Single Port Laparoscopic Gastrostomy Tube Placement
Introduction: Percutaneous endoscopic gastrostomy (PEG) placement is commonly performed. The safety of this procedure is predicated on the ability to bring the anterior gastric wall in apposition to the abdominal wall, as confirmed by transillumination. Prior gastric resection, hepatomegaly, obesity, and intraabdominal adhesions can prohibit transillumination. The following reports the safety and efficacy of single… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Hand-Assisted Laparoscopic Partial Nephrectomy After 50 Cases As Compared to Open Partial Nephrectomy
HAND-ASSISTED LAPAROSCOPIC PARTIAL NEPHRECTOMY AFTER 50 CASES AS COMPARED TO OPEN PARTIAL NEPHRECTOMYBill DeVoe BS, Kent Kercher MD, William Hope MD, Amy Lincourt PhD, Chris Teigland MD, Departments of Surgery and Urology, Carolinas Medical CenterIntroduction: The surgical standard of care for favorably located, small renal tumors is partial nephrectomy. As the incidence of renal cell… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic treatment of non traumatic peritonitis of digestive or extra-digestive origin: A ten-year study
PURPOSE: Localized or generalized peritonitis is one of the most serious complications of many abdominal or pelvic diseases. Laparoscopy has been used cautiously, because of technical difficulties and the theoretical risks of poorly controlled sepsis, overlooked lesions, and suboptimal treatment due to poor vision.METHODS: Data were retrospectively collected from May 1998 to April 2007 in… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
True Single-Port Laparoscopic Appendectomy: First Experience with the \”Puppeteer Technique\”
Introduction: Our novel “puppeteer technique” using an intraabdominal pulley system enabled us to perform the first true single-port appendectomy. In this report, we describe our first experience with this innovative technique which allows us to remove the appendix safely and successfully through one single incision.Methods: Five consecutive patients were assigned prospectively to undergo a true… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Laparoscopic Approach to a Ganglioneuroma Posterior to the Pancreatic Head and Portal Vein
Introduction: Ganglioneuromas are rare benign masses that arise from neural crest cells. Intra-abdominally they can arise anywhere along the sympathetic nerve chain in the retroperitoneum and often remain clinically silent until they achieve a significant size. Surgical exploration is often necessary for diagnosis and treatment. A laparoscopic approach to this area can be challenging but… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Transaxillary Endoscopic Periareolar Approach (tepa) to Total Thyroidectomy a Case Report
Introduction:The treatment of many thyroid disease entities remains total thyroidectomy. Although we have successfully performed near total thyroidectomy using an endoscopic transaxillary approach, use of this technique to perform total thyroidectomy has been challenging. We recently explored the feasibility of an approach combining the endoscopic transaxillary technique with a periareolar approach, using the contralateral areola… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Blind flank trocar placement to achieve pneumoperitoneum
Aim: To evaluate the safety of blind Lateral Port Entry (LPE) to achieve a pneumoperitoneum for laparoscopic surgery.Background: Surgeons are understandably concerned about obtaining pneuomoperitoneum due to the risks of bowel and vascular injury, particularly in patients who have had previous midline surgery with possible adhesions. Furthermore laparoscopic mesh repair of incisional hernais within midline… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparascopic Appendectomy for Children with Acute Appendicitis Is Equally Safe and Effective Despite Hospital Type
Introduction: Currently only one-third of children with acute appendicitis undergo laparoscopic appendectomy. The reasons for this are unclear, but may include the perception that laparoscopic surgery may not be as safe or effective at all hospital types. Therefore, we retrospectively reviewed all children treated by one pediatric surgeon at two full-service institutions to determine if… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Role of Laparoscopy in managment of delayed small bowel obstruction in trauma patients
Background: Small bowel obstruction (SBO) after open abdominal exploration for trauma is associated with significant long-term morbidity. Open exploration may be required if conservative treatment is unsuccessful. Laparoscopy in these patients may decrease LOS and decrease the rate of complications associated with repeat open surgery. Most inner city trauma centers are not geared for advanced… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Specialist Intervention Improves Results Following Laparoscopic Acute Gallbladder Surgery
AIM: Laparoscopic cholecystectomy is increasingly being offered on index emergency admission. This study assessed whether the surgeon specialist interest influences the patient outcome following emergent laparoscopic cholecystectomy.METHODS: The study included all patients who underwent emergency cholecystectomy after an index emergency admission over an 18-month period. End-points studied were conversion rate, post-operative complications, time delay to… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Benefits of Laparoscopic Repair of Perforated Peptic Ulcer Disease: A Prospective Study
AIM: To assess whether laparoscopic repair of perforated peptic ulcer disease offers patients an improved outcome.METHODS: Patients undergoing repair of perforated ulcer over a 12 month period were included in the study. Parameters studied were total operative time, urinary catheter and abdominal drain utilization, post-operative analgesia requirement, time to normal diet and time to mobilization.RESULTS:… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Single Port Access (spa) Surgery – Intracorporeal Liver Retractor for Spa Heller Myotomy
For optimal visualization during laparoscopic gastroesophageal procedures, the left lobe of the liver has to be mobilized superiorly to the anterior abdominal wall. To accomplish this task, we have traditionally utilized an externally placed stainless steel retractor. Retraction is either performed manually, or by a mechanical arm that is secured to the side rail of… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Seconds from disaster: laparoscopic median arcuate ligament release and lessons learned
This video illustrates 2 cases of laparoscopic median arcuate ligament release. The first case was performed after reviewing a previously presented SAGES video on a similar patient (Carbonelle AM, et al Laparoscopic Management of Median Arcuate Ligament Syndrome, Surg Endosc 2005:19(5)-729.) The authors attempted a similar approach. Upon near completion of the case, a devastating… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Development of minimally invasive surgery in infants less than 5kg: The first decade\’s experience
Introduction: Pediatric minimally invasive surgery (MIS) has undergone significant development over the last 10 years but the role in complex neonatal and infant surgery is still being evaluated.. Technical advances and new procedures have allowed the evolution of MIS in even the smallest neonates. This report documents our experience in MIS in infants under 5kg.Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Transanal Endoscopic Microsurgery (TEM) excision of locally advanced rectal cancers (pT2, pT3)
TEM is an accepted method of locally excising superficial (pT1) rectal cancers. It is controversial whether this technology is appropriate for cure of more advanced lesions. We retrospectively identified 35 patients (28 pT2, 7 pT3) with rectal cancer, treated with TEM +/- radiation and chemotherapy or radical surgery between 1991 and 2007. Of the pT2’s,… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other