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SAGES 2008 Abstracts Archive

A clinical trial of a tool removing the small intestine from the pelvic space using a new concept

Laparoscopic intrapelvic operation, such as gynecological, urological and rectal operations, are often interrupted by the phenomenon of the small intestine flowing into the pelvic space. This phenomenon makes intrapelvic laparoscopic operations difficult. Although, patients are placed in an extreme head down position to keep the pelvic space wide to prevent this interruption of the small… Continue Reading


A Comparison of Permanent and Nonpermanent Staple Line Buttressing Materials for Linear Staple Lines During Laparoscopic Roux-en-Y Gastric Bypass (lgbp)

Objective: This study analyzed our experience with 3 different buttressing materials for creating the gastric division during LGBP.Methods: From June 2001 to October 2006, 1451 consecutive patients undergoing LGBP had buttressing material used for the staple creation of the gastric pouch. Permanent bovine pericardial strips, Peristrips Dry® (PSD) was used in 926 cases, Seamguards® (SG),… Continue Reading

A Comparison Study of Laparoscopic , Hand-Assisted Laparoscopic, and Open Techniques for Treatment of Complicated Diverticulitis

INTRODUCTION-Our study was aimed at demonstrating that two laparoscopic methods, complete laparoscopy (LAP) and hand-assisted laparoscopy (HAL) are acceptable techniques for sigmoid resection in patients with complicated diverticulitis as compared to open surgery (OS). METHODS AND PROCEDURES- A retrospective review of 88 patients with complicated diverticulitis diagnosed between February 2003 and August 2007, were divided… Continue Reading


A Computer-Assisted Endoscope to facilitate access and support surgical tasks in the abdomen: Animal experience

Objective: Natural orifice transluminal endoscopic surgery has potential benefits for patients and clinicians. Many improved tools have been developed in the last few years, but access, navigation and orientation, especially in the upper abdomen for procedures such as diaphragmatic pacing and Nissen fundoplication, remain an unsolved challenge. NeoGuide has developed a computer-controlled multi-segmented endoscope with… Continue Reading

A decades experience of laparoscopic anterior Watson fundoplication in children.

Background: Laparoscopic anti-reflux surgery has become firmly established in the management of gastro-oesophageal reflux in children. The Nissen remains the most widely used anti-reflux procedure, but its success is frequently compromised by mechanical complications. Several modifications, such as partial wraps, have been described. It is not known whether the advantages of partial fundoplication translate into… Continue Reading

A General Surgeon’s early experience using prone thoracoscopy for minimally invasive esophageal procedures

With the realized benefits of decreased post-operative pain, a shorter hospital stay, and a faster recovery time when compared to open surgery, enthusiasm for minimally invasive esophagectomy has increased worldwide. Several groups use lateral decubitus positioning for thoracoscopic mobilization of the esophagus, while some have suggested that prone positioning may minimize the number of technical… Continue Reading

A Hybrid Endoluminal Transgastric Cholecystectomy Approach – a Bridge Between Laparoscopy and NOTES

Background: The Natural Orifice Transgastric Cholecystectomy is a method in development. This study proposes the hybrid approach, transluminal and laparoscopic, showing the advantages of the technique.Methods: Non-survival procedures were conducted in pigs(n=15) using a transgastric approach. The procedure started with a puncture in the umbilical scar to create a CO2 pneumoperitoneum through the Veress needle.… Continue Reading

A laparoscopic vagus preserving Merendino procedure

Introduction: Laparoscopic vagal preserving oesophagectomy is a recognised treatment option for high grade dysplasia of the oesophagus[1]. A jejunal interposition, as described by Alvin Merendino in 1955[2], aims to substitute the lower oesophageal sphincter, thereby treating physiological disorders such as reflux oesophagitis. Methods: We aimed to combine these procedures in the treatment of an otherwise… Continue Reading

A Minimally Invasive Approach to a ‘ Seatbelt Hernia’

A MINIMALLY INVASIVE APPROACH TO A ‘ SEATBELT HERNIA’.Elyssa Feinberg MD, Aksim Rivera MD, Suttatip Vechvitvarakul MD , Ajay K Chopra MD.Jacobi Medical Center, Albert Einstein College of Medicine, Bronx NYIntroduction: Traumatic abdominal wall hernias are often the result of improperly worn lap and shoulder seat belts. Most cases of traumatic lumbar/flank hernias described have… Continue Reading


A Model for Longitudinal Mentoring and Telementoring of Laparoscopic Colon Surgery

OBJECTIVE: To demonstrate the feasibility of longitudinal mentoring and telementoring of community surgeons in laparoscopic colon surgery.METHODS: A formal mentoring protocol was established between a university centre and surgeons at a local 134 bed community hospital 60km away. The community surgeons (CS) attended a didactic course on laparoscopic colon surgery before attending surgery at the… Continue Reading

A multicenter study on 1057 cases of laparoscopic surgery for rectal cancer

Background: The purpose of this study is to clarify of the safety and the feasibility of the short-term and long-term results of the laparoscopic surgery for patients with rectal cancer from the accumulated data of 28 leading hospitals in Japan.Methods: From May 1994 to February 2006, this study group comprised 1057 patients with rectal cancer… Continue Reading

A new flexible endoscopic suturing method with laparoscopic protection for safer full-thickness attachment to the gastro-intestinal tract

Background: There are some difficulties associated with placing multiple stitches or tissue anchors at flexible endoscopy in order to achieve long term attachment of devices within the gastrointestinal tract. Precision stitching of an object to the wall of the gut requires accurate penetration of the device attachment points, and knowledge that the anchor has been… Continue Reading

A novel laparoscopic approach to gastrostomy salvage following early dislodgment

Introduction: Gastrostomy tube dislodgment shortly after placement may lead to a gastric perforation if a gastrocutaneous fistula tract did not have time to form. The current standard approach to this problem is immediate laparotomy and creation of a new gastrostomy. We report a novel, incision-free approach to this problem that involves grasping the gastric perforation… Continue Reading

A Novel Method of Mesh Placement in Laparoscopic Repair of Giant Paraesophageal (gph) Hernias

Objective of the Technique: To introduce a novel technique for mesh placement during laparoscopic GPH repair. Recent data support the use of prosthetic mesh in the repair of large (>5cm) paraesophageal hernias, with decreased recurrence rates compared to primary repair. There is no consensus, however, as to the optimal type and shape of mesh, or… Continue Reading

A Novel Rating System Effectively Differentiates Resident Surgical Performance on a Gastrectomy Animal Model

INTRODUCTION: Current evaluation of trainee operative performance is based on overall impressions and rarely involves objective rating systems. We hypothesized that a new rating system would objectively differentiate between residents of variable surgical skill performing a series of standardized operative steps.METHODS: Upper level residents were instructed using an open Billroth II porcine gastrectomy model. The… Continue Reading

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