A history of excellence in colorectal surgery: Innovations through the years

Gerald Isenberg, MD, professor of surgery at Sidney Kimmel Medical College at Thomas Jefferson University and internationally recognized colorectal surgeon in clinical care, education and leadership, recently joined Main Line Health as Chief of Colorectal Surgery. He talks about colorectal surgery at Main Line Health.

What are some advancements in colorectal surgery?

Robotics has taken over the approach to colorectal cancer. It allows us to see better and be more precise. Most colorectal surgeries are now done minimally invasively, leading to better outcomes that are easier on patients.

Single-port robotic surgery

Lankenau Medical Center in Wynnewood, PA was among the first in the world to acquire the single-port robot, thanks to the expertise of colorectal surgeon John Marks, MD. This technology uses a single entry into the body, minimizing the number and size of incisions.

While single-port robotic colorectal surgery is in its infancy elsewhere, Dr. Marks has performed close to 400 procedures. Surgeons come from around the world to observe this approach.

BioHealx® for anal fistulas

Colorectal surgeon Philip Pearson, MD, recently became among the first in the U.S. to implant the BioHealx device, a revolutionary approach to treating anal fistulas. This debilitating condition has long frustrated colorectal surgeons and patients.

"Anal fistula is a common disease no one talks about and is difficult to fix," says Dr. Pearson. "This could be the best solution we've ever had."

Colovac to prevent temporary colostomy

Dr. Marks performed the first U.S. surgery in a clinical trial of the Colovac device. An estimated 18-35% of colorectal cancer patients nationwide have a temporary or permanent colostomy. Dr. Marks and his partner, Henry Schoonyoung, MD, are the only surgeons in the Philadelphia region participating in the Colovac trial.

"Our top priority is to cure the disease, but we also want to give patients the highest quality of life," Dr. Marks says. "This is an exciting new option for patients with rectal cancer that will allow them to avoid even a temporary colostomy bag."

What sets Main Line Health's colorectal surgery program apart?

A history of innovation

Dr. John Marks and his father, Gerald Marks, MD, were pioneers in developing approaches that are standards of care today. Main Line Health colorectal surgeons eliminate the need for a colostomy bag in 93% of their rectal cancer patients, below the national average of 40-70%.

Experienced team

We have seven experienced colorectal surgeons, so we can take care of all colorectal problems.

We work closely with gastroenterologists, radiation oncologists, medical oncologists, pathologists, radiologists, nurses, advanced practice nurses and nurse navigators, genetics specialists, nutritionists and others.

NAPRC accreditation

Lankenau Medical Center is accredited by the National Accreditation Program for Rectal Cancer (NAPRC). This ensures that we use a multidisciplinary, holistic approach, leading to reduced recurrence rates, better quality of life, improved function and increased survival. It means our patients get state-of-the-art care from diagnosis to surgery to survivorship.

What are current trends in colorectal cancer?

We're doing better with the older population in preventing colon cancer, thanks to screening, but we are seeing a rise in young people with colorectal cancer. Theories include processed foods and how they change the bacteria in your colon. Harmful bacteria may create an environment ripe for cancers to grow.

When should someone begin colon cancer screening?

We're now screening at age 45. If you have a family history of cancer or other risk factors, your clinician may recommend starting earlier.

What symptoms should someone be aware of?

• A change in bowel habits that lasts more than a few days
• Bright red or dark red blood in your stool
• Fatigue
• Cramping, abdominal pain or bloating
• Unintended weight loss

What's on the horizon?

We're planning a program for young adults with colorectal cancer, who are also dealing with family, work, fertility and other concerns. It's important that we understand where they are in life and ensure they have access to services.

What drew you to Main Line Health?

I've lived on the Main Line most of my life and have always been impressed with the quality of care here. I love the camaraderie and sense of community, with both staff and patients. There is the highest level of expertise here, and no need to go further for any kind of care.

Next steps

"If you're looking for high quality care from an experienced staff while also wanting a sense of community, Main Line Health can give you highly specialized colorectal care close to home," explains Dr. Isenberg.

Learn more about Gerald Isenberg, MD.

Learn more about colorectal surgery at Main Line Health.

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