Single Incision Laparoscopic Gastric Banding: Evolution Towards Scarless Surgery During 50 Consecutive Cases
INTRODUCTION: Single incision laparoscopic surgery (SILS) may prove beneficial but techniques are still evolving. The purpose of this study was to assess outcomes associated with a SILS approach for adjustable gastric banding (AGB) for morbid obesity.METHODS: We conducted an IRB-approved retrospective review of our first 50 consecutive SILS AGB procedures attempted over an 18-month period.… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
Single-incision Laparoscopic Colectomy for Colon Cancer: Experience of 35 Cases
AbstractObjective: Single-port trans-umbilical laparoscopy has emerged as an attempt to further enhance cosmetic benefits and reduce morbidity of minimally invasive surgery. There were some reports about single-port laparoscopic colectomy in the world. However, this technique requires a specialized multichannel port for introducing laparoscope and articulating instruments. We present our preliminary experience of using conventional ports… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Safety and Usefulness of Laparoscopic Method for Treatment of Peritonitis Due to Anastomosis Site Leakage After Rectal Cancer Resection
Introduction:In cases of peritonitis due to anastomosis site leakage after rectal cancer resection where surgical management was necessary, patients who have undergone open laparotomy and patients with laparoscopic exploration have been compared to determine safety and usefulness of laparoscopic method. Methods:Out of 1146 patients who have undergone rectal cancer resection excluding patients with AP, double… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Role of Interleukin-6 (il-6) in the Growth of Ct26 Colorectal Cancer in a Murine Model
PURPOSE: This study is designed to investigate the role of surgery-induced levels of cytokines in affecting proliferation and migration of colon cancer cells. Clinical standards in the management of colon cancer and surgery-related differences in various cytokines have been predicted to correlate with the degree of trauma afflicted during surgery, ultimately impacting tumor growth and… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Basic Science
Preoperative Ultrasound As a Predictor of Gallbladder Extraction During Transgastric NOTES Cholecystectomy
Introduction: Natural Orifice Translumenal Endoscopic Surgery (NOTES) has emerged as a promising minimally invasive surgical approach. Extracting the gallbladder through an endoscopic overtube during NOTES cholecystectomy avoids potential obstruction or injury to the esophagus. This study sought to determine whether preoperative ultrasound findings could be used to predict successful passage of a gallbladder specimen through… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Endolumenal / NOTES
Performance Ramifications of Single Port Laparoscopic Surgery: Measuring Differences in Task Performance Using Simulation
INTRODUCTION: Single port laparoscopic surgery is a promising new technique, but may be associated with unique psychomotor challenges, including use of articulated and/or deliberately crossed instruments. Using single port surgical simulation, we defined performance differences between surgeons with and without single port clinical experience, signifying the need for specialized training as a prerequisite for clinical… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Education / Simulation
Patients Expect to Lose More Than Average Weight After Bariatric Surgery
Background: While most bariatric surgeons try to help patient achieve a realistic goal weight after surgery, patients are often disappointed that they have not reached “ideal” body weight. We propose that this is because patients begin the surgical process with inflated self expectations and set themselves up for disappointment.Methods and Procedures: At the University of… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
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
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
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
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
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
“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
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
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