A New Technique for Fascia Closure
Introduction: Because of the risk of herniation, all port sites are recommended to be closed after laparoscopic surgery. However, port-site closure is difficult especially in obese case. Full-thickness closure of trocar wound is a time-consuming and frustrating task. A lot of devices for this closure have been introduced. However, they are not cost-effective. We report… Continue Reading
- Type:
- Posters
A NOTES Survival Study of a Novel Gastric Closure Device: Loop-Anchor Purse-string
INTRODUCTION: Gastric closure is a key consideration in NOTES. Numerous closure methods have been reported, but none stands out as superior. Whatever the method, it should be effective, durable, tight, and easy to perform. We report our results with a new enteric closure device: Loop-Anchor Purse-String (LAPS). METHODS: Our method was previously described on explanted… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
A Novel Active Overtube for Endoscopic Treatment of Colorectal Tumors
A NOVEL ACTIVE OVERTUBE FOR ENDOSCOPIC TREATMENT OF COLORECTAL TUMORSKazuhiko Shinohara MD, Gennai Yanagisawa MScSchool of Bionics, Tokyo University of Technology, Tokyo, JapanObjective: Endoscopic resection for early colorectal tumors is minimally invasive treatment, however it requires long operation times and skillfulness to complete the en-bloc resection in safety. This weak point is caused by the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
A Novel and Precise Evaluation Model for Psychomotor Skills in Endoscopic Surgery
Purpose: Psychomotor skill is absolutely necessary for endoscopic surgeons. We devised tasks and parameters to evaluate psychomotor skills during endoscopic surgery and investigated their validity.Methods: Sixteen novice medical students (N) and ten expert surgeons (E) whohad performed over 50 endoscopic surgeries participated in the study. We evaluated psychomotor skill by asking the participants to move… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
A Novel Approach to Laparoscopic-Assisted Transgastric ERCP After Roux En Y Gastric Bypass
Background: Since the advent of the Roux-en-Y Gastric Bypass (RYGBP), an increasing number of patients with altered upper gastrointestinal tract anatomy require endoscope retrograde cholangiopancreatography (ERCP). Endoscopic access to the remnant stomach with laparoscopic assistance is a technique well-described in the literature. However, manipulation of the flexible gastroscope within the peritoneal cavity and gastric remnant… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
A Novel Basic Lapsim® Curriculum Improves Fundamentals of Laparoscopic Surgery Skills Performance in Surgical Interns
Introduction: Laparoscopy is the standard of care for many basic general surgical procedures. Simulators have been developed to train surgical residents in laparoscopy; but there is no standard curriculum that has clearly shown a translational benefit in the operating room. Small studies have shown that Fundamentals of Laparoscopic Surgery (FLS) skills performance score predicts intraoperative… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Education / Simulation
A Novel Minimal Access Surgery Prototype for Rapid Diagnosis of Appendicitis in the Emergency Room
1. Introduction: Abdominal pain diagnosis when appendicitis is suspected is based on clinical findings. However, near half of these patients have atypical or equivocal presentation signs and symptoms. When the result of evaluation is unclear, diagnostic imaging alternatives are used; if unavailable, patients may be discharged undiagnosed. Every year in the U.S., near 100,000 patients… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
A Novel Technique for Biomaterial Repair of Hiatal Hernias
Objective: Established recurrence rates after primary hiatal hernia repair are between 9 and 27%. Lightweight prosthetic mesh reinforcement is effective in reducing recurrence but carries the risk of esophageal erosion. Bioprosthetics may reduce recurrence rates but can be cumbersome to secure into position. We describe a technique to place GORE™ BIO-A™ tissue reinforcement that is… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
A Novel Technique for Laparoscopic Placement of Lumboperitoneal Shunts
Background: Lumboperitoneal (LP) shunts are effective in the treatment of intracranial hypertension but have traditionally been placed utilizing an open technique. This technique has been associated with migration of distal LP shunt catheters and can be especially difficult in the high proportion of obese patients, requiring a larger incision with greater associated morbidity and postoperative… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
A Pain in the Neck! the Relationship of Video Monitors to Surgeon\’s Stress
Introduction: Surgeon-technology interfaces are a vital factor contributing to ergonomic risk. The display monitor is one such interface associated with physical eye and neck symptoms experienced by laparoscopic surgeons. The development of new technologies has permitted the traditional CRT display stationed on an instrument cart to be replaced by LCD system located on a boom.… Continue Reading
- Type:
- Posters
A Population-based Analysis of Emergent Vs. Elective Hospital Admissions for an Intrathoracic Stomach
Introduction: Large scale population based analyses of the demographics and management and healthcare resource use in patients with an intrathoracic stomach are largely unknown. This issue has become even more important with the aging of the population. Our objective was to estimate the magnitude of the problem and to assess the use of hospital resources… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
A Prospective, Randomized, Double-blind, Placebo Controlled Trial of Dexamethasone in Preventing Postoperative Nausea in the Laparoscopic Gastric Bypass Patient.
Postoperative nausea in patients undergoing laparoscopic gastric bypass remains a common source of patient discomfort and can lengthen hospital stay. The reported incidence of nausea ranges from twenty to thirty percent. A single dose of dexamethasone has been shown to prevent postoperative nausea and vomiting in patients undergoing strabismus surgery and laparoscopic cholecystectomy. Dexamethasone has… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
A Prospective Randomized Trial Comparing Single Stage Versus Two Stage Management of Patients with Gall Stones and Cbd Stones
The optimal management of patients with concomitant gall stones and CBD calculi is controversial. The options for management include either a single stage approach of laparoscopic cholecystectomy along with laparoscopic common bile duct exploration or a two stage approach which includes preoperative endoscopic stone extraction followed by laparoscopic cholecystectomy. This prospective randomized trial was done… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
A Prospective Study Comparing the Surgical Outcomes Between Laparoscopic Surgery for Transverse and Descending Colon Cancer and Laparoscopic Surgery for Other Colon Cancers.
Introduction: Several prospective randomized trials have demonstrated the long-term oncological safety of laparoscopic surgery for colon cancer. However, transverse/descending colon cancers were excluded from prior randomized controlled trials, mainly because of technical difficulties. This study was designed to compare surgical outcomes between laparoscopic surgery for transverse/descending colon cancers and that for other colon cancers, in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
A Randomized Clinical Trial Comparing Cost and Effectiveness of Bipolar Vessel Sealers to Clips and Vascular Staplers in Straight Laparoscopic Colectomy
Introduction: This study compares the costs and effectiveness of two standard techniques for vascular control in straight laparoscopic colectomy.Methods: Patients scheduled for laparoscopic colectomy were randomized to bipolar vessel sealer (BVS; Ligasure Atlas, Covidien) or laparoscopic clips and vascular staplers (LCS). Time and ability to control the main vascular pedicles were recorded. Costs of disposable… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal