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
Accuracy and Role of Surgeon-performed Intraoperative Ultrasound in Minimally Invasive Open Parathyroidectomy
Objective: Assessment of the accuracy and the role of surgeon-performed ultrasound in comparison to expert radiology-performed ultrasound, sestamibi scanning and histologic findings.Patients and Methods: From January 2006 to December 2007 we prospectively evaluated forty two consecutive patients undergoing parathyroidectomy for primary hyperparathyroidism. One surgeon who was unaware of the preoperative imaging studies did all ultrasound… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Single Port Laparoscopic Ileal-Pouch Anal Anastomosis
The use of laparoscopy in the surgical management of inflammatory bowel disease has been increasing. Advantages include a decrease in postoperative pain and decreased adhesion formation. Many patients who undergo this procedure are young and very concerned with their appearance. Laparoscopic surgical procedures offer smaller, more cosmetically appealing incisions. In this video we describe our… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Laparoscopic Versus Open Approach for Implantation of the Peritoneal Catheter during Ventriculoperitoneal Shunt Placement
Background: Ventriculoperitoneal shunt (VPS) is the mainstay of therapy for hydrocephalus. The aim of this study is to compare the outcomes of laparoscopic (LVPS) versus open (OVPS) ventriculoperitoneal shunts.Methods: All patients undergoing VPS at a tertiary care center between January 2004 and September 2007 were included. Univariate analysis was used for clinical characteristics. Wilcoxon Rank… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Endoscopic thyoridectomy by the axillary approach
Aim: Minimally invasive surgery is widely employed for the treatment of thyroid diseases. We have performed pure endoscopic thyroidectomy by the axillary approach from 1999. In this study, we evaluate the efficacy of this surgical procedure.Patients and Methods: The indications for this procedure included the presence of a follicular nodule or adenomatous goiter with a… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Single Port Access (spa) Surgery – Initial Experience of a Novel Minimal Access Approach Applied Across Surgical Specialties
We have developed a minimal access surgical technique in which the entire procedure can be performed through a single incision within the umbilicus. This Single Port Access (SPA) surgical technique developed in May 2007 has been utilized for a number of general surgical procedures including cholecystectomy, gastric surgery, omental surgery and hernia surgery. Utilizing High… 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
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
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 Surgery Under Spinal Anaesthesia-
AbstractINTRODUCTION – Laparoscopic abdominal surgery is conventionally done under general anesthesia Spinal anesthesia is usually preferred in patients where general anesthesia is contraindicated. We present our experience of using spinal anesthesia as the first choice for laparoscopic surgery over a period of over 10 years with the contention that it is a better alterative to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
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
Laparoscopic Diaphragm Motor Point Pacing: Complete Worldwide Experience of all Implanted Patients
Background: Diaphragm movement is essential for adequate ventilation and when the diaphragm is adversely affected patients face life long positive pressure mechanical ventilation or death. This report summarizes the complete world wide multi-center experience with the diaphragm pacing stimulation (DPS) system to maintain and provide diaphragm function for ventilation.Methods: In prospective FDA trials, patients underwent… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
The role of minimally invasive surgery in the forward combat hospital
Background: Most penetrating abdominal combat wounds are of high energy, with injury to multiple viscera, and require immediate open abdominal exploration for hemorrhage control. There is interest in advanced surgical systems for use in the forward combat environment, but minimally invasive surgery (MIS) has never been utilized in such setting. The authors hand-carried an MIS… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Our Experience in Laparocopic Approach for Large Adrenal Tumors
Laparoscopic adrenalectomy has become in last decade “gold standard” for treating of adrenal tumors with diameters smaller than 6 cm. In addition, one should note that larger tumors or potentially malignant tumors, once considered contraindications to a laparoscopic approach, can now be removed laparoscopically, with virtually no complication. In many surgical centers a tumor size… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Single Incision Laparoscopic Cholecystectomy
Since the introduction of laparoscopic cholecystectomy in 1987, several modifications have been described to reduce the number and size of transabdominal ports. Recently, natural orifice transluminal transorgan cholecystectomy using endoscopes have been performed in animal models and in humans with laparoscopic assistance. We present the operative video of a laparoscopic cholecystectomy performed via a single… Continue Reading
- Topic:
- Minimally Invasive Other