Laparoscopic Colectomy Is Safer Than Open Colectomy: A Propensity Score Matched, Risk-Adjusted Analysis From 183 Hospitals
INTRODUCTION: Though patient preference appears to drive the move to laparoscopic colectomy, it is uncertain whether surgeons should preferentially offer a laparoscopic approach over an open approach because of increased safety alone. There has not been adequate multi-institutional evidence comparing appropriate patient cohorts to answer this important question.METHODS: From 2005-2007, 183 hospitals participating in the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Collis-nissen Fundoplication in a Patient with Tracheoesophageal Fistula Repair with Recurrent Hiatal Hernia and Gastroesophageal Reflux
INTRODUCTION: A 6 year old with a history of a tracheosophageal fistula presents with a history problematic for recurrent hiatal hernias and severe gastroesophageal reflux. He underwent a laparoscopic Nissen fundoplication at 3 months of age. He had continued reflux and strictures and underwent a revision Nissen fundoplication with repair of a hiatal hernia at… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Colon Simulator
Introduction: Laparoscopic simulators are utilized as an integral part of pre-clinical OR surgical training and proficiency assessment. Currently no standard model for teaching laparoscopic colectomy exists. We hypothesized that performance on a laparoscopic colectomy simulator would correlate with key laparoscopic skills and level of clinical volume and expertise.Methods: 15 surgeons participated in this study which… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Laparoscopic Colorectal Resection for High Risk Patients
Introduction: Laparoscopic colectomy has been proven to be an accepted option for the treatment of colorectal cancer. Its application in high-risk patients is still controversial. This study reviewed the outcome of high-risk patients who underwent laparoscopic resection for colorectal neoplasm. Methods: During the study period, data on patients with colorectal resection were collected propectively. In… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Common Bile Duct Exploration and Laser Lithotripsy: A Novel Approach to Management of Common Bile Duct Stones
Introduction: Common bile duct stones (CBDS) are found in approximately 10% of patients who undergo cholecystectomy. Symptomatic common bile duct stones are a source of significant morbidity as they may cause obstructive jaundice, cholangitis, biliary cirrhosis and pancreatitis. Endoscopic retrograde cholangiopancreatography (ERCP) has been a mainstay of treatment for common bile duct stones. Laparoscopic common… Continue Reading
Laparoscopic Common Bile Duct Exploration(lcbde) in Cbd Stones
Introduction : With the progress of gastrofiberscopy, the endoscopic sphincterotomy have been performed as a standard therapy for CBD stones. But in the recent studies, the primary laparoscopic CBD exploration is superior or not inferior than endoscopic sphincterotomy in the clearance rate and morbidity rate. And also, there have been many studies about the advantages… Continue Reading
Laparoscopic Completion Proctocolectomy and Ipaa
The patient is a 21 year old female status post laparoscopic subtotal colectomy with end ileostomy 7 months earlier for fulminant ulcerative colitis. She has been off steroids for 2 months. She presents now for elective takedown of end ileostomy, completion proctocolectomy, and J-pouch reconstruction. This video demonstrates the laparoscopic completion proctocolectomy and ileal pouch… Continue Reading
- Topic:
- Colorectal
Laparoscopic Cystgastrostomy
Introduction:Laparoscopic drainage is a definitive and effective treatment for symptomatic pancreatic pseudocysts. Pancreatic pseudocysts are pancreatic fluid collections that develop a defined fibrous wall without a true epithelial lining. These are usually caused by acute or chronic pancreatitis or trauma with disruption of the pancreatic duct. 85% resolve spontaneously in six weeks. Large pseudocysts can… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Laparoscopic Distal Pancreatectomy and Splenectomy for Splenic Artery Aneurysm
Introduction: Large splenic artery aneurysms are rare, but comprise 60% of all visceral artery aneurysms. Most are found incidentally and rupture in the non-pregnant patient carries an approximate 25% mortality rate. Historically these have been managed with an open surgical approach for resection.Methods: We present the case of a 45 year old male with a… Continue Reading
- Topic:
- Solid Organ and Endocrine
Laparoscopic Distal Pancreatectomy with Spleen Preservation
Spleen sparing distal pancreatectomy is usually performed for small or benign looking tumors of the body and tail of the pancreas. Such tumors include neuroendocrine pancreatic tumors, intraductal papillary mucinous neoplasm and other cystic lesions.The procedure of distal pancreatectomy with spleen preservation may be challenging and technically difficult when performed in the open fashion, let… Continue Reading
- Topic:
- Solid Organ and Endocrine
Laparoscopic Duodeno-jejunal Bypass (ldjb) As a Surgical Treatment for Type 2 Diabetes Mellitus in the Non Obese Patients. Early Experience.
Introduction: We know from bariatric surgical literature that all bariatric surgical techniques resolve diabetes (T2DM) from 73% to 98% in obese patients, this resolution occurs among days to weeks after surgery. Based on Dr. Rubino’s research on animals, LDJB has been proposed as an alternative of treatment for T2DM in non obese patients.Objective: To confirm… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Enucleation of Pancreas Tail or Head Lesion: Report of 13 Cases
Introduction) Laparoscopic enucleation of pancreas (LEP) can be best treatment option avoiding resection or pancreatic anastomosis, if performed appropriately and safely. But reports regarding LEP have been rare and mainly case report. So, we herein report the largest series of LEP to date.Method) From April 2006 to Aug 2008, total 13 cases of LEP were… Continue Reading
Laparoscopic Enucleation of Pancreatic Tumors
Introduction: In an attempt to reduce the incidence of development of pancreatic insufficiency following subtotal pancreatectomy, lesser procedures (central pancreatectomy, enucleation) are advocated for selected patients. Enucleation of pancreatic tumors carries the risk of pancreatic duct leakage or inadequate resection. We have performed laparoscopic enucleation of pancreatic tumors in selected patients since 1992. We present… Continue Reading
Laparoscopic Esophagomyotomy for Achalasia After Laparoscopic Roux-en-Y Gastric Bypass for Morbid Obesity
Obesity has become a national epidemic and the only proven long-term method of weight loss is surgery. The laparoscopic Roux-en-Y gastric bypass is the most common bariatric procedure performed in the United States. Achalasia, a swallowing disorder of the lower esophageal sphincter (LES), is uncommonly found in obese patients or formerly obese patients. Definitive surgical… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Excision of a Urachal Remnant
The urachus connects the bladder to the allantois during gestation, and normally involutes shortly after birth. Abnormalities of the urachus, which include cysts, remnants and diverticula, can result in persistent umbilical drainage and infection. Excision of an incompletely involuted urachus is recommended to prevent infection, and is typically accomplished through a transverse infraumbilical or vertical… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other