Near total laparoscopic pancreatic resection for chronic pancreatitis
In the past, a minimally invasive technique in pancreatic surgery was only used for diagnostic laparoscopy in evaluating periampullary malignancy. Recent advances in operative techniques and instrumentation have empowered surgeons to perform all procedures in the pancreas surgery, including the Whipple procedure. Some of these tecniques represent the most sophisticated application of minimally invasive surgery.A… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Needlescopic Cholecystectomy As an Efficient, Safe and Cost-effective Alternative to N.o.t.e.s. Cosmetic Results – A Study of 815 Cases.
BACKGROUND: The advent of NOTES, surgery without skin scarring, is now challenging every surgeon to improve the esthetic results for patients. Needlescopic Cholecystectomy (NC) represents a refinement in laparoscopic surgery, potentially as cosmetically effective as NOTES. Nevertheless, because of the increased cost and difficulty in managing equipment, NC has not yet been widely accepted by… Continue Reading
New laparoscopic \”antero-lateral\”transperitoneal approach for ultra-splenomagaly
BACKGROUND: Laparoscopic splenectomy (LS) has been considered as the standard approach to remove a normal-sized spleen, but sometimes involves various troubles when applied to splenomegaly. To get good view for performing splenectomy for ultra-splenomegaly in Banti syndrome, for example, we developed "antero-lateral approach" with hand-assisted maneuver. We present our new methods in our recent cases… Continue Reading
New Technique for Gastrotomy Closure in NOTES and its Comparison with Endoclips
INTRODUCTION: Numerous experimental studies have been conducted to evaluate, explore, and develop Natural Orifice Transluminal Endoscopic Surgery (NOTES). The results have been varied ranging from mediocre to excellent. The most common challenge and perhaps the main limiting factor for the progress of NOTES has been the issue of adequate and effective gastrotomy closure. We describe… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Nineteen consecutive Laparoscopic Esophagectomies without Gastric Conditioning: Zero Leak, Necrosis, or Mortality
Introduction: Esophagogastric anastomosis ischemic events have a reported incidence of 3.2% resulting in leaks and necrosis. Gastric Conditioning (GC) has been proposed to reduce such morbidity. Unfortunately this exposes a debilitated patient to 2 operative procedures and is carried out 2-3 weeks prior to esophagectomy. We propose that with meticulous laparoscopic dissection, GC is not… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
No Correlation Between Self-Reported Musical Instrument Experience and Gains in Self-Confidence Levels of Trainees Undergoing Basic Skills Training in Minimally Invasive Surgery
Background: Reduced tactile sensation, two-dimensional depth, and the fulcrum effect make minimally invasive surgery (MIS) a challenge to teach and learn. Although video game experience appears to enhance MIS skills acquisition, the effect of prior experience in other complex motor skills is less clear. We examined if previous experience playing musical instruments contributed to self-confidence… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Noninvasive Method of Acute Pancreatitis Treatment Using Roentgenendovascular Procedure
Acute pancreatitis (AP) is one of the important problem of the urgent surgery, often registrated in surgical patients. The today’s situation occurs in treatment of patients with AP seemes to be far from satisfactory. One of the main problem of the contemporary surgery is to perform out the new ways of how to treat AP… Continue Reading
Nonlinear Analysis Quantifies Learning in Robot-Assisted Laparoscopic Surgery
To determine the proficiency of surgical skills in robot-assisted laparoscopy is important to identify the learning pattern. Traditional measurements, such as time to task completion (TTC), does not quantify accuracy and quality of learning. The aim of this study was to find a better measure to evaluate quality of learning. Lyapunov Exponent (LyE) is a… Continue Reading
NOTES: Cadaveric Rendezvous Hybrid Small Bowel Resection
Natural Orifice Translumenal Endoscopic Surgery (NOTES) is an emerging field in minimally invasive surgery that is driving the development of new technology and techniques. Before NOTES gains widespread popularity, it must be proven to be a safe and efficacious technique. There are several proposed benefits of the NOTES approach. Among these benefits are a potentially… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
NOTES: new concepts in gastric closure
Introduction:Closure of the gastrotomy, when performing transgastric procedures, is one of the most challenging steps. Several methods of gastric closure have been described in the literature but to date there is still a lack of a rapid, simple and effective device. The aim of this study was to evaluate the technical feasibility, efficacy and safety… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES Ovariectomy in Dogs–A Feasibility Study
NOTES procedures were performed in 5 dogs by creating access to the abdominal cavity via the stomach using a flexible endoscope and guide wire, needle knife electrode, and balloon dilation catheter. Following inflation with air, an electrocautery snare was used to coagulate and cut tissue to remove the ovaries. The ovaries were then extracted, visually… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES Pancreatic Pseudocystgastrostomy: a Human NOTES Anastomosis
Introduction: Natural orifice transluminal endoscopic surgery (NOTES) is a technique where an operation is performed across the lumen of a hollow viscus without the aid of an abdominal incision. Much of the early work in NOTES has utilized a transgastric approach due to ease of endoscope passage through the mouth. Pancreatic pseudocysts have long been… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
NOTES sigmoid resection
Bakground:NOTES Colonic resection is difficult to perform because of the need for exposure, dissection, vascular control and anastomosis. The aim of the present study was to evaluate the feasibility and early results of combined transgastric-transrectal NOTES sigmoidectomy.Materials and Methods:A two-week survival study was undertaken to evaluate the combined trangastric-transrectal approach for sigmoidectomy in 5 mini-pigs.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
NOTES: Transvaginal Cholecystectomy with Assisting Articulating Instruments
Introduction: Transvaginal cholecystectomy has been performed at several institutions using the hybrid NOTES techniques. Methods: The patient is a 42 year old female with symptomatic cholelithiasis. After obtaining informed consent, the patient was taken to the operating room for transvaginal cholecystectomy. A single 5 mm laparoscope was placed at the umbilicus, followed by a 15mm… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
NOTES Transvaginal Hernia Repair with Alloderm Mesh
Introduction: Natural Orifice Translumenal Endoscopic Surgery (NOTES) is a new technique for completing operations by using the body’s natural orifices. Patients with abdominal wall hernias are one subset of patients that may benefit from NOTES therapy as standard surgical techniques may create more hernias for these patients. Methods: Two 35 kg pigs underwent a ventral… Continue Reading
- Topic:
- Endolumenal / NOTES