Européen Georges-Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris V, Paris, France. 7Department of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri Mondor Hospital, Assistance Publique - Hôpitaux de Paris, University Paris XII, Créteil, France. 8Department of Hepato-Biliary and Digestive Surgery, Tours University Hospital, Rouen, France P443 Management of obstructive colon cancer surgery in the oldest old: results of a multicentre study

Gilles Manceau1, Diane Mege2, Valérie Bridoux3, Zaher Lakkis4, Aurélien Venara5, Thibault Voron6, Francesco Brunetti7, Mehdi Ouaissi8, Igor Sielezneff2, Mehdi Karoui1 1Department of Digestive and Hepato-Pancreato-Biliary Surgery, Pitié-Salpêtrière Hospital, Assistance Publique - Hôpitaux de Paris, Sorbonne University, Paris, France. 2Department of Digestive Surgery, Timone Hospital, Aix-Marseille University, Marseille, France. 3Department of Digestive Surgery, Rouen University Hospital, Rouen, France. 4Department of Digestive Surgery and Liver Transplantation, University Hospital of Besançon, Besançon, France. 5Department of Visceral Surgery, University Hospital of Angers, Angers, France. 6Department of Digestive Surgery, Hôpital Européen Georges-Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris V, Paris, France. 7Department of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri Mondor Hospital, Assistance Publique - Hôpitaux de Paris, University Paris XII, Créteil, France. 8Department of Hepato-Biliary and Digestive Surgery, Tours University Hospital, Tours, France P444 Postoperative mortality of emergency surgery for obstructive colon cancer: multivariate analysis from a series of 2,000 patients and proposal of a specific score

Gilles Manceau1, Diane Mege2, Valérie Bridoux3, Zaher Lakkis4, Aurélien Venara5, Thibault Voron6, Francesco Brunetti7, Mehdi Ouaissi8, Igor Sielezneff2, Mehdi Karoui1 1Department of Digestive and Hepato-Pancreato-Biliary Surgery, Pitié-Salpêtrière Hospital, Assistance Publique - Hôpitaux de Paris, Sorbonne University, Paris, France. 2Department of Digestive Surgery, Timone Hospital, Aix-Marseille University, Marseille, France. 3Department of Digestive Surgery, Rouen University Hospital, Rouen, France. 4Department of Digestive Surgery and Liver Transplantation, University Hospital of Besançon, Besançon, France. 5Department of Visceral Surgery, University Hospital of Angers, Angers, France. 6Department of Digestive Surgery, Hôpital Européen Georges-Pompidou, Assistance Publique - Hôpitaux de Paris, University Paris V, Paris, France. 7Department of Digestive, Hepato-Pancreato-Biliary Surgery, and Liver Transplantation, Henri Mondor Hospital, Assistance Publique - Hôpitaux de Paris, University Paris XII, Créteil, France. 8Department of Hepato-Biliary and Digestive Surgery, Tours University Hospital, Tours, France P445 COLORECTAL CANCER IN PATIENTS UNDER 50: A RETROSPECTIVE MULTICENTER STUDY ON BEHALF OF Y-SICO–PRELIMINARY RESULTS.

Patrizia Marsanic1, Andrea Muratore1, Alfredo Mellano2, Donatella Marino2, Annamaria Squicciarino3, Marco Veltri4, Dario Parini4, Maximilian Scheiterle5, Sara Pollesel5, Laura Lorenzon6, Genoveffa Balducci6, Roberta Tutino7, Giuseppe Salamone7, Daniela Rega8, Paolo Delrio8, Matteo Frasson9, Carmen Muniesa Gallardo9, Gaetano Gallo10,11, Mario Trompetto10, Stefania Martina12, Edoardo Castellano12, Gianluca Rizzo13, Claudio Coco13, Ferrara Francesco14, Marco Stella14, Giuliani Giuseppe15, Pietro Paolo Bianchi15, Luca Turati16, Giovanni Sgroi16, Angelo Restivo17, Simona Deidda17, Raffaele De Luca3 1Osp. Edoardo Agnelli, Pinerolo, Italy. 2IRCCS, Candiolo, Italy. 3Istituto Tumori Giovanni Paolo II, Bari, Italy. 4Santa Maria della Misericordia Hospital, Rovigo, Italy. 5Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy. 6General Surgery Unit, Fondazione Policlinico Universitario Agostino Gemelli, Catholic University, Roma, Italy. 7Department of Surgical, Oncological and Stomatological disciplines, University of Palermo, Palermo, Italy. 8Colorectal Surgical Oncology, Instituto Nazionale per lo Studio e per la Cura dei Tumori, Fondazione Giovanni Pascale IRCCS, Napoli, Italy. 9Colorectal Unit, Hospital Universitario y Politecnico la Fe, Valencia, Spain. 10Department of Colorectal Surgery, S. Rita Clinic, Vercelli, Italy. 11Department of Medical and Surgical Sciences, University of Catanzaro, Catanzaro, Italy. 12Department of General Surgery, Cardinal Massaia Hospital, Asti, Italy. 13Department of Surgical Oncology, Gemelli Hospital, Roma, Italy. 14Department of General Surgery, San Carlo Hospital, Milano, Italy. 15Department of General and Minimally Invasive Surgery, Misericordia Hospital, Grosseto, Italy. 16Department of Surgical Oncology, Treviglio Hospital, Treviglio, Italy. 17Dipartimento discienze chirurgiche, Università di cagliari, Cagliari, Italy P446 Robotic pelvic multiorgan resection in 23 patients with rectal cancer: analysis in a specialized robotic colorectal surgery center

Gonzalo P. Martin-Martin1, Insoo Yang2, Andee Zakaria2, Margarita Gamundi1, Francisco J. Gonzalez1, Seon- Hahn Kim2 1Hospital Universitario Son Espases, Palma de Mallorca, Spain. 2Korea University Medical Center, Seoul, Korea, Republic of P447 TRANSANAL ABDOMINOPERINEAL RESECTION FOR RECURRENT RECTAL CANCER BY TWO-TEAMS APPROACH

Beatriz Martin-Perez, F Borja DeLacy, Victor Turrado-Rodriguez, Silvia Valverde-Lahuerta, Ana Otero-Piñeiro, Raul Almenara-Santacristina, Raquel Bravo-Infante, Antonio M Lacy Hospital Clinic, Barcelona, Spain P448 Primary tumour sidedness is important prognostic factors in patients with colorectal peritoneal carcinomatosis

Kenji Matsuda, Shozo Yokoyama, Koichi Tamura, Hiromitsu Iwamoto, Yuki Mizumoto, Hiroki Yamaue Wakayama Medical University, Wakayama, Japan P449 Influence of needlescopic surgery on long-term prognosis after laparoscopic colon cancer surgery

Shimpei Matsui, Yousuke Fukunaga, Tomohiro Yamaguchi, Toshiya Nagasaki, Yoshiya Fujimoto, Takashi Akiyoshi, Tsuyoshi Konishi, Satoshi Nagayama, Masashi Ueno, Takeshi Sano Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan P450 Obesity affected the number of lymph node retrieval

Shinsei Matsuoka, Koji Okabayashi, Masashi Tsuruta, Takashi Ishida, Tomofumi Ando, Nozomi Iwama, Akiyoshi Ikebata, Satoru Morita, Ken Yamataka, Yoko Adachi, Akitsugu Makino, Yuko Kitagawa Department of Surgery, School of Medicine, Keio University, Tokyo, Japan P451 The significance of arterial bifurcation position when operating splenic flexure cancer. A 3D analysis of the vascular anatomy.

Przemyslaw Maziarz1, Bojan Stimec2, Arne Olav Bakka1, Bjørn Edvin3, Dejan Ignjatovic1 1Ahus University Hospital, Oslo, Norway. 2University of Geneve, Geneve, Switzerland. 3Oslo University Hospital, Oslo, Norway P452 How to decrease time to colorectal cancer diagnosis? – The results of a dedicated patient pathway

Clémentine MAZOYER1, Corinne POGU2, Emmanuel CORON1, Corine MENARD3, Tamara MATYSIAK-BOUTNIK1, Emilie DUCHALAIS1 1CHU de Nantes, Nantes, France. 2Cap Santé 44, Nantes, France. 3CHU, Nantes, France P453 Rates of obesity in colorectal cancer patients from a deprived community

Emily McFiggans1, Yasuko Maeda1,2,3, Ashish Sinha1,2,3, Tushar Agarwal1,4,3 1Department of Surgery, Ealing Hospital, London, United Kingdom. 2Department of Surgery, St Mark's Hospital, London, United Kingdom. 3Imperial College London, London, United Kingdom. 4Department of Surgery St Mark's Hospital, London, United Kingdom P454 Prognosticators, patterns and outcome of disease recurrence after curative rectal cancer resection

Ross McMahon, Neil McDowall, Arijit Mukherjee NHS Lanarkshire, Lanarkshire, United Kingdom P455 Surgical management for obstructive right-sided colon cancer at a national levelResults of a multicentre study of the French Surgical Association in 776 patients

Diane Mege1, Gilles Manceau2, Laura Beyer3, Valérie Bridoux4, Zaher Lakkis5, Aurélien Venara6, Thibault Voron7, Francesco Brunetti8, Igor Sielezneff9, Mehdi Karoui10 1Timone Hospital, Marseille, France. 2La Pitié Salpétrière hospital, Paris, France. 3Hopital Nord, Marseille, France. 4Charles Nicolle hospital, Rouen, France. 5CHU, Besançon, France. 6CHU, Angers, France. 7Georges Pompidou European University Hospital, Paris, France. 8Henri Mondor Hospital, Paris, France. 9Timone hospital, Marseille, France. 10La Pitié Salpétrière, Paris, France P456 Transperineal retropubic approach in total pelvic exenteration for advanced and recurrent colorectal and anal cancer involving the penile base: technique and outcomes

Akash Mehta1, Giles Hellawell2, David Burling3, Stephen Littler4, Anthony Antoniou1, Ian Jenkins1 1Department of Surgery, St. Mark's Hospital, London, United Kingdom. 2Department of Urology, St. Mark's Hospital, London, United Kingdom. 3Department of Gastro-intestinal Imaging, St. Mark's Hospital, London, United Kingdom. 4Department of Anaesthetics, St. Mark's Hospital, London, United Kingdom P457 An assessment of the accuracy of CT staging of colonic neoplasia in a district general hospital in the United Kingdom

Giulio Cuffolo, Sarah Hassan, Julia Merchant, Gisella Salerno Wexham Park Hospital, Slough, United Kingdom P458 Laparoscopic approach is equal in short-term oncosurgical markers and provides potential long-term oncological benefit comparing to open surgery in rectal cancer patients.

Peter Mészáros, Tamás Mersich, Zsolt Duboczki, Tamás Sztipits, Éva Papp, Éva Jederán, Tamás Strausz, Marcell Lipták, Tünde Nagy National Institute of Oncology, Budapest, Hungary P459 What are the factors that influence a patient’s decision on whether to undergo treatment / resection for colonic cancer? A qualitative analysis

Pauline Millan1, Miles Geldhart1, Rory Collins1, Richard Wharton2, Gabby Thorpe3, James Hernon2 1Norwich Medical School, Norwich, United Kingdom. 2Norfolk and Norwich University Hospital NHS Foundation Trust, Norwich, United Kingdom. 3University of East Anglia, Norwich, United Kingdom P460 Role of magnetic pelvic resonance in rectal cáncer after chemoradiotherapy.

Fernando Mendoza-Moreno, Ana María Minaya-Bravo, María del Rocío Díez-Gago, Rafael Villeta-Plaza, Enrique Ovejero-Merino, Héctor Aguado-López, Manuel Díez-Alonso, Fernando Noguerales-Fraguas Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain P461 Early recal adenocarcinoma T1. A new pathological classification after Transanal Endoscopic Microsurgery based in the residual normal submucosa.

Laura Mora1, Xavi Serra-Aracil2, Anna Pallisera3, Sheila Serra4, Alex Caslots5, Joan Carles Ferreres6, Salvador Navarro7 1Coloproctology Unit. Sugical Department. Parc Tauli University Hospital, Sabadell, Spain. 2Coloproctology Unit. Surgical Department. ParcTauli University Hospital, Sabadell, Spain. 3Coloproctology Unit. Surgical Department. Parc Tauli University Hospital, Sabadell, Spain. 4Coloproctology Unit. Surgical Department. Parc Tauli University Hospital, Sabdell, Spain. 5Pathology Department. ParcTauli University Hospital, Sabadell, Spain. 6Pathology Department. Parc Tauli University Hospital, Sabadell, Spain. 7Surgical Department. Parc Tauli University Hospital, Sabadell, Spain P462 SIGNET CELL COLORECTAL CANCER SIGNALS VERY POOR OVERALL SURVIVAL

Jothi Murugesan, Anthony Gill, Alexander Engel Royal North Shore Hospital, St Leonards, Australia P463 Disease free survival in malignant colonic polyps – a long term follow up

Jothi Murugesan, Alexander Engel Royal North Shore Hospital, St Leonards, Australia P464 Colorectal surgery in octogenarians …is there a threshold!

Balasundaram Muthiah, Stephen Odogwu, Salman Mirza Manor Hospital, Walsall, United Kingdom P465 The surgical and oncological safety of laparoscopic colectomy in colon cancer patient with bulky tumor

Toshiya Nagasaki, Takashi Akiyoshi, Tetsuro Tominaga, Tsuyoshi Konishi, Yoshiya Fujimoto, Satoshi Nagayama, Yosuke Fukunaga, Masashi Ueno Cancer Institute Hospital, Japanese Foundation for Cancer Research, Tokyo, Japan P466 The impact of underweight status on clinical and oncological outcomes after curative surgery for Stage I-III colorectal cancer

Kei Nakamura, Tomohiro Arita, Masayoshi Nakanishi, Yoshiaki Kuriu, Yasutoshi Murayama, Michihiro Kudou, Katsutoshi Shoda, Toshiyuki Kosuga, Hirotaka Konishi, Ryo Morimura, Atsushi Shiozaki, Hisashi Ikoma, Takeshi Kubota, Hitoshi Fujiwara, Kazuma Okamoto, Eigo Otsuji Kyoto Prefectural University of Medicine, Kyoto, Japan P467 Clinicopathologic Analysis of Lateral Margin of Rectal Cancer with Whole- Mount Section

Soomin Nam, Yoon jung Choi, Jung Gu Kang National Health Insurance Service Ilsan Hospital, Goyang, Korea, Republic of P468 Therapeutic Strategy for Elderly Patients with Colorectal Cancer

Kenji Nanishi, Tomohiro Arita, Masayoshi Nakanishi, Yoshiaki Kuriu, Yasutoshi Murayama, Michihiro Kudou, Katsutoshi Shoda, Toshiyuki Kosuga, Hirotaka Konishi, Ryo Morimura, Atsushi Shiozaki, Hisashi Ikoma, Takeshi Kubota, Hitoshi Fujiwara, Kazuma Okamoto, Eigo Otsuji Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan P469 Increasing incidence and advanced stage of presentation of colorectal cancer in the under 50s : improving awareness and lowering the age of screening is crucial

Gregg Neagle1, Tanvir Abbas1, Gareth Hopkins1, John Camilleri-Brennan1,2 1Forth Valley Royal Hospital, Stirlingshire, United Kingdom. 2University of Glasgow, Glasgow, United Kingdom P470 Anatomical and surgical consequences of right colectomy with extended (D3) mesenterectomy for cancer

Jens Marius Nesgaard1, Bojan V Stimec2, Arne O Bakka3,4, Bjoern Edwin5,4, Dejan Ignjatovic3,4 1Vestfold hospital trust, Tonsberg, Norway. 2University of Geneva, Geneva, Switzerland. 3Akershus university hospital, Loerenskog, Norway. 4University of Oslo, Oslo, Norway. 5Oslo university hospital- Rikshospitalet, Oslo, Norway P471 Evaluation of the Virtual Clinic concept for suspected colorectal cancer referrals

Cho Ee Ng, Sue Hemer, Claire Kilbride, James Anderson, Vasile-Liviu Titu Wirral University teaching hospital NHS foundation trust, Liverpool, United Kingdom P472 Systematic review on blood/tissue diagnostic markers in colorectal cancer

Stella Nicolaou1,2, Shengyang Qiu1, Francesca Fiorentino1, Shahnawaz Rasheed1,3, Olliver Warren2, Sarah Mills2, Paris Tekkis1,3,2, Christos Kontovounisios1,3,2 1Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 2Chelsea Westminster hospital, London, United Kingdom. 3Royal Marsden hospital, London, United Kingdom P473 A review on the prognostic and therapeutic role of hormones in colorectal cancer

Stella Nicolaou1,2, Shengyang Qiu1,2, Francesca Fiorentino1, Shahnawaz Rasheed1,3, Olliver Warren2, Sarah Mills2, Paris Tekkis1,3,2, Christos Kontovounisios1,3,2 1Department of Surgery and Cancer Imperial Collge, London, United Kingdom. 2Chelsea Westminster hospital, London, United Kingdom. 3Royal Marsden hospital, London, United Kingdom P474 Four-level concept based on three-dimensional muscular structure to facilitate the understanding of surgical anatomy for anterior dissection in trans- anal ISR/APR of male

Tomoaki Okada1, Tatsuro Nakamura1, Koya Hida1, Kenji Kawada1, Akihiro Takai2, Tetsuya Shimokawa3, Seiji Matsuda3, Suguru Hasegawa4, Hisashi Shinohara5, Yoshiharu Sakai1 1Department of Surgery, Kyoto University Graduate School of Medicine, Kyoto, Japan. 2Department of HBP and Breast Surgery, Ehime University Graduate School of Medicine, Ehime, Japan. 3Department of Anatomy and Embryology, Ehime University Graduate School of Medicine, Ehime, Japan. 4Department of Gastroenterological Surgery, Fukuoka University Faculty of Medicine, Fukuoka, Japan. 5Department of Surgery, Hyogo College of Medicine, Hyogo, Japan P475 Our experience with Colorectal cancer rate, three years post colonoscopy

Laura Page, Shuker Yahia, Emily Hero, Faith Hirri, Aravindan Narayanan George Eliot Hospital, Nuneaton, United Kingdom P476 The accuracy of CT scan in predicting tumour and nodal staging in colon cancer

Ioanna G. Panagiotopoulou, Ruth Townend, Konstantinos Stasinos, Nicola S. Fearnhead, James M. D. Wheeler Cambridge University Hospitals NHS Trust, Cambridge, United Kingdom P477 The management of involved pelvic side wall lymph nodes in patients with primary rectal cancer

Ioanna G. Panagiotopoulou, Elizabeth M. Tweedle, Jonathan R. Morton, R. Justin Davies, Nicola S. Fearnhead, James M. D. Wheeler Cambridge University Hospitals NHS Trust, Cambridge, United Kingdom P478 Elevated preoperative HbA1c is an independent risk factor for major postoperative complications in men following surgery for colorectal cancer

Amina Paracha, Henrik Iversen, Christian Buchli Department of Molecular Medicine and Surgery, Karolinska Institutet and Center for Digestive Diseases, Karolinska University Hospital, Stockholm, Sweden P479 Two regimens of intraperitoneal chemotherapy after cytoreductive surgery improved survival of patients with colorectal peritoneal metastases

Soo Yeun Park1, Jun Seok Park1, Hye Jin Kim1, Gyu-Seog Choi1, Jong Gwang Kim2, Byung Woog Kang2 1Colorectal Cancer Center, Kyungpook National University Medical Center,, Daegu, Korea, Republic of. 2Department of Oncology/Hematology, Kyungpook National University Hospital, School of Medicine, Kyungpook National University, Daegu, Korea, Republic of P480 Is there any difference in long-term cancer recurrence between laparoscopic and robotic surgery in mid/low rectal cancer?

Soo Yeun Park, Jun Seok Park, Hye Jin Kim, In Taek Woo, In Kyu Park, Gyu-Seog Choi Department of Surgery, School of Medicine, Kyungpook National University, Daegu, Korea, Republic of P481 Oncologic Outcomes of Colorectal Cancer Patients with Infrarenal Paraaortic Lymph Node Metastasis: Results of Selective Surgical Treatment at a Single Tertiary Hospital

Soo Yeun Park, Jun Seok Park, Hye Jin Kim, In Taek Woo, In Kyu Park, Gyu-Seog Choi Department of Surgery, School of Medicine, Daegu, Korea, Republic of P482 Defining CT-derived sarcopenia to inform trials of targeted lifestyle intervention in patients with colorectal cancer

Ed Parkin1,2, Sean Young1, Sarrinder Kenyon1, Lee Malcolmson1,2, Andrew Renehan1,2 1The Colorectal and Peritoneal Oncology Centre, The Christie Hospital, Manchester, United Kingdom. 2Division of Cancer Sciences, University of Manchester, Manchester, United Kingdom P483 Indications and outcomes for pouch excision in patients with familial adenomatous polyposis (FAP)

Roshani Patel1,2, Chukwuemeka Anele1,2, Alexander von Roon2, Susan K Clark1,2, Andrew Latchford1 1St Mark's Hospital and Academic Institute, Harrow, United Kingdom. 2Department of Surgery and Cancer, Imperial College London, London, United Kingdom P484 Variation in compliance of ethnic minorities to bowel cancer screening in West London

Nikhil Pawa1, Nikhil Lal2, Azeem Majeed3 1CLAHRC NWL, Chelsea and Westminster Hospital NHS Foundation Trust, London, United Kingdom. 2University of Liverpool, Liverpool, United Kingdom. 3CLAHRC NWL, Imperial College London, London, United Kingdom P485 Short-term outcomes of exenterative pelvic surgery for primary and recurrent malignancies in different age groups.

Gianluca Pellino1,2, Daniel Baird1,3, Shahnawaz Rasheed1,3,4, Christos Kontovounisios1,3,4, Paris Tekkis1,3,4 1Department of Colorectal Surgery,Royal Marsden Hospital, London, United Kingdom. 2Department of Medical, Surgical, Neurological, Metabolic and Ageing Sciences, Universitá della Campania "Luigi Vanvitelli", Naples, Italy. 3Department of Surgery and Cancer, Imperial College, London, United Kingdom. 4Department of Colorectal Surgery, Chelsea and Westminster Hospital, London, United Kingdom P486 Unusual behavoir of rectal neuroendocrine carcinoma with single metachronic metastasis in the breast

Luis Eduardo Pérez-Sánchez, Moises Hernández-Barroso, Ana Soto-Sánchez, Guillermo Hernández-Hernández, Nélida Díaz-Jiménez, Irene Vilela-Ferrer, Alicia Goya-Pacheco, José Gregorio Díaz-Mejías, Luisa Gambra-Michel, Manuel Ángel Barrera-Gómez University Hospital Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain P487 Analysis of our experience in preoperative staging of rectal cancer through the use of magnetic resonance

Luis Eduardo Pérez-Sánchez, Ana Soto-Sánchez, Moises Hernández-Barroso, Guillermo Hernández-Hernández, Nélida Díaz-Jiménez, Irene Vilela-Ferrer, Luisa Gambra-Michel, Jose Gregorio Díaz-Mejías, Alicia Goya-Pacheco, Manuel Ángel Barrera-Gómez University Hospital Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain P488 Is it really robotic surgery for rectal cancer non superior to the laparoscopic approach, in expert hands? Our experience from a tertiary care university hospital

Thalia Petropoulou, emir fonzafer, shwan amin sheffield teaching hospital, sheffield, United Kingdom P489 EFFECT OF AGE AND COMORBIDITIES ON SHORT- AND LONG-TERM RESULTS IN PATIENTS UNDERGOING LAPAROSCOPIC CURATIVE RESECTION FOR RECTAL CANCER: A COHORT STUDY

Giuseppe Portale1, Alessandro Valdegamberi1, Francesco Cavallin2, Flavio Frigo1, Valentino Fiscon1 1ULSS 6 Euganea, Cittadella, Italy. 2Independent statistician, Solagna, Italy P490 LAPAROSCOPIC CURATIVE RESECTION FOR RECTAL CANCER: A COHORT STUDY ON LONG-TERM OUTCOME

Giuseppe Portale1, Alessandro Valdegamberi1, Francesco Cavallin2, Flavio Frigo1, Valentino Fiscon1 1ULSS 6 Euganea, Cittadella, Italy. 2Independent statistician, Solagna, Italy P491 PLATLET-TO-LYMPHOCYTE RATIO AND NEUTROPHIL-TO-LYMPHOCYTE RATIO ARE NOT PROGNOSTIC BIOMARKERS IN RECTAL CANCER PATIENTS WITH CURATIVE RESECTION

Giuseppe Portale1, Francesco Cavallin2, Alessandro Valdegamberi1, Flavio Frigo1, Valentino Fiscon1 1ULSS 6 Euganea, Cittadella, Italy. 2Independent statistician, Solagna, Italy P492 IS PROGNOSTIC NUTRITIONAL INDEX A USEFUL TOOL TO PREDICT SHORT- TERM COMPLICATIONS AFTER LAPAROSCOPIC CURATIVE RESECTION FOR RECTAL CANCER?

Giuseppe Portale1, fra Cavallin2, Alessandro Valdegamberi1, Flavio Frigo1, Valentino Fiscon1 1ULSS 6 Euganea, Cittadella, Italy. 2Independent statistician, Solagna, Italy P493 Late results of colon cancer resections for obese patients

Eligijus Poskus1,2, Donatas Danys1,2, Gabija Makunaite1, Giedre Smailyte3, Julius Pacevicius1, Tomas Poskus1,2, Saulius Mikalauskas1,2, Valdemaras Jotautas1,2, Kestutis Strupas1,2 1Vilnius University Faculty of Medicine, Vilnius, Lithuania. 2Centre of Abdominal Surgery, Vilnius University Hospital Santaros Clinics, Vilnius, Lithuania. 3National Cancer Institute, Vilnius, Lithuania P494 Transanal endoscopic microsurgery for rectal tumors: single clinic experience

Volodymyr Pyrogovsky1, Yaroslav Feleshtynsky2, Bohdan Sorokin2, Sergii Zadorozhnii1, Dmytro Lutsenko2, Andriy Noyes1 1Kyiv Regional Hospital, Kyiv, Ukraine. 2National Medical Academy of Postgraduate Education, Kyiv, Ukraine P495 Perineal herniation following extralevator APER for rectal cancer- a single center experience

Mohammed El-Farran, Marjan Raad, M Saeed Qureshi, Afiq Pouzi, James Pitt, Arshad Malik Ipswich hospital, Ipswich, United Kingdom P496 Oncological outcomes after left and right sided surgery in the over-80s

Niroshini Rajaretnam, Balaji Mahendran, Peter Labib, Elizabeth Ewers, Ben Rossi, Sebastian Smolarek Derriford Hospital, Plymouth, United Kingdom P497 Treatment and survival among Danish patients with colorectal synchronous peritoneal metastases

Sissel Ravn1, Uffe Heide-Jørgensen2, Christian Fynbo Christiansen2, Rikke Hjarnø Hageman-Madsen3, Victor Jilbert Verwaal1, Lene Hjerrild Iversen1,4 1Department of Surgery, Colorectal Surgical Unit, Aarhus University Hospital, Aarhus, Denmark. 2Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark. 3Department of Pathology, Lillebaelt Hospital, Vejle, Denmark. 4Danish Colorectal Cancer Group (DCCG.dk), Copenhagen, Denmark P498 Incidence and prevalence of peritoneal metastases among Danish patients with colorectal cancer

Sissel Ravn1, Uffe Heide-Jørgensen2, Christian Fynbo Christiansen2, Rikke Hjarnø Hageman-Madsen3, Victor Jilbert Verwaal1, Lene Hjerrild Iversen1,4 1Department of Surgery, Colorectal Surgical Unit, Aarhus University Hospital, Aarhus, Denmark. 2Department of Clinical Epidemiology, Aarhus University Hospital, Aarhus, Denmark. 3Department of Pathology, Lillebaelt Hospital, Vejle, Denmark. 4Danish Colorectal Cancer Group (DCCG.dk), Copenhagen, Denmark P499 Does pelvic radiation increase rectal cancer incidence? – a systematic review and meta-analysis

Anouk JM Rombouts1, Niek Hugen1, Jasper JP van Beek1, Philip MP Poortmans1,2, Johannes HW de Wilt1, Iris D Nagtegaal1 1Radboudumc, Nijmegen, Netherlands. 2Institut Curie, Paris, France P500 Preoperative local tumour staging in patients with locally advanced colon cancer improves overall survival

Emma Rosander1,2, Torbjörn Holm1,3, Fredrik Hjern1,3, Caroline Nordenvall1,3 1Karolinska Institutet, Stockholm, Sweden. 2Danderyd Hospital, Stockholm, Sweden. 3Karolinska University Hospital, Stockholm, Sweden P501 What is the best surgical approach for pure splenic flexure tumours?

Arantxa Villadoniga, Ines Rubio-Perez, Estibaliz Alvarez, Begoña Peinado, Luis Asensio, Carolina Gonzalez, Jose L Marijuan, Isabel Pascual Hospital Universitario La Paz, Madrid, Spain P502 What is the best surgical option for right hemicolectomy for right colon cancer in ASA 3-4 patients (one-stage vs two-stages procedure)?

Soumaya Bekada, Charles Sabbagh, Emilie Chapuis-Roux, Aurélien Gracient, Emmanuel Lorne, Kevin Allart, Jean-Marc Regimbeau University hospital of Amiens-Picardie, Amiens, France P503 Neoadjuvant long-course chemoradiotherapy (ChemoRT) improves short- term outcomes in rectal cancer

Isaac Seow1, Chong Zheng Ng2, Joshua Goh3, Iain Tan4, Tian Rui Siow4, Lionel Cheng5, Nye Thane Ngo6, Choong Leong Tang1, Emile KW Tan1 1Department of Colorectal Surgery Singapore General Hospital, Singapore, Singapore. 2NUS Yong Loo Lin School of Medicine, Singapore, Singapore. 3NUS Yong Loo Lin, Singapore, Singapore. 4National Cancer Centre Singapore, Singapore, Singapore. 5Department of Diagnostic Radiology Singapore General Hospital, Singapore, Singapore. 6Department of Histopathology Singapore General Hospital, Singapore, Singapore P504 Robotic surgery for rectal cancer; 607 consecutive cases in a single institute

Akio Shiomi, Hiroyasu Kagawa, Yushi Yamakawa, Hitoshi Hino, Syoichi Manabe, Yusuke Yamaoka Shizuoka Cancer Center Hospital, Shizuoka, Japan P505 Risk factors and emergency visiting of stoma-related complications after laparoscopic rectal surgery with temporary loop stoma

Takuya Shiraishi, Yuji Nishizawa, Takeshi Sasaki, Yuichiro Tsukada, Koji Ikeda, Masaaki Ito National Cancer Center Hospital East, Chiba, Japan P506 Are departmental guidelines of carcino embryonic antigen assay levels being adhered to for pre-therapeutic decision making? an audit of current practice

Sanjay Dindyal, Alistair Slesser, Yasser Mohsen, Alistair Myers The Hillingdon Hospital, London, United Kingdom P507 Narrow-band imaging improves detection of colorectal peritoneal metastases: a clinical study comparing advanced imaging techniques

Nina Sluiter, Stijn Vlek, Arthur Wijsmuller, Thijs Brandsma, Henrica De Vet, Nicole Van Grieken, Geert Kazemier, Jurriaan Tuynman VU University Medical Center, Amsterdam, Netherlands P508 Factors determining comparative survival in young and non-young colorectal cancer patients

Manol Sokolov, Petar Gribnev, Svilen Maslyankov, Kostadin Angelov, Georgi Todorov Medical University, University Hospital Alexandrovska, Sofia, Bulgaria P509 Long-term survival and quality of life following pelvic exenteration

Michael Solomon1,2,3, Cherry Koh1,2, Jane Young1,2,3, Daniel Steffens1,2 1Surgical Outcomes Research Centre (SOuRCe), Sydney, Australia. 2The University of Sydney, Sydney, Australia. 3RPA Institute of Academic Surgery (IAS), Sydney, Australia P510 Sacrectomy functional outcomes following pelvic exenteration for primary and recurrent pelvic malignancy

Michael Solomon1,2,3, Alexander McCarthy1, Cherry Koh1,2, Jane Young1,2,3, Daniel Steffens1,2 1Surgical Outcomes Research Centre (SOuRCe), Sydney, Australia. 2The University of Sydney, Sydney, Australia. 3RPA Institute of Academic Surgery (IAS), Sydney, Australia P511 Fast-tracked competency through an externally mentored program. Early experience of a single tertiary centre with management of peritoneal malignancies

Michael Solomon1, Nabila Ansari1, Kilian Brown1, Cherry Koh1, Kate McBride1, Daniel Steffens1, Christopher Young1, Jane Young1, Brendan Moran2 1Royal Prince Alfred Hospital, Sydney, Australia. 2Peritoneal Malignancy Institute. Basingstoke, Basingstoke, United Kingdom P512 Quality of life after cytoreductive surgery and HIPEC. Short term outcomes from a prospective cohort study

Michael Solomon1, Nabila Ansari1, Cherry Koh1, Kilian Brown1, Daniel Steffens1, Kate McBride1, Jane Young1, Christopher Young1, Brendan Moran2 1Royal Prince Alfred Hospital, Sydney, Australia. 2Peritoneal Malignancy Institute. Basingstoke, Basingstoke, United Kingdom P513 Oncologic risk of unintended organ preservation after chemoradiotherapy for mid or low rectal cancer: the double-edged sword of intended organ preservation

Kwang-Seop Song1, Sung Chan Park1, Dae Kyung Sohn1, Jae Hwan Oh1, Min Jung Kim2, Ji Won Park2, Seung- Bum Ryoo2, Seung-Yong Jeong 2, Kyu Joo Park2, Heung-Kwon Oh3, Duck-Woo Kim3, Sung-Bum Kang3 1National Cancer Center, Goyang, Korea, Republic of. 2Seoul National University Hospital, Seoul, Korea, Republic of. 3Seoul National University Bundang Hospital, Seongnam, Korea, Republic of P514 Supplementation with omega-3 fatty acids and survival after colorectal cancer surgery – a randomised controlled trial

Lone Schmidt Sørensen1, Simon Ladefoged Rasmussen1, Mette Nytoft Yilmaz2, Ole Thorlacius-Ussing1 1Department of gastroentestinal surgery, Aalborg University hospital, Aalborg, Denmark. 2Department of onkology, Aalborg university hospital, Aalborg, Denmark P515 Trends of evolution of kirwan score after perineal pseudocontinent colostomy for ultra-low rectal adenocarcinoma

Amine Souadka, Mohammed Anass majbar, Amine Benkabbou, Raouf Mohsine, Abdelilah Souadka National institut of oncology, Rabat, Morocco P516 Three years functional and oncological resultsafter low rectal adenocarcinoma surgery -moroccan Cohort study-

Amine Souadka, Mohammed Anass Majbar, Amine Benkabbou, Sara Benchemsi, Abdesslam Bogtab, Raouf Mohsine National institut of oncology, Rabat, Morocco P517 Does robotic TME for rectal cancer lead to improved survival at 3 years?

Samuel Stefan1,2, Syed Naqvi1, Karen Flashman1, Filippos Sagias1, Jim Khan1,2 1Portsmouth Hospitals NHS Trust, Portsmouth, United Kingdom. 2University of Portsmouth, Portsmouth, United Kingdom P518 Utility of circulating tumor DNA to assess tumor dynamics for anorectal malignant melanoma

Goro Takahashi, Takeshi Yamada, Michihiro Koizumi, Seiichi Shinji, Yasuyuki Yokoyama, Masahiro Hotta, Takuma Iwai, Kohki Takeda, Keisuke Hara, Hiroshi Yoshida Nippon Medical School, Tokyo, Japan P519 The role of RAS and BRAF mutation as prognostic factor depending on tumor sidedness in stage III colorectal cancer .

Michitoshi Takano, Shinsuke Kazama, Yusuke Nishizawa, Yoji Nishimura, Hirohiko Sakamoto, Kiwamu Akagi Saitama Cancer Center, Kita-adachigun, Saitama, Japan P520 Therapeutic effect of neoadjuvant chemoradiotherapy for locally advanced lower rectal cancer; sphincter preservation and function

Nobuhiro Takiguchi, Toru Tonooka, Hiroaki Soda, Atsushi Ikeda, Isamu Hoshino, Hisashi Gunji, Arihito Yoshizumi, Yoshihiro Nabeya Division of Gastrointestinal Surgery, Chiba Cancer Center, Chiba, Japan P521 Propensity score analysis of short and long terms outcomes following curative surgery for rectal cancer in elderly.

Nicolò Tamini1, Alessandro Giani1, Simone Famularo1, Mauro Montuori1, Luca Gianotti1,2 1Asst Monza - Ospedale San Gerardo, Monza, Italy. 2Università degli studi Milano Bicocca, Milano, Italy P522 Impact of new 2-weeks wait suspected colorectal cancer referral proforma on caseload, colorectal cancer and other body site cancers pick up rate

Chih Ying Tan, Rahul Kanitkar, Roshan Lal, Kamal Aryal James Paget University Hospital, Great Yarmouth, United Kingdom P523 Transanal total mesorectal excision for rectal cancer: a single centre experience

Mark Taylor, Stephen Dalton, Edward Courtney Royal United Hospital, Bath, United Kingdom P524 Systematic review of postoperative mortality following colorectalresection for cancer in low- and middle-income countries

Sita Techaboonanake, James Glasbey, Dmitri Nepogodiev, Aneel Bhangu NIHR Unit on Global Surgery, University of Birmingham, Birmingham, United Kingdom P525 Preoperative chemotherapy for locally advanced rectal cancer

Toru Tonooka, Nobuhiro Takiguchi, Yoshihiro Nabeya, Atsushi Ikeda, Hiroaki Soda, Hisashi Gunji, Isamu Hoshino, Arihito Yoshizumi Chiba Cancer Center, Chiba, Japan P526 Low rate of local recurrence detection by rectoscopy in follow-up of rectal cancer

Per Kristian Tronstad, Lise Hume Simpson, Bjørn Olsen, Frank Pfeffer, Anne Karliczek Department of Gastroenterologic surgery, Haukeland University Hospital, Bergen, Norway P527 The Management Of Pelvic Hemorrhage Due To Oncological Surgery

Turkish Colon and Rectum Surgical Society Pelvic Hemorrhage Study Group TKRCD, Istanbul, Turkey P528 The role of laparscopic surgery for emergency resection of colorectal cancer: a population-based study

Abigail Vallance1, Deborah Keller2, James Hill3, Michael Braun4, Angela Kuryba1, Jan van der Meulen1, Kate Walker1, Manish Chand2 1Royal College of Surgeons of England, London, United Kingdom. 2Department of Surgery and Interventional Sciences, GENIE Centre, University College London, London, United Kingdom. 3Department of Colorectal Surgery, Manchester Royal Infirmary, Manchester, United Kingdom. 4Department of Medical Oncology, The Christie NHS Foundation Trust, Manchester, United Kingdom P529 Endoscopic features of response to neoadjuvant (chemo)radiotherapy for rectal cancer: preliminary results

Marit van der Sande1, Monique Maas1, Jarno Melenhorst2, Stephanie Breukink2, Regina Beets-Tan1,3, Monique van Leerdam1, Geerard Beets1,3 1The Netherlands Cancer Institute, Amsterdam, Netherlands. 2Maastricht University Medical Centre, Maastricht, Netherlands. 3GROW School for Oncology and Developmental Biology, Maastricht, Netherlands P530 Complications and impact on quality of life of Vertical Rectus Abdominis Myocutaneous (VRAM) flaps for reconstruction in pelvic exenteration surgery

Gabrielle van Ramshorst1,2,3, Jane Young4,5,6, Michael Solomon1,4,6 1Royal Prince Alfred Hospital, Department of Colorectal Surgery, Royal Prince Alfred Hospital, Sydney, Australia. 2VU Medical Center, Amsterdam, Netherlands. 3The Netherlands Cancer Institute, Amsterdam, Netherlands. 4Surgical Outcomes Research Centre (SOuRCe ), Royal Prince Alfred Hospital, Sydney, Australia. 5The University of Sydney, School of Public Health, Sydney, Australia. 6Institute of Academic Surgery at Royal Prince Alfred Hospital, Sydney, Australia P531 Local excision for rectal cancer; a population-based overview of clinical practice and outcome

Maria Verseveld1,2, Johannes de Wilt3, Marloes Elferink4, Eelco de Graaf5, Cornelis Verhoef2, Sjaak Pouwels1, Pascal Doornebosch5 1Franciscus Gasthuis & Vlietland, Rotterdam, Netherlands. 2Erasmus MC Cancer Institute, Rotterdam, Netherlands. 3Radboud University Medical Center, Nijmegen, Netherlands. 4Netherlands Comprehensive Cancer Organisation, Enschede, Netherlands. 5IJsselland Hospital, Capelle aan den IJssel, Netherlands P532 Utility of routine histological examination of stapler doughnuts at low anterior resection for rectal cancer.

Irene Ferrer Vilela, Moisés Hernández Barroso, Ana Soto Sánchez, Guillermo Hernández Hernández, Nélida Díaz Jimenez, Eduardo Pérez Sánchez, Alicia Goya, Luisa Elena Gambra Michel, José Gregorio Díaz Mejías, Manuel Barrera Gómez Hospital Universitario Nuestra Señora de la Canderlaria, Santa Cruz de Tenerife, Spain P533 Tumoral response to neoadjuvant therapy in T3b rectal cancer.

Irene Ferrer Vilela, Ana Soto Sánchez, Moisés Hernández Barroso, Guillermo Hernández Hernández, Nélida Díaz Jimenez, Eduardo Pérez Sánchez, José Gregorio Díaz Mejías, Alicia Goya, Luisa Elena Gambra Michel, Manuel Ángel Barrera Gómez Hospital Universitario Nuestra Señora de la Canderlaria, Santa Cruz de Tenerife, Spain P534 Second primary colorectal cancer among the patients with endometrial cancer - a serial study

Sergey Iliev, Paulina Vladova Medical University, Pleven, Bulgaria P535 Disqualification of neoadjuvant rectal (NAR) score based on data of 6596 patients from the Netherlands Cancer Registry

Floris Vuijk1, Maxime van der Valk1, Hein Putter1, Cornelis van de Velde1, Geerard Beets2, Denise Hilling1 1LUMC, Leiden, Netherlands. 2NKI-AVL, Amsterdam, Netherlands P536 Rectal cancer: The Basingstoke experience from 2005 to 2017

Chee Wan Lai, Kandiah Chandrakumaran, Steven Arnold, Sanjeev Dayal, Arcot Venkatasubramaniam, Faheez Mohamed, Francesco Di Fabio, Tom Cecil, Brendan Moran Basingstoke and North Hampshire Hospital, Basingstoke, United Kingdom P537 Risk of stage progression after neoadjuvant treatment & abdominoperineal excision for locally advanced low rectal cancer

Raha Alahmadi1, Mohammed Widinly1, Asim Almughamsi2, Mahfouth Mohammed3, Alaa Abduljabbar1, Luai Ashari1, Hadeel Almanea1, Hussah Alhussaini1, Abdullah Alsuhaibani1, Ahmad Alzahrani1, Ali Aljubran1, Shouki Bazarbashi1, Nasser Alsanea1, Samar Alhomoud1 1King Faisal Specialist Hospital & Research Center, Riyadh, Saudi Arabia. 2College of Medicine Taibah University, Ohod Hospital Madinah, Madinah, Saudi Arabia. 3Riyadh Care hospital, Riyadh, Saudi Arabia P538 Curative-intent surgery for locoregional recurrence of colon cancer: institutional experience and review of the literature

Daan Wisselink, Lotje Klaver, Roel Hompes, Willem Bemelman, Pieter Tanis AMC, Amsterdam, Netherlands P539 Straight to test nurse endoscopist led clinic – A new method to expedite colorectal cancer diagnosis

Peshang Abdulhannan, Helen Wood, Paul O'Loughlin, Elizabeth Graham, Mark Katory Queen Elizabeth Hospital, Gateshead, United Kingdom P541 Oncological outcome based on the duration of adjuvant chemotherapy in colon cancer: less than 3 months vs. more than 3 months

Ri Na Yoo, HyungJin Kim, Hyeon-min Cho, Seungrim Han St. Vincent Hospital, The Catholic University of Korea, Suwon, Korea, Republic of P542 Factors associated with short-term morbidity in patients undergoing total mesorectal excision following neoadjuvant treatment for rectal cancer: the Istanbul Group experience

Tahir Koray Yozgatlı1, Fuat Barış Bengür1, Volkan Ozben2, Orhan Ağcaoğlu3, Eren Esen1, Cihad Tatar4, Onur Bayram3, Serap Yücel1, Bülent Gürbüz3, Erman Aytaç1, Bilgi Baca1, Emre Balık3, Fulya Ağaoğlu1, Duygu Sezen3, İsmail Hamzaoğlu1, Tayfun Karahasanoğlu1, Dursun Buğra3 1Acıbadem Mehmet Ali Aydınlar University School of Medicine, İstanbul, Turkey. 2Acıbadem Mehmet Ali Aydınlar University, Istanbul, Turkey. 3Koç University School of Medicine, İstanbul, Turkey. 4İstanbul Training and Research Hospıtal, İstanbul, Turkey P543 Adjuvant radiotherapy and local recurrence rates in intermediate risk rectal cancer

Jonathan Yu Jin Chua1, Vinna An1, Thomas Tiang2, Malcolm Steel1, Rachel Wong1, Peter Gibbs3, Jamie Keck1 1Box Hill Hospital, Melbourne, Australia. 2Austin Hospital, Melbourne, Australia. 3Walter & Eliza Hall Institute of Medical Research, Melbourne, Australia P544 Comparative assessment of 3D endorectal ultrasound to histopathology in patients referred for transanal endoscopic microsurgery

Antoni Zawadzki, Martin Lindsten, Ursula Aho Fält, Patricia Maldonado, Krystyna Korona, Silvia Baquedano, Louis Banka Johnson, Marianne Starck Malmö University Hospital-Pelvic Floor Centre, SUS, Malmö, Sweden P545 Are isolated transverse colon cancers different from right or left-sided colon cancers?

Serkan Zenger1, Bülent Gürbüz1, Emre Balık2, Tunç Yaltı1,2, Dursun Buğra1,2 1VKF American Hospital, Department of General Surgery, Istanbul, Turkey. 2Koc University School of Medicine, Department of General Surgery, Istanbul, Turkey P546 Clinical implications of the pathologic sub-types of right-sided colon cancers (RCC)

Serkan Zenger1, Bülent Gürbüz1, Çağrı Bilgiç1, Emre Balık2, Dursun Buğra1,2 1VKF American Hospital, Department of General Surgery, Istanbul, Turkey. 2Koc University School of Medicine, Department of General Surgery, Istanbul, Turkey P547 Is apical lymph node (ALN) metastasis in right and left-sided colon cancers differ?

Serkan Zenger1, Bülent Gürbüz1, Emre Balık2, Dursun Buğra1,2 1VKF American Hospital, Department of General Surgery, Istanbul, Turkey. 2Koc University School of Medicine, Department of General Surgery, Istanbul, Turkey P548 Lymph Node Yield and Prognostic Significance for Colorectal Cancer Patients Undergoing Surgical Resection.

Yimeng Zhang, Rabiya Aseem, Gary Bonnici, Olivia James, Andrew Alabi, Jason Smith, Nikhil Pawa West Middlesex Hospital, London, United Kingdom P549 The SuperSeton for perianal fistulas: a knotless solution

Merel E. Stellingwerf1, Michiel T.J. Bak2, Charlotte B.H. Molenaar2, Joline de Groof1, Christianne J. Buskens1, Willem Nerkens3, Tim Horeman3,4, Willem A. Bemelman1 1Academic Medical Center, Amsterdam, Netherlands. 2Proctos Kliniek, Bilthoven, Netherlands. 3MediShield B.V., Delft, Netherlands. 4Delft University of Technology, Delft, Netherlands P550 Transanal Open Hemorrhoidopexy: Good results after a follow up of 8 years

Faramarz Pakravan, Christian Helmes, Ingo Alldinger Center of Coloproctology, Düsseldorf, Germany P551 Most patients with hemorrhoidal disease do not need surgery

Faramarz Pakravan, Christian Helmes, Ingo Alldinger Center of Coloproctology, Düsseldorf, Germany P552 The using of electric welding in the minimally invasive treatment of the pylonidal disease

Volodymyr Andriiets1, Volodymyr Smovzhenko2, Sergii Symonenko2, Ivan Khmeliar2, Vadim Ignatyuk2, Ivan Unguryan2, Igor Lukyanchuk2 1O.O.Bogomolets NMU, Kyiv, Ukraine. 2Kyiv clinic N15, Kyiv, Ukraine P553 Using a corrosive chemical agent for closure the anal fistula without surgical intervention

Wafi Attaallah, Tevfik Kivilcim Uprak, Yalcin Burak Kara, Cumhur Yegen Marmara University School of Medicine, Department of General Surgery, Istanbul, TURKEY, Istanbul, Turkey P554 Clinical outcome of extra anal canal approach in sphincter preserving techniques for anal fistulas

Hiroshi Azuma, Shin Shimoji, Munefumi Arita Utsunomiya coloproctorogy clinic, Utsunomiya, Japan P555 Outcomes following Transanal Haemorrhoidal Dearterialisation (THD)

Mirza Baig, Rikesh Patel, Adeeb Rehman, Arif Khan Leighton Hospital, Crewe, United Kingdom P556 Fistulotomy and immediate repair: an alternative to rectal advancement flap ?

Eric Le Balc'h1, Grégoire Bessi1, Alexandre Merlini l'Héritier1, Jean Delahaye1, Timothée Wallenhorst1, Guillaume bouguen1,2,3, Charlène Brochard1,2,3, Laurent Siproudhis1,2,3 1Department of Gastroenterology, University Hospital of Rennes, Pontchaillou, Rennes, France. 2INSERM U1241, University of Rennes 1, Rennes, France. 3INPHY CIC 1414, University Hospital of Rennes, Rennes, France P557 Advancement flap procedure in Crohn and non-Crohn perineal fistulas: for a simple surgical approach

Gregoire Bessi1, Laurent Siproudhis2, Alexandre Merlini-l'Héritier2, Timothée Wallenhorst2, Eric Le balch2, Guillaume Bouguen2, Charlene Brochard2 11. Department of Gastroenterology, University Hospital of Rennes, Pontchaillou,, Rennes, France. 2Department of Gastroenterology, University Hospital of Rennes, Pontchaillou,, Rennes, France P558 Fissure-in-ano: a community diagnosis?

Duncan Rutherford1, Maria Boland1, Gearoid Crosby1, Timothy Buick1, Tracy Burton1, Hannah Flemming1, Marion Macrury1, Maeve MacLeod2, David Kearns2, Harry Fisken2, Zac Lewis-Morgan2, Louise Matheson2, Doug Speake1 1NHS Lothian, Edinburgh, United Kingdom. 2The University of Edinburgh, Edinburgh, United Kingdom P559 Magnetic pelvic resonance or ecoendoscopic for the diagnosis of perianal fistula?

Fernando Mendoza-Moreno1,2, Ana María Bravo-Minaya2, María del Rocío Díez-Gago2, Javier Mínguez-García1, Diego Tristán Enjuto-Martínez1, Benjamín Tallón-Iglesias1, Manuel Solana-Maoño1, Jesús Manuel Argüello-de- Andrés1 1Hospital Universitario Sanitas La Moraleja, Madrid, Spain. 2Hospital Universitario Príncipe de Asturias, Alcalá de Henares, Spain P560 Permacol™ collagen paste for perianal cryptoglandular and Crohn’s fistulae

Maximilian Brunner1, Ignaz Schneider1, Klaus Günther2, Robert Grützmann1, Klaus Matzel1 1Department of General and Visceral Surgery, Friedrich-Alexander-University, Erlangen, Germany. 2Department of General and Visceral Surgery, Hospital Hallerwiese, Nürnberg, Germany P561 Perianal Paget´s disease: a rare cause of common symptoms. Description of a case and literature review.

Mireia Merichal-Resina, Carlos Cerdán-Santacruz, José Enrique Sierra-Grañón, Pablo Muriel-Álvarez, Jordi Tarragona-Foradada, Joan Viñas-Sala, Jorge Juan Olsina-Kissler Hospital Universitario Arnau de Vilanova, Lleida, Spain P562 New procedure transanal suture rectopexy for haemorroids

Shantikumar Chivate, Laxmikant Ladukar Jeevan Jyot hospital, Thane, India P563 Flavonoids mixture (diosmin, troxerutin, rutin, hesperidin, quercetin) in the treatment of I-III degree hemorroidal disease: a double blind multicenter prospective comparative study italo corsale1, Paolo Carrieri2, Jacopo Martellucci3, Alessandro Piccolomini4, Sonia Panicucci1, Marco Rigutini1 1General Surgery Unit - SS. Cosma e Damiano Hospital, Pescia, Italy. 2General Surgery Unit - Borgo San Lorenzo Hospital, Borgo San Lorenzo, Italy. 3General, Emergency and Mini-invasive Surgery - Careggi University Hospital, Firenze, Italy. 4Unit of General Surgery 2, Policlinico Le Scotte, Siena, Italy P564 Initial results of the randomized, double-blind clinical trial of laser hemorrhoidoplasty versus rectoanal repair versus open hemorrhoidectomy

Donatas Danys1,2, Gabija Makunaite1, Antanas Mainelis1,3, Eligijus Poskus1,2, Saulius Mikalauskas1,2, Valdemaras Jotautas1,2, Kestutis Strupas1,2, Tomas Poskus1,2 1Vilnius University Faculty of Medicine, Vilnius, Lithuania. 2Centre of Abdominal Surgery, Clinic of Gastroenterology, Nephrourology and Surgery, Institute of Clinical Medicine of the Faculty of Medicine of Vilnius University, Vilnius, Lithuania. 3Vilnius University Faculty of Mathematics and Informatics, Vilnius, Lithuania P565 Minimally invasive treatment versus total excision with primary closure for pilonidal disease

Donatas Danys1,2, Petras Laurinavičius1, Povilas Miknevicius1, Tomas Poskus1,2 1VIlnius University, Vilnius, Lithuania. 2Centre of Abdominal Surgery, Vilnius University Hospital Santaros Clinics, Vilnius, Lithuania P566 Long-term evaluation of fecal incontinence after fistulotomy and sphincteroplasty in comlpex anal fistula

MARIA DEL MAR AGUILAR MARTINEZ1, LUIS SANCHEZ GUILLEN1, JOSEP XAVIER BARBER VALLES2, ALBA FERNANDEZ CANDELA1, ALBERTO LOPEZ DELGADO1, FRANCISCO LOPEZ RODRIGUEZ-ARIAS1, ANTONIO ARROYO SEBASTIAN1, FERNANDO CANDELA POLO1, ANTONIO ARROYO SEBASTIAN1 1GENERAL UNIVERSITY HOSPITAL OF ELCHE, ELCHE, Spain. 2CENTER OF OPERATION RESEARCH-UNIVERSITAS MIGUEL HERNANDEZ OF ELCHE, ELCHE, Spain P567 Reliability and efficacy of Milligan-Morgan’s hemorrhoidectomy using LigaSure Precise in the surgical treatment of grade III-IV hemorrhoids: 15 years follow-up

Edgar Delgadillo-Pfenninger1, Philippe Wuthrich1, Philippe Shoeni2, Pascal Gervaz3 1Clinique Volta, La Chaux de Fonds, Switzerland. 2Clinique Neumed, La Chaux de Fonds, Switzerland. 3Clinique La Colline, Geneva, Switzerland P568 Retrospective analysis of bathing habits of 67 adolescent pilonidal sinus disease cases

Murat Ferhat Ferhatoglu1, Ugur Ekici2, Abdulcabbar Kartal1 1Okan University, Faculty of Medicine, Istanbul, Turkey. 2Esencan Hospital, Istanbul, Turkey P569 Clinical and functional results after rectal mucosa flap vs internal sphincterotomy in the treatment of chronic anal fissure alessandro garcea1, luca ponchietti1, andres tomas1, pilar serrano2 1Torrevieja University Hospital, alicante, Spain. 2Vinalopo University hospital, alicante, Spain P570 Efficacy and safety of fibrin glue versus platelet-derived growth factors for treatment of criptoglandular anal fistula. Results of a phase III randomized clinical trial

Ana Maria Garcia-Cabrera, Virginia Durán Muñoz-Cruzado, M.Victoria Maestre Sánchez, M Luisa Reyes Diaz, Jorge M Vazquez Monchul, Jose M Díaz Pavón, Andrea Jiménez Salido, Jimenez Rodriguez Rosa M, Irene Ramallo Solís, Carmen Palacios Sánchez, F Javier Padillo Ruiz, Fernando da la Portilla de Juan Virgen del Rocio Hospital, Seville, Spain P571 Fistula laser closure (FILACtm) for complex urethroperineal fistula.

Ben Gys1,2, Nicolas De Hous1, Guy Hubens1, Niels Komen1 1department of abdominal surgery, Antwerp university hospital, Edegem, Belgium. 2department of abdominal surgery, AZ Sint Dimpna, Geel, Belgium P572 External haemorrhoidal thrombosis – there is no need for surgery

Faramarz Pakravan, Christian Helmes, Ingo Alldinger Center of Coloproctology, Düsseldorf, Germany P573 Pit Picking is a safe and successful therapeutic option in non-acute Pilonidal Sinus Disease

Faramarz Pakravan, Christian Helmes, Ingo Alldinger Center of Coloproctology, Düsseldorf, Germany P574 Comparison of endoscopic pilonidal sinus treatment versus pilonidal sinus flap surgery: a single institution experience within an Asian population

Gregory Heng, Shen-Leong Oh, Hsien-Lin Sim, Kok-Yang Tan, Surendra Mantoo Khoo Teck Puat Hospital, Singapore, Singapore P575 New approaches to choice of surgical treatment of patients with combined diseases of anorectal region

Andriy Hospodarskyy1, Roman Drevnitskyy2 1Ternopil State Medical University by I. Horbachevskyy, Ternopil, Ukraine. 2Ternopil municipal emergency care hospital, Ternopil, Ukraine P576 Electrotherapy: A novel treatment for 4th degree haemorrhoids

Shelly Griffiths1, Nathan Hudson-Peacock2, Lisa Mackey2, Mark Hudson-Peacock2, Paul Mackey1 1Musgrove Park Hospital, Taunton, United Kingdom. 2eXroid Technology Ltd, Canterbury, United Kingdom P577 Placement of seton before ligation of intersphincteric fistula tract (LIFT) significantly improves long-term results in patients with high anal fistula

Igors Iesalnieks1, Sina Deimel2, Kaspars Snippe3, Dmitrij Dajchin4 1Klinikum Bogenhausen, Munich, Germany. 2Marienhospital Gelsenkirchen, Gelsenkirchen, Germany. 3RAKUS, Riga, Latvia. 4Martinus Hospital, Düsseldorf, Germany P578 Local perianal injection of Bupivacaine with and without Ketamine for postoperative pain reduction after anal sphincterotomy for anal fissure

Alireza Kazemeini, Mojgan Rahimi, Mohammad Sadegh Fazeli, Amir Keshvari, Nasim Pour-tabatabayi, Mohammad Reza Keramati Tehran University of Medical Sciences, Tehran, Iran, Islamic Republic of P579 Gluteus maximus fascia plasty (GMF) flap for pilonidal sinus is a promising technique to avoid recurrence

Yuriy Kitsenko, Inna Tulina, Daria Shlyk, Daniel Markaryan, Petr Tsarkov Clinic of colorectal and minimally invasive surgery Sechenov First Moscow State Medical University, Moscow, Russian Federation P580 Treatment of low perianal fistulas with fistulotomy: long-term results

M João Koch, Manuel Rosete, Rodrigo Nemésio, António Manso, J. Carlos Campos, Júlio S. Leite Department of Surgery, Coimbra Hospital and Universitary Centre, Coimbra, Portugal P581 Endoscopic pilonidal sinus treatment – EPSiT: our initial experience

Marko Zelić, Dorian Kršul, Damir Karlović, Đordano Bačić University hospital Rijeka, Rijeka, Croatia P583 Horseshoe fistula treated with a modified Hanley procedure: A prospective, randomised controlled trial

Sezai Leventoğlu1, Alp Yildiz2, Saygın Altıner1, Huseyin Gobut2, Bulent Aytaç1, Bulent Menteş3 1Gazi University School of Medicine. General Surgery, Ankara, Turkey. 2Yenimahalle Research and Training Hospital, Ankara, Turkey. 3Memorial Ankara Hospital, Ankara, Turkey P584 Using and not using Doppler probe: this is the question. 90 patients experience in transanal manual haemorrhoidopexy.

Pierluigi Lobascio, Marina Minafra, Rita Laforgia, Rosa Palermiti, Simona Pisicchio, Clelia Punzo, Nicola Palasciano Università degli Studi di Bari, Bari, Italy P585 Experimental Study of 1470-nm Diode Laser Hemorrhoidoplasty in Porcine Model

Gabija Makunaite1, Donatas Danys2,1, Julius Pacevicius1, Rolandas Palubeckas1, Antanas Mainelis1,2,3, Narimantas Markevicius1,4, Arvydas Rimkevicius2, Kestutis Strupas1,2, Tomas Poskus1,2 1Vilnius University Faculty of Medicine, Vilnius, Lithuania. 2Vilnius University Hospital Santaros klinikos, Vilnius, Lithuania. 3Vilnius University Faculty of Mathematics and Informatics, Vilnius, Lithuania. 4Vilnius City Clinical Hospital, Vilnius, Lithuania P586 Anal mucosa resection and VY flap reconstruction is a functionally and oncologically adequateprocedure to treat analintraepithelial neoplasia (AIN)

Christine Maurus1, Stephan Baumeler2, Isabella Brenner3, Stephan Bischofberger1, Walter Brunner1, Susanne Bock1, Jan Borovicka2, Lukas Marti1 1Suergery, Kantonsspital St. Gallen, St. Gallen, Switzerland. 2Gastroenterology, Kantonsspital St. Gallen, St. Gallen, Switzerland. 3Pelvic Floor Center, Kantonsspital St. Gallen, St. Gallen, Switzerland P587 Surgical treatment of thrombosed external haemorrhoids (TEH) during pregnancy and in childbed is safe and effective

Yulia Medkova1, Daniel Markaryan1, Inna Tulina1, Leonid Aleksandrov2, Anatoliy Ischenko2, Petr Tsarkov1 1Clinic of colorectal and minimally invasive surgery Sechenov First Moscow State Medical University, Moscow, Russian Federation. 2Clinic of obstetrics and gynecology n.a. V.F. Snegirev Sechenov First Moscow State Medical University, Moscow, Russian Federation P588 Surgery for thrombosed external hemorrhoids gives faster pain relief than conservative treatment in pregnant women and puerperas

Yulia Medkova1, Daniel Markaryan1, Inna Tulina1, Leonid Aleksandrov2, Anatoliy Ischenko2, Petr Tsarkov1 1Clinic of Colorectal and Minimally Invasive Surgery Sechenov First Moscow State University, Moscow, Russian Federation. 2Clinic of obstetrics and gynecology n.a. V.F. Snegirev Sechenov First Moscow State Medical University, Moscow, Russian Federation P589 Pedicular hemorrhoidectomy for symptomatic haemorrhoidal disease. Results about 192 patients from one tertiary referral center

Diane Mege, Victor Serenon, Adele Gauthier, Aurélie Maignan, Arnaud Sans, Julie Duclos, Rémy Le Huu Nho, Nicolas Pirro, Igor Sielezneff Timone hospital, Marseille, France P590 Treatment of anal fistula by radiofrequency-thermo-coagulation (RFTC): a word of caution

Alexandre MERLINI-L'HERITIER1, Laurent Siproudhis2,3,4,5, Grégoire Bessi1, Eric Le Balc’h1, Jean Delahaye6, Timothée Wallenhorst1, Guillaume Bouguen1,3,4, Laurent Abramowitz5, Charlène Brochard1,3,4 1Department of Gastroenterology, University Hospital, RENNES, France. 21. Department of Gastroenterology, University Hospital, RENNES, France. 32. INSERM U1241, University of Rennes 1, RENNES, France. 43. INPHY CIC 1414 University Hospital of Rennes, RENNES, France. 54. GREP Groupe de Recherche en Proctologie, paris, France. 6Department of Gastroenterologyuniversity hospital, angers, France P591 Reliability of conventional B-mode and 3D endorectal ultrasound in the detection of incomplete anal fistulae: a comparative study

Yuri Shelygin, Larisa Orlova, Dmitriy Kiselev, Julia Trubacheva State Scientific Centre of Coloproctology, Moscow, Russian Federation P592 Cryptoglandular transsphincteric perianal fistula: surgical treatment and middle/long-term outcomes

Luis Eduardo Pérez-Sánchez, Moises Hernández-Barroso, Ana Soto-Sánchez, Guillermo Hernández-Hernández, Nelida Díaz-Jiménez, Irene Vilela-Ferrer, Alicia Goya-Pacheco, José Gregorio Díaz-Mejías, Luisa Gambra-Michel, Manuel Ángel Barrera-Gómez University Hospital Nuestra Señora de Candelaria, Santa Cruz de Tenerife, Spain P593 Sexual function in patients suffering from sacrococcygeal pilonidal sinus disease

Akke Pronk1, Lotte Kastelijns1, Niels Smakman1, Edgar Furnee2 1Diakonessenhuis, Utrecht, Netherlands. 2University Medical Centre Groningen, Groningen, Netherlands P594 Repair of rectovaginal fistula and stenosis of rectal anastomosis by minimal invasive transanal access (Gel Point Path)

Imma Pros, Wenceslao Martínez, María Socías, Carles Ribera, Joan Robusté, Josep Rius Hospital Sant Joan de Deu de Martorell, Martorell, Spain P595 THD with anal fissure excision

Volodymyr Pyrogovsky1, Yaroslav Feleshtynskyi2, Andriy Noyes1, Sergii Zlobenets1, Andriy Taranenko1 1Kyiv Regional Hospital, Kyiv, Ukraine. 2National medical academy of postgraduate education, Kyiv, Ukraine P596 Pelvic floor dysfunction in chronic anal fissure

D. Reijn van1, P. Voorham - Zalm van der2, H. Putter3, R. Pelger2, I.J.M. Han-Geurts1 1Proctos Kliniek, Bilthoven, Netherlands. 2Leids Medisch Universitair Centrum, Dept Urology, Leiden, Netherlands. 3Leids Medisch Universitair Centrum, Dept Statistics, Leiden, Netherlands P597 “Minimal Open haemorrhoidectomy” – initial results.

Havard Dragesund Rørvik1, Andre Heiner Campos2, Karl Fredrik Herlak Styr2, Grant L McKinstrey1, Lars Ilum2, Gunnar Olaison1 1Department of Surgery, Holbæk Hospital, Holbæk, Denmark. 2Department of Surgery, Holbæk Hospital., Holbæk, Denmark P598 Anal Fissures: Trends and Outcomes from Two National Databases

Kathryn Schlosser, Michael Arnold, Angela Kao, Tanushree Prasad, Amy Lincourt, Todd Heniford, Kevin Kasten, Bradley Davis Carolinas Medical Center, Charlotte, USA P599 Perianal Fistulas: Trends and Outcomes from the American College of Surgeons National Surgical Quality Improvement Program (NSQIP)

Kathryn Schlosser, Javier Otero, Angela Kao, Tanushree Prasad, Amy Lincourt, Todd Heniford, Kevin Kasten, Bradley Davis Carolinas Medical Center, Charlotte, USA P600 Hemorrhoids: Trends and Outcomes from a National Database

Kathryn Schlosser, Michael Arnold, Angela Kao, Tanushree Prasad, Amy Lincourt, Todd Heniford, Kevin Kasten, Bradley Davis Carolinas Medical Center, Charlotte, USA P601 Efficacy of additional injection of autologous stromal vascular fraction combined with platelet-rich plasma in transanal advancement flap repair of high transsphincteric fistulas

W.R. Schouten1,2, W.B. Deijl2, O. van Ruler2, J. van der Woude3, H.P.J.D. Stevens4, E.J.R. de Graaf2 1Dept of Surgery, ErasmusMC, Rotterdam, Netherlands. 2Dept of Surgery, IJsselland Hospital, Capelle aan den IJssel, Netherlands. 3Dept of gastroenterology, ErasmusMC, Rotterdam, Netherlands. 4Dept of plastic surgery, Bergman clinic, The Hague, Netherlands P602 Anorectal disorders in patients with chronic hemorrhoids of III-IV degree

Serhii Sidoruk1, Sergiy Vasylyuk2 1Khmelnitsky Regional Clinical Hospital, Khmelnitsky, Ukraine. 2Ivano-Frankivsk City Clinical Hospital, Ivano- Frankivsk, Ukraine P603 Ligation of the intersphincteric fistula tract versus endorectal advancement flap for high perianal fistulas in Crohn’s disease: a retrospective cohort study

Elise van Praag1, Merel Stellingwerf1, Wilhelmus Bemelman1, Jarmilla van der Bilt2, Krisztina Gecse1, Christianne Buskens1 1Academic Medical Centre, Amsterdam, Netherlands. 2Flevoziekenhuis, Almere, Netherlands P604 Pilonidal disease - individualization and pathogenesis-oriented surgery

Vladislav Stoyanov1, Dragomir Dardanov2,3 1Medical Institute - Ministry of Interior, Sofia, Bulgaria. 2University Hospital Alexandrovska, Sofia, Bulgaria. 3Medical University - Sofia, Sofia, Bulgaria P605 Safety and efficacy of autologous fat and adipose-derived stromal vascular fraction injection for treatment of radiation-induced rectovaginal fistula

Zhanna Teryushkova1, Viacheslav Vasilyev2, Andrey Vazhenin3, Sergey Vasilyev2, Anna Semenova3, Georgiy Dimov2, Evgeniy Lomakin2 1City hospital #8, Chelyabinsk, Russian Federation. 2South Ural State Medical University, Chelyabinsk, Russian Federation. 3Oncology and Nuclear Medicine Center, Chelyabinsk, Russian Federation P606 Parameters of anorectal manometry after fistulectomy with primary sphincteroplasty.

Ivan Kostarev, Alexander Titov, Oksana Fomenko, Andrey Mudrov State Scientific centre of Coloproctology, Moscow, Russian Federation P607 The preliminary results of «Invaginative» method for rectovaginal fistulae

Aleksandr Titov, Andrey Mudrov, Yulia Sokolova, Leonid Blagodarny, Ivan Kostarev, Mariam Omarova State Scientific Centre of Coloproctology, Moscow, Russian Federation P608 Embolization of the superior rectal arteries for hemorrhoidal disease : midterm results in 25 patients

Farouk Tradi, Diane Mege, Guillaume Louis, Roch Giorgi, Jean-Michel Bartoli, Igor Sielezneff, Vincent Vidal Timone hospital, Marseille, France P609 European Society of Coloproctology (ESCP) Core Outcome Set (COS) for haemorrhoidal disease (HD): an international Delphi study

Robin van Tol, Merel Kimman, Jarno Melenhorst, Laurents Stassen, Carmen Dirksen, Stéphanie Breukink Maastricht University Medical Centre, Maastricht, Netherlands P610 Atypical perianal disease in HIV-positive patients, a case report.

Irene Ferrer Vilela, Ana Soto Sánchez, Moisés Hernández Barroso, Guillermo Hernández Hernández, Nélida Díaz Jimenez, Jose Gregorio Díaz Mejías, Luisa Elena Gambra Michel, Alicia Goya, Luis Eduardo Pérez Sánchez, Manuel Barrera Gómez Hospital Universitario Nuestra Señora de la Canderlaria, Santa Cruz de Tenerife, Spain P611 Magnetic Resonance Imaging and Goodsall`s rule for fistula in ano

Rajesh Chidambaranath, Ibrahim Ali, Siu M Zhen, Ioannis Virlos, Pradeep Thomas BURTON HOSPITALS NHS FOUNDATION TRUST, BURTON-ON-TRENT, United Kingdom P612 Micronutrition deficits after pit picking with adjunct laser therapy in Pilonidal Cyst: a possible cause of failure

Arne Wilhelm, Christoph Krause, Natascha Wilhelm Center of Colorectal and Pelvic Floor Diseases, Cologne, Germany