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
- Type:
- Posters
- Topic:
- Outcomes and Quality
Chylothorax – a Risk From Laparoscopic Nissen Fundoplication
Chylothorax is a rare complication from a Lap Nissen Fundoplication for treatment of GERD. Two weeks post-op, the patient returned for follow up and was found to have a pleural effusion. Further evaluation, including thoracentesis revealed a chylothorax. The patient was given a trial of conservative management but ultimately required a thoracotomy for mass ligation… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Complications of the Mini-gastric Bypass: 10 Years Experience
The Mini-Gastric Bypass (MGB) is increasingly being adopted in countries around the world (England, France, Spain, Turkey, Lebanon, India, Australia, Taiwan, Columbia etc.) The purpose of this study is to report on the world's largest experience with the MGB and complications that can be expected following the MGB. Methods: Complications in over 4,584 patients followed… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Complications Related to the Access-port in 435 Cases of Laparoscopic Adjustable Gastric Binding.
Objective: To establish the frequency and nature of complications related to the access-port in patients who underwent Laparoscopic Adjustable Gastric banding (Allergan, Inc., Irvine, CA).Methods: We reviewed the medical records of 435 patients who underwent laparoscopic adjustable gastric banding in our institution to ascertain the complications related to the access-port. The complications data were collected… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Conversions in Anatomic Vats Lung Resection: A Method of Assessing Reasons for Conversion
Objectives: Following analysis of why VATS lobectomy cases were converted to open procedures we propose a simple method of classifying reason for conversion that allows monitoring during the implementation & development of a minimally invasive thoracic surgery program. Background: Lung cancer remains one of the commonest causes of cancer death in North America. Lung resection… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Early Re-exploration Following Incisional Hernia with Biologic Graft
Introduction:Biologic grafts have been used for the repair of complex abdominal wall defects. Although much is known about the remodeling process, their propensity to form adhesions in humans has not been well studied yet. We present a case of early re-exploration after a complex incisional hernia repaired with bovine pericardium graft.Methods:A 61 year-old man with… Continue Reading
- Topic:
- Outcomes and Quality
Endoscopy in the Management of Cervical Spine Plating-related Esophageal Injury
Report of first case: A 52 year old man was referred for progressive dysphagia, involuntary 30 lb. weight loss, chronic cough and episodic upper chest pain of one year's duration. He described food sticking at the lower cervical level. He had anterior cervical discectomy with plating six years previously. He was counseled for esophagogastroduodenoscopy (EGD).Report… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Health Utility Determination for Transvaginal and Transgastric Cholecystectomy: How Do Patients Value Complications of Natural Orifice Translumenal Endoscopic Surgery?
Introduction: Critical to the evaluation of NOTES procedures is the perceived benefit of scarless surgery weighed against its unique complications such as gastric leak (GL), gastric hemorrhage (GH), pelvic cellulitis (PC), pelvic abscess (PA) and pelvic hemorrhage (PH). The goal of this study was to calculate health utility (HU) values for these complications, to provide… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
“inadvertent Vagotomy”: What Does This Mean for the Patient and Surgeon?
Objective: “Inadvertent vagotomy” is often discussed from the podium of national meetings as a cause of complications of Nissen fundoplication. Sometimes the tone of the comments borders on inferring medico-legal liability in such cases. The goal of this review is to see if there is a valid correlation with vagotomy and the suggested complications.Methods: 300… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Insulation Failure in Laparoscopic Instruments
INTRODUCTION: Electrosurgery is used in virtually every laparoscopic operation. In the early days of laparoscopy with hybrid trocars, capacitive coupling was thought to be the major cause of laparoscopic electrosurgery injuries. Modern laparoscopic equipment has reduced capacitive coupling. Currently, insulation failure is thought to be the main cause of electrosurgery complications. PURPOSE: (1) To determine… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Outcomes and Quality
Laparoscopic Appendectomy for Acute Appendicitis Does Not Carry a Higher Risk of Postoperative Complications
Following a number of readmissions after laparoscopic appendectomy,we reviewed the procedures performed for acute appendicitis over 1 year. Excluding 64 cases of peritonitis, 237 emergency appendectomies were performed by a group of surgical associates at a single institution between August 2007 and August 2008. The procedure of choice was laparoscopy performed using 3 ports in… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Laparoscopic Management of Gastrogastric Fistulas Resulting From Open Undivided Gastric Bypass
Introduction: Before the era of laparoscopic gastric bypass, many bariatric surgeons performed open undivided gastric bypasses(OUGB). The inherent issue with not dividing the stomach is that these patients are prone to staple line failure and gastrogastric fistula formation. Gastrogastric fistulas can lead to reflux, pain, marginal ulceration of the gastrojejunostomy, and weight regain. Any of… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Laparoscopic Managment of Iliac Vein Injury
Laparoscopic Management of Iliac Vein InjuryHellinger M, Gagner M, Jorge I, Rekkas S, Tangir J Major vascular injuries during laparoscopy is uncommon. Most cases are reported while obtaining access into the peritoneal cavity. We report a case of an iliac vein injury during a laparoscopic abdomino-perineal resection with hysterectomy. A 1 cm longitudinal laceration was… Continue Reading
- Topic:
- Outcomes and Quality
Laparoscopic Telementoring on a Shoestring Budget: Leveraging Free and Ubiquitous Technologies to Improve Surgical Patient Safety
Existing methods for remote guidance or mentoring of laparoscopic procedures is resource and capital intensive. With the intention of establishing a practical and cost-effective method of providing remote intraoperative consultation, we describe the design and operation of a highly versatile telecommunications system for the purpose of mentoring clinicians while improving patient safety. We wanted to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Outcomes and Quality
Portal Vein Thrombosis After Laparoscopic Splenectomy for Massive Splenomegaly
Background Laparoscopic splenectomy has become the surgical procedure of choice in the therapy of various hematologic diseases. Portal vein thrombosis (PVT) is a well known complication of splenectomy, but the true incidence is not well established with several reports of up to 50% incidence. Massive splenomegaly is considered a risk factor for developing post operative… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality