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
- Type:
- Posters of Distinction
- Topic:
- Endolumenal / NOTES
A Novel Device for Endoscopic Transmural Tissue Fixation
INTRODUCTION: Tissue apposition and fixation is an important component in traditional endoscopic and NOTES procedures. Current devices for endoscopic tissue fixation may migrate through the mucosal lining, may leak, create tissue damage through pressure necrosis, and may not stimulate tissue adhesion over time. There is a need for tissue anchors that safely appose tissues without… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
An Ex Vivo Bacteriologic Study Comparing Antiseptic Techniques for Natural Orifice Translumenal Endoscopic Surgery (notes) Via the Gastrointestinal Tract
Introduction: NOTES represents a potentially less invasive alternative to conventional laparoscopy. By traversing the gastric or colonic wall to gain access to the peritoneal cavity, the traditional percutaneous route is avoided. However, breach of the gut wall raises the specter of intra-peritoneal infection. Various anti-microbial techniques have been employed—sterile saline rinse, intravenous and topical antibiotics,… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
An Experimental Study of the Efficacy of New Flexible Bipolar Forceps (bela) for Hemostasis and Cystic Duct Closure During Cholecysectomy
IntroductionFlexible bipolar forceps might offer advantages over flexible clips delivered during NOTES, SILS or conventional laparoscopic cholecystectomy. Bipolar forceps allow multiple applications of energy and might be cheaper and quicker than clips. A new bipolar coagulation device, the BELA, 3.7 mm diameter, with insulated jaws limiting thermal spread, has been shown to be effective at… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Antireflux Transoral Incisionless Fundoplication Using Esophyx: The New York Evidence
Introduction: The North American experience with EsophyX is limited. The aim of this study was to assess the efficacy, outcome and safety of EsophyX for endolumenal fundoplication for patients with gastroesophageal reflux disease (GERD) at a single institution. Methods: Data of consecutive patients who underwent transoral incisionless fundoplication using EsophyX was retrospectively analysed. All patients… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Circumferential Periumbilical Incision Approach for the Resection of T1n0 and Tis Colon Cancer: Relevance to Single Port Laparoscopic Surgery (SILS)
Background and Purpose: Single incision laparoscopic surgery (SILS) has been introduced to colonic cancer. One of the benefits of SILS is better cosmesis compared with other surgical approaches. We have previously performed resection of T1N0 or Tis colon cancer via circumferential periumbilical incision (CPI), which seems to be an alternative to SILS. The long-term oncological… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Combining Single Incision Laparoscopy and NOTES to Minimize Trauma for Advanced Procedures: Gastric Bypass in a Porcine Model
Introduction: Despite potential advantages of hybrid-NOTES Roux-en-Y gastric bypass (RYGBP), previous research demonstrated its limitation in human cadavers and the strong need for laparoscopic assistance during NOTES for advanced procedures. We assumed that the combination of further knowledge, new instruments and techniques would offer opportunities to perform advanced laparoscopic surgery applying single incision and natural… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
EFL for the treatment of GERD: Feasibility study of a new technique in pigs
BACKGROUND: A feasibility study was undertaken with a new treatment for gastroesophageal reflux disease (GERD) that emulates surgical fundoplications and recreates the anti-reflux barrier by forming a one-way gastroesophageal valve. This new endoluminal fundoplication technique involves inserting the EsophyXTM device transorally with the goal of creating a 3–5cm, 180–270 circumference Valve by delivering multiple fasteners… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Endoscopic Removal of Partially Eroded Adjustable Gastric Band with Common Endo-household Items
INTRODUCTION: Intragastric band migration is one of the possible long-term complications of laparoscopic adjustable gastric banding that classically requires surgical treatment. Previous attempts at endoscopic removal of eroded bands have included the use of laser ablation, electrosurgical devices, and Endoscopic scissors. We report a case of endoscopic removal of partially eroded gastric band with items… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
Endoscopic Transesophageal Mediastinal and Thoracic Lymph Node Dissection with En Bloc Resection
This video demonstrates a novel, transesophageal endoscopic technique for mediastinal and thoracic lymph node dissection and en bloc lymphadenectomy using a Natural Orifice Transluminal Endoscopic Surgery (NOTES®) technique. Using a swine model, a double-channel gastroscope equipped with an endoscopic cap band mucosectomy device is used to create a small esophageal mucosal defect. Next, a short… Continue Reading
- Topic:
- Endolumenal / NOTES
Endoscopic Treatment for Gastric Perforation Using T-tag and Plastic Protection Chamber
Background: The endoscopic gastric perforation is a consequence of some endoscopic procedures and now a way to manage abdominal organs. This is the reason why endoscopists are studying a safe endoscopic repair.Methods: Ten White Landrace pigs underwent a gastric perforation of 1.8cm in diameter under general anesthesia. The opening was repaired with stitch assembled in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
Esophageal Stent Placement Provides Safe Closure Following Transesophageal Access for NOTES® Thoracic Procedures
INTRODUCTION: Safe esophageal closure remains a challenge in transesophageal Natural Orifice Transluminal Endoscopic Surgery (NOTES) procedures. Suturing or t-tag devices are time consuming and risk organ injury due to their blind deployment. Endoclips are difficult to place in the narrow esophagus and submucosal tunneling techniques do not necessarily prevent leakage of esophageal contents into the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Expandable Gastric Port (egp) for NOTES
Introduction: Although translumenal procedures are minimally invasive, there are also various risks involved, such as the intraperitoneal biological and chemical contamination. This study presents a new device made in order to avoid this complication.Methods: Five White Landrace pigs weighing approximately 30 to 35 kg underwent the placement of a device consisting in an expandable sheath… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
First Croatian Transvaginal Laparoscopically Assisted Cholecystectomies
Background/Aims: The aim of this study was to determine the feasibility and technical aspects of a new endoluminal surgical procedure: transvaginal laparoscopically assisted endoscopic cholecystectomy. Methodology: Three female patients underwent transvaginal laparoscopically assisted endoscopic cholecystectomy (age range: 40, 61 and 33 years). Pneumoperitoneum was created through 5mm supraumbilical incision. Through the posterior fornix of the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
First Human Experience with Endoluminal, Endoscopic Gastric Bypass
Introduction: Here we report the first human experience with an endoluminal, endoscopically delivered and retrieved gastro-duodeno-jejunal bypass sleeve (ValenTx, Inc. Carpinteria, CA), including the short-term weight loss and changes in co-morbidities. Methods and Procedures: The gastro-duodeno-jejunal bypass sleeve (GJBS) is a 120cm sleeve secured at the esophago-gastric junction with endoscopic and laparoscopic techniques, and is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES