Use of a Novel, Self-contained Tissue Retraction Device to Reduce Trocar Site Number in Laparoscopic and NOTES-based Surgical Procedures
In an effort to make laparoscopic surgical procedures even less invasive, single port access and natural orifice transgastric endoscopic surgical (NOTES) approaches have been developed over the past several years. However, the need to maintain basic surgical working principles, such as proper tissue retraction to create tension and counter-tension, is still of critical importance if… Continue Reading
Use of a Novel Percutaneous Retraction Device and Magnetic Anchoring and Guidance System (mags) Helps Re-establish the Critical View and Improves Surgeon Performance While Mimicking the Four Port Technique in Single Site Laparoscopic (ssl) Cholecystectomy
Introduction: SSL, though promising, introduces ergonomic challenges due to loss of instrument triangulation as obtained in conventional laparoscopy. This limitation makes establishing the critical view during dissection of the Triangle of Calot (TOC) difficult and has resulted in a variety of strategies to overcome the problem. This study investigates use of a novel percutaneous grasper… Continue Reading
Transcervical Videoscopic Esophageal Dissection in Minimally Invasive Esophagectomy
Introduction: Currently, minimally invasive esophagectomy (MIE) is being performed using Video-Assisted Thoracoscopic Surgery (VATS) for mediastinal esophageal dissection. The VATS approach is still associated with pulmonary and cardiovascular morbidity, as well as incisional pain. This study investigates the feasibility of MIE using a single-incision transcervical videoscopic esophageal dissection (TVED). A simultaneous laparoscopic and transcervical videoscopic… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Totally Extraperitoneal Repair of a Spigelian Hernia
TOTALLYEXTRAPERITONEALREPAIROFASPIGELIANHERNIA Allocco, Frances MD; Reardon, Patrick MD; Saad, Mohamed MD; Dunkin, Brian MD Spigelian hernias are rare and account for up to 2% of abdominal wall hernias. In the past these were repaired using an open technique, but over the past two decades, there have been a growing number of reports of laparoscopic repairs. Over… Continue Reading
- Topic:
- Abdominal Wall Hernias
Total Endoscopic Gastric Band Removal
Introduction: Multiple surgical options are available for patients undergoing treatment for obesity. One of the most popular, due to short surgical times and low morbidity, is laparoscopic gastric band placement. Complications necessitating reoperation include prolapse and gastric band erosion. In our video we present a totally endoscopic removal of an eroded gastric band.Methods: A 61… Continue Reading
Thoracoscopic Esophagectomy in Dorsolateral Position : An Innovative Approach – the Pawar Technique
Aims: To assess the feasibility of Thoracoscopic Esophagectomy in the Dorso-Lateral position with the intention of reducing the disadvantages and increasing the benefits of lateral approach and prone approach which are the two conventional approaches. Methods : Thoracoscopic Esophagectomy is routinely performed in two positions. The left lateral decubitus position is the most commonly used… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
The Fear of Transgastric Cholecystectomy: Misinterpretation of the Biliary Anatomy
Introduction:The prevention of major injury at cholecystectomy relies on the accurate dissection of the cystic duct and artery, and avoidance of major biliary and vascular structures.The advent of NOTES cholecystectomy has led to a new look and insights into biliary anatomy especially of the Calot's triangle. Here we show the clinical case of a NOTES… Continue Reading
- Topic:
- Endolumenal / NOTES
The Advantages of Laparoscopic Approach for Intersphincteric Resection
Purpose The most difficult steps of Intersphincteric resection (ISR) are circular dissection and separation of the internal sphincter muscle from the external sphincter and puborectalis by the perineal approach. Further dissection of the intersphincteric space by the abdominal approach may reduce the problems associated with the perineal approach. We present our techniques of Laparoscopic ISR… Continue Reading
- Topic:
- Colorectal
Tailored Approach to Minimally Invasive Resection of Gastirc Gist
The goal of surgical resection of gastric gastrointestinal stromal tumor (GIST) is to achieve a negative pathologic surgical margin while limiting morbidity. In most cases, nonanatomic wedge resections are sufficient. Laparoscopic surgery is an acceptable option as long as standard oncologic principles are followed, with multiple case series demonstrating similar oncological outcomes as open resection.… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Sleeve Gastrectomy with Ileal Interposition for Type 2 Diabetes
This video shows technical details for the surgical treatment of type 2 diabetes in a no-obese population . This surgery, sleeve gastrectomy with ileal interposition, was done under approved protocol in 20 patients. The principle used was the ileal-brake. Session: Podium Video Presentation Program Number: V029 Continue Reading
- Topic:
- Metabolic / Obesity
Single Port Anterior Resection
Objective: To determine the technical feasibility and clinical outcomes of laparoscopic anterior resection using combined single-port and endoluminal technique.Methods: A single port was placed at the umbilicus. Sigmoid colon was retracted using transabdominal sutures. After adequate mobilization, the colon was stapled distal to the lesion using non-cutting endo-stapler, and the rectum was opened distal to… Continue Reading
- Topic:
- Colorectal
Single Port Access: A Feasible Alternative to Conventional Laparoscopic Splenectomy
Laparoscopic approach is the gold standard for splenectomy . There is currently a trend to reduce the invasiveness of minimally invasive procedures. Single port access is alternative to NOTES but no reports have yet been published in relation to the spleen. AIM: To describe the SAP technique for splenectomy MAT. & METH.. 2 patients were… Continue Reading
- Topic:
- Solid Organ and Endocrine
Single Incision Laparoscopic Right Colectomy
The video shows a single incision laparoscopic right colectomy for a patient with a big sessile polyp at the ascending colon, which could not be removed endoscopically. The patient was a 49-year-old lady with good past health. She underwent colonoscopy because of change in bowel habit. A 3-cm sessile polyp was found at the ascending… Continue Reading
- Topic:
- Colorectal
Single-incision Laparoscopic Proctocolectomy with Ileal J-pouch-Anal Anastomosis
Laparoscopic assisted proctocolectomy and ileoanal pouch-anal anastomosis is performed with multiple ports and an extraction incision. When compared to the traditional open procedure, the laparoscopic approach shortens the postoperative recovery and reduces adhesion formation. To further reduce the number of incisions and abdominal wall trauma, we used a single-incision device to perform this operation. This… Continue Reading
- Topic:
- Colorectal
Repair of a Hiatal Defect Using a Rotational Falciform Flap
Background: Closure of the hiatal defect in laparoscopic surgery of the foregut remains a challenging problem. Over the years, several materials have been used- varying compounds of nonabsorbable synthetics as well as absorbable biologic material. Yet, there is a high recurrence rate associated with primary closure and an unacceptably high rate of esophageal erosion and… Continue Reading
- Topic:
- Abdominal Wall Hernias