Laparoscopic Splenectomy for Splenomegaly:Long Term Follow up of 61 patients
Background: Numerous studies have demonstrated the feasibility of laparoscopic splenectomy(LS) for splenomegaly. There is little published data on the efficacy of LS for the treatment of splenomegaly associated cytopenias. The aim of this study is to determine long-term outcomes following LS for splenomegaly. Methods: Retrospective review of patients undergoing LS between 8/95 and 5/05. Splenomegaly… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Endo-Laparoscopic Intragastric Tumor Excision (ELITE) of Intragastric GIST – Combined Endoscopic and Laparoscopic Technique
Introduction: Gastric GIST is a mesenchymal neoplasm of gastrointestinal tract with uncertain malignant potential. Complete surgical excision is usually recommended . However, local excision is difficult for GIST located at cardia or prepyloric region and partial gastrectomy may be necessary. Method: For small intragastric GIST ( Session: Podium Presentation Program Number: V028 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Long-term quality of life after laparoscopy-Assisted distal gastrectomy
Background : Laparoscopy-assisted distal gastrectomy (LADG) needs longer@operation time, but brings lesser pain, invasiveness after operation compared with open distal gastrectomy (ODG). Patients undergone LADG can recover earlier than ODG. However comparative study of long-term quality after LADG and ODG is not performed.Patients and Method : From August 2007 to July 2006, 197 patients with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Does Access to Minimally Invasive Surgery Account for Racial Differences in Surgical Outcome
Introduction: Minority populations consistently demonstrate poorer medical and surgical outcomes. Given that surgery is a rapidly evolving field, we hypothesized that poorer surgical outcomes by black patients are related to lack of access to minimally invasive surgery (MIS). Methods: We used data from the Nationwide Inpatient Sample, a 20% stratified random sample of patients admitted… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Natural Orifice Transesophageal Mediastinoscopy and Thoracoscopy: A Survival Series in Swine
Introduction: Mediastinoscopy (MX) and thoracoscopy (TX) are common procedures with painful incisions and prominent scars. A natural orifice transesophageal endoscopic surgery (NOTES) approach could reduce pain, eliminate intercostal neuralgia, provide access to the posterior mediastinal compartment or hilum, and improve cosmesis. The purpose of this study is to create a survival animal model for NOTES… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Effect of Yoga exercises on outcome of Stapled Hemorrhoidectomy: Results of a Prospective Randomized Controlled Study.
Objectives of study-The aim of this study was to evaluate the effect of yoga exercsies on outcome of stapled hemorrhoidectomy, a safe, popular, day care procedure for prolapsing hemorrhoids (PPH).Methods and Procedures-Consecutive patients with indications for PPH were randomized into Yoga exercises (YE) i.e. study group and no Yoga exercise (NYE) i.e. control group.PPH was… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Treatment of Gallbladder Disease During Operations Iraqi Freedom and Enduring Freedom
INTRODUCTION: We examined the outcome after treatment for gallbladder disease in deployed military service members and the impact of instituting a clinical pathway to expedite return to duty (RTD). METHODS AND PROCEDURES: A retrospective chart review of 97 medically evacuated patients with gallbladder disease was analyzed. These patients were evacuated from the field to Landstuhl… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Women’s Perceptions of Trans-Vaginal NOTES Surgery
Two decades ago, Minimally Invasive Surgery (MIS) was introduced and led to a revolution in modern surgery; currently MIS procedures are the standard of care for many surgical interventions and patients often seek out surgeons with special training in MIS. Today, Natural Orifice Translumenal Endoscopic Surgery (NOTES) appears to be on the threshold of another… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Comparative analysis on clinical outcomes between laparoscopic distal pancreatectomy and open distal pancreatectomy : single center, single operator, same period experience
Purpose) Laparoscopic pancreatic surgery on distal lesion is in development state now. However benefit of laparoscopic distal pancreatectomy over the open surgery is not well known yet. We compared the clinical data of the patients underwent laparoscopic distal pancreatectomy (LDP group) with the patients underwent open surgery (ODP group) on the base of same operator,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
CO2-Pneumoperitoneum Induces Renal Apoptosis in a Rat Model
Background: Kidneys harvested by laparoscopic donor nephrectomy regain normal function slightly later than laparotomy-harvested organs. Several factors affect the organs after laparoscopic recruitment, which could explain the relatively prolonged period of recovery. We investigate the role of CO2-induced pneumoperitoneum (PNP) on organ dysfunction as expressed by cell apoptosis.Methods: CO2-PNP was established in 24 anesthetized Wistar… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Basic Science
Pre-operative predictors of the short esophagus
Background: Short esophagus is a common cause of failure of anti-reflux surgery. Minimally invasive intervention for short esophagus is technically difficult. Reliable predictors of short esophagus would allow appropriate referral and better outcomes.Methods: Between January 1994 and August 2007, a total of 84 patients underwent antireflux surgery with Collis gastroplasty (Group A) at Creighton University… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Ergonomic Risk of Assisting in Minimally Invasive Surgery
Introduction: Ergonomic knowledge related to primary MIS surgeons has been well described. Similar studies making the camera assistant subject have not been undertaken. By simulating the assistant¡¯s role as a camera holder and retractor during a Nissen fundoplication, this study investigated how camera target locations and grip strategies, and fatigue affected the assistant¡¯s posture.Methods and… Continue Reading
Laparoscopic IPAA surgery reduces abdominal and pelvic adhesions
Objectives: Adhesions after open abdominal operations cause >75% of cases of small bowel obstruction. We evaluated adhesions to the anterior abdominal wall and adnexae after laparoscopic ileal pouch anal anastamosis (IPAA).Methods: Patients who underwent laparoscopic proctocolectomy, IPAA and diverting loop ileostomy for Ulcerative Colitis had laparoscopic evaluation of adhesions at closure of ileostomy to assess… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
NOTES Pancreatic Pseudocystgastrostomy: a Human NOTES Anastomosis
Introduction: Natural orifice transluminal endoscopic surgery (NOTES) is a technique where an operation is performed across the lumen of a hollow viscus without the aid of an abdominal incision. Much of the early work in NOTES has utilized a transgastric approach due to ease of endoscope passage through the mouth. Pancreatic pseudocysts have long been… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Laparoscopic Mesh Repair of Pelvic Organ Prolapse
The laparoscopic repair of rectal prolapse has been well described. Patients with rectal prolapse often, if properly evaluated, will have a concomitant anterior pelvic dysfunction. We present the video of a 69-year-old female with a history of rectal prolapse that underwent a perineal proctectomy only to recur within a year of surgery. On exam she… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal