Scarless One Port Transumbilical Laparoscopic Sleeve Gastrectomy
Laparoscopic sleeve gastrectomy is usually performed using several trocars. We report a case of a single port sleeve gastrectomy in a 42 year-old, female morbidly obese with a BMI of 42 kg/m2. Through a 2-cm single transumbilical incision Triport® was inserted and roticulator instruments were used. To retrieve the specimen we partially used the device… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Laparoscopic Resection of Lymphangioma of the Small Bowel Mesentery in an Adult
A 32-year-old female presented for Colorectal Surgery consultation regarding an 18-month history of vague left-sided abdominal pain, intermittent bloating, frequent stools, and occasional passage of mucus. Her laboratory work-up was negative. CT scan of the abdomen and pelvis revealed a "mass in the small bowel mesentery". She had no chronic medical issues and had no… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
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
Splenic Upper Pole Ischemia Following Sleeve Gastrectomy: First Case Report
Introduction: Laparoscopic Sleeve gastrectomy is relatively new surgical therapy for morbid obesity. The spleen receives it blood supply from the splenic artery and the short gastric vessels. We are reporting a first case of splenic upper pole ischemia following resection of the short gastric arteries in laparoscopic sleeve gastrectomy. Material and method: Gastrectomy and related… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Appendectomy Trends Lead to One Main Road: Laparoscopy
INTRODUCTIONThe use of laparoscopic appendectomy has steadily grown since its inception. Various reports demonstrated its advantage over open approach in reducing postoperative pain, incidence of wound infection, shorter duration of hospital stay. Currently, the choice of operative approach is mostly at the surgeons’ discretion. A retrospective study was performed to evaluate the trend for one… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Single Port Cholecystectomy
Objective: As the paradigm of Single Incision Laparoscopic Surgery (SILS) and Natural Orifice Translumenal Endoscopic Surgery (NOTES) advances, novel techniques and equipment are necessary for its progress. There have been various techniques for SILS cholecystectomy. Specifically, there has been no description of a single fascial incision without the addition of other ports or instruments for… Continue Reading
Laparoscopic Right Portal Vein Ligation for Metastatic Liver Tumors
In the case of an extended hepatectomy, percutaneous transhepatic portal vein embolization (PTPE) is necessary for a metastatic liver tumor, in order to enlarge the remnant liver. In a case with a giant tumor occuping the right lobe, PTPE would unavoidably injury the remnant liver. There is a method to perform portal vein branch ligation… Continue Reading
Efficacy of Hand-Assisted Laparoscopic Splenectomy for Portal Hypertension Patients with Thrombocytopenia
Peg-interferon and ribavirine therapy is promising for hepatitis C virus positive patients; however thrombocytopenia as its adverse event limits the treatment. We perform hand-assisted laparoscopic (HALS) splenectomy tonincrease the thorombocyte before interferon treatment for patients with thrombocytopenia.From March, 2006 to August 2008, we performed HALS splenectomy in 26 patients. 5 cases underwent Hassab operation. An… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
The Healthy Culture of Competition
In August 2008 the American Board of Surgeons announced new requirements for general surgery residents seeking board certification that will be implemented beginning July 2009. All residents in the class of 2009-10 and later will have to complete the Fundamentals of Laparoscopic Surgery (FLS) certification in addition to the current necessary certifications in ACLS and… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Single Incision Laparoscopic Cholecystectomy (silc) Step By Step: Refining the Technique
SAGE Sponcor: Vic Velanovich, MD Background: The traditional four incision laparoscopic cholecystectomy is being challenged by new innovative single incision approach. We present our refined technique of the single incision laparoscopic cholecystectomy (SILC), step by step, in an attempt to standardize this new technique and bring it as close as possible to the traditional four… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic Total Gastrectomy for Cardia Cancer with Esophageal Invasion
BACKGROUND: Total gastrectomy is the standard therapy for resectable gastric cancer, including cardia cancer. A number of cardia cancers are invasive to esophagus, which requires extensive resection of esophagus. In some cases, division of esophagus should be placed in thorax so as to secure margin of tumor. Division of esophagus and esophago-jejunostomy in Roux-en-Y anastomosis… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Comparison of the Serum Micronutrients Changes in Patients with Morbid Obesity After Laparoscopic Sleeve Gastrectomy(lsg) or Laparoscopic Biliopancreatic Diversion with Duodenal Switch (lbpd/ds) Surgery
Comparison of the serum micronutrients changes in patients with morbid obesity after laparoscopic sleeve gastrectomy(LSG) or laparoscopic biliopancreatic diversion with duodenal switch (LBPD/DS) surgery Ke Gong1,2, Michel Gagner2,3, Alfons Pomp2, Taghreed Almahmeed2, Sergio J Bardaro2. 1 Department of Surgery, Beijing Shijitan Hospital, Beijing, China 100038, 2 Department of Surgery, New York Presbyterian Hospital, Weill Medical… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Natural Orifice Surgery Using the Stomaphyx™ Endoplicator to Treat Pouch Dilitation and Gastrogastric Fistula After Open, Non-divided Rygb
Introduction: Natural orifice surgery using the StomaphyX™ endoplicator is an alternative approach to revisional gastric bypass surgery when post-op complications such as dilatation of the gastrojejunostomy, gastrogastric (GG) fistula, and gastric pouch dilation occur.Case Report: A 45-year-old white female presented 12 years after an open, non-divided RYGB. Over the past six months, she no longer… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Concurrent Validity and Skill Decay for the Lap Mentor Laparoscopic Surgical Simulator
Introduction: We hypothesized that the LAP Mentor virtual reality (VR) simulator can improve scores on a video test, which has previously been proven to accurately measure surgical skill, thus establishing concurrent validity. Furthermore, we suspected that a decline in performance would be noted following a three week to one month period without training.Methods and Procedures:… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Preoperative Evaluation of the Accessory Hepatic Ducts in the Calot Triangle with the 3-dimensional CT Image of Cholangiogram (3d-dic-ct) to Avoid Its Injury At Laparoscopic Cholecystectomy.
Introduction: Bile duct injury is one of the common problems which should be avoided in the Laparoscopic cholecystectomy. Endoscopic retrograde cholangiogram (ERC) is useful to find them, but it force to the patient burden and pain for more than 20 minutes. For the sake, we have been trying to figure out clear 3 dimensional (3D)… Continue Reading