Surgery is delivered by surgeons with different skill and experience levels, trained through apprenticeship models with non-standard
Intraoperative adverse events are a major safety threat in modern surgery. A significant number of these adverse events are preventable, however their true incidence
The technical skill of operating surgeons is associated with post-operative complications, yet few options exist to support practicing surgeo
To evaluate the feasibility of the Versius surgical robotic system for transanal total mesorectal excision (taTME) in a preclinical setting.
Applicatio
Most commercial robotic surgical systems lack haptic feedback or only provide rudimentary kinesthetic feedback. We developed an add-on multi-modal haptic feedback system
To discuss the feasibility of the Versius® robotic surgical system for use in the minimal access approach to cholecystectomy
Description of the tec
Surgery is constantly searching for ways to improve procedural outcomes, while also increasing OR efficiency. Magnetic Surgery has been developed to increase the b
to create an individualized virtual reality program to start the gradual exposition to the hospital and psychologically prepare each patient to a surgical intervention.
This computer vision algorithm provides a standardisation of fluorescence-guided perfusion assessment in anterior resection of the rectum.
Generating a mucosal lift is critical for Endoscopic Submucosal Dissection (ESD). The expanded submucosa (SM) provides a working space for polyp detachment.&nbs
We investigated a novel minimally-invasive surgical platform for its utility within the oropharynx and larynx for single-port natural orifice
Introduction: Pheochromocytoma is a rare but potentially devastating tumor. ALthpugh usually related to adrenal adenoma, extra-adrenal lesions can produce similar hormonal findings. Laparoscopic Adrenalectomy has been widely preferred for surgical removal of adrenal masses.This video demonstrates the laparoscopic dissection of Right Adrenal mass and total excision of Paracaval mass.
Methods: We present a case of a 76 year old female, BMI of 15.83 kg/m2, with new onset of hypertension, weight lo
Introduction: Laparoscopic Total Gastrectomy with D2 Lymphadenectomy is common in Eastern Asia, however it’s still underutilized in North America.
Methods: We present the case of a 76 year old male who underwent Screening Upper GI Endoscopy for Pernicious anemia. He was found to have a small mass in the fundus of stomach. Biopsies obtained at the time of endoscopy were diagnostic for moderately differentiated Adenocarcinoma.
The patient underwent diagnostic laparoscopy to check the resectabili
We present a case of laparoscopic treatment of peptic ulcer disease. The patient had history of peptic ulcer disease refractory to medical treatment with piloric stenosis that required multiple endoscopic dilatations. She also had hiatal hernia with reflux symptoms. We performed laparoscopic truncal vagotomy, hiatal hernia repair and subtotal gastrectomy with Billroth two reconstruction. This procedure represented the gold standard treatment for chronic peptic ulcer disease in the pre-PPI era t
Introduction: Sports hernia is a misnomer. The term Sports hernias, more appropriately called Athletic pubalgia, is not the typical hernia involving a defect in the strength layer of the abdominal wall. Sports hernias are related to injury and/or inflammation of the tendonous attachments to the pubic tubercle often involving the abdominal and pelvic musculature outside the ball-and-socket hip joint and on both sides of the pubic symphysis. Patients are often athletes and present with groin pain
LSG is the most commonly performed bariatric procedure in the US/Canada and the Asia-Pacific region. However, LSG can result in new GERD and may worsen preexisting GERD.i LSG patients with GERD not well controlled with PPI do not have good treatment options except for more invasive, anatomy-altering gastric bypass surgery. LES electrical stimulation therapy has shown to improve outcomes in GERD patients.ii-iii
Aim: To evaluate the safety and efficacy of LES stimulation in LSG patients with GERD
Background: Testicular atrophy following groin hernia repair is a major concern for any male patient. There is very scant literature regarding the impact of inguinal hernia and its mesh repair on testicular function and sexual function following both open and laparoscopic techniques. The present study was designed to compare TAPP and TEP repair in terms of testicular and sexual function, quality of life and chronic groin pain.
Methods: The study was conducted from November 2012 to June 2014. 16
Introduction: Laparoscopic hepatectomy remains to be one of the most difficult procedures for young surgeons. We have recently developed a new training method and procedure-standardization for young surgeons to perform laparoscopic left hepatectomy (Lap-LHx). The aim of this study is to clarify the effect of our method for young surgeons to perform Lap-LHx.
Methods: Standardization of Lap-LHx: After mobilization of left lobe, left 1st Glissonean pedicle is encircled using the Arantius’ ligament
Introduction: Laparoscopic proximal gastrectomy (LPG) with double tract reconstruction (DTR) is an attractive treatment option for proximal gastric cancer when considering the advantages of a function preservation, including improved nutrition and a decreased incidence of postopertive reflux esophagitis. The aim of this study was to assess the feasibility of LPG with DTR and to compare the functional outcomes of LPG with laparoscopic total gastrectomy (LTG).
Methods: Between November 2011 and A
Introduction
Rapid Evaporative Ionization Mass Spectrometry (REIMS) provides the operating surgeon with tumour phenotypic data in near real time based on analysis of the mucosal lipidome.(1) This study determined the accuracy of REIMS for detecting established histological biomarkers of poor prognostic outcome in colorectal cancer.
Methods
This was a prospective, observational multi-centred cohort study. Patients undergoing elective surgical resection for colorectal cancer were recruited at S
Introduction: In the United States, over 300,000 hernia repairs are performed annually. To assess the integrity of repair, imaging modalities like computed tomography (CT) or ultrasound (US) are used. However, either modality properly characterizes the hernia prior to repair or is capable of reliably identifying the mesh after repair. Shear Wave Elastography (SWE) is an evolving US technique capable of simultaneous real-time imaging and mechanical property analysis. This modality can be utilized
Introduction: Colonoscopy for colorectal cancer (CRC) has been shown to have a localization error rate as high as 21%. Such errors can have substantial clinical consequences especially in laparoscopic surgery. The primary objective of this study is to determine if initial diagnostic colonoscopic examination performed by the operating surgeon compared to non-operating referring endoscopists are associated with lower endoscopic localization errors.
Methods: A retrospective chart review of all pat
Introduction: Accessory spleen has been reported in about 30 % of autopsy studies (1) and until 65% of patients after splenectomy (2). The tail of the pancreas is the second most common location of accessory spleen (1). It is very important to identify the intrapancreatic accessory spleen without invasive diagnostic tests because there are few real indications for surgical resection (3). Intrapancreatic accessory spleen has rarely been noted radiologically before surgery and when there is concer
Background and Aim: Pure endoscopic thyroidectomy (ET) for differentiated thyroid cancer (DTC) could not be standardized because of incompatibility to enough lymph node dissection and invasive cases including invasion to the trachea. To overcome these important issue, we already developed hybrid-type endoscopic thyroidectomy (HET: Tori’s method; Surg Endosc 2014), combining ET and small skin incision surgery. As further step, we have developed single-incision endoscopic thyroidectomy (SIET) for