Magnetic Surgery for Liver Retraction: An Incision-less Approach for Less Invasive Bariatric Surgery
Matthew J Davis, MD, Camila B Ortega, MD, Dana Portenier, MD, Chan Park, MD, Ranjan Sudan, MD, Jin Yoo, MD, Keri Seymour, DO, Sugong Chen, MD, Scott Schimpke, MD, Alfredo D Guerron, MD. Duke University Health CenterIntroduction: In laparoscopic bariatric surgery, retraction of the liver is essential to ensure appropriate visualization of the surgical field.… Continue Reading
A NOVEL WIRELESS DEVICE CAN ACCURATELY MEASURE OUTPUT IN OSTOMY PATIENTS
Robert Fearn, MRCP, MSc, MBChB, Swathi Rajagopal, MBBS. Homerton University Hospital NHS Foundation TrustBackground: Colorectal surgery for benign and malignant conditions commonly results in the formation of an excretory stoma with population prevalence rates as high as 2-4 per thousand. Stoma patients are prone to a number of complications, which include acute kidney injury, hospital… Continue Reading
Endoluminal protection of colorectal anastomosis using a temporary non invasive bypass in pigs
Charam Khosrovani, MD. Clinique FonvertAims: Anastomotic leakage (AL) and its complication remain the main concern following colorectal surgery. A defunctioning ostomy is commonly used to protect patients but is fraught with its own complications. This study examined the feasibility, safety, usefulness of Colovac, an anastomosis protection device, alleviating the need for ostomies. Colovac consists of… Continue Reading
Quantitative Analysis of Colon Perfusion Pattern using Indocyanine Green (ICG) Angiography in the Laparoscopic Colorectal Surgery
Gyung Mo Son, MD. Pusan National University Yangsan HospitalPurpose: This study is to evaluate quantitative analysis of colon perfusion pattern using ICG angiography to find the most reliable predictive factor for perfusion status and anastomotic complications after laparoscopic colorectal surgery. Methods: Fluorescence imaging system (IMAGE1 S™, Karl Storz, Germany) was applied to colorectal cancer patients… Continue Reading
ENDOSCOPIC TECHNIQUE FOR CLOSURE OF ENTEROCUTANEOUS FISTULAS
James D Roy, MD, Paul Rider, MD, Leander Grimm, MD, John Hunter, MD, William Richards, MD. University of South AlabamaIntroduction: Enterocutaneous fistulae represent a spectrum of disease that offer plentiful challenges to surgeons. The mainstays of treatment are long term conservative management versus surgical management in typically malnourished patients with hostile abdomens. At our institution,… Continue Reading
Intraoperative localization of insulinoma using near-infrared fluorescent light
David Gutierrez Blanco, MD1, Lisandro Montorfano, MD1, Lisandro Alle, MD2, Gonzalo Carles, MD2, Fernando Dip, MD1, Luis Sarroto, MD2, Emanuele Lo Menzo, MD1,Raul Rosenthal, MD1. 1Cleveland Clinic Florida, 2Hospital de Clinica Jose de San MartinThis video demonstrates the use of near-infrared fluorescent light in the localization of insulinoma. This is a 65-year-old man that came… Continue Reading
Per-oral endoscopic myotomy followed by endoscopic fundoplication, a novel and refined method of POEM
Haruhiro Inoue, MD, PhD. Digestive Disease Center, Showa University Koto Toyosu HospitalBackground: Since its introduction in 2008 POEM (Per-oral endoscopic myotomy) has become a minimally invasive endoscopic treatment of choice for achalasia. In the last 9 years we have performed more than 1500 cases of POEM procedure for achalasia and other esophageal motility disorders. Post… Continue Reading
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Laparoscopic and Open Surgery for Ulcerative Colitis.
Shinichi Yamauchi, MD, PhD1, Takatoshi Matsuyama, MD, PhD1, Ayumi Takaoka, MD1, Yuriko Matsumiya, MD1, Ryota Seki, MD1, Fukuichiro Orita1, Megumi Sasaki, MD1, Tomiyuki Miura, MD1, Akifumi Kikuchi, MD, PhD1, Megumi Ishiguro, MD, PhD2, Toshiaki Ishikawa, MD, PhD2, Hiroyuki Uetake, MD, PhD2, Masamichi Yasuno, MD, PhD1, Yasuaki Nakajima, MD, PhD1, Kazuyuki Kojima, MD, PhD1, Yusuke Kinugasa,… Continue Reading
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Impact of patient age on morbidity and survival following laparoscopic pancreaticoduodenectomy
Lingwei Meng1, Qinghong Xia2, Yunqiang Cai1, Yongbin Li1, Bing Peng3. 1Department of General Surgery, ChengduShangjinNanfu Hospital, 2Department of Operation Room, ChengduShangjinNanfu Hospital, 3Department of Pancreatic Surgery, West China Hospital of Sichuan UniversityAIM: To present short- and long-term outcomes in elderly patients who performed laparoscopic pancreaticoduodenectomy (LPD) compared with the young. METHODS: A total of 189… Continue Reading
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Transoral Incisionless Fundoplication TIF 2.0 for Gastro-Esophageal Reflux Disease Using the Latest Iteration and Recently FDA Cleared EsophyX Z Report of First Worldwide Prospective Series of 10 patients Treated with EsophyX Z.
Adrian Lobontiu, MD, FACS1, Mircea Beuran, MD, FACS2, Matei Bratu, MD2, Bogdan Diaconescu, MD2, Mihaela Vartic, MD2, Ionut Negoi, MD, PhD2. 1Academic Henri Mondor Hospital, Creteil, Paris, France, 2Academic Emergency Hospital BucharestObjective: TIF 2.0 with the latest iteration of EsophyX Z is an endoluminal approach for patients with GERD, creating a partial fundoplication. Description of… Continue Reading
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Development of an Endoluminal Colorectal Stent to Facilitate Healing and Prevent/Treat Anastomotic Leak
Sung G Lee, MD1, Jenna LaColla2, Rachel Slappy2, Elizabeth Barker, PhD2, Andrew Russ, MD, FACS, FASCRS1. 1University of Tennessee Medical Center at Knoxville, 2University of Tennessee Department of Mechanical, Aerospace, and Biomedical EngineeringBackground: More than 600,000 colon resections are performed each year in the United States to treat a wide variety of colon diseases and… Continue Reading
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Management of Perianal Crohn’s Disease with Porcine Urinary Bladder Matrix
Juliane Y Cruz, MD1, Elyse Leevan, MD1, Kristine Verdell, RN2, Gabriel Akopian, MD, MBA2, Howard S Kaufman, MD, MBA1. 1Huntington Hospital, 2Huntington Medical Research InstitutesObjective of Technology: Perianal disease occurs in up to 24% of patients with Crohn's disease (CD) and can manifest as deep fissures/ulcers, abscesses, fistulae, non-healing wounds, and large hypertrophic skin tags. Persistent… Continue Reading
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Staged Laparoscopic Adjuvant Hyperthermic Intraperitoneal Chemotherapy (HIPEC) After Complete Resection For Locally Advanced Colorectal Or Gastric Cancer Long-term follow-up results
Elie Chouillard. Paris West Medical CenterPurpose: Cytoreductive surgery (CRS) followed by hyperthermic intraperitoneal chemotherapy (HIPEC) is a promising treatment for selected patients with peritoneal carcinomatosis (PC). Usually, HIPEC is performed concomitantly with CRS for peritoneal (PC) or more occasionally as an adjuvant treatment after gastric resection for cancer. In this report, we describe the long-term… Continue Reading
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A novel anti-reflux reconstruction after totally laparoscopic total gastrectomy: Jejunal Pouch-Esophageal Anti-reflux Anastomosis (JPEAA)
Shi Chen, PhD, Jun Xiang, Xi-Jie Chen, Dong-Wen Chen, Jun-Sheng Peng. The 6th Affiliated Hospital, Sun Yat-Sen UniversityDigestive tract reconstruction after totally laparoscopic total gastrectomy has always been a challenge for surgeons. Roux-en-Y (R-Y) anastomosis has commonly been used more recently. However, postoperative reflux disease and anastomotic leakage are the main problems for patients after… Continue Reading
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Decision of transection line for colectomy using Laparoscopic Assisted Vessel Enhancement method.
Masumi Wada, Shinichiro Mori, Yoshiaki Kita, Kenji Baba, Kan Tanabe, Masayuki Yanagi, Takaaki Arigami, Yasuto Uchikado, Kosei Maemura, Masahiko Sakoda, Shoji Natsugoe. Department of Digestive, Breast and Thyroid Surgery, Graduate School of Medicine, Kagoshima University,Devise: 10mm laparoscope Objective: Assessment of blood perfusion is important to avoid postoperative anastomotic leakage. Fluorescence imaging with indocyanine green (ICG)… Continue Reading
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