Shyam L Dahiya, MD. Tri-City Regional Medical Center, Hawaiian Gardens, CA Introduction: Single incision laparoscopic surgery has garnered wide interest in a number of specialties. A common limitation cited for many single incision methods is the lack of instrument triangulation and the need to cross instruments. The SPIDER® Surgical System (TransEnterix, Durham, NC) is […]
Deirdre F Waterhouse, Dr, Ronan A Cahill, Dr. European Institute of Surgical Research and Innovation (EISRI) INTRODUCTION: The new avenue of laparoscopy referred to as Single Incision Laparoscopy is often presented as an alternative to more conventional laparoendoscopic approaches whereas in fact it is really a complimentary procedure. The benefits of this technique’s principles […]
Bilal M Shafi, MD, Parth K Shah, MD, Harveen Bal, MD, Douglas L Fraker, MD. Hospital of University of Pennsylvania Introduction: Few studies have been designed to assess the performance of laparoscopic surgical staplers, especially when it comes to their contribution to leak. This study analyzes the effect of staples and staple height on […]
Helmuth T Billy, MD. Ventura Advanced Surgical Associates Introduction: Preoperative and postoperative evaluation of bariatric surgery patients often requires the use of fiberoptic endoscopy to preoperatively screen patients or evauate for possible complications. Trans nasal endoscopy offers the potential to streamline evaluation of patients and decrease the costs associated with evaluating these patients. Methods […]
Helmuth T Billy, MD. Ventura Advanced Surgical Associates Introduction: The goal is to assess the feasibility of utilizing micro laparoscopic instruments to perform a virtually scarless Heller Myotomy. Methods and Procedures: A 72 year old woman with chronic achalsia underwent successful laparoscopic Heller myotomy using 2.7 microlaparoscopic instruments. The patient was placed in slight […]
Patricia L Eichhorn, MD, T. Paul Singh, MD, Brian Binetti, MD. Department of Surgery, Albany Medical Center IntroductionIncisional hernia (IH) after laparoscopic surgery has always been a significant issue. As laparoscopic surgery has migrated to single incision/port (SIS), these concerns have become more prominent. Limited data regarding the outcomes from SIS have limited its […]
Nicolas N Buchs, MD, Francois Pugin, MD, Franceso Volonte, MD, Pascal Bucher, MD, Eduardo Schiffer, MD, Philippe Morel, MD PhD. Clinic for Visceral and Transplantation Surgery, Department of Surgery, University Hospital of Geneva, Switzerland, Department of Anesthesiology, University Hospital of Geneva, Switzerland Introduction: Fluorescent imaging with Indocyanin green (ICG) might be a non-ionizing alternative […]
Catherine E Beck, MD, Jeffrey L Eakin, MD, Rebecca Detorre, David E Renton, MD. The Ohio State University Medical Center Introduction: Recent technological advances in single-incision platforms has allowed many General Surgeons to add single-incision laparoscopic cholecystectomies (SILC) to their armamentarium. Nonetheless, typically, adopting new surgical technologies comes at a cost both in and […]
Henry R Govekar, MD, Thomas N Robinson, MD FACS, Guillaume Girard, MS, Greg V Stiegmann, MD FACS, Paul D Varosy, MD. University of Colorado School of Medicine Introduction: Recommended use of monopolar “bovie” energy in patients with pacemakers is based on expert opinion and small case series. Current guidelines recommend to use low monopolar […]
Ian Choy, BEng MD MEd, Andras Fesco, BSc MD, Josephine Kwong, BScH MPA, Timothy Jackson, MD MPH, Allan Okrainec, MD MHPE. Department of Surgery, University of Toronto, Temerty/Chang Telesimulation Centre, University Health Network, Toronto, Ontario, Canada Telesimulation and telementoring have emerged as important tools in improving access to advanced surgical techniques amongst surgeons globally. […]
Tao-wei Ke, MD, William Chen, MD, Sheng-chi Chang, MD, Hua-che Chiang, MD. Division of Colorectal Surgery, Department of Surgery, Center of Minimally Invasive Surgery, China Medical University Hospital, Taichung, Taiwan Background: Single-Incision Laparoscopic Surgery(SILS) right hemicolectomy is a safe and feasible procedure in benign and malignancy colon diseases. But SILS is still very situational, […]
Duo Li, MD, Chunbe Kang, MD, Jinhong Liu, MD. Dept. Surgery, Aerospace Center Hospital, Peking University Objective:Laparoendoscopic single-site surgery (LESS) is a newly emerging advanced minimally invasive surgical procedure. Patients suffering from acute abdomen may also benefit from such advancement; here we report our experience by using a single small incision through the umbilicus […]
Sheng-chi Chang, MD, De-wei Ke, MD, William Tzu-liang Chen, MD. China Medical University Hospital,Taichung, Taiwan During rectal surgery, management of inferior mesentery artery (IMA) can be divided in to high tie method and low tie method. High tie method means IMA was transected at base that caught harvest pedicle lymph nodes (LNs) and produced […]
Shuhei Komatsu, MD, Daisuke Ichikawa, MD, Kazuma Okamoto, MD, Atsushi Shiozaki, MD, Hitoshi Fujiwara, MD, Yasutoshi Murayama, MD, Yoshiaki Kuriu, MD, Hisashi Ikoma, MD, Masayoshi Nakanishi, MD, Toshiya Ochiai, MD, Yukihito Kokuba, MD, Eigo Otsuji. Division of Digestive Surgery, Department of Surgery, Kyoto Prefectural University of Medicine BACKGROUND: Clinical course and complication rate following […]
Shyam Dahiya, MD. Tri-City Regional Medical Center, Hawaiian Gardens, CA Introduction: Single incision laparoscopic surgery has garnered wide interest in a number of specialties. A common limitation cited for many single incision methods is the lack of instrument triangulation and the need to cross instruments. The SPIDER® Surgical System (TransEnterix, Durham, NC) is a […]
Sathyaprasad C Burjonrappa, MD MS FRCSEd, Hrishikesh Nerkar, MD. Maimonides Medical Center Background: Single Incision Laparoscopic Surgery (SILS) has to date been applied to the management of non-complicated acute appendicitis. Its proponents advocate its use based on its cosmetic appeal. What is not known is its safety and applicability in perforated acute appendicitis. We […]
A M Mcdermott, MD, K Mieske, MD, K H Chang, MD, A Abeidi, MD, B H Harte, MD, M J Kerin, MD MCh, O J Mcanena, MD. Discipline of Surgery, School of Medicine, National University of Ireland, Galway, Ireland and the Galway Clinic, Doughiska, Galway, Ireland IntroductionLaparoscopic surgery has revolutionised the management of many […]
Joo-ho Lee, MD PhD, Joo Hyun Woo, MD. Ewha Womans University School of Medicine INTRODUCTION Most surgeons have performed laparoscopy-assisted distal gastrectomy (LADG) with extracorporeal anastomosis rather than total laparoscopic procedures because of the technical difficulties of intracorporeal anastomosis. However, recently totally laparoscopic distal gastrectomy (TLDG) has been reported to be safe, technically feasible, […]
Loren Riskin, MD, Dan E Azagury, MD, Oliver Varban, MD, Daniel J Riskin, MD MBA FACS. Stanford University, Stanford, California USA Objectives: The last decade has seen major advances in data driven healthcare at the research, clinical, and policy levels. The HITECH Act and the Affordable Care Act drive electronic health record infrastructure while […]
Eric M Pauli, MD, David M Krpata, MD, Melissa S Phillips, MD, Jeffrey M Marks, MD, Raymond P Onders, MD. University Hospitals Case Medical Center, Cleveland, OH and The University of Tennessee Health Science Center, Knoxville, TN Introduction: Four port laparoscopic cholecystectomy (4PLC), first introduced in 1985, is now considered standard of care. Recent […]
Zheng Pan, Md PhD, Xiao-hua Jiang, PhD MD, Jia-hua Zhou, MD PhD, Zhen-ling Ji, MD PhD. Department of General Surgery, Zhongda Hospital, Southeast Univerisity Medical College, Nanjing, China AbstractBackground: This study aimed to evaluate the feasibility, safety, and cosmetic resultsof a novel technique: transumbilical single-incision laparoscopic appendectomy(TSILA) by using a single working channel with […]
D R Kwazneski, MD, C K Six, MD, K R Stahlfeld, MD. UPMC Mercy, Pittsburgh, PA, USA Introduction:Laparoscopic instruments are being used with increasing frequency. Our surgeons recently experienced several independent adverse events involving the laparoscopic linear stapler. Although the Food and Drug Administration maintains a Manufacturer and User Facility Device Experience (MAUDE) database […]
Yasushi Rino, PhD, Norio Yukawa, PhD, Roppei Yamada, PhD, Tsutomu Sato, PhD, Masanori Inamori, PhD, Yasunobu Abe, PhD, Tomoko Koide, PhD, Takashi Oshima, PhD, Toshio Imada, PhD, Munetaka Masuda, PhD. Department of Surgery, Yokohama City University BackgroundLaparoscopic wedge resections are increasingly applied for gastric submucosal tumors such as gastrointestinal stromal tumor (GIST). Despite this, […]
Parambir S Dulai, MD, Neil Ghushe, MD, Thadeus Trus, MD, Charles Alexander Mosse, PhD, Per Ola Park, MD, Maria Bergstrom, MD, Margherita Cadeddu, MD, Richard I Rothstein, MD, Paul Swain, MD. Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA, Imperial College, London, UK, University College, London, UK, Boras General Hospital, Boras, Sweden, McMaster University, Hamilton, ON, Canada […]