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
Role of Early Thorocascopy in the Penetrating Wounds of the Chest
Non life-threatening penetrating wounds of the thorax(PCW) can be treated by tube thoracostomy(TT)alone, but incomplete removal of clots can delay recovery and lead to the development of empyema. We hypothesized that use of early thoracoscopy (TS), within 48 hours, will reduce empyema and missed diaphragmatic injuries(DI).Method: We performed a retrospective chart review of 82 stable… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Thoracoscopy
Laparoscopic Splenectomy for Splenomegaly:Long Term Follow up of 61 patients
Background: Numerous studies have demonstrated the feasibility of laparoscopic splenectomy(LS) for splenomegaly. There is little published data on the efficacy of LS for the treatment of splenomegaly associated cytopenias. The aim of this study is to determine long-term outcomes following LS for splenomegaly. Methods: Retrospective review of patients undergoing LS between 8/95 and 5/05. Splenomegaly… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Unrecognized Adrenal Insufficiency in Patients Undergoing Laparoscopic Adrenalectomy
Introduction: There is scant data in the literature about unrecognized adrenal insufficiency (AI) in patients undergoing laparoscopic adrenalectomy (LapA). We hypothesized that postoperative day (POD) 1 AM cortisol levels could identify these patients after LapA. The aim of his study is to determine the incidence of AI after LapA and identify clinical predictors. Methods: One… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Laparoscopic Versus Open Live Donor Nephrectomy: Outcomes Analysis in 276 Consecutive Patients
Purpose: Minimally invasive surgical techniques have become the preferred method for live donor nephrectomy (DN) in many centers. We compare the experience with laparoscopic and open DN within a single institution.Methods: Data on 276 consecutive live DN were entered prospectively (lap) or retrospectively (open) into a surgical outcomes database between 1998 and 2007. Demographic, intraoperative,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Maximizing the donor pool: Use of right kidneys and multiple arteries for live donor kidney transplantation
Introduction: The first laparoscopic donor nephrectomy (LDN) was performed in 1996. Since that time, LDN is becoming standard of care for organ procurement. Donor and recipient outcomes have been proven equivocal for laparoscopic and open nephrectomy. In the past, LDN was avoided when procuring the right kidney or organs with multiple arteries. Reviewing our experience… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Robotic Gastric Cancer Surgery using da Vinci system: Clinical results & lessons learned from 2-year experience.
Background: For gastric cancer, robotic surgery is still in its early years. This study is performed to evaluate the technical feasibility, effect, and safety of robot-assisted gastrectomy (RAG) with lymphadenectomy using da Vinci systemMethods: From July 2005 to April 2007, 80 RAG with lymphadenectomy were performed for patients with preoperative diagnosis of EGC. The clinicopathologic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Impact of Iq, Computer-gaming Skills, General Dexterity and Laparoscopic Experience on the Performance with the Da Vinci® Surgical System
BACKGROUND:Due to improved ergonomics and dexterity, robotic surgery is supposed to be very easy to perfom for all individuals and no special premises should be necessary. We have tested the above hypothesis by measering IQ-elements, computer-gaming-skills, general dexterity with chop sticks and evaluating laparoscopic experience in correlation to the performance with the da Vinci robot®… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Robotic Pancreatic Surgery: A Single Institution Experience
The overall activity of robotic pancreatic surgery at Misericordia Hospital in Grosseto has been reviewed. From October 2000 to March 2007, has been performed 68 robotic pancreatic resections: 35 pancreatoduodenectomies (PD) (25Whipple, 10 Longmire procedures), 28distal pancreatectomies (DP) (13 spleen-preserving), 3 middle segment pancreatectomies and 2 insulinoma enucleations.The etiology of 35 PD were:11 ductal cancer,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
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
Peritonitis from PEG tube insertion and ensuing complications in Surgical ICU patients: Identification of risk factors and clinical outcome
OBJECTIVE - Percutaneous Endoscopic Gastrostomy (PEG) tubes are routinely placed in Surgical Intensive Care Unit (SICU). Poor tissue healing or technical issues after tube insertion can lead to peritonitis requiring a laparotomy. Risk factors leading to this major complication are not identified.METHODS - We conducted a retrospective review of all PEG tubes inserted in SICU… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Venous Thromboembolic Events and risk stratification: Evaluation of Short vs Prolonged Prophylaxis in Bariatric Patients
Introduction: The risk of a venous thromboembolic event (VTE) after bariatric surgery remains a significant source of morbidity, mortality, and liability. A survey of ASBS members showed the incidence of DVT/PE after open bariatric surgery to be 2.63% and 0.95% respectively. Reviews of the laparoscopic literature demonstrate a risk of symptomatic VTE to be 0.8-2.4.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Early reoperation – a quality parameter for monitoring laparoscopic surgery ?
Background:The science of surgical quality measurement is evolving!The need for unplanned early reoperation usually represents a major adverse event in the patient’s postoperative course. Unplanned early reoperations were suggested as a possible quality indicator in general surgery .There are only a small number of prospective studies concerning this issue in general surgery, and no reports… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
The Effect of Laparoscopic Staplers on Porcine Small Bowel Perfusion.
Introduction: Few studies have been designed to assess the performance of laparoscopic surgical staplers. This study analyzes the effect of staples and staple height on tissue perfusion. Methods: Staple lines created on live porcine small bowel segments using laparoscopic surgical staplers were tested for perfusion using visible light spectroscopy to assess tissue oxygenation. Perfusion measurements… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
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