Gastrointestinal Recovery After Laparoscopic Partial Large Bowel Resection: Results of a Prospective, Observational, Multicenter Study
Introduction: A prospective, multicenter, observational study (14CL401) investigated gastrointestinal (GI) recovery, length of hospital stay (LOS), and postoperative ileus (POI)-related morbidity after laparoscopic bowel resection (LBR). Methods: Adult patients undergoing LBR with primary anastomosis performed by straight (SL) or hand-assisted (HAL) laparoscopy with scheduled postoperative intravenous patient-controlled analgesia were enrolled. The study design was similar… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Gastrointestinal Stenting As Bridge to Future Surgery
BACKGROUND: Gastrointestinal stenting is most often utilized for end-stage palliation for unresectable malignancy. We propose the concept of gastrointestinal (non-biliary) stenting as a bridge to surgery for benign conditions, as well as, neoadjuvant stenting for malignant diseases. METHOD: All stents were placed in the operating room under general anesthesia, with endoscopic and fluoroscopic techniques. All… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Goals -based Assessment of Resident Skill in Advanced Laparoscopic Cases
INTRODUCTION: We hypothesized that GOALS (Global Operative Assessment of Laparoscopic Skills) would have construct validity for laparoscopic cases beyond cholecystectomy and appendectomy.METHOD: Attending surgeons at our institution use a web-based GOALS scoring sheet to evaluate PGY1 through PGY5 residents immediately after all operations. We reviewed all data entered from 7/04 to 5/08 for the following… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Gynecologic Status After NOTES Transvaginal Cholecystectomy
Background: the development of NOTES procedures and its clinical application raise issues regarding the ways of access to the abdominal cavity. The transvaginal access through posterior colpotomy has been widely used by gynecologists for the treatment of several conditions and eliminates the disadvantages associated with other NOTES approaches ( transgastric, transrectal and trans-vesical). Objective: assessment… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Hals Nephrectomy and Distal Pancreatectomy: Approach for Donor Benefits in Simultaneous Pancreas and Kidney Transplant
[INTRODUCTION] It is seriously important for living donations to make safer and to reduce operating stress. Laparoscopic surgery is though to be a useful operating procedure for solving these problems. We performed first case of living donor (LD) simultaneous pancreas and kidney transplantation (SPKTx) in Japan in 2004, and until now, we have done 10… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Hand-Assisted Laparoscopic Pelvic Nerve Sparing Resection of Rectal Cancer: Preoperative Chemoradiation Influences Conversion Rate
Introduction: We hypothesize that gender, BMI and preoperative chemoradiation may influence the ability to perform a hand-assisted laparoscopic (HAL) resection for patients with rectal cancer.Methods: We performed retrospective analysis of patients who underwent HAL resection of rectal cancer. Four trocars and a standard 7 cm incision length were used. We abstracted clinical and pathological variables… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Hand-Assisted Laparoscopic Splenectomy Compared to Conventional Laparoscopic Splenectomy
Objective: Laparoscopic splenectomy (LS) has several advantages compared to the open technique. Splenomegaly poses several technical hurdles for the performance of splenectomy laparoscopically. With the introduction of hand-assisted laparoscopic splenectomy (HALS), the application of laparoscopic splenectomy has broadened to include cases of massive splenomegaly. We hypothesize patients who undergo HALS may enjoy the benefits of… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Hand Assisted Laparoscopic Splenectomy Is the Superior Approach in Spleens Over 20cm in Length
IntroductionWe report our experience with the Hand Assisted Laparoscopic Splenectomy (HALS) technique and attempt to answer the question of which spleens benefit from HALS. Initial problems with complication rates in laparoscopic splenectomy for splenomegaly have now been refuted. Critics are still concerned with the longer operative times and conversion rates of HALS compared to open… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Hand Assisted Laparoscopic Surgery for Massive Splenomegaly
The patient is a 57 yo male with history of chronic lymphocytic leukemia for fifteen years and splenomegaly. Patient had a palpable spleen below the level of the umbilicus. His preoperative white blood cell count was 46000 and lymphocyte count was 40000. A Hand port was placed in the upper midline. The patient was in… Continue Reading
- Topic:
- Solid Organ and Endocrine
HAL vs laparoscopic TPC IPAA
PURPOSE: This study was designed to compare short-term outcomes after hand-assisted laparoscopic vs. straight laparoscopic total proctocolectomy with ileoanal pullthrough. METHODS: A retrospective study was performed on all TPC IPAA at a single institution by a single surgeon between July 2002 to July 2008. The study was powered to detect a 30-minute reduction in operative… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Hand Assisted Laparoscopy for Wandering Spleen
This is a case presentation of a patient with a wandering spleen. The patient is an 18 year old female who suffered from a malarial infection at age five. A CT scan at that time documented her spleen was located in the normal anatomical position. When the patient was 18 years old, she underwent an… Continue Reading
- Topic:
- Minimally Invasive Other
Health Utility Determination for Transvaginal and Transgastric Cholecystectomy: How Do Patients Value Complications of Natural Orifice Translumenal Endoscopic Surgery?
Introduction: Critical to the evaluation of NOTES procedures is the perceived benefit of scarless surgery weighed against its unique complications such as gastric leak (GL), gastric hemorrhage (GH), pelvic cellulitis (PC), pelvic abscess (PA) and pelvic hemorrhage (PH). The goal of this study was to calculate health utility (HU) values for these complications, to provide… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Hepatic Adiponectin and Leptin in Morbidly Obese Patients
Background: Pathologically, hepatic changes are common in morbidly obese patients. Insulin resistance impacts the pathogenesis of non-alcoholic fatty liver disease and may potentiate the progression of non-alcoholic steatohepatits and fibrosis. This study investigates the impact of leptin and adiponectin in morbidly obese diabetic and non-diabetic patients with regards to histopathological hepatic changes. Methods: Twenty morbidly… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Basic Science
Hepatic Iron Overload in Patients Undergoing Rygb
BACKGROUND: The most common cause of hepatic iron overload is a genetic mutation (C282Y) that causes an increase in serum transferrin saturation and ferritin levels. Abnormalities in iron metabolism as well as nonalcoholic steatosis are known conditions associated with obesity. The purpose of this study was to analyze the hepatic DNA of morbidly obese patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Basic Science
High Failure Rate After Laparoscopic Adjustable Gastric Banding (lagb): Five Year Follow Up.
Introduction: LAGB is a technique increasingly used in USA. The aim of this study was to analyze the 5 year outcome in terms of weight loss and complications.Methods and patients: We reviewed our prospective electronic database for all patients undergoing LAGB between 2002 and 2007. We assessed weight progression, complication and reoperation.Results: We performed 199… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity