Meeting: SAGES 2009

Learning Curves in Laparoscopic Surgery – a Systematic Review

INTRODUCTION: Recommendations for assessing learning curves in surgery were published in 2001. This study aims to assess systematically all published learning curve studies in laparoscopic surgery, and determine the impact of these recommendations on the quality of the publication.METHODS AND PROCEDURES: A systematic review was performed on all studies from 1996 assessing learning curves in […]

Laparoscopic Versus Open Liver Resection for Hepatocellular Carcinoma: A Comparative Study

LAPAROSCOPIC VERSUS OPEN LIVER RESECTION FOR HEPATOCELLULAR CARCINOMA: A COMPARATIVE STUDYIbrahim DAGHER, Giuseppe DI GIURO, Panagiotis LAINAS, Helene AGOSTINI, Alessio CARLONI, Dominique FRANCODepartment of General Surgery, Antoine Béclère Hospital, AP-HP, Clamart, F-92140, France; Univ Paris-Sud, Orsay, F-91405, France. Objective of the study: Laparoscopic liver resection for hepatocarcinoma, especially in cirrhotic patients, has recently been developed […]

The Relevance of Using Fluroscopy As a Routine in Gastric Banding Control

The relevance of using fluroscopy as a routine in gastric banding control Hypothesis: using fluroscopy as a routine in performing gastric banding controls will enable early detection of possible complications and will optimize the adjustment of the band.Method: 100 patients were strictly followed up in our center for LGB control. All controls were done routinely […]

Randomized Controlled Trial: Comparing the Effect of Two High Fidelity Computer Games on the Learning Curve in Laparoscopic Surgery

INTRODUCTION: There is no clear consensus on the effect of computer games on laparoscopic surgical performance, this maybe due to the type of games used. This study aims to compare two high fidelity computer games, and their effect on the learning curve in laparoscopic surgery.METHODS AND PROCEDURES: 31 laparoscopic naïve subjects were randomly assigned to […]

Laparoscopic Single Port Appendectomy Using Intraperitoneally Placed Magnetic Camera

Single Port Appendectomy has been described. One of the problems of single port surgery is that there are limited valves for insertion of instruments and that the instruments tend to clash with the camera outside as the point of ingress is the same. Caddedu and colleagues have been working on a magnetic camera that can […]

Hand-Assisted Laparoscopic Pelvic Nerve Sparing Resection of Rectal Cancer: Preoperative Chemoradiation Influences Conversion Rate

Introduction: We hypothesize that gender, BMI and preoperative chemoradiation may influence the ability to perform a hand-assisted laparoscopic (HAL) resection for patients with rectal cancer.Methods: We performed retrospective analysis of patients who underwent HAL resection of rectal cancer. Four trocars and a standard 7 cm incision length were used. We abstracted clinical and pathological variables […]

Two for One: A Crh and Acth Secreting Pheochromocytoma

Introduction: This is a unique case of a pheochromocytoma secreting both ACTH and CRH. Pheochromocytomas secreting either CRH or ACTH have been reported in the literature and are a rare cause of Cushing’s syndrome. To date, there are no reports of a pheochromocytoma producing both hormones. Background: A 38-yr-old previously healthy female presented with a […]

Gastric Bypass Improves Musclo-skeletal Quality of Life

IntroductionMorbid Obesity is the leading public health epidemic of the industrialized world with bariatric surgery as the only effective and enduring treatment for this disease. Gastric Bypass is known to be very effective for weight loss and can also improve obesity related comorbidities like joint disease. Joint disease may be difficult to assess without radiographs. […]

Post-operative Gastric Bypass Marginal Ulcers and Strictures Lead to Increased Weight Loss

IntroductionMorbid Obesity is the leading public health epidemic of the industrialized world with bariatric surgery as the only effective and enduring treatment for this disease. Gastric Bypass is known to be very effective for weight loss but can have complications like marginal ulcers or strictures. We hypothesized that gastric bypass patients with ulcers/strictures have differing […]

Is There a Difference Between Early and Late Endoscopic Balloon Dilation for Gastrojejunal Stricture After Roux-en-Y Gastric Bypass?

INTRODUCTIONEndoscopic balloon dilation has been shown to be an effective treatment for gastrojejunal (GJ) strictures after Roux-en-Y gastric bypass (RYGB). We hypothesize the number of necessary interventions is influenced by the time interval since RYGB. This is a retrospective review examining the relationship between the interval from RYGB to balloon dilation in patients with stricture.MATERIALS […]