Using External Magnet Guidance and Endoscopically Placed Magnets to Create Suture-free Gastro-enteral Anastomoses
PURPOSE: To facilitate endolumenal and natural orifice procedures, we evaluated a novel technique using external and endoscopically placed magnets in forming suture-free gastro-enteral anastomoses. METHODS: Seven anesthetized adult swine underwent endoscopic placement of differently sized magnets into the small bowel and stomach. Using external magnets, the endoscopically placed internal magnets were brought into opposition under… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Using a Flexible Robotic Endoscopic NOTES Platform Transgastrically in a Cadaver to Test Access, Navigation, Maneuverability and Stability
OBJECTIVE: The advancement of NOTES highly depends on the availability of suitable platforms and instruments. A NOSCAR working group has identified access, navigation, maneuverability and stability to withstand instrument forces as essential requirements for a successful NOTES platform. No platform used for NOTES to date can adequately achieve all four of these key capabilities. Here… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Usefulness of Ultraflex Stents Setting for the Management of Tracheobronchial Stenoses in Esophageal Carcinnoma
Introduction: Airway stents have gained increasing popularity in the management of challenging tracheobronchial obstruction based on the simplicity of their placement and the lack of good alternative approaches. Careful and judicious stent placement has provided significant and life-saving airway improvement in many patients. We present our experience with the use of the ultraflex stents in… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Usefulness of Laparoscopic Hepatectomy for Extrahepatic Protruding-type Hepatocellular Carcinoma
Background: Hepatectomy is the treatment of choice for hepatocellular carcinoma, but liver function disorders in many cases limit the resectability. Recently, ablation therapy such as radio waves and microwaves are progressing, and the number of nonoperative cases are increasing. However, for protruding-type tumors, the risk of tumor rupture or dissemination has been pointed out. For… Continue Reading
Usefulness of Co2 Gas Conditioner in Laparoscopic Surgery
Background:Cloudiness and dirt on a tip of endoscopy are one of the causes to stop an operation. An operator feels great stress from this trouble in order to perform a best operation. In this paper we present a new system to solve this problem. There are two kinds of problem on the tip of endoscope,… Continue Reading
- Type:
- Posters
Usefulness of Balloon Push-out Method During Thoracoscopic Enucleation of Leiomyoma of the Esophagus
Thoracoscopic enucleation of leiomyoma of the esophagus was successfully performed in 5 cases. This paper mainly describes a 51-year-old man who was referred to our hospital in April 2008 for further examination and treatment, because submucosal tumor of the esophagus was increased in size in 3 years. Esophagoscopy showed a mass beneath normal mucosa located… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Use of Laparoscopic Intra-corporeal Suturing in Esophagojejonostomy for Re-establishing Gastrointestinal Continuity After Gastrectomy: Report of Two Consecutive Cases
Acute gastric volvulus secondary to paraesophageal hiatal hernia can be a life-threatening condition, causing gastric necrosis, perforation and sepsis. Emergency surgery with total or partial proximal gastrectomy, obligates the patient to a second challenging procedure to re-establish gastrointestinal continuity. Laparoscopic esophagojejunostomy is a technically demanding procedure; this is especially true when the procedure is the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Use of Flexible Retractor to Facilitate Vascular Length in Living Related Total Laparoscopic Donor Nephrectomies
Background Minimally invasive Laparoscopic Donor Nephrectomy (LDN) is the gold standard procedure for donor nephrectomy. Various techniques of donor neprectomy have been described and the utility of any one technique depends upon the skill of the surgeon. Donor vascular length facilitates adequate recipient anastomosis and prevents technical difficulties associated with short vessels. Our preference has… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Use of Endoscopic Stents in the Treatment of Upper Gastrointestinal Leaks Following Bariatric Surgery
Introduction: Upper gastrointestinal (GI) leaks are one of the most important postoperative complications following bariatric surgery. Standard treatment has been a combination of surgical or percutaneous drainage, parenteral nutrition and antibiotics. The endoscopic approach using flexible stents has been recently proposed as an alternative of treatment. Methods and procedures: Restrospective analysis of all patients who… Continue Reading
- Type:
- Posters
Use of Alvarado Clinical Score for Acute Appendicitis to Direct Utilization of CT for Acute Appendicitis.
Introduction: CT is considered the ‘gold standard’ in the diagnosis of acute appendicitis (AA). The radiation dose associated with an abdominal CT has recently been revisited, leading to a reassessment of indications to perform CT for AA. The Alvarado score for AA, determined prior to CT, is compared to CT and pathology results and recommendations… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Use of a Novel Bedside Endoscopy Cart to Teach Surgery Residents
INTRODUCTION: Bronchscopy and laryngoscopy have become common bedside procedures in the ICU. Frequently, however, these modalities utilize non-video platforms which make it difficult for novices to perform the procedures independently. This study evaluated a novel ICU bedside procedure cart for performing video laryngoscopy and bronchoscopy to see if junior level residents could be mentored through… Continue Reading
- Type:
- Posters
Use of a Low-cost, High Fidelity, Laparoscopic Ventral Hernia Simulator to Assess Intra-operative Decision Making
Objective – Previous studies using simulation technology have largely focused on technical skills. The objective of this study was to assess the usefulness of a newly developed laparoscopic ventral hernia (LVH) simulator to assess intra-operative decision making. Methods – Participants included fourth year surgical residents attending a two day laparoscopic hernia course. The materials included… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Upper Gi Contrast Study As Preoperative Planning Tool in Fundoplication Patients
OBJECTIVE: To determine if esophageal manometry added information important for preoperative fundoplication planning compared to upper GI contrast studies (UGIS) METHODS: We retrospectively reviewed the records of 323 patients at a single institution who underwent a fundoplication (Nissen or Toupet) for GERD and/or paraesophageal hernia from 2003 to 2007. Of these, we excluded patients younger… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Upper Gi Cancer Staging Practices Among Surgeons in Uk
BackgroundStaging of gastro-oesophageal cancer is crucial not only in deciding upon the management options but it can also decrease the number of non-curative laparotomies. Therefore it has been an area of much research and controversy. The current practices for gasto-oesophageal cancer staging prevalent among upper GI surgeons in United Kingdom were sought. MethodsWe conducted a… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Updated Experience with Minimally Invasive Esophagectomy At an Academic Institution: Comparison Between Open and Laparoscopic Transhiatal Approaches
Objective: Minimally invasive esophagectomy (MIE) is increasingly being incorporated into armamentarium of different techniques for esophagectomy. We report our initial experience with MIE and compare the outcomes to patients who underwent traditional TH approach. Method: A retrospective review was conducted of 14 patients who underwent MIE at a single academic institution from January 2008 to… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery