Topic: Technology Assessment

Single Incision Cholecystectomy Utilizing Spider Surgical System: Case Series of 40 Patients

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 […]

Sealed Incision Multiport (SIMPORT): A Unifying Access Device for Transabdominal and Transanal Laparoendoscopy

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 […]

The Effect of Laparoscopic Staplers On Small Bowel Perfusion and Leak Rates

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 […]

Trans Nasal Endoscopy As an Office Procedure for Bariatric Surgery Evaluation

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 […]

Feasibility of Micro Laparoscopic Heller Myotomy

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 […]

Incisional Hernia After Single Incision Laparoscopic Cholecystectomy

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 […]

Intra-operative Fluorescent Cholangiography Using Indocyanin Green for Robotic Single Site Cholecystectomy

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 […]

An Analysis of Peri-Operative Factors and a Cost-Comparison of Single-Incision Versus Traditional Multi-Incision Laparoscopic Cholecystectomy

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 […]

Monopolar Radiofrequency Energy’s Effect On Pacemaker Function: Practical Implications

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 […]

Remote Evaluation of Laparoscopic Performance Using the Global Operative Assessment of Laparoscopic Skills

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. […]

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