Impact of Laparoscopic Cholecystectomy on Operative Time in the Elderly
OBJECTIVE OF THE STUDY: Laparoscopic cholecystectomy (LC) remains one of the most frequent surgical therapies for symptomatic gallstone disorders. Although associated with several comorbidities, LC became widely accepted even in the elderly. The aim of this study was to determine factors affecting the operative time of LC.METHODS AND PROCEDURES: Patient data were retrospectively analysed from… Continue Reading
Impact of Roux Length on Weight Loss After Laparoscopic Gastric Bypass
Background: Many surgeons use longer roux limbs in laparoscopic roux-en-Y gastric bypass (LRGB) for more overweight patients in an attempt to achieve greater weight loss. However, prior studies have shown conflicting results regarding the impact of roux length on weight loss. Moreover, gastric bypass produces weight loss through additional mechanisms which are potentially more potent.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Impact of Training with Authorized Technical Experts on Colo-rectal Laparoscopic Skills; Hands on Training and Step By Step Training
Introduction: Laparoscopic skills training outside the operating room is becoming the standard for educating surgical residents. Because of the specific procedure, and the difference from open surgery, it is imperative to establish unique training system to promote efficiency of learning laparoscopic skills. Recently in Japan, Japanese Society for Endoscopic Surgery (JSES) authorized technical experts who… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Impact of Video-based Teaching of Intracorporeal Suturing on Learners\’ Self-reported Confidence Levels
Background: Simulation-based teaching of basic skills in minimally invasive surgery (MIS) has become an important component of general surgery residency curricula. Of these skills, intracorporeal suturing is one of the most difficult to teach. Optimizing learners’ ability to acquire this skill efficiently is beneficial. Increased self-confidence is the first step toward skill acquisition. We examined… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Impact of Visceral Obesity on Laparoscopic Surgery for Colorectal Cancer
Introduction: Body mass index (BMI) has been used as one of the most reliable anthropometric indices of obesity. However, laparoscopic surgical techniques may be influenced by intra-abdominal anatomic and physical conditions. It has been suggested that visceral obesity, indicating an altered intra-abdominal environment, may be more practical for the assessment of laparoscopic surgery compared with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Improving Patient Outcomes and Resident Education Simultaneously: Intraoperative Endoscopy for Laparoscopic Gastric Bypass First 100 Patients in a Single Center Experience
Background: Morbid obesity is a growing problem in the United States. As a result, now more than 100,000 laparoscopic roux-en-y gastric bypasses (LRYGB) are performed annually. A large portion of these are performed at teaching institutions. This procedure carries with it known complications, the most feared, is a leak at the gastro-jejunostomy. Intraoperative endoscopy (IE)… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
In the Era of NOTES, a Cosmetic and Secure Approuch to Laparoscopic Cholecystectomy.
Background: Since 1993, our group has been doing Laparoscopic Cholecystectomy (LC) using a three-port approach with excellent results. Many papers showed that Needlescopic and two or three 5mm ports approaches may reduce the postoperative pain, but did not gained popularity.Aim: Describe a variant three-port approach with excellent cosmetic results without losing the benefits and security… Continue Reading
“inadvertent Vagotomy”: What Does This Mean for the Patient and Surgeon?
Objective: “Inadvertent vagotomy” is often discussed from the podium of national meetings as a cause of complications of Nissen fundoplication. Sometimes the tone of the comments borders on inferring medico-legal liability in such cases. The goal of this review is to see if there is a valid correlation with vagotomy and the suggested complications.Methods: 300… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Incidence and Implications of Abnormal Glucose Tolerance Testing Following Gastric Bypass
Introduction: Reactive hypoglycemia following RYGB has been well reported. Its frequency and implications are unclear. To further determine its incidence and significance, glucose tolerance tests (GTT) was used to assess the effect of glucose challenge on post-RYGB patients.Methods: 28 randomly selected patients who were at least 6 months post-op from RYGB and were returning for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Incidental Gallbladder Cancer After Laparoscopic Cholecystectomy and the Need of a Complete Staging
Introduction: Incidental gallbladder carcinoma (IGBC) is a carcinoma first detected by the pathologist. The indication for the cholecystectomy was a benign disease. It is often supposed that the laparoscopic technique could deteriorate the prognosis of gallbladder cancer, often based on anterior data of only small groups and very often case reports. According to new data… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Incisionless Endo-laparoscopic Colecotmy for Left-sided Colonic Tumors
Background: In performing ¡¥traditional¡¦ laparoscopic colectomy for left-sided colonic tumours, specimen retrieval necessitates a mini-laparotomy which often is the cause and evil of postoperative pain, wound infection as well as other pain related complications. Herein we describe a new technique of endo-laparoscopic anterior resection without abdominal incision, where specimen retrieval and colorectal anastomosis can be… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Incisionless Weight Loss Surgery. a Novel Gastric Restrictive Procedre Using the Transoral Gastroplasty Technique
The standard operations for weight loss surgery in this country are the Roux-en-y gastric bypass and the adjustable gastric band. Both of these operations are performed laparoscopically. Although the incisions used in minimally invasive surgery are small compared to open surgery, they still require cutting of the anterior abdominal wall. We present one of the… Continue Reading
- Topic:
- Metabolic / Obesity
Indications for Natural Orifice Transluminal Endoscopic Surgery in Surgical Oncology
Introduction:Recent publications suggest that transluminal interventions may be a promising alternative to laparoscopy in the field of minimal invasive surgery. Until now it remains unclear which endoscopic technique should be applied and which access route is considered safe and feasible. Possible indications for natural orifice transluminal surgery (NOTES) are still under discussion. Methods:From May 2007… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Inflammatory Myoglandular Polyp of the Right Colon in a Patient with Hematochezia and Intermittent Rectal Pain.
INTRODUCTION: Inflammatory Myoglandular Polyps (IMP's) are poorly characterized and extremely rare. They present most frequently in the left colon, and may produce symptoms related to this location. We present a case of IMP located in the right colon, associated with rectal symptoms, and offer a review of the available medical literature. CASE REPORT: A 35… Continue Reading
- Type:
- Posters
Influence of Age on Long-term Subjective and Objective Outcomes of Laparoscopic Nissen Fundoplication. Initial Experience From a Single Rural Institution
Background : Laparoscopic nissen fundoplication (LNF) is the gold standard for surgical treatment of gastroesophageal reflux disease (GERD) with majority of patients are younger adults. In recent era of aging population, many community surgeons are hesitant to perform this procedure in the elderly due to presumed higher morbidity and poorer surgical outcomes. Therefore this study… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery