Esophageal Stenting for Immediate Palliation of Symptomatic Thoracic Malignancies
Introduction: Malignant esophageal stricture or compression (ES/C) and malignant tracheoesophageal fistula (TEF) significantly interfere with quality of life. Immediate symptom relief is paramount. We reviewed our experience with esophageal stenting for the management of symptomatic thoracic malignancies.Methods: We performed an institutional review-board approved, retrospective review of our esophageal stent database. We collected data on patients… Continue Reading
- Type:
- Posters
Esophagectomy for Adenocarcinoma: Comparison of Minimally Invasive, Transhiatal and En Bloc Resection Techniques
Background: There are competing goals in the surgical treatment of esophageal cancer. One is to minimize the physiologic impact of the operation and the other is to maximize the resection of regional lymph nodes. The former can be accomplished with a transhiatal esophagectomy, and the latter is maximized with an open transthoracic/transabdominal en bloc resection.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Esophago-gastrostomy Using Narrow Gastric Tube After Laparoscopy-Assisted Proximal Gastrectomy
Introduction: Although laparoscopy-assisted proximal gastrectomy is a promising approach for early gastric cancer in the upper stomach, there is a technical difficulty especially in the following reconstruction, esophagogastrostomy, partly because the large remnant stomach often limits laparoscopic surgical view during intra-abdominal anastomosis. To keep sufficient surgical view under the laparoscopy and perform intra-abdominal anastomosis safely,… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Evaluation of Commercially Available Port Access Devices for Single Incision Laparoscopic Surgery
Objectives: to evaluate three different commercially available single incision laparoscopy access devices for their ease of use. Methods: Four expert laparoscopic surgeons performed laparoscopic cholecystectomy, suturing, small bowel resection, and gastrojejunostomy through a single incision in a porcine model. A cylindrical, a disc shaped, and a sleeve based access device were evaluated for performance. Seven… Continue Reading
- Type:
- Posters
Evaluation of Intraperitoneal Placement of Absorbable and Nonabsorbable Barrier Coated Mesh Secured with Fibrin Sealant (new Zealand White Rabbit Model)
Introduction: The purpose of this study is to evaluate the acute and chronic fixation strength of fibrin sealant as an alternative fixation method for laparoscopic ventral hernia repair (LVHR). Methods: Representative mesh types for LVHR included one nonabsorbable barrier mesh (Composix™), and three absorbable barrier meshes (Sepramesh™, Proceed and Parietex™ Composite). Macroporous polypropylene mesh (Prolite… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Evaluation of NOTES® Hands-on Courses By Surgeons At the Sages Annual Meeting Learning Center
Introduction: Our primary aim is to determine whether there are differences in the opinions of users of two distinct NOTES® simulators in aspects of performance, realism, utility and ease of use. We have directed the NOTES® hands-on station at the Learning Center of SAGES 2008 and 2009 Annual Meetings. The simulators used were the ELITE… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Evaluation of Surgical Performance During Laparoscopic Incisional Hernia Repair- A Multicenter Study
Introduction: Laparoscopic incisional hernia repair (LIHR) is a relatively common procedure yet requires advanced laparoscopic skills. There is no reliable or valid measure of performance during this procedure. The aim of this study was to develop a procedure-specific objective rating scale to assess performance of LIHR, and to evaluate its reliability and validity. Methods: The… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
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
Expandable Gastric Port (egp) for NOTES
Introduction: Although translumenal procedures are minimally invasive, there are also various risks involved, such as the intraperitoneal biological and chemical contamination. This study presents a new device made in order to avoid this complication.Methods: Five White Landrace pigs weighing approximately 30 to 35 kg underwent the placement of a device consisting in an expandable sheath… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Experience of Single-incision Laparoscopic Rectal Anterior Resection
Background: Single-incision laparoscopic surgery is widespread, especially for cholecystectomy, oophorectomy and appendectomy, but single-incision laparoscopic colorectal surgeryis not often performed because of the highly complex operative skills required. We report a new technique for single-incision laparoscopic rectal anterior resection with conventional instrumentation.Method: A 65-year-old man required additional excision because the deep margin was positive by… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Experience of Single-site Laparoscopic Hernioplasty
Background: Inguinal hernia is a good indication for laparoscopic surgery. Recently,single-site laparoscopic surgery is widespread, especially for cholecystectomy, oophorectomy and appendectomy. But single-site laparoscopic hernioplasty is not often performed, because highly complex operative skills are involved. We report a case of single-site laparoscopic transabdominal preperitoneal (TAPP) hernia repair.Method: A 58-year-old woman with symptomatic left inguinal… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Eye Tracking As a Tool to Evaluate Colonoscopy Skill
Background and Object: Colonoscopy requires a high level of both motor skills and spatial cognitive ability. However, few studies have focused on the cognitive factors of colonoscopy skill. This feasibility study investigated whether measurement of eye tracking during colonoscopy is an effective means of objectively evaluating colonoscopy skill level.Methods and Procedures: Observation and manipulation tasks… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Factors of Increasing Blood Loss and Operation Time in Laparoscopic Assisted Distal Gastrectomy
Introduction: Laparoscopic Surgery has rapidly increased for treatment of gastric cancer in the world. Laparoscopic assisted distal gastrectomy (LADG) has been the standard procedure in case of early gastric cancer. Our impression is obesity can be one of the factors to increase of operating time and blood loss.Methods: Between October 2007 and May 2009, 48… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Feasibility and Post Operative Outcome of Minimally Invasive Esophagectomy in Patients Who Received Neoadjuvant Chemotherapy for Locally Advanced Esophageal Cancer
Background: The use of Neo adjuvant chemotherapy followed by surgery is preferred by many centers dealing with locally advanced esophageal cancer. Minimally invasive surgery is also being evaluated in many centres for management of esophageal cancer. Aim: To compare technical feasibility and post operative outcome of minimally invasive esophagectomy in patients who received neoadjuvant chemotherapy… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Feasibility of Laparoscopic Distal Gastrectomy for Non-curative Gastric Cancer Following Endoscopic Submucosal Dissection
Background: Endscopic mucosal resection (EMR) has been accepted as a treatment of early gastric cancer (EGC). The number of EMR procedures for EGC has been increasing because a patient’s quality of life after EMR is superior to that after surgical gastrectomy. The recently developed EMR procedure, endoscopic submucosal dissection (ESD), makes en-bloc resection possible for… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery