Convergent Ablation Using a Laparoscopic Technique for the Treatment of Atrial Fibrillation
Adam M Kingston, MD, Bruce G Hook, MD, Torin P Fitton, MD. Lahey Hospital and Medical CenterObjective: Atrial Fibrillation (AF) is a common problem with profound medical and economic impact. For men and women 40 years of age or older, the lifetime risk for development of AF is roughly 25% with annual costs for treatment… Continue Reading
Conversion in Laparoscopic Surgery: Are Short-Term Outcomes Worse Than Open Surgery?
Cigdem Benlice, MD1, Emre Gorgun, MD1, Maher A Abbas, MD2, Feza H Remzi, MD1. 1Cleveland Clinic, Digestive Disease Institute, Department of Colorectal Surgery, 2Digestive Disease Institute, Cleveland Clinic Abu DhabiIntroduction: Conversion form laparoscopy to open surgery may have worse outcomes than successfully completed laparoscopic procedures. There is limited data comparing converted laparoscopic to open procedures.… Continue Reading
Covered Stents in Cervical Anastomosis Following Esophagectomy
Emily A Speer, MD1, Christy M Dunst, MD2, Amber Shada, MD1, Kevin M Reavis, MD2, Sara Moncrief, MD1, Lee L Swanstrom, MD2. 1Providence Portland Medical Center, 2The Oregon ClinicINTRODUCTION: Anastomotic complications after esophagectomy are frequent. The use of self expanding removable covered metal stents has been shown to be an effective initial treatment for esophagogastric… Continue Reading
Creative Colostomy: A Simple, Very Cost-Effective Method of Creating Diverting Colostomy
Karukurichi S Venkatesh, MD1, P S Ramanujam, MD2, Sandra Yee, MD1. 1Tri-City Colo-Rectal Surgery, Ltd., 2West Valley Colon & Rectal SurgeryAim: A simple, very cost-effective way of creating colostomy is performed with a single incision, through which the colon is brought out and colostomy is matured. Material and Methods: 71 consecutive colostomies were performed over… Continue Reading
Critical factors for safe surgical practice for laparoscopic cholecystectomy: A SAGES expert Delphi consensus
Philip H Pucher, MD, MRCS1, L Michael Brunt, MD, FACS2, Robert D Fanelli, MD, MHA, FACS, FASGE3, Horacio J Asbun, MD, FACS4, Rajesh Aggarwal, MBBS, MA, PhD, FRCS5. 1Imperial College London, 2Washington University School of Medicine, 3The Guthrie Clinic, Sayre, PA, 4Mayo Clinic Florida, Jacksonville, FL, 5McGill UniversityBackground: Although it has been 25 years since… Continue Reading
Current Practices in Biliary Surgery: Do We Practice What We Teach?
Shaun C Daly, MD1, Xuan Li1, Milot Thaqi1, Daniel J Deziel, MD1, Keith W Millikan, MD1, Jonathan A Myers, MD1, Steven Bonomo, MD2, Minh B Luu, MD1. 1Rush University Medical Center, 2Stroger Hospital of Cook CountyObjective: Laparoscopic Cholecystectomy (LC) is one of the most commonly performed operations by general surgeons. Despite well-described technical recommendations, we… Continue Reading
Deep Rectal Shaving Followed By Transanal Disc Excision in Large Deep Endometriosis of Lower Rectum: The Rouen Technique
Horace Roman, MD, PhD, Jean Jacques Tuech, MD, PhD. Rouen University Hospital Study objective: In order to minimize the risk of unfavorable outcomes related to low colorectal resection of deep endometriosis in the lower and mid rectum, we routinely perform an original technique combining the deep rectal shaving using plasma energy and the transanal disc… Continue Reading
Degree of Surgical Trauma Caused By the Abdominal Access -comparing Open Surgical, Laparoscopic and Notes Transgastric Access Routes in a Porcine Model
Per-Ola Park, Professor1, Jorge Alberto Arroyo Vazquez, MD1, Asghar Azadani, MD2, Monder Abu-Suboh-Abadia, MD3, Joan Dot, MD3, Jose Ramon Armengol Mirro, Professor3, Maria Bergstrom, MD, PhD1. 1Dept of Surgery, South Alvsborg Hospital & Gothenburg University, 2Dept of Surgery, Carlanderska Hospital, Gothenburg, Sweden, 33Hospital Universitario Val d'Hebron,Wider-Barcelona, Barcelona, SpainIntroduction Previous experimental investigations indicate that transgastric NOTES… Continue Reading
Demonstrated Proficiency in Fundamentals of Laparoscopic Surgery Skills May Require Fewer Repetitions.
Albert Y Huang, MD, Victor Wilcox, MD, Brian Dunkin. Houston MethodistIntroduction: We demonstrate that once achieving proficiency threshold in two consecutive attempts, surgery trainees practicing intracorporeal suturing in a FLS training box are able to reliably maintain adequate proficiency scores. The current methodology for laparoscopic skills training is to have trainees reach a level of… Continue Reading
Development and application of a new device, the FJ Clip, to hold organs in the abdominal cavity during laparoscopic surgery
Hidenori Fujii, MD, PhD, Yoshiyuki Kawakami, MD, PhD. Japanese Red Cross Fukui HospitalObjective of the device The concept of reduced-port surgery (RPS) is gaining widespread acceptance, and devices needed to hold organs in the abdominal cavity as well as thin forceps have been developed to facilitate RPS. We have developed a device that can be… Continue Reading
Development of a formative feedback tool for advanced laparoscopic suturing
Katherine M McKendy, MD1, Yusuke Watanabe, MD1, Elif Bilgic2, Ghada Enani, MBBS2, Mo Yu Lanny Li2, Talla Raja2, Munshi Amani, MD1, Rajesh Aggarwal, MBBS, MA, PhD1, Liane S Feldman, MD1, Gerald M Fried, MD1, Melina C Vassiliou, MD, MEd1. 1McGill University Health Centre, 2McGill UniversityINTRODUCTION Commonly used metrics to assess performance of simulated laparoscopic skills… Continue Reading
Development of a Suction-irrigation-grasper Multi-tool for a Miniature Surgical Robot
Walter Bircher, BS1, Alex Adams1, Thomas Frederick, MS1, Mark Reichenbach, BS1, Shane Farritor, PhD1, Tammy Kindel, MD, PhD2, Dmitry Oleynikov, MD2. 1University of Nebraska-Lincoln, 2University of Nebraska Medical Center (UNMC)INTRODUCTION: We have designed a novel multi-tool forearm for an insertable surgical robot with suction, irrigation, and grasping capabilities. Several generations of our miniature surgical robots,… Continue Reading
Development of a Swallowable, Long-duration Attachment Biosensor for the Small Intestine for Use in a Mobile Health Application
W Xie, BS1, W Lewis, BS1, Jennifer Jolley, MD2, Vishal Kothari, MD2, Benjamin Terry, PhD1, Dmitry Oleynikov, MD2. 1University of Nebraska Lincoln, 2University of Nebraska Medical CenterINTRODUCTION: We have developed a tissue attachment mechanism (TAM) that can be used to improve mobile health. This noninvasive TAM can safely and persistently adhere a small biosensor to… Continue Reading
Development of Blind Area Visualization System in Magnified Field of View Using an Augmented Reality in Pediatric Endosurgery Amazing See-through Needle Driver
Satoshi Ieiri, MD, PhD1, Satoshi Obata, MD1, Takahiro Jinbo, MD1, Ryota Souzaki, MD, PhD2, Yo Kobayashi, PhD3, Masakatsu G Fujie, PhD3, Makoto Hashizume, MD, PhD, FACS1, Tomoaki Taguchi, MD, PhD, FACS1. 1Department of Pediatric Surgery, Faculty of Medicine, Kyushu University, 2Department of Advanced Medicine and Innovative Technology, Kyushu University Hospital, 3The faculty of science and… Continue Reading
Development of the Surgical Assistance Score (SAS)
Susannah M Wyles, MD, PhD1, Edward Kim, MD1, Eric Haas2, Nabil Tariq3, Bidhan B Das4, Michael Snyder4, Brian J Dunkin3. 1UCSF, 2Colorectal Surgical Associates, 3Houston Methodist Hospital, 4Colon and Rectal Clinic of HoustonIntroduction It is widely acknowledged that prior to being a good surgeon it is necessary to learn the skills of surgical assistance, and… Continue Reading