Laparoscopic Splenectomy for Massive Splenomegaly
Introduction: This video illustrates the technical feasibility and safety of the laparoscopic approach in the setting of massive splenomegaly.We present the case of a 37 year-old man who was referred to us after failure of medical treatment for massive splenomegaly associated with non Hodgkin B-cell lymphoma. He had been complaining of nocturia, suprapubic pressure and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Laparoscopic Duodenopancreatectomy
INTRODUCTIONSince the first report of laparoscopic pancreatic resections in the early 1990’s, laparoscopic resection of pancreatic tail tumors has become increasingly more common in the surgical treatment of both benign and malignant tumors. The minimally invasive approach to duodenopancreatectomies, however, is still only being performed in highly specialized centers. This is principally because of concerns… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Analysis of 1,543 Gastric Carcinoid Patients for Proposed Staging System
Background: Gastric carcinoid tumors are rare and little is known about the long term prognosis of these tumors, since no staging system currently exists. The aim of this study was to create a predictive staging system to accurately estimate prognosis. Methods: A retrospective review of 15,983 carcinoid patients from the SEER database identified 1,543 patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Results after laparoscopic Heller-Dor operation for esophageal achalasia in 100 consecutive patients
Background: Laparoscopic Heller-Dor operation (LHD) has been the procedure of choice for the treatment of esophageal achalasia. However since, the incidence of achalasia is low, at one in 100,000 in USA and Japan, reports on the outcome of surgical treatment for such a disease are limited. In this study, we investigated the therapeutic results after… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
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
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Thoracoscopic Treatment of Spontaneous Pneumothorax
Objective: Prospective study to evaluate thoracoscopic treatment of spontaneous pneumothorax by bulla resection with pleurectomy or with pleura coagulation.Patients: From 1991 to 2007, 255 patients were included in this study. Indications were persistent bubbling (45.3%), recurrence (42.9%), opposite side pleurectomy (11.4%), opposite side pneumothorax (5.5%), haemopneumothorax (2.3%), bands (3.2%), huge bulla (2.7%), double sided pneumothorax… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Thoracoscopy
Mesh Complications after Prosthetic Reinforcement of Hiatal Closure. A 29 Case Series.
Background:Primary laparoscopic hiatal hernia repair is associated with up to a 42% recurrence rate. This has lead to the use of mesh for crural repair, which has resulted in an improved recurrence rate (0-24%). However, mesh complications have been reported. Methods:We compiled three cases and our senior author contacted other experienced esophageal surgeons who provided… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Utilization of Laparoscopic and Open Inguinal Hernia Repair
BACKGROUND: Laparoscopic inguinal hernia repair is a safe and effective treatment for inguinal hernias, and is considered by some to be the procedure of choice for recurrent inguinal hernias. Little is known, however, about the frequency with which laparoscopic inguinal hernia repair is performed and the determinants of its utilization.METHODS: We performed a retrospective cohort… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
The impact of the liberal use of CT in the work up of acute appendicitis
Background:Acute appendicitis has historically been considered a clinical diagnosis, necessitating a CT scan only in the face of equivocal signs and symptoms. The purpose of this study is to determine whether or not the liberal use of CT in the work up of acute appendicitis results in a decreased negative appendectomy rate (NAR). Methods:The medical… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Human Transvaginal Cholecystectomy using an IT-Knife
Background: NOTES is an evolving and controversial field of surgery on its beginning. Laparoscopic surgery and Endoscopy merges to fulfill it. Despite NOTES human experience had begin by the transgastric way with Rao in India, the transvaginal approach is taking place as a safer and easy way to achieve the upper abdomen. As on its… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
The Effects of Laparoscopic Cholecystectomy, Hysterectomy, and Appendectomy on Nosocomial Infection Risks
Background: This paper presents precise estimates of nosocomial infection risks associated with laparoscopic as compared to open surgery in three procedures: cholecystectomy, appendectomy, and hysterectomy.Methods: A retrospective analysis was performed on 11,662 admissions from 22 hospitals that have a nosocomial infection monitoring system. The Nosocomial Infection Marker (NIM, patent-pending) was used to identify nosocomial infections… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Perforated Marginal Ulcers after Laparoscopic Gastric Bypass
Introduction: A perforated marginal ulcer (PMU) following laparoscopic Roux-en-y gastric bypass (LRYGB) is a potentially serious complication, but the incidence and etiology has rarely been investigated. We therefore performed a retrospective review of all patients undergoing LRYGB at our center to determine our incidence of perforated marginal ulcer and if any causative factors could be… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Anti-reflux Surgery Is Not Totally Effective Against Esophageal Adenocarcinoma, Despite the Regression or Disappearance of Barrett\’s Esophagus in Most Cases – A Study of 80 Barret\’s Patients.
BACKGROUND: Barrett’s Esophagus (BE) is a complication of gastroesophageal reflux disease (GERD) and can be a pre-malignant condition. laparascopic anti-reflux surgeries (LARS) significantly correct physiological and anatomical abnormalities in patients with GERD; nevertheless, there is no consensus about its effectiveness in preventing malignant transformation in patients with BE. The impact of LARS on those suffering… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Endolumenal Anastomosis Creation with Magnets
Objective: Creation of a safe endolumenal gastro-jejunal anastomosis with neodymium magnets.Background: This paper describes a new technique for performing an endolumenal gastro-jejunal anastomosis using neodymium magnets.Methods: An experimental survival study was conducted in seven swine with open translumenal placement of variable shaped magnets in the stomach and jejunum. An anastomosis was created between magnets in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
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
- Type:
- Podium Presentations
- Topic:
- Colorectal