Laparoscopic Surgery in Colorectal Cancers: Experience with 118 Patients At Single Institution
INTRODUCTION: The aim of this study was to evaluate the results of patients laparoscopically treated for colorectal cancer at single institution (Surugadai Nihon University Hospital). PATIENTS AND METHODS: Between February 2005 and August 2009, 118 consecutive patients who had laparoscope-assisted resection due to colorectal cancer were evaluated retrospectively. Demographic data, such as age, gender and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Total Mesorectal Excision for Middle and Low Rectal Adenocarcinoma with or Without Sphincter Preservation: A Prospective Study
Background: Reports on laparoscopic total mesorectum excision (TME) for cancer are often retrospective and contain heterogeneous patients who had several types of resection (i.e., anterior resection, low anterior resection, all or partially laparoscopic). The goal of this study was to assess the feasibility, safety, and effectiveness with respect to perioperative and oncological outcomes in two… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Totally Extraperitoneal Preperitoneal (tepp) Inguinal Hernia Repair Using Fetal Bovine Dermal Tissue (surgimend).
Laparoscopic preperitoneal hernia repair is a viable option for the repair of initial and recurrent inguinal hernias. It is particularly appealing for the treatment of recurrent or bilateral inguinal hernias. Since the technique of laparoscopic inguinal hernia repair was first described in 1989 by Schultz, Graber and Pietrafitta, it has undergone a number of modifications.… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Transabdominal Preperitoneal Mesh Repair with Sutured Closure of Lower Abdominal Incisional Hernia – A Single Centre Experience of 15 Cases
Introduction:Lower abdominal scars are a common site for developing incisional hernias. The complex anatomy of the pelvic and lower abdomen limits the size of Intraperitoneal placement of large preperitoneal mesh in such situations help in overcoming this problem.Methods: From Jan 2006 to June 2009, we performed TAPP procedure in 15 patients, of which 13 were… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Transgastric Cyst Gastrostomy for an Unresectable Mucinous Cyst Adenoma of the Pancreas
IntroductionCystic neoplasms of pancreas represent less than 10 percent of all cystic lesions and less than 1 percent of all exocrine pancreatic neoplasms. They can be benign or malignant. Mucinous cystic neoplasms are the most common cystic pancreatic tumors accounting for 45 to 50 percent. These neoplasms have a natural evolution from benign to malignant… Continue Reading
Laparoscopic Transhiatal Approach for Squamous Cell Carcinoma of the Lower Third of the Esophagus
BACKGOUND: Esophageal squamous cell cancer located in the lower third of the esophagus often indicates surgery with left transthoracic approach. Surgery with left thoracotomy is less invasive than right thoracotomy, but thoracotomy itself is associated with morbidity and delayed recovery in cancer patients who are typically older and malnourished and often have pulmonary or cardiovascular… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Transhiatal Resection of Esophageal Diverticulum
Introduction: Mid-esophageal diverticulum is often associated with a concomitant esophageal motility disorder. The treatment consists of esophagomyotomy in addition to excision of the diverticulum. In patients with mid-esophageal diverticulum, the laparoscopic approach is less well accepted. Methods: We present a video of a 78 year old female with a long history of regurgitation, intermittent dysphagia… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Treatment of a Unique Case of Large Sliding Paraesophageal Hiatal Hernia with Intrathoracic Stomach and Achalasia
Purpose: We present a unique case of large sliding paraesophageal hiatal hernia, intrathoracic stomach and achalasia in a 54 year old male. Due to the concomitant paraesophageal hiatal hernia and intrathoracic stomach, and the need for surgical treatment, endoscopic management for achalasia was not attempted. The patient underwent laparoscopic paraesophageal hiatal hernia with reduction of… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Treatment of Crohn\’s Disease: A Resident Case?
IntroductionPatients with Crohn’s disease are most commonly afflicted in the region of the terminal ileum. In a university setting, patients often present to the surgeon with advanced disease that has been treated with multiple immunomodulators, and often have previous abdominal operations. MethodsA retrospective analysis of 50 patients with Crohn’s disease undergoing elective or semi-elective terminal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Treatment of Rectocele By Anterior Rectopexy
The patient is a 53 yo F with stage III symptomatic rectocele. 1. Installation/ PositioningThe patient is in gynecological position. We used 4 trocars. 2. Exposure to/of the operative fieldThanks to a pronounced Trendelenburg position the sigmoid loop is retracted appropriately. The uterus is fixed on the anterior abdominal wall.Findings: Douglas pouch is enlarged. Excces… Continue Reading
- Topic:
- Colorectal
Laparoscopic Ventral Hernia in the Elderly: A Safe Option
Introduction: To assess the early outcomes of laparoscopic ventral hernia repair in the elderly.Methods and Procedures: An operating room database of all laparoscopic ventral hernias performed between April 2001 to April 2009 was analyzed retrospectively. Patients were divided into two main groups: Group 1 (patients <65 years of age) and Group 2 (patients > to… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Versus Open Elective Sigmoid Resection in Diverticular Disease: Six Months Follow-up of the Randomized Control Sigma-trial
BackgroundThe short-term results of the Sigma-trial, comparing laparoscopic (LSR) versus open (OSR) elective sigmoid resection for diverticular disease, showed a 15.4% reduction in major complication rates, less pain, and shorter hospitalization at the cost of a longer operating time. Present data complements these results with six months follow-up. MethodsThis was a prospective, multi-center, double-blind, parallel-arm,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Vs Open Left (distal) Pancreatectomy- A Case-matched Comparative Study.
Objectives: Laparoscopic left pancreatectomy (LLP) is increasingly being performed with technical advancements in minimally invasive surgery. We reviewed our institutional series of left pancreatectomy cases and present a case-matched study evaluating the outcomes of LLP compared to matched patients undergoing OLP. Methods: All institutional left pancreatectomy procedures performed from June 2002 to June 2009 were… Continue Reading
Laparoscopy-Assisted Surgery for Recto-sigmoid Tumor: A Comparison of the Medial Approach and Lateral Approach.
Introduction: After spreading application of the technique, mobilization either by medial and lateral approach has been performed. However, the comparison of both techniques has not yet been well discussed. Methods: From May 1995 to May 2009, 150 patients with recto-sigmoid tumor were treated laparoscopically. Data were collected prospectively regarding background factors, operative factors, and postoperative… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparosocpic Distal Pancreatic Resection
INTRODUCTION: A laparoscopic approach to pancreatic disease is increasingly performed although its ultimate benefit is yet to be confirmed. Laparoscopic distal pancreatectomy with or without splenectomy is gradually gaining acceptance as an alternative to open resection in selected patients. The aim of this study is to report our initial institution experience with laparoscopic distal pancreatectomy.METHODS:… Continue Reading