ERCP in situs inversus totalis: report of two cases
Background: Situs inversus totalis (SIT) is a rare entity which has been estimated to occur in the range of 1:10000 to 1: 20000. We present two cases of situs inversus totalis who successfully underwent ERCP and subsequent laparoscopic cholecystectomy.Case 1: A 45 year-old male patient with known situs inversus totalis was admitted to emergency department… Continue Reading
Ergonomic Risk of Assisting in Minimally Invasive Surgery
Introduction: Ergonomic knowledge related to primary MIS surgeons has been well described. Similar studies making the camera assistant subject have not been undertaken. By simulating the assistant¡¯s role as a camera holder and retractor during a Nissen fundoplication, this study investigated how camera target locations and grip strategies, and fatigue affected the assistant¡¯s posture.Methods and… Continue Reading
Esophageal Manometric Characteristics and Outcomes for Laparoscopic Esophageal Diverticulectomy, Myotomy and Partial Fundoplication for Epiphrenic Diverticula
Introduction: The purpose of this study is to characterize the esophageal motor and lower esophageal sphincter (LES) abnormalities associated with epiphrenic esophageal diverticula and analyze outcomes for laparoscopic esophageal diverticulectomy, myotomy and partial fundoplication.Methods: Endoscopic, radiographic, manometric and perioperative records for patients undergoing laparoscopic esophageal diverticulectomy, anterior esophageal myotomy and partial fundoplication from 8/99-9/06 were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Esophageal Perforation after Gastric Balloon Extraction
The use of the BioEnterics intragastric balloon® is generally considered to be safe and efficacious for short-term weight loss, however complications have been reported. The most commonly reported complications include balloon intolerance requiring early removal, gastric erosions, gastric ulcerations, esophagitis, and early deflation of the device.We report a case of a esophageal perforation following endoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Esophagojejunostomy After Laparoscopic Total Gastrectomy: Extra- And Intra-corporeal Methods
Introduction: Simple and secure technique of reconstruction is necessary to facilitate acceptance of laparoscopic total gastrectomy for gastric cancer patients. We use a modified functional end-to-end anastomosis technique and make esophagojejunostomy using linear staplers without hand sewing. After experiences of reconstructions with an extra-corporeal method, we perform anastomosis mostly by an intra-corporeal method.Patients: All patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Establishing Anthropometrics: Abdominal Wall Thickness in Laparoscopic Patients
BACKGROUND: Understanding abdominal wall thickness (AWT) is a key to optimal trocar design and enhancing surgical workspace layout, with a view to developing low profile laparoscopic ports, reducing clutter, and improving operative workflow. In order to establish a knowledge base upon which design can build, we measured AWT at the point of trocar insertion. METHODS:… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Evaluation for post-op malnutrition in LapBand patients
Lap-Banding is a safe and effective procedure . In contrast to gastric bypass these patients do not develop significant malabsorbption and may not require replacement of nutritional supplements. This study is to evaluate this theory. Methods: All patients who underwent laparoscopic banding between May 2005 and Jan 2007 were included. Data collection included patient demographics:… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Evaluation of a Novel Air Seal Access Port for Transvaginal NOTES Cholecystectomy
Introduction: We previously reported successful transvaginal NOTES cholecystectomy in porcine models but experienced difficulty with pneumoperitoneum gas leakage when Magnetic Anchoring and Guidance System (MAGS) and endoscopic instruments were used in conjunction with conventional trocar seals. The purpose of this study was to evaluate the utility of a novel access port for this procedure.Methods: Non-survival… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Evaluation of Influence of Pneumoperitoneum on the Abdominal Solid Organs By Microdialysis: Experimental Study
Background: Nowadays, laparoscopic surgery has feasibility of partial liver resection and pancreatectomy because of less invasion than a conventional open operation. It is known increased intra-abdominal pressure on the liver and on the pancreas induce reduction of micro- and macro-circulation and this cause severe damage on splanchnic organs. However there is not enough monitoring method… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Evaluation of learning curve relating to short-term oncologic parameters for laparoscopic surgery in patients with recto-sigmoid carcinoma
INTRODUCTION: Previous studies analyzing the learning curves in laparoscopic colorectal surgery have focused mainly on non-oncologic outcomes or consisted predominantly of patients with colon cancer. The aim of this study was to analyze the learning curve with particular reference to short-term oncologic outcomes for the laparoscopic approach to recto-sigmoid carcinoma (RSC). MATERIALS AND METHODS: A… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Evaluation of the R Port for Single Laparoscopic Port Procedures (SLaPP): A study of 20 cases
Introduction: Since the advent of Laparoscopic Surgery in the 1980’s, laparoscopic Cholecystectomy has rapidly become the gold standard for the treatment of symptomatic Cholelithiasis. In the last decade, surgeons have pushed the frontiers of technology to apply the laparoscopic technique to various abdominal surgeries. Standard laparoscopic techniques for cholecystectomy have consisted of the French and… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Evidence Based Medicine- does local clinical research impact on local clinical management? a Preliminary investigation
BACKGROUND There is a large amount of variation in the degree to which practice guidelines and clinical research (evidence based medicine (EBM)) are used in daily patient management. Many attribute the variation to difficulty staying current with the volume of material published every year and a poor understanding of statistical analysis. Recent attention has been… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Ex-vivo Comparison of the Efficiencies of LOTUS® and Ethicon® Ultrasonic Instruments
Aims: To compare energy utilisation and dissecting efficiencies of Ethicon® and LOTUS® ultrasonic surgical instruments.Methods: 1. Calorimetry experiments were performed to compare thermal energy produced by ultrasonic surgical devices adopting longitudinal (Ethicon Harmonic Scalpel®; EHS) and torsional (Laparoscopic Operation by Torsional UltraSound®; LOTUS) vibration modes, using differently shaped waveguide tips.2. An ex-vivo bench model was… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Excess Roux-limb Hook Syndrome – a Preventable Cause of Disability After Laparoscopic Gastric Bypass.
Introduction: Laparoscopic Roux-en-Y Gastric Bypass (LGB) is associated with a complication rate of about 10% and early diagnosis and proper treatment leads to full recovery in virtually all patients. Strategies to prevent technique related complications are important and should decrease overall morbidity rate. The aim of this study is to describe a preventable cause of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Extracorporeal versus intracorporeal anastomosis after laparoscopic left colectomy – does it matter?
PURPOSE: Means of anastomosis after laparoscopic colectomy may be extracorporeal(EC) or intracorporeal(IC). Since there is paucity of data reporting the effect of means of anastomosis on outcomes for patients undergoing laparoscopic left colectomy, we compare outcomes for patients undergoing EC and IC.METHODS: Patients undergoing anastomosis after laparoscopic left colectomy, sigmoidectomy and resection rectopexy, when either… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal