Karl Storz Minimally Invasive
Perianal and Pilonidal Surgery Masterclass

International Fellows Presentations

Chair: Katie Adams (London) and Sushil Maslekar (Leeds)

• ASCRS Travelling Fellow Maria Widmar (Memorial Sloan Kettering, New York)
• The Cost Effectiveness of Total Neoadjuvant Therapy with Selective Nonoperative Management: An Analysis Based on the OPRA Trial

• CSSANZ Travelling Fellow
  Sireesha Koneru (Concord Hospital, Sydney, Australia, Mayo Clinic Rochester, USA, University of Syndey, Australia) Rectal cancer outcomes in 2025- beyond survival and recurrence

Rectal Cancer

Chairs Chris Cunningham (Oxford) and Farhat Din (Edinburgh)

Should we be concerned about training in TME surgery in the UK and Ireland?

• The trainees view: Charlotte El Sayed, Dukes' Club President
• The trainer's view: Deb Nicol (Worcester)
• The Australian experience: Sandy Heriot (Melbourne, Australia)
• Q&A

Organ preservation in early-stage rectal cancer - a clash of philosophies?

• Early rectal cancer; local excision as first strategy followed by TESAR if high risk features, is this the best approach? Jurriaan Tuynman, (Netherlands) 
• (Chemo) radiotherapy and assessment of response. Can the STARTREC trial define the best approach to early rectal cancer?
  Hans De Wilt, Radboud, (Netherlands)
• Q&A

OReCO MDT Panel, in collaboration with PELICAN

• Panel:  Brendan Moran (Basingstoke), Gina Brown (London), Craig Barrington (Swansea), Nigel Scott (Leeds)

Pelvic Floor session

Prolapse surgery for the non-pelvic floor colorectal surgeon

Chairs: Tom Dudding (Southampton), John Randall (Bristol) and Natalie Woodward (PLG)

•  Surgery for external prolapse in the UK: current state & National Registry. Julie Cornish (Cardiff)
•  Role of the rectum, basic work-up and deciding on the best approach. Kim Gorissen (Oxford)
•  Altemeier: indication and technique. Andy Williams (London)
• Delormes: indication and technique. Dorin Ziyaie (Dundee)
• Stoma for prolapse: considerations and technique. Wesley Lai (Plymouth)
• Q & A

08:30 -10:00
Queens Suite 3
Parallel Session

Kings Suite
Parallel Session

Short Papers 6

Miscellaneous, Training and mentoring, Proctology, Sustainability
Chairs: Dale Vimalachandran (Chester) and Emma Carrington (London)  

• Reporting of diversity data in surgical randomised controlled trials of colorectal disease
  Miriam Khalil
• Participant descriptors reported in randomised controlled trials of postoperative ileus: Systematic review
  Edward Roberts
• Are obese subjects really more prone to colon anastomotic leaks? - A study of colon anastomosis healing in obese mice
  Vaihere Delaune
• The Christie Colorectal and Peritoneal Oncology Centre’s (CPOC) development of an interactive education module for rare appendiceal tumours
  Rebecca Halstead
• Exploring the contribution of deprivation, sarcopenia and systemic inflammation to outcomes in anal squamous cell cancer
  Liam A Henderson
• A cost-effectiveness analysis of rubber band ligation versus injection sclerotherapy for the treatment of grade I-III haemorrhoids
  Adam Mann
• The cost burden of diverticular disease in the UK: a retrospective analysis at a tertiary referral centre
  Krisha Mehmi
• From Classroom to Clinic: Investigating Coloproctology Training Gaps and Their Impact on Clinical Practice
  Dwiti Jatin Ponda
• A 22-Year Experience of Surgical Management of Anorectal Melanoma: Risk Factors For Recurrence and Death
  David W Larson

Short Papers 7

Patient-reported outcomes & qualitative studies
Chairs: Matt Lee (Birmingham) and Susan Moug (Glasgow)

• The Lived Experience of Parastomal Hernia: A qualitative study exploring the lived experience of patients with a parastomal hernia
  Sue Blackwell
• Development and feasibility assessment of a multi-modal education intervention to improve recovery for patients undergoing colorectal surgery (Recover Together)
  Stephen Chapman
• Non-steroidal anti-inflammatory drugs after colorectal surgery: Mixed methods assessment of practice
  Precious Jolugbo
• Monitoring hydration and fluid balance after major colorectal surgery: qualitative assessment of challenges, facilitators, and future opportunities
  Miriam Khalil
• Evaluating the patient's experience of using electronic patent reported outcome measures (ePROMs) and analysing self-reported symptom trends in patients with colorectal cancer
  Thomas Mansell-Regan
• Assessing the surgical patient experience of handover: A mixed-methods survey
  Jessica Ryan
• Patient and public involvement in the development of a novel surgical device to treat fistula-an-ano
  Samerah Saeed

ACPGBI Training Hub

Coffee break

Should ICG perfusion angiography be standard of care in preventing Anastomotic Leak?

• David Jayne –(Leeds)
• Ronan Cahill – (Dublin)
• Jun Watanabe – (Japan)
• Denise Hilling – (Netherlands)

11:00 - 12:30
Main Auditorium

Where Coloproctology Meets   

Chairs:  Jared Torkington (Cardiff, Wales) and Frances Dixon (Milton Keynes)

• Endometriosis- Ian Jenkins (London)
• Bariatrics- Simon Dexter (Leeds)
• Mulitivisceral transplantation- Irum Amin (Cambridge)
• Obstetrics- James Tibbott (Leeds)
• Hospital management and clinical leadership- Anne Pullyblank (Bristol)
• Surgical Training- Jon Lund, (Derby)

11:00 - 12:15
Queens Suite 1
Parallel Session

Queens Suite 3
Parallel Session

Short Papers 8

Inflammatory bowel disease, pouch surgery and stomas, Emergency General Surgery
Chairs: Katie Adams (London) and Tom Pinkney (Birmingham) 

• Standardizing Radiological Healing in Perianal Crohn’s Disease: A Systematic Review and Global Expert Consensus
  Easan Anand
• Validation of the TOpClass consensus definition of a radiologically healed fistula in perianal Crohn’s Disease
  Easan Anand
• Cost-effectiveness of random colonic biopsies in macroscopically normal mucosa: a sustainability perspective
  Chaitanya Mehta
• CRAMSURG – a community of practice focused on critical appraisal and research methodology
  Giordano Perin
• PARIS: Perianal Abscess Rupture and Incidence of fistula formation after Surgery - A Cohort Study 
  Amarah Ghani Shaikh
• The impact of a novel artificial intelligence algorithm for neoplasia detection in inflammatory bowel disease (CADe-IBD): a multi-centre video-based study
  Katie Siggens
• Operative Management of Complicated Diverticulitis: Why Has Primary Anastomosis Not Replaced Hartmann’s procedure? Insights from Surgical Practice
  Mina Stephanos
• The fate of the rectum after total abdominal colectomy for ulcerative colitis – Insights from the CRUCIAL (Colectomy and the Rectum in Ulcerative Colitis – Irish Audit of Long-term outcomes) study
  Ian Stephens

Short Papers 9

Colorectal cancer - tumour biology, biomarkers & genetics
Chairs: Jim Tiernan (Leeds) and Meera Dean (Cambridge)

• The FUT2 genetic colorectal cancer risk locus acts through influencing Vitamin B12 level 
  Morven Allan
• Enhancing sensitivity to DNA damaging therapeutics in colorectal cancer by targeting histone acetylation
  Ryan AD Preece
• Perioperative changes in the microbiome during rectal cancer surgery: an exploratory analysis of the IntAct trial
  Jack A Helliwell
• Profiling the dynamic metabolome of colorectal cancer cells
  Aaron Kler
• Identification of novel radiosensitisers in colorectal cancer cells
  Aaron Kler
• LHR predicts poor Prognosis for treatment naïve metastatic colorectal cancer patients – A pilot study
  M P Narayanan
• Investigating the role of pre-operatively assessed systemic inflammatory responses as prognostic factors in locally advanced colon and rectal cancer
  Tin-Ning Wong

Dukes' Club Fellowship Village

ACPGBI AGM

Lunch

• 2025 Colorectal Disease Poster Prize Finalists
• 2025 ACPGBI Video Prize Session

Intuitive session

From Policy to Education: Acceleration of da Vinci RAS in 2025

Featuring an overview of 2025 National RAS policy initiatives including the NICE Soft Tissue RAS EVA and The GIRFT RAS Implementation Guide, and educational best practices from the ACPGBI da Vinci Colorectal Fellowship.

Key Topics Reviewed:

• Review of the NICE Soft Tissue RAS EVA and The GIRFT RAS  Implementation Guide
• Key learnings and support for da Vinci RAS Colorectal advancement
• Aligning with your leadership on national RAS endorsement and structural guidance to
• build governance on safe, productive, and clinically impactful da Vinci programs
• Connection to Registrar and Fellowship education in RAS- how to optimize simultaneous consultant and trainee education
• Learnings from the ACPGBI Intuitive colorectal fellowship: a trainer and a trainee’s perspective
• The value of Intuitive digitally enabled ecosystem, data, and da Vinci total practice in surgical education

Download the programme flyer

Tripartite Lecture

Chair Laura Hancock, ACPGBI Honorary Secretary

• Dysplasia and cancer in patients with IBD - state of the art
  Antonino Spinelli (President ESCP, Milan) 

Laparoscopic Medtronic course

Course Aim - A wet tissue workshop to learn from expert faculty in procedure steps, key anatomical structures, anastomotic techniques, and safe and effective use of stapling and energy equipment. 

Delegate Level: ST5 -ST8 

Delegates will be placed into two groups of 8. Each group will have 1.5hrs to complete the rotation they are assigned to, and then will reverse to next rotation. 

Rotation 1

• GI Anastomosis Lecture
• Small Bowel to Colon                                               
• Side to Side Stapled
• Strictureplasty
• Stapler Technology and Troubleshooting 
• Anastomotic Complications Lecture   
• Colorectal (Pelvic jig)  
• End to End Stapled
• End to Side Stapled

Rotation 2 

• Lap Intracorporeal anastomosis  presentation
• Medtronic Lap presentation 
• Lap Appendix
• Lap Intracorporeal stapling & sutured technique

Colonoscopy Video MDT Session

Chair: Katie Yeadon (North Devon) and Robin Johnson (PLG)

MDT Panel: Matt Rutter (Stockton on Tees and University of Newcastle and Chair of The JAG), Amyn Haji (London), Nigel Scott (Leeds)

• Conservative management of polyps in patients with reduced/limited/short life expectancy – Matt Rutter (Stockton-on-Tees and University of Newcastle and Chair of The JAG) and  Ravi Ranjan (North Tees and Hartlepool)

• Dealing with Endoscopic Complications - Andrew Emmanuel (London)
• Optical diagnosis and AI in decision making for colorectal polyps: Pushing the boundaries for a more sustainable future. Amyn Haji (London) and Heman Joshi (Cambridge)
• Robotic endoscopic rectal polypectomy. Raymond Oliphant (Inverness)

Early Years Consultant Network 

EYCN Chairs: Abi Patel (Coventry) and Jim Khan (Portsmouth)

• Welcome and what does the EYCN do? Abi Patel (Coventry)

Chaired by Sree Mallappa (Hertfordshire) and Phlippa Orchard (Bristol)

Reverse mentoring in colorectal surgery: Growing through the next generation- Sharad Karandikar (Solihull)

‘Reflecting back: a career in surgery’ – chaired by Tom Evans (Coventry)

Chairs: Abi Patel (Coventry) and Dani Brogden (Kent)

Life as a consultant: evolving in practice -  Rebecca Fish (Manchester), Kai Leong (Coventry) Jim Khan (Portsmouth)

Q & A – Abi and Sree

ACPN AGM

ACPN Short Papers

Chairs: Tracey Privett, (Oxford) and Cheryl Hides (Sheffield)

• Show and tell “assessing the impact of incorporating patient information videos to support understanding of a colorectal cancer patient pathway - Dorothy Munyanyi (Macmillan Lead Colorectal Clinical Nurse Specialist) 
• The roles and experiences of ward-based Surgical Nurse Practitioners working in hospital settings in England: a phenomenological study (A dissertation research study submitted for the MSc ACP Programme - Susan Celera (Frimley Health NHS Foundation Trust)

ACPN Interactive Workshop

'As CNS's how can we advocate to ensure our expert nursing services are available for all patients?'
Terri Porrett, Strategic Project Manager Coloplast

This interactive workshop will :

• Explore the tools available to enable Specialist Nurses to demonstrate their expert skills and patient services.
• Learn from examples from current practice to explore collaborative projects including  the ASCN UK GIRFT stoma pathway.  
• Identify common challenges for specialist nurses (IBD, Benign Colorectal/PFD, Colorectal Cancer and stoma care).
• Discuss how we could continue to work together to mitigate the challenges we have identified.

Advocacy tools to ensure your expert nursing services are available to patients 

Coffee Break

J&J Symposium

• Innovation & The Management of Anastomotic Leaks: Strategies for 2025 - Kapil Sahnan (London)

ACPGBI Lecture

Chair: Justin Davies, ACPGBI President

• No leaks left behind: Challenging dogma and paving the way for disruptive solutions
  Patricia Sylla (New York)

Research

Research  Chairs:  Dale Vimalachandran (Chester and Liverpool) and Susan Moug (Glasgow)

• State of colorectal research. Dale Vimalachandran (Chester and Liverpool) and Susan Moug (Glasgow)
• Associate Surgical Specialty Leads (aSSL) in coloproctology- past, present and future. Nick Heywood, Steve Chapman, Carly Bissett
• Research MDT. Heema Sekar

Current Trials:

• MEErKAT. Laura Hancock (Manchester)
• OCeAN. Caris Grimes (London)
• Vaccine Trials. Rob Jones (Liverpool)
• ROSSINI-2. Tom Pinkney (Birmingham)

Breaking results:

• Prepare ABC. James Hernon (Norwich)
• Prime RT.  Campbell Roxburgh (Glasgow)

Neurodiversity and Colorectal Surgery

Chair Kiran Altaf (Liverpool) 

• Neurodivergence: What Colorectal surgeons need to know - Rupal Davé(Consultant Psychiatrist, London)
• Embedding Neuroinclusive Culture in Surgery: From Clinical Learning to Patient Care - Matthew Timmis (Founder of Aim Forward)
• Autism and ADHD – impact on professional journey and progression - Daniel Davies (Psychiatry Resident, Representative from Autistic Doctors International)
• Q&A

Short Papers 10

Pelvic floor & functional bowel disorders, Patient-reported outcomes & qualitative studies

Chairs: Tom Dudding (Southampton) and Julie Cornish (Cardiff)

• Low Anterior Resection Syndrome Impact and Consequences Tool (LARS iCAT): Phase One Development of a Patient Reported Outcome Measure (PROM) for Low Anterior Resection Syndrome (LARS)
  Emily Farrow
• Evaluating UK General Surgical Trainees Operative Experience of Pelvic Floor Surgery
  Emily Farrow
• Ten Years’ Experience of Robotic Ventral Mesh Repairs at a Single Institution
  Kamalesh Inteti
• Breaking the taboo: A qualitative exploration of sex and intimacy after benign pelvic and perineal colorectal surgery
  Shivani Joshi
• Integrative Biomarker and Neuromodulatory Approaches in Pelvic Floor and Functional Bowel Disorders
  Sakshi Roy
• Patient-reported outcome measures after rectal cancer surgery: are we forgetting chronic pain?
  Robert Tyler
• Lived experiences of the empty pelvis syndrome following pelvic exenteration: A regret spectrum with overt and hidden toxicities – a prospective convergent parallel mixed-methods study
  Charlie West

Medical Students

Chairs: Cat Boereboom (Notthingham) and Aashlesha Galla (Nottingham)

• Meet the surgeons and trainees – an informal networking event for medical students, with insights from the ACPGBI Medical Student Committee

With

• Caroline Burt (Bristol)
• Mohamed Rabi (Southampton)
• Andrew Yiu, Lillian Reza, Charlotte El Sayed, Ioanna Drami – Dukes' Club

18:30
Main Auditorium

James IV Professor Lecture 

Chair Clare McNaught, President-Elect, Royal College of Surgeons of Edinburgh)

• James IV Professor Lecture- Sandy Heriot (Melbourne, Australia). Precision medicine bridging the gap to optimal management of peritoneal colorectal cancer - a translational approach

End of Day 2

ACPGBI Social Event Double Tree by Hilton, Harrogate Majestic Hotel

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