How should we divide the distal rectum in laparoscopic low anterior resection of the rectum?
INTRODUCTION: The risk of anastomotic leak in the laparoscopic colorectal resection with the Double Stapling Technique (DST) increases when the endo-linearstapler (ELS) is used more than three times in dividing the distal rectum. The anastomotic breakdown may be caused by the low blood perfusion at the site of gStaple on Stapleh. Therefore, it is important… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Human fibrin sealant (Tisseel) for hiatal mesh fixation in an experimental model in pigs
Introduction The fixation of hiatal meshes with perforating devices, such as tacks or sutures, can be associated with potentially life threatening complications1. Fibrin sealant (FS, Tissucol, Baxter Biosciences, Vienna, Austria) is successfully used for atraumatic mesh fixation in inguinal and incisional hernia repair2,3. The rationale of this study was to test the potential of FS… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Human Transvaginal Cholecystectomy using an IT-Knife
Background: NOTES is an evolving and controversial field of surgery on its beginning. Laparoscopic surgery and Endoscopy merges to fulfill it. Despite NOTES human experience had begin by the transgastric way with Rao in India, the transvaginal approach is taking place as a safer and easy way to achieve the upper abdomen. As on its… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Hybrid Transvaginal Sleeve Gastrectomy in a Porcine Model.
INTRODUCTION – The authors describe the first transvaginal sleeve gastrectomy with an additional trocar in umbilicus in a porcine model. Our purpose is prove that bariatric procedures can be realized by NOTES (Natural Orifice Translumenal Endoscopic Surgery). METHODS AND PROCEDURES – A female pig with 50 pounds was underwent to a general anesthesia. Pneumoperitoneum and… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Identification of factors affected by a learning curve for laparoscopic rectal resection
Objective: The aim of this study was to identify factors affected by surgeon’s experience of laparoscopic resection for rectal cancer.Methods: A total of 200 consecutive resections between June1995 and August 2007 were analyzed in an attempt to define a learning curve. These resections were divided into three groups, which were operated on by surgeons with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Immediate postoperative ambulation minimizes thomboembolic complications following a laparoscopic gastric bypass. A prospective analysis of 461 patients.
Introduction: Bariatric surgery remains the only therapy that produces significant and sustained weight loss in morbidly obese patients. Bariatric patients have been traditionally viewed as a high risk population for thomboembolic complications, which are major cause of postoperative morbidity and mortality. Materials and Methods: Four hundred sixty-one consecutive patients who underwent laparoscopic Roux-en-Y gastric bypass… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Impact of conversion on the outcome and survival following laparoscopic resection of colorectal cancer
Background: Conversion to open surgery occurred in 12-29% of the patients who underwent laparoscopic colorectal resection. This study aimed to evaluate the impact of conversion on the operative outcome and prognosis of patients who underwent laparoscopic resection for colorectal cancer.Methods: The prospectively collected data of 473 patients who underwent laparoscopic colectomy between May 2000 and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Impact of Iq, Computer-gaming Skills, General Dexterity and Laparoscopic Experience on the Performance with the Da Vinci® Surgical System
BACKGROUND:Due to improved ergonomics and dexterity, robotic surgery is supposed to be very easy to perfom for all individuals and no special premises should be necessary. We have tested the above hypothesis by measering IQ-elements, computer-gaming-skills, general dexterity with chop sticks and evaluating laparoscopic experience in correlation to the performance with the da Vinci robot®… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Impact of Right Nephrectomy on Outcomes of Renal Function and Complications in Retroperitoneoscopic Live Donor Nephrectomy: A Single-center Experience
BACKGROUND AND OBJECTIVE: Since 2001, we have been trying to establish the technique of retroperitoneoscopic live donor nephrectomy (RPLDN). In general, the left kidney from a living donor is preferred for renal transplantation because of its longer renal vein. However, not all potential donors have a right kidney which is anatomically and functionally conducive to… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Solid Organ and Endocrine
Impact of Transoral Incisionless Fundoplication Fasteners on Lower Esophageal Sphincter Anatomy & Physiology: A Balancing Act
INTRODUCTION: Transoral incisionless fundoplication (TIF) may have improved outcomes over simple, single shot, endoscopic therapy because it allows the surgeon to tailor the fundoplication to the gastro-esophageal (GE) anatomy by placing transmural fastener sets in critical GE locations. How each successive fastener set impacts LES valve anatomy and physiology is unknown. METHODS & PROCEDURES: While… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Improvement in Glycemic Control by Gastric Electrical Stimulation (TANTALUS®) in Overweight Subjects with Type 2 Diabetes (T2DM)
Background: The TANTALUS System (MetaCure Ltd.) is a minimally invasive implantable gastric stimulation modality that does not exhibit malabsorptive or restrictive characteristics. The device applies GCM (Gastric Contractility Modulation) signals to the stomach Antrum. The signals are delivered in synchronization to the native electrical activity of the stomach during meals. Retrospective analysis of previous studies… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Incidence, etiology, and management of gastric remnant dilation following laparoscopic Roux-en-Y gastric bypass for morbid obesity: Analysis of 1963 consecutive cases
Background: Gastric remnant dilation is a rare but potentially lethal complication following laparoscopic Roux-en-Y gastric bypass (LRYGB). Routine gastrostomy has been advocated in order to avoid its occurrence. To our knowledge, few reports in the literature review the incidence and etiology of this complication utilizing the laparoscopic approach. We reviewed our series, analyzing the incidence… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Incidence of colonic polyps after bariatric procedures
Background: Colonic polyps have proven to be a premalignant stage in the development of colorectal cancer. Data have shown an increased risk of colorectal cancer in the obese population. The aim of this study was to evaluate the incidence of colonic polyps in patients who underwent bariatric surgery and compare this incidence to a population… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Incidence of gallstones after sleeve gastrectomy
Background: The rate of gallstone formation one year after gastric bypass is reportedly as high as 52.8%. One possible mechanism is the reduced cholecystokinin secretion due to diminished local enteric-endocrine reflex secondary to duodenal exclusion. Prophylactic cholecystectomy during Roux-en-Y gastric bypass (RYGBP) has been suggested to reduce the incidence of gallstone-related complications, but remains controversial.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Incidence of Symptomatic Recurrent Choledocholithiasis After Preoperative ERCP and Interval Laparoscopic Cholecystectomy Without Intraoperative Cholangiography
INTRODUCTION: The incidence of common bile duct (CBD) stones on intraoperative cholangiography (IOC) during laparoscopic cholecystectomy (LC) after preoperative ERCP and successful stone extraction as documented on completion endoscopic cholangiography is approximately 17%. The purpose of this study is to determine the incidence of symptomatic CBD stones after preoperative ERCP and a negative completion endoscopic… Continue Reading