Cost Savings Analysis of Reusable Versus Disposable Trocars
Introduction: Cost effective delivery of high quality medical care is a focus of today’s economic climate. An excess of 900,000 laparoscopic cholecystectomies (LC) are performed annually in both the inpatient and ambulatory setting. The material costs of laparoscopic versus open procedures have been extensively studied. A portion of these costs includes disposable instruments and trocars.… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Summary of Five Cases Hals-nephrectomy and Distal Pancreatectomy: Minimally Invasive Approach for Donor Operation of Simultaneous Pancreas and Kidney Transplant
[INTRODUCTION] It is seriously important for living donations to make safer and to reduce operating stress. Laparoscopic surgery is though to be a useful operating procedure for solving these problems. We performed first case of living donor (LD) simultaneous pancreas and kidney transplantation (SPKTx) in Japan in 2004, and until now, we have done 13… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Intraoperative Injection of Bupivacaine to the Diaphragmatic Crura Significantly Eliminates the Need for Opioids After Laparoscopic Nissens Fundoplication
Objective: Our purpose was to compare the efficacy of crural injection of Bupivacaine on perioperative analgesic requirements in patients undergoing laparoscopic nissens fundoplication. Methods: We performed a double blind prospective randomized cohort study to minimize experimenter expectancy on the results. 50 patients planned for laparoscopic nissens fundopilcation were chosen and assigned in to two groups… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Prospective Comparative Therapies for Portal Hypertension Using Laparoscopy and Open Azygoportal Disconnection
Background Laparoscopy azygoportal disconnection maybe an alternative to open azygoportal disconnection on portal hypertension, the paper aimed to compare clinical effects of laparoscopy or open azygoportal disconnection on portal hypertension, and to discuss the methodology, safety, and effectiveness of laparoscopic splenectomy combined with devascularization of the lower esophagus and upper stomach. Methods Eighty patients (from… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Single Incision Endo-laparoscopic Surgery a Prospective Study
Endo-laparoscopic surgery has evolved dramatically since the first laparoscopic cholecystectomy 20 years ago but today a newest concept of single port endo-laparoscopic surgery (SPES) is becoming popular. The advantages of this novel approach seems to be the less invasiveness by reducing the number of incisions and the less postop pain. Certainly, new instruments and additional… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Minilaprotomy Approach to Perforated Duodenal Ulcer
Background and Purpose: Although the technical feasibility of laparoscopic approach to perforated duodenal ulcer is well established, this procedure has not been widely performed because of several limitations. This retrospective study was performed to clarify the feasibility, safety, and minimal invasiveness of a minilaparotomy for perforated duodenal ulcer. Patients and Methods: We retrospectively analyzed data… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Scarless Laparoscopic Appendectomy By Hidden Suprapubic Approach
Background: Laparoscopic appendectomy (LA) is the choice for treatment of acute appendicitis, mainly for young females because of the possibility of gynecologic illness. According to the new trends a scarless surgery is desirable. TUES and NOTES requires a selected subset of patients. We present a modified LA capable to resolve common or complicated cases for… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Development of New Methods and Devices for Forming Minimally Invasive Anastomoses – Towards a Compression Enteral Anastomosis with Immediate Drainage
INTRODUCTION Minimally invasive surgery has allowed less abdominal wall trauma, but anastomoses are completed in a fashion similar to open surgery with staplers. Disadvantages to stapled anastomoses include requiring large port sites and large enterotomies for passage of staplers. An alternative is a compression anastomosis created by applying a constant pressure between adjacent bowel limbs… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
A Scarless Cholecystectomy Made Easy By the Hidden Suprapubic Approach
Currently, a new trend for no scar procedures has become very popular, mainly for cholecystectomy. The needlescopic surgery is not suitable for complicated cases and the incisions are located at visible points. TUES procedure has a limited critical view and requires at least a 25 mm umbilical incision. NOTES requires a sophisticate endoscope through the… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Conventional 4-port Laparoscopic Cholecystectomy Versus SILS™ Port Laparoscopic Cholecystectomy- Early Results of the First Prospective Randomized Sham Controlled Trial
Introduction: Laparoscopic surgery through a single incision (SILS™) aims to enhance the benefits of conventional minimally invasive surgery by reducing the number of required surgical incisions. To date, SILS™ has been utilized to accomplish cholecystectomy, gastric banding, Nissen fundoplication, appendectomy, nephrectomy, tubal ligation, gastric bypass, right colectomy, sleeve gastrectomy, and numerous other procedures. The initial… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Minimally Invasive Other
Transumbilical Minimally Invasive Surgery (tumis): The Early Experience in a Tertiary Care Center
Introduction: Transumbilical minimally invasive surgery (TUMIS) involves performing laparoscopy through a single, small umbilical incision. The primary goal is to avoid visible scarring. There also may be potential for decreased postoperative pain with this approach. This study examines the early experience of an advanced minimally invasive program developing this technique using standard laparoscopic equipment.Methods: Data… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
The Current Status of Laparo-endoscopic Single-site Surgery (less) Across Surgical Disciplines, a Single Institution\’s Experience.
Objective: To evaluate one institution’s multi-departmental experience performing LESS procedures. Introduction: LESS, also known as single incision laparoscopic surgery, has emerged as one of the newest surgical modifications of laparoscopic surgery. LESS procedures can be performed using various combinations of articulating and straight instruments with various angled or flexible cameras while achieving similar results to… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Pictorial Documentation of Laparoscopic Cholecystectomy
Introduction: Concerns have been raised as to how to maintain pictorial documentation of an interesting finding during laparoscopic cholecystectomy (LC). We believe that documentation of surgery is of essential benefit, especially if a complication arises. In addition, documentation may be utilized for future reference for patient care. Methods: We reviewed the pictorial documentation of 100… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Acceptance of Single Port Endoscopic Surgery (spes), NOTES and Laparoscopic Surgery in a Cohort of Surgical Patients
Introduction: Single Port Endoscopic Surgery (SPES) and Natural Orifice Transluminal Endoscopic Surgery (NOTES) are the emerging surgical concepts of the 21st century. In both techniques the aim is to minimize the surgical aggression by reducing the entry ports and to have better cosmetic results. The aim of the current study is to assess the opinion… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Initial Experience with Single Incision Laparoscopic Surgery
Introduction: To further reduce trauma of the abdominal wall and improve cosmesis, Single Incision Laparoscopic Surgery (SILS) has been advocated. Aim of this study is to describe the first experiences with the implementation of SILS at the Medical University of Vienna. Methods: We analyzed all SILS procedures performed between November 2008 and September 2009. Data… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other