Radical Transanal Endoscopic Microsurgey (tem): Endoluminal Surgery for Complex Rectal Lesions
Introduction: TEM represents the only longstanding approach to endoluminal surgery. Guidelines excluding large lesions and those that may require entry into the peritoneal cavity limit the applicability of TEM surgery. This study evaluates the feasibility, safety, and efficacy of radical application of TEM for the treatment of complex rectal lesions. Methods: From a prospective TEM… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Sleeve Gastrectomy: Comparison Between NOTES, Single Port and Laparoscopic Approach. Initial Experience.
INTRODUCTION: Nowadays, the trend of the modern surgery goes towards “minimally invasive” surgery. Early mini-laparotomies were followed by the big revolution of laparoscopy and now we are living the revolution of natural orifice surgery. NOTES has been a huge change for the surgeons because it involves breaking many established dogmas in general surgery and starting… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
First Human Experience with Endoluminal, Endoscopic Gastric Bypass
Introduction: Here we report the first human experience with an endoluminal, endoscopically delivered and retrieved gastro-duodeno-jejunal bypass sleeve (ValenTx, Inc. Carpinteria, CA), including the short-term weight loss and changes in co-morbidities. Methods and Procedures: The gastro-duodeno-jejunal bypass sleeve (GJBS) is a 120cm sleeve secured at the esophago-gastric junction with endoscopic and laparoscopic techniques, and is… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Antireflux Transoral Incisionless Fundoplication Using Esophyx: The New York Evidence
Introduction: The North American experience with EsophyX is limited. The aim of this study was to assess the efficacy, outcome and safety of EsophyX for endolumenal fundoplication for patients with gastroesophageal reflux disease (GERD) at a single institution. Methods: Data of consecutive patients who underwent transoral incisionless fundoplication using EsophyX was retrospectively analysed. All patients… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Laparoendoscopic Single-site (less) Cholecystectomy: Results of a Pilot Randomized Trial
At present time the four-port approach to laparoscopic cholecystectomy is the gold standard treatment of gallstones. In the last 2 years new designed technologies made feasible the accomplishment of laparoscopic cholecystectomy through a single access. Such a scar-less procedure has several potential benefits (lesser pain, improved QoL, better cosmetics, reduced LoS) and almost none of… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Natural Orifice Surgery: Initial Brazilian Experience Utilizing the Stomaphyxtm Device to Reduce Gastric Pouches and Gastrojejunostomy Anastomosis (stoma) After Roux-en-Y Gastric Bypass
Introduction: Weight gain after bypass can occur in up to 10% of patients 5 years following and in about 20% of patients 10 years following surgery. This phenomenon has been studied extensively, but there is often no one reason this occurs. Once psychological and dietary reasons have been investigated, revisional surgery may be the only… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Expandable Gastric Port (egp) for NOTES
Introduction: Although translumenal procedures are minimally invasive, there are also various risks involved, such as the intraperitoneal biological and chemical contamination. This study presents a new device made in order to avoid this complication.Methods: Five White Landrace pigs weighing approximately 30 to 35 kg underwent the placement of a device consisting in an expandable sheath… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Endoscopic Treatment for Gastric Perforation Using T-tag and Plastic Protection Chamber
Background: The endoscopic gastric perforation is a consequence of some endoscopic procedures and now a way to manage abdominal organs. This is the reason why endoscopists are studying a safe endoscopic repair.Methods: Ten White Landrace pigs underwent a gastric perforation of 1.8cm in diameter under general anesthesia. The opening was repaired with stitch assembled in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
EFL for the treatment of GERD: Feasibility study of a new technique in pigs
BACKGROUND: A feasibility study was undertaken with a new treatment for gastroesophageal reflux disease (GERD) that emulates surgical fundoplications and recreates the anti-reflux barrier by forming a one-way gastroesophageal valve. This new endoluminal fundoplication technique involves inserting the EsophyXTM device transorally with the goal of creating a 3–5cm, 180–270 circumference Valve by delivering multiple fasteners… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
New Platform for a Hybrid N.o.t.e.s.trans-vaginal Sleeve Gastrectomy
The Laparoscopic Sleeve Gastrectomy is being performed as a primary bariatric operation with increasing frequency. This is the first human study reporting the results of 5 hybrid N.O.T.E.S. trans-vaginal sleeve gastrectomy operations using the new Steerable Flexible Trochar, (SFT), from Ethicon. The SFT was used to provide a stable trans-vaginal access platform for visualization during… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Combining Single Incision Laparoscopy and NOTES to Minimize Trauma for Advanced Procedures: Gastric Bypass in a Porcine Model
Introduction: Despite potential advantages of hybrid-NOTES Roux-en-Y gastric bypass (RYGBP), previous research demonstrated its limitation in human cadavers and the strong need for laparoscopic assistance during NOTES for advanced procedures. We assumed that the combination of further knowledge, new instruments and techniques would offer opportunities to perform advanced laparoscopic surgery applying single incision and natural… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
An Ex Vivo Bacteriologic Study Comparing Antiseptic Techniques for Natural Orifice Translumenal Endoscopic Surgery (notes) Via the Gastrointestinal Tract
Introduction: NOTES represents a potentially less invasive alternative to conventional laparoscopy. By traversing the gastric or colonic wall to gain access to the peritoneal cavity, the traditional percutaneous route is avoided. However, breach of the gut wall raises the specter of intra-peritoneal infection. Various anti-microbial techniques have been employed—sterile saline rinse, intravenous and topical antibiotics,… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Natural Orifice Translumenal Endoscopic Surgery (notes): A Technical Review
Introduction: NOTES is an evolving field in minimally invasive surgery. This review quantifies the published NOTES experience to date and reports the most common techniques for access, dissection, extraction, and closure. Methods: We performed a search of the MEDLINE database using PubMed for all articles describing human NOTES cases. Articles providing a technical description of… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES in Emergency
Aims. Evaluation of the efficiency and reproductibility of hybrid transvaginal endoscopic surgery in non-elective surgical procedures to treat intraabdominal infections caused by acute cholecystitis, appendicitis or tubo-ovarian infection. Methods. Prospective non-randomized clinical series of ten selected female patients with acute intraabdominal infection caused by acute cholecystitis (n=6), appendicitis (n=2) and pelvic infection of tubes or… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Esophageal Stent Placement Provides Safe Closure Following Transesophageal Access for NOTES® Thoracic Procedures
INTRODUCTION: Safe esophageal closure remains a challenge in transesophageal Natural Orifice Transluminal Endoscopic Surgery (NOTES) procedures. Suturing or t-tag devices are time consuming and risk organ injury due to their blind deployment. Endoclips are difficult to place in the narrow esophagus and submucosal tunneling techniques do not necessarily prevent leakage of esophageal contents into the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES