Management of Retained Gallbladder/ Cystic Duct Remnant Post-cholecystectomy
Abstract : Pain upper abdomen following laparoscopic cholecystectomy often presents with diagnostic dilemma. We present 13 cases of gall bladder / cystic duct remnant containing stones that presented with recurrent biliary symptoms. Material & Methods : Over the last 10 years, 13 patients were referred to our institution for the evaluation of unexplained recurrent biliary… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Management of the Ultrasonically Activated Scalpel Handpiece with Self-check \”bme Mode\”.
Background:Recently the ultrasonically activated scalpels have been used in many kinds of operation. Clinical Engineers (CEs) need to check the ultrasonically activated scalpel handpiece after operations. We check the handpiece by working the tip of blade in water, however, it is impossible to inspect the deterioration of the handpiece. So, self-check “BME Mode” of Harmonic®… Continue Reading
- Type:
- Posters
Mantle Cell Lymphoma of the Gastrointestinal Tract Presenting with Multiple Intussusceptions – Case Report and Review of Literature
BackgroundMantle cell lymphoma (MCL) is an aggressive type of B-cell non-Hodgkin's lymphoma that originates from small to medium sized lymphocytes located in the mantle zone of the lymph node. Extra nodal involvement is present in the majority of cases, with a peculiar tendency to invade the gastro-intestinal tract in the form of multiple lymphomatous polyposis.… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Meandering External Iliac Artery: A Frequent Vascular Variant Found During Laparoscopic Inguinal Hernia Repair
Laparoscopic inguinal hernia repair requires extensive preperitoneal dissection for placement of mesh prostheses. Identifying known and expected anatomy within this preperitoneal space is crucial to the successful repair of inguinal hernias without complications. Proper dissection involves confident recognition of major pelvic vasculature. When vascular structures lie within their anticipated anatomic locations they are easily left… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Measuring Esophagogastric Junction Distensibility Perioperatively At Heller Myotomy for Achalasia Using Endoflip®
Objective: To investigate the potential for using EndoFLIP ® as a tool for measuring changes to the distensibility at the EGJ as a result of the mechanical changes caused by Heller myotomy and subsequent Dor fundoplication.Method: The EndoFLIP catheter with a 11cm long deflated balloon was inserted orally and positioned to straddle the EGJ before… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Measuring Performance Using the Goals-incisional Hernia Module (goals-ih)
Introduction – The Global Operative Assessment of Laparoscopic Skills (GOALS) is a valid and reliable measure of basic laparoscopic skills in the operating room. GOALS-Incisional Hernia module (GOALS-IH) was developed by expert surgeons to evaluate performance of specific skills required for laparoscopic incisional hernia repair (LIHR). The purpose of this study was to assess the… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Mediastinoscopic Transhiatal Esophagectomy for an Aged Person with Type 4 Thoracic Esophageal Cancer: Report of a Case
A 83-year-old man complaining of disphagia was referred to our hospital for further examination and treatment of esophageal cancer. An upper gastrointestinal endoscopy showed the circumferential stenosis of the esophagus at 33~38cm from the incision teeth. The mucosa of the stenotic part was almost intact with slight erosion and the biopsy specimen from the erosive… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Mentored Trainees Obtain Comparable Operative Results to Experts in Complex Laparoscopic Colorectal Surgery
Introduction: Laparoscopic Reversal of Hartman’s Procedure (LRHP) is a demanding laparoscopic colorectal procedure usually performed by experienced surgeons. The aim of this study is to evaluate the impact of an expert monitoring on the quality and results of LRHP performed by trainee surgeons. Materials and methods: Fourty-two LRHP were performed between 2000 and 2008. The… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Mentoring Facilitates Oncologically Sound Laparoscopic Colon Resection
Objective: There is a significant learning curve to overcome for laparoscopic colorectal resection. For the established general surgeon there are minimal opportunities for obtaining the necessary skills for advanced laparoscopic procedures. Our hypothesis is that the assistance of a MIS trained surgeon facilitates comparable and oncologically adequate laparoscopic colorectal resection when performed by an established… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Mentorship for Participants in a Laparoscopic Colectomy Course
INTRODUCTION: Despite data suggesting improved outcomes with laparoscopic colectomy (LC), less than 10% of colectomies in the USA are currently performed laparoscopically . One mechanism of incorporating LC into practice is to attend a LC Course (LCC). Post-course mentorship is recommended by SAGES and the ASCRS, in addition to course participation, to encourage adoption of… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Microlaparoscopic Gastric Bypass Is As Safe a Traditional Laparoscopic Gastric Bypass
Introduction: Techniques which limit incisions, such as NOTES (Natural OrificeTranslumenal Endoscopic Surgery) or single port surgery have gained muchattention recently. They are thought to have many benefits. Someinvestigators have applied these techniques to bariatric surgery. Wehave assessed the safety of Roux-en-y gastric bypass surgery usingmicrolaparoscopy techniques as an alternative. Methods: Retrospective analysis of institutional NSQIP… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Mini-incision Laparatomy As a One Stage Approach in Management of Complicated Gallstone Disease
Background: Mortality, complication and conversion rates are significantly higher for patients with complicated forms of gallbladder stones than in those with uncomplicated types. To reduce these criteria we designed a working algorithm for management of such patients. Methods: In a period of 5 years (2004 – 2008) 412 patients with different complication forms of gallbladder… 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
Minimally Invasive Donor Nephrectomy Using a Supra-pubic Approach: Initial Clinical Experience
Introduction: There is increasing discrepancy between number of patients awaiting transplantation and the number of available organs. To increase the donor pool, live donor kidney transplantation is an excellent option and has become the gold standard for renal transplant. Most operations are performed with conventional laparoscopy with supra-pubic organ extraction from a Pfannenstiel incision. However,… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Minimally Invasive Esophagectomy for Clinical Early Stage Esophageal Squamous Cell Carcinoma: Thoracoscopy Compared with Mediastinoscopy Assisted
Objective:Minimally invasive esophagectomy has been applied wildly for esophageal carcinoma treatment. Thoracoscope-assisted transthoracic esophagectomy(TATTE) and mediastinoscope-assisted transhiatal esophagectomy(MATHE) were two kind of MIE, the objective of this study was to compare these two methods with respect to surgical feasibility and safety. Methods: Single institute experience with MATHE and TATTE was analyzed to assess morbidity, adequacy… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery