Single Incision Laparoscopic Cholecystectomy Using Conventional Instruments: A Comparison with the Gold Standard
OBJECTIVE: The aim of this pilot study was to analyze our initial experience using single umbilical incision cholecystectomy (SILC) with conventional laparoscopic equipment in comparison with standard laparoscopic cholecystectomy (LC). METHODS: Between June 1, 2008 and September 30, 2008, data from all consecutive patients undergoing LC by two surgeons were prospectively collected and retrospectively analyzed… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Single Port Access (spa) Cholecystectomies: Multi-institutional Report of the First 100 Cases
Since the inception of Single Port Access (SPA) surgery in April 2007, we have strived to develop a reproducible technique applicable to cholecystectomy. The ability of other surgeons in varying institutions to perform a new technique is an important step in determining its feasibility. In follow-up to the initial report of our training program presented… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Single Port Access (spa) Surgery: Initial 150 Cases Using a Novel Laparoscopic Single Incision Approach
Our initial work with Single Port Access (SPA) Surgery was the application of the technique to cholecystectomy and oopherectomy. We have now developed the SPA technique into a platform that allows multiple abdominal procedures to be accomplished through a single incision, yet in most cases, maintaining the same instrumentation and dissection techniques as standard multiport… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
A Novel Technique for Laparoscopic Placement of Lumboperitoneal Shunts
Background: Lumboperitoneal (LP) shunts are effective in the treatment of intracranial hypertension but have traditionally been placed utilizing an open technique. This technique has been associated with migration of distal LP shunt catheters and can be especially difficult in the high proportion of obese patients, requiring a larger incision with greater associated morbidity and postoperative… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Advanced Laparoscopic Techniques Significantly Improve Function of Peritoneal Dialysis Catheters
Background: Continuous Ambulatory Peritoneal Dialysis (CAPD) catheters provide an alternative to hemodialysis in an increasing population of patients with chronic kidney disease. However, CAPD catheters have traditionally been associated with high rates of non-function using both the open and laparoscopic approaches. New advanced laparoscopic techniques utilizing rectus sheath tunneling and selective omentopexy have been reported… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Initial Clinical Assessment of Urological Laparo-endoscopic Single-site (less) Surgery
We examined the initial clinical experience of Urological LESS surgery in our institution.Methods: Since June of 2008, a total of 10 patients underwent LESS surgery (simple Nephrectomy and renal cryoablation).Surgical Technique: Laparoscopic entry technique is performed using the Veress needle for initial CO2 insufflation. Umbilical site incision is used for the placement of a 12… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
A Novel Approach to Laparoscopic-Assisted Transgastric ERCP After Roux En Y Gastric Bypass
Background: Since the advent of the Roux-en-Y Gastric Bypass (RYGBP), an increasing number of patients with altered upper gastrointestinal tract anatomy require endoscope retrograde cholangiopancreatography (ERCP). Endoscopic access to the remnant stomach with laparoscopic assistance is a technique well-described in the literature. However, manipulation of the flexible gastroscope within the peritoneal cavity and gastric remnant… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic Versus Open Resection of Gastrointestinal Stromal Tumors (gists)
INTRODUCTION: GISTs are the most common mesenchymal tumors of the gastrointestinal tract. Although they can occur anywhere along the gastrointestinal tract, they are most commonly identified in the stomach. Surgery is the optimal therapy in the majority of patients with non-metastatic GISTs. There is still some controversy as to the effectiveness of laparoscopic resection of… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Minimally Invasive Other
Incidental Gallbladder Cancer After Laparoscopic Cholecystectomy and the Need of a Complete Staging
Introduction: Incidental gallbladder carcinoma (IGBC) is a carcinoma first detected by the pathologist. The indication for the cholecystectomy was a benign disease. It is often supposed that the laparoscopic technique could deteriorate the prognosis of gallbladder cancer, often based on anterior data of only small groups and very often case reports. According to new data… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Consecutive Case Series of Single Incision Laparoscopic Cholecystectomy
Introduction: After training for SILS cholecystectomy, the technique was introduced in clinical practice to any consenting patients who were candidates for standard four-port laparoscopic cholecystectomy. The feasibility of this technique and frequency of conversions were assessed. Methods and Procedures: Over a one month period, 15 patients underwent laparoscopic cholecystectomy by an academic surgeon. The initial… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic Surgery for Splenic Artery Aneurysm -report of a Case-
[Introduction] Splenic artery aneurysm is not common disease, but has a risk of rupture as the other visceral aneurysms. There are some reports to embolize it by interventional approach, however many of the cases resulted in splenic infarction and consequent splenectomy. Open surgical treatment is the current standard for those cases. We report a case… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Hand Assisted Laparoscopy for Wandering Spleen
This is a case presentation of a patient with a wandering spleen. The patient is an 18 year old female who suffered from a malarial infection at age five. A CT scan at that time documented her spleen was located in the normal anatomical position. When the patient was 18 years old, she underwent an… Continue Reading
- Topic:
- Minimally Invasive Other
Hals Nephrectomy and Distal Pancreatectomy: Approach for Donor Benefits in Simultaneous Pancreas and Kidney Transplant
[INTRODUCTION] It is seriously important for living donations to make safer and to reduce operating stress. Laparoscopic surgery is though to be a useful operating procedure for solving these problems. We performed first case of living donor (LD) simultaneous pancreas and kidney transplantation (SPKTx) in Japan in 2004, and until now, we have done 10… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Single Port Laparoscopic Cholecystectomy with the Triport: Initial Experience
Introduction: As surgeons embrace the concept of increasingly less invasive surgery, techniques using only a single incision have begun to gain traction. The TriPort system (Advanced Surgical Concepts, Wicklow, Ireland) is a single port device which allows the surgeon to perform laparoscopic surgery through a single periumbilical incision. We are attempting to ascertain if the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Single Port Surgery Made Easy with Internal Retractors
Achieving adequate retraction and exposure during abdominal surgery is a fundamental requirement. In traditional open surgery retraction is achieved by the surgeons’ hands and mechanical devices anchored to the operating table. During laparoscopy dedicated incisions are performed and instruments are inserted into the peritoneal cavity for this purpose alone. For example, during a standard laparoscopic… Continue Reading
- Topic:
- Minimally Invasive Other