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SAGES 2009 Abstracts Archive

­laparoscopic Liver Resection for Localized Primary Intrahepatic Bile Duct Dilatation

LAPAROSCOPIC LIVER RESECTION FOR LOCALIZED PRIMARY INTRAHEPATIC BILE DUCT DILATATIONIbrahim DAGHER, Papa Saloum DIOP, Alessio CARLONI, Panagiotis LAINAS, Dominique FRANCODepartment of General Surgery, Antoine Béclère Hospital, AP-HP, Clamart, F-92140, France; Univ Paris-Sud, Orsay, F-91405, France. Objective of the study: Primary intrahepatic bile duct dilatation (IHBD) may present as a localized form, in which resection of… Continue Reading


12 Months Results of Evaluation of Anal Sphincter Radiofrequency Remodeling.

BACKGROUND: The main doubt reducing enthusiasm for the radiofrequency remodeling technique (secca) was based on lack of physiological studies, which may explain the possible pathomechanism of improvement of symptoms.AIM: The aim of this study was clinical physiological evaluation of the anorectal function prior and during 12 months follow-up after the secca procedure.MATERIAL: 16 fecal incontinence… Continue Reading


2mm Laparoscopic Cholecystectomy: The Correct First Step Before Advancing to NOTES

Background: The laparoscopic cholecystectomy (LC) has been the standard of care for two decades. LC is usually preformed with two 10-12mm ports and two 5mm ports. Some investigators have looked to improve the procedure by limiting the port sizes to improve outcomes. In our Department, a single surgeon and his trainees have been performing 2mm… Continue Reading


3d NOTES Navigation System By Magnetic Scope Detection and Osirix Virtual Laparoscopy

Purpose:In NOTES (Natural orifice translumenal endoscopic surgery), the first barrier of the operation in the abdominal cavity is scope orientation. Particularly transgastric NOTES is regarded as a challenging endoscopic procedure because of the unpredictable nature of scope formation and location in the abdominal cavity. These forced situations may result in an incomplete or lengthy procedure… Continue Reading

3d Vision Enhances Task Performance Independent of the Surgical Method

BackgroundDespite well-established advantages of minimally invasive surgery, laparoscopy lacks of natural stereoscopic depth perception and spatial orientation. Therefore, these 2 parameters appear to represent mayor downsides of minimal-invasive surgery. Still, the importance and overall negative effect of this lack of natural stereoscopic depth perception and spatial orientation has not been clearly demonstrated. The aim of… Continue Reading

40th Anniversary of the First Endoscopic Retrograde Pancreatogram

2008 marks the 40th anniversary of endoscopic retrograde cholangiopancreatography (ERCP). In 1968, a group of physicians from the George Washington University Medical Center published the first report that documented the initial clinical application of ERCP.The successful procedure was performed by Drs. McCune, Shorb, and Moscovitz and was predicated on hours of canine research followed by… Continue Reading

5 Year National Audit of Bile Duct Injuries Following Laparoscopic Cholecystectomy

Introduction: Our aim was to determine the number of bile duct injuries requiring biliary reconstruction after laparoscopic cholecystectomy in England over a 5 year period, and to investigate factors associated with increased risk of bile duct injury. Methods: Hospital Episode Statistics (HES) Data were obtained from the UK Department of Health for a 5 year… Continue Reading

A Case of Anomalous Systemic Arterial Supply to Normal Basal Segment of the Left Lower Lobe

A 45-years-old male was referred to another hospital because of hemoptysis. Chest 3D-CT showed an aberrant artery arising from the thoracic aorta and supplying the left basal segment and return to normal left lung vein, the bronchial tree was normal. Based on these findings, we diagnosed this case as having an anomalous systemic arterial supply… Continue Reading

Solid Organ

A Case of Mucosa Associated Lymphoid Tissue (MALT) Lymphoma of the Esophagus, Treated By Endoscopic Mucosal Resection

We report an extremely rare case of primary low grade mucosa associated lymphoid tissue (MALT) lymphoma of the esophagus. An 74-year-old man was referred to our department in June 2006 for further examination, because of the slight elevation of serum squamous cell carcinoma antigen level and an abnormal accumulation in the mediastinum on the PET-CT.… Continue Reading

A Comparison of the Clinical and Economic Outcomes for Open Versus Minimally Invasive Appendectomy and Colectomy: Evidence From a Large Commercial Payer Database

INTRODUCTION: Appendectomy and colectomy are commonly performed surgical procedures. Despite evidence demonstrating advantages to the minimally invasive surgical (MIS) approach, the prevalence of open procedures is higher. It remains controversial whether the MIS approach is safer or more cost effective. METHODS: A retrospective analysis was performed using a large commercial payer database. The data included… Continue Reading

A Comparison of Total Laparoscopic Hemi-colectomy Vs Assisted Laparoscopic and Laparotomy

A COMPARISON OF TOTAL LAPAROSCOPIC HEMI-COLECTOMY VS ASSISTED LAPAROSCOPIC AND LAPAROTOMYLozano-Dubernard G, Calva JJ, Ruiz-Healy F, Gil-Ortiz R, Rodriguez-Gonzalez M, Figueroa-Barkow S. Hospital Angeles del Pedregal, Mexico City, MexicoObjective. Our study aims to compare clinical outcomes from left total laparoscopic hemi-colectomy with trans-anal extraction and intra-abdominal anastomosis (TL), versus left hemi-colectomy by laparotomy (LPT) and… Continue Reading

A Comparison Study of 100 Consecutive Laparoscopic Roux-en-Y Gastric Bypasses and 100 Lap-bands During the Learning Curve

The learning curve for laparoscopic gastric bypass has been estimated at 100 cases. We compared data from the first 100 consecutive laparoscopic roux-en-y gastric bypasses (LRYGB) with the first 100 consecutive laparoscopic adjustable gastric bands (LAGB) in a minimally invasive fellowship-trained surgeon's experience upon joining an established bariatric practice. Results: Patients undergoing LRYGB were slightly… Continue Reading

A Metastatic Colon Cancer Model Using Non-operative Trans-Anal Rectal Injection

(^) denotes superscript Background: This study was conducted to develop a non-invasive orthotopic model for metastasis of colon and rectal cancer using a trans-anal approach that is non-operative, reproducible, and easy to perform. Currently, the most accurate orthotopic representation of metastatic human colon cancer is a cecal injection. The trans-anal model allows for further examination… Continue Reading

A Multitasking Platform for NOTES; A Bench Top Comparison of a New Device for Flexible Endoscopic Surgery and Standard Dual Channel Endoscope * *supported By a Noscar Grant (2006)

Background: Complex surgery requires precise, independent coordination of two instruments that can perform multiple tasks such as traction and counter traction, precise dissection, and tissue approximation. All of these are difficult to achieve with standard dual channel scopes, which have been used for most of the human NOTES cases today. The development of a multitasking… Continue Reading

A New Procedure for the Treatment of Gastroesophageal Reflux Disease in Morbidly Obese Patients

Objective: Gastroesophageal reflux disease (GERD) is frequently associated with obesity (BMI>30), being reported in up to 51% of patients. The optimal surgical procedure for the combined treatment of morbid obesity and GERD has yet to be defined. Roux-en-Y gastric bypass has had favorable results on GERD in the morbidly obese but has the disadvantage of… Continue Reading

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