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
- Type:
- Posters
- Topic:
- Colorectal
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 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
- Type:
- Posters
- Topic:
- Minimally Invasive Other
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
- Type:
- Posters
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
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
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
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
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
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
- Type:
- Posters
- Topic:
- Metabolic / Obesity
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
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A New Technique for Fascia Closure
Introduction: Because of the risk of herniation, all port sites are recommended to be closed after laparoscopic surgery. However, port-site closure is difficult especially in obese case. Full-thickness closure of trocar wound is a time-consuming and frustrating task. A lot of devices for this closure have been introduced. However, they are not cost-effective. We report… Continue Reading
- Type:
- Posters
A Novel Active Overtube for Endoscopic Treatment of Colorectal Tumors
A NOVEL ACTIVE OVERTUBE FOR ENDOSCOPIC TREATMENT OF COLORECTAL TUMORSKazuhiko Shinohara MD, Gennai Yanagisawa MScSchool of Bionics, Tokyo University of Technology, Tokyo, JapanObjective: Endoscopic resection for early colorectal tumors is minimally invasive treatment, however it requires long operation times and skillfulness to complete the en-bloc resection in safety. This weak point is caused by the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
A Novel and Precise Evaluation Model for Psychomotor Skills in Endoscopic Surgery
Purpose: Psychomotor skill is absolutely necessary for endoscopic surgeons. We devised tasks and parameters to evaluate psychomotor skills during endoscopic surgery and investigated their validity.Methods: Sixteen novice medical students (N) and ten expert surgeons (E) whohad performed over 50 endoscopic surgeries participated in the study. We evaluated psychomotor skill by asking the participants to move… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
A Novel Approach to Laparoscopic-Assisted Transgastric ERCP After Roux En Y Gastric Bypass
Background: Since the advent of the Roux-en-Y Gastric Bypass (RYGBP), an increasing number of patients with altered upper gastrointestinal tract anatomy require endoscope retrograde cholangiopancreatography (ERCP). Endoscopic access to the remnant stomach with laparoscopic assistance is a technique well-described in the literature. However, manipulation of the flexible gastroscope within the peritoneal cavity and gastric remnant… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
A Novel Minimal Access Surgery Prototype for Rapid Diagnosis of Appendicitis in the Emergency Room
1. Introduction: Abdominal pain diagnosis when appendicitis is suspected is based on clinical findings. However, near half of these patients have atypical or equivocal presentation signs and symptoms. When the result of evaluation is unclear, diagnostic imaging alternatives are used; if unavailable, patients may be discharged undiagnosed. Every year in the U.S., near 100,000 patients… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other