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
- Type:
- Posters of Distinction
- Topic:
- Colorectal
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 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
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Anastomotic Leaks After 899 Laparoscopic Colorectal Surgeries:way to an Optimal Intestinal Anastomosis
ABSTRACT BACKGROUD AND OBJECTIVE: Anastomotic leakage has been evidenced as one of the most formidable complications after laparoscopic colorectal surgeries. This prospective study was designed to analyze the potential causes of anastomotic leaks from the patients undergoing various laparoscopic colorectal surgeries at our institute in the past 15 years, and aimed to develop applicable ways… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Outcomes and Quality
Clinical Outcomes of Atypical Symptoms Following Laparoscopic Antireflux Surgery
Introduction: Gastroesophageal reflux disease (GERD) can manifest with both typical (heartburn, regurgitation) and atypical symptoms (cough, hoarseness, wheeze). While it is well established that antireflux surgery is effective in relieving typical symptoms, it is currently unclear whether atypical symptoms foreshadow a less satisfactory outcome following laparoscopic antireflux surgery (LARS). The purpose of this study is… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Colon Resections in an Era of Nonagenarians: Nsqip Predictors of Mortality
BACKGROUND Nonagenariansare a growing population often viewed as high-risk surgical candidates. This study aims to review mortality and predictors of adverse outcome in nonagenarians undergoing colon resection.The National Surgical Quality Improvement Project (NSQIP) database was used for the analysis. METHODSThe 2005-2008 NSQIP databases were reviewed for all patients over ninety years old who underwent colon… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Colorectal Cancer Risk Reduction in Inflammatory Bowel Disease with Aminosalicylate Therapy: A Meta-Analysis and Comparison to Colorectal Cancer Risk in the General Population
BackgroundWorldwide, the incidence rates for inflammatory bowel disease (IBD) vary from 0.5 to 24.5 per 100,000 people (0.012%). It has been estimated that the risk of CRC in IBD patients increases by 0.5% per year after eight years of the disease. Many recent studies proposed aminosalicylates as chemopreventive agents for colorectal cancer (CRC) development in… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Conventional 4-port Laparoscopic Cholecystectomy Versus SILS™ Port Laparoscopic Cholecystectomy- Early Results of the First Prospective Randomized Sham Controlled Trial
Introduction: Laparoscopic surgery through a single incision (SILS™) aims to enhance the benefits of conventional minimally invasive surgery by reducing the number of required surgical incisions. To date, SILS™ has been utilized to accomplish cholecystectomy, gastric banding, Nissen fundoplication, appendectomy, nephrectomy, tubal ligation, gastric bypass, right colectomy, sleeve gastrectomy, and numerous other procedures. The initial… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Minimally Invasive Other
Evaluation of the Sleeve Gastrectomy As a Single-stage Treatment of Morbid Obesity
ObjectivesA multicenter, retrospective study reviewed the current practice of the sleeve gastrectomy in Europe to assess the early postoperative outcome as well as the effect on weight loss.Methods and procedures446 sleeve gastrectomies were performed by 14 centers between September 2000 and October 2007. Operative data, postoperative outcomes as well as 2 year weight loss were… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
“Incisionless” Laparoscopic Proctectomy: An Ideal Natural Orifice and Laparoscopic Surgery Hybrid
Introduction: To evaluate the safety and efficacy of laparoscopic proctectomy with per-anal delivery of the specimen for rectal cancer, avoiding an incision for specimen extraction while accomplishing sphincter preservation we review our experience. Methods: Between 2001 and 2009, in a prospective database, 51 patients with invasive adenocarcinoma of the rectum underwent laparoscopic total mesorectal excision… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Indications, Complications and Long Term Outcomes of Remnant Gastrectomy for Gastro-gastric Fistula After Divided Roux-en-Y Gastric Bypass for Morbid Obesity
BackgroundGGF is a rare complication after divided RYGBP for morbid obesity. Medical management has proved grossly ineffective. Less invasive methods like fibrin glue and sealants via an endoscopic approach have been reported with recurrence rates as high as 75 %. MethodAfter IRB approval and following HIPAA guidelines, we retrospectively analyzed our prospectively collected database for… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
Is Surgery a Better Option As First Line Treatment for Achalasia?: A Comparison of Laparoscopic Esophagomyotomy with Fundoplication and Endoscopic Dilation
INTRODUCTION: Recent studies have shown laparoscopic esophagomyotomy with fundoplication (LM) to have superior long-term symptom relief and low rates of post-operative gastroesophageal reflux when compared to endoscopic dilation (ED). This study evaluates the morbidity, mortality and cost of treating achalasia with LM versus ED.METHODS: The University HealthSystem Consortium (UHC) is an alliance of more than… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Liver Surgery in Cancer Patients-experience At a National Cancer Institute
Introduction: The oncological adequacy and safety of major liver resections is still uncertain. The aim of this retrospective analysis was to compare intraoperative data with final pathology and short-term clinical outcome.Methods:Patients undergoing laparoscopic liver surgery were retrospectively analysed using our tumor registry. Surgical and postsurgical outcomes were compared with final pathology. The data were statistically… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
Needlescopic Surgery: The Cosmetic Alternative to SILS
Introduction: Minimally invasive procedures have revolutionized the art of surgical practice. Laparoscopic cholecystectomy (LC) is the gold standard for management of gall bladder disease. In an attempt to further improve on the benefits of the standard multiple incision LC, less invasive methods have been described, including smaller incisions, fewer incisions, and use of single incisions.… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
Oncologic and Perioperative Outcomes of Laparoscopic Assisted Vs Hand-Assissted Vs Open Resections for Rectal Cancer Resection: A Case Match Study.
Purpose: Advances in surgical techniques and improvements in laparoscopic instruments have enabled most colorectal procedures to be performed by using the laparoscopic approach.Laparoscopic surgery of colon cancer has been accepted to be oncologically adequate compared with open resection.However,the situation in rectal cancer remains unclear,because anatomy and complex surgical procedures.There have been only a few reports… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal