Background: Some researchers suggest that gastric bypass surgery plus cholecystectomy increases post-surgical complications. However, there is not studies that exploring this association. Objective: To compare the post-surgical complications between patients operated on cholecystectomy and who not among obese persons meeting criteria for gastric bypass surgery in Medellín, Colombia. Method: A case-control study was done. In […]
Objective: To evaluate one institution’s multi-departmental experience performing LESS procedures. Introduction: LESS, also known as single incision laparoscopic surgery, has emerged as one of the newest surgical modifications of laparoscopic surgery. LESS procedures can be performed using various combinations of articulating and straight instruments with various angled or flexible cameras while achieving similar results to […]
Introduction: Pulmonary embolism (PE) is a relatively uncommon complication following laparoscopic cholecystectomy (LC). When the abdomen is insufflated with CO2, increased intrabdominal pressure diminishes venous return causing potentially low cardiac output and venous stasis. Our study was to determine whether this phenomenon is significant enough to increase the risk of PE while performing LC. Methods: […]
Introduction: Concerns have been raised as to how to maintain pictorial documentation of an interesting finding during laparoscopic cholecystectomy (LC). We believe that documentation of surgery is of essential benefit, especially if a complication arises. In addition, documentation may be utilized for future reference for patient care. Methods: We reviewed the pictorial documentation of 100 […]
Introduction: Some surgeons perform routine preoperative screening endoscopy in all patients undergoing bariatric surgery. Various pathologies have been noted and reported during preoperative endoscopy. This investigation explores the incidence of Barrett’s esophagitis in patients undergoing preoperative screening endoscopy for bariatric surgery. The hypothesis that was tested was that Barrett’s esophagitis would be common in patients […]
BackgroundLaparoscopic anti-reflux surgery (LARS) is now well established as an effective treatment in the management of gastro-oesophageal reflux disease (GORD). Some of the reflux can be severe enough to cause upper respiratory symptoms such as laryngitis, hoarseness, chronic cough. Reflux resulting in aspiration can result in lower respiratory tract illnesses such as asthma and pulmonary […]
Background: Perineal approaches have been preferred for the treatment for full-thickness rectal prolapse in elderly patients despite a higher incidence of recurrence when compared with open abdominal approaches. However laparoscopic rectopexy with or without resection may also be used for elderly patients. Purpose: Therefore, the aim of this study was to evaluate safety and effectiveness […]
Introduction: Obesity has been challenging for both laparoscopic (LA) surgery and hand-assisted laparoscopic (HAL) surgery. The aim of this study was to compare the outcomes of LA and. HAL colorectal surgery in obese patients. Methods and procedures: An IRB approved retrospective chart review of a prospectively maintained database was conducted to identify obese patients (BMI>30) […]
Introduction: Adjustments are an integral part of the success of the laparoscopic adjustable gastric banding. Without these adjustments, successful weight loss is not possible. Fear and pain could create barriers for patients to receive their proper band adjustments. It is important to understand the patient’s perception of adjustments. The objective of this study was to […]
Introduction: During the last years increasing numbers of children have been reported with a body mass index (BMI) higher than the 85th percentile in the western world. Surgical strategies are still discussed controversially in adolescent patients due to the impact on further maturing process. Laparoscopic adjustable gastric banding (LAGB) is considered as a minimal invasive […]
Introduction: There is a growing body of work that suggests warmup can positively impact a performers physical and cognitive agility, enable better focus and lead to lesser errors. and cognitive skills is an accepted practice in many domains such as sports or music. While the level of involvement of psychomotor and cognitive skills in surgery […]
Introduction: Peutz-Jeghers syndrome is a rare, inherited benign intestinal polyposis syndrome that has historically required multiple laparotomies throughout the patient’s lifetime. Frequent endoscopic screening and resection of the hamartomatous polyps reduces the risk of local complications such as intestinal obstruction or intussusception. In certain situations, an endoscopic polypectomy may not be technically possible and a […]
Background: Despite the good results reported after laparoscopic fundoplication, failure is still a major problem. Hiatal disruption is one of the common patterns of anatomicalfailure, after primary open or laparoscopic antireflux surgery. To prevent hiatal hernia recurrence some authors recommend the use of prosthetic meshes for reinforcement of the hiatal crura. The aim of the […]
Introduction: Evidence suggests that poor information transfer and communication practices are a leading cause of medical errors and adverse events. Despite this, little is known about what these communication failures are, why they occur and how to prevent them. We conducted an interview study to identify information transfer and communication problems across the entire surgical […]
Aims: The aim of this study was to describe the trends in uptake of minimally invasive oesophagectomy in England over last 12 years (1996-2008). Methods: The Hospital Episodes Statistics (HES) database is a record based system that since 1986 has collected patient-level data from all English NHS trusts. We examined HES data between April 1996 […]
INTRODUCTION:Controversy over the management of barrett’s esophagus has been difficult to resolve due to the low incidence of progression to adenocarcinoma. A prospective study comparing thousands of patients with barretts esophagus randomized either into PPI or antireflux surgery group is costly and no likely to be perfomed. This study examined possible clinical outcomes of the […]
Background: Benign cystic diseases of the liver have recently been treated by non-surgical procedures such as alcohol injection and trans arterial embolization (TAE); however symptomatic or complicated cysts often need surgery. Traditionally, laparotomy is the procedure of choice. We present our experiences with laparoscopic management of both symptomatic multiple liver cysts and polycystic liver disease. […]
Background: Although biliary tract injuries are lethal, many difficulties in identifying it have been encountered during laparoscopic surgery. We report a novel method of biliary tract identification using an endoscopic device with fluorescent imaging of indocyanine green. Method: During operation 1.0-2.0 ml of 0.25% ICG had been intravenously injected in a patient with multiple liver […]
Introduction: Laparoscopic gastrectomy (LAG) with limited lymph node dissection has been used for the treatment of early gastric cancer as a clinical trial and the number of cases has been increasing. Although, recently, LAG with complete D2 lymph node dissection has been reported, it is usually performed only in experienced institutions and there is little […]
Objective of StudyIntra-peritoneal onlay mesh (IPOM) is the gold standard technique of laparoscopic ventral hernia repair (LVHR), a ‘standard of care’ day care procedure. We have reported vest over pant closure of defect (VOPCOD) preceding IPOM in LVHR raising debate of anatomical restoration for functional compliance versus compromise with the ‘tension free repair’ principle. Hence […]
INTRODUCTION: As a new bariatric surgery procedure, LSG is rapidly gaining adepts and establishing as a stand-alone surgery for morbid obesity. It is also considered a safe procedure as compared to other bariatric surgical techniques. However, there exists the risk of potentially fatal complications. We report the case of an esophageal-pleural fistula that after conservative […]
Introduction: Commonest type of Gastro esophageal junction growth in our region is type III with involvement of the cardia. After resection with adequate margin, the length of the stomach tube might not reach the neck. In such situations Ivor-Lewis Esophago- Gastrectomy with intra thoracic anastamosis is a good alternative. Methods: A retrospective analysis of 13 […]
We present a video of a laparoscopic resection of a 6cm hamartomatous polyp arising from the 3rd part of the duodenum and intraoperative endoscopy in a 15 year old female with Peutz-Jeghers syndrome. The patient has a history of multiple small hamartomatous polyps removed endoscopically. She now presents with symptoms of intermittent postprandial abdominal pain. […]
Introduction: The growing evidence has verified the survival benefit of combined treatment of the chemotherapy followed by the surgery for advanced thoracic esophageal cancer. The endoscopic surgery for thoracic esophageal cancer has been shown to facilitate the early resumption of daily activity of the patients in the postoperative course, but is considered technically difficult especially […]