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SAGES 2010 Abstracts Archive

102 Consecutive Robotic Assisted Minimally Invasive Colectomies – an Outcome and Technical Update

Objective: The purpose of the study was to review 102 consecutive robotic-assisted laparoscopic colectomies at our institution. We evaluated the eight-year experience (2002–2009) of one minimally invasive surgery (MIS) fellowship trained surgeon using the da Vinci Telerobotic system. Colon procedures are 6th most commonly performed procedure of the senior author annually. Methods: An IRB approved… Continue Reading

140 Cases Experience of Self-expandable Metalic Stent Insertion for Colon and Rectum

Purpose: In the treatment of obstructive colorectal cancer, we should relieve ileus in the same time that we pursue improvement of operative curability and safety. To avoid emergency operation and to perform elective surgery without stoma creation after improvement of patients’ general condition, we use self-Expandable Metallic Stent (EMS) placement. We report the result of… Continue Reading

238 Laparoscopic Left-side Colorectal Surgeries with NOSE: A 10-year Experience with Transanal Specimen Extraction

ABSRACT BACKGOUND AND OBJECTIVE: Natural Orifice Specimen Extraction (NOSE) has been postulated as an alternative approach to deliver the resected specimen out of peritoneal cavity through an anatomic passage rather than any abdominal incision after laparoscopic colorectal resections. This prospective study focused on the patients who underwent various laparoscopic left-side colorectal surgeries with intracorporeal anastomosis… Continue Reading

3-ccd (charge Coupled Device) Image Enhancement for Bowel Ischemia

Introduction: Determination of bowel perfusion in cases of strangulating hernias, SMA occlusion, and other ischemic states is currently a subjective decision of surgeons. 3-CCD image enhancement allows objective and quantitative criteria to be included in a surgeon’s decision as to whether bowel resection is warranted secondary to ischemia. 3-CCD technology separates visible light into its… Continue Reading

30-day Readmission After Ventral Hernia Repair: Predictable or Preventable?

Introduction: Thirty-day readmission has become an increasingly scrutinized event in the field of surgery, especially in light of projected cuts in reimbursement. Our objective was to determine if any factors are predictive of 30-day readmission in patients undergoing ventral hernia repair. Methods: We retrospectively reviewed consecutive charts of patients who underwent laparoscopic or open ventral… Continue Reading

3d CT Navigation for Single Umbilical Incision Laparoscopic Appendectomy

Introduction: Laparoscopic appendectomy is generally performed with 3 ports system. We have performed single umbilical incision laparoscopic appendectomy (SUILA) using a wound retractor without ports from the year 2006. We studied the cases of three-dimensional CT (3DCT) to demonstrate the anatomical location of appendix clearly and made use of 3DCT for SUILA. Materials and Methods:… Continue Reading


A Case Control Comparison of Laparoscopic (LX) and Open (OP) Approach for the Surgical Management of Small Bowel Obstruction (SBO)

Background: LX offers enhanced recovery and better cosmesis. Reduction in postoperative adhesions and incisional hernia rates are potential long term benefits. Previous studies have shown that laparoscopic management of SBO is feasible and associated with acceptable morbidity. However, rates of conversion to OP are higher than in other laparoscopic procedures. Data comparing short and long… Continue Reading

A Case Series of Transmural Pressure Necrosis From Prolonged Use of Peg Tubes

Percutaneous Endoscopic Gastric (PEG) tubes are essential tools in providing enteral feeds to patients with either contraindications to oral feeds or malnutrition. Hollow viscous injuries are the most common complications arising shortly after insertion. There are very few life-threatening complications from prolonged use of the PEG tubes. We report two cases of a gastric and… Continue Reading

A Combined Laprascopic and Endoscopic Technique to Evaluate Gastric Remnant After Gastric Bypass

Introduction: Laprascopic gastric bypass is a very common procedure performed in many university and community hospitals throughout the United States. Some of these patients present with later complications related to remnant stomach.Commonly these include gastritis,ulcers or bleeding.Evaluating the remnant stomach is always a challenge to the surgeon. We performed a combined Laprascopic and endoscopic technique… Continue Reading

A Comparative Biomechanical Evaluation of Hernia Mesh Fixation with Fibrin Sealant (fs) Containing 4 Vs. 500 Iu Thrombin in Pigs

Background: The atraumatic fixation of meshes by fibrin sealant (FS) has been established for both open and laparoscopic techniques of hernia repair. This study was performed to evaluate the use of FS in hernia mesh fixation with different polymerization speed (thrombin concentrations), using commercial hernia meshes, and in two techniques, TAPP and IPOM. Methods: A… Continue Reading


A Comparative Study of Hand-sewn Versus Stapled Gastrojejunal Anastomosis in Laparascopic Roux-en-Y Gastric Bypass

OBJECTIVE: The two basic techniquesavailable in which to perform the gastrojejunal (GJ) anastomosis during a laparoscopic Roux-en-Y gastric bypass are stapled and hand-sewn techniques. Few outcomes differences have been noted between the two in order to recommend one as a superior approach. We present our findings of stricture and leak as potential differences in outcome.METHODS:… Continue Reading

A Comparison of Independence of Motion in Single Port Access Techniques

A number of different access techniques have emerged within reduced port laparoscopy. The multi-trocar approach via separate fascial incisions and multichanneled single trocar devices have challenged reliable paradigms of multiport laparoscopy (MPL). Although benefits of the reduced port technique have yet to be proven, change has begun without comprehensive evaluation. Given that this new platform… Continue Reading

A Comparison of Outcomes in Open Versus Laparoscopic Surgical Repair of Recurrent Inguinal Hernias

IntroductionInguinal hernia recurrence following surgical repair is a major concern. There are conflicting views in the surgical community regarding the best treatment approach to prevent recurrence. We report our experience with open and laparoscopic repair of recurrent inguinal hernias. Methods After obtaining Institutional Review Board (IRB) approval, we retrospectively reviewed the charts of 98 patients… Continue Reading

A Comparison of Pre-operative Comorbidities and Post-operative Outcomes Among Patients Undergoing Laparoscopic Nissen Fundoplicaiton At High and Low Volume Centers

Objective: Peer reviewed data is often published by single centers that are affiliated with teaching institutions with a high volume of cases. As operations grow in popularity, they are performed at a wide variety of institutions with the potential to produce inconsistent results. The purpose of this study is to compare pre-operative comorbidities and post-operative… Continue Reading

A Comparison of Short-term Outcomes for Open, Laparoscopic, and Robotssisted Rectal Resection for Cancer

Introduction: In recent years, robotic-assisted surgery using the da Vinci System® has been proposed as an alternative to the traditional open or laparoscopic procedures. The aim of this study was to compare the short-term outcomes for open, laparoscopic, and robot-assisted rectal resection for cancer.Methods: Two hundred sixty-three patients with rectal cancer who underwent curative resection… Continue Reading

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