NOTES® Stapled Cystgastrostomy -a Novel Approach for Surgical Management of Pancreatic Pesudocysts
Background:Traditional approach for surgical management of mature pancreatic pseudocysts is by internal drainage by cystgastrostomy or cystjejunostomy via open or laparoscopic approaches. Endoscopic drainage procedures have been described; however, they require multiple interventions and are sometimes not definitive. We describe NOTES® (Natural Orifice Translumenal Endoscopic Surgery) stapled cystgastrostomy as a less invasive surgical procedure for… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Endoscopic Transesophageal Mediastinal and Thoracic Lymph Node Dissection with En Bloc Resection
This video demonstrates a novel, transesophageal endoscopic technique for mediastinal and thoracic lymph node dissection and en bloc lymphadenectomy using a Natural Orifice Transluminal Endoscopic Surgery (NOTES®) technique. Using a swine model, a double-channel gastroscope equipped with an endoscopic cap band mucosectomy device is used to create a small esophageal mucosal defect. Next, a short… Continue Reading
- Topic:
- Endolumenal / NOTES
Sensing Forces in Natural Orifice Surgery
INTRODUCTION. The purpose of this study is to determine the typical forces that instruments must be able to exert on tissue when performing surgery in the abdomen while accessing the tissue through natural orifices. The feasibility of NOTES is currently limited by a number of factors including the lack of suitable instruments. Current instruments are… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Single Incision Procedure with Conventional Ports and Instruments
SINGLE INCISION PROCEDURE WITH CONVENTIONAL PORT AND INSTRUMENT (TOTAL LAPAROSCOPIC HYSTRECTOMY, OOPHRECTOMY, RADICAL HYSTRERCTOMY, CHOLECYSTECTOMY) Single port procedures using specialized ports and specialized articulating instruments have been done at various institutions. We are regularly doing LESS procedures such as laparoscopic hysterectomy, cholecystectomy, oophrectomy and radical hysterectomy using conventional ports and conventional instruments.Method and materials:- A… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Hybrid Transvaginal Cholecystectomy
Purpose : Natural orifice transluminal endoscopy surgery is a ideal technique that aim at reducing skin incision and post operative care. The purpose of this study was to analyse operative and long term results of a series of hybrid transvaginal cholecystectomy. Material & Methods : Between May 2007 & June 2009, transvaginal NOTES cholecystectomy for… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
First Croatian Transvaginal Laparoscopically Assisted Cholecystectomies
Background/Aims: The aim of this study was to determine the feasibility and technical aspects of a new endoluminal surgical procedure: transvaginal laparoscopically assisted endoscopic cholecystectomy. Methodology: Three female patients underwent transvaginal laparoscopically assisted endoscopic cholecystectomy (age range: 40, 61 and 33 years). Pneumoperitoneum was created through 5mm supraumbilical incision. Through the posterior fornix of the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Endoscopic Removal of Partially Eroded Adjustable Gastric Band with Common Endo-household Items
INTRODUCTION: Intragastric band migration is one of the possible long-term complications of laparoscopic adjustable gastric banding that classically requires surgical treatment. Previous attempts at endoscopic removal of eroded bands have included the use of laser ablation, electrosurgical devices, and Endoscopic scissors. We report a case of endoscopic removal of partially eroded gastric band with items… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
NOTES-Assisted Trasvaginal Splenectomy: The Next Step for the Minimal Invasive Approach to the Spleen
Laparoscopic splenectomy (LS) is the gold standard for treatment of normal-medium sized spleens, but spleen morcellation and removal requires an enlargement of the wound port, specially for extraction of the intact spleen. Transvaginal extraction of the resected spleen was described in early 90’, but rarely used, and it didn’t avoid the use of multiple large… Continue Reading
- Topic:
- Endolumenal / NOTES
NOTES Peritoneoscopy with Co2 Insufflation Shows Similar Physiologic Stress As Standard Laparoscopy in a Swine Model.
Introduction: Previous studies have reported less acidemia and decreased intraoperative stress during NOTES procedures using endoscopic air insufflation compared to standard laparoscopy in a porcine model. Insufflation gas (Co2 vs air) and pneumoperitoneal pressure may contribute to these findings. Objectives: 1-To evaluate the effects of CO2 versus intraabdominal pressure on intraoperative acidosis. 2-To compare the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transoral Endoscopic Thyroidectomy
Background: Natural orifice translumenal endoscopic surgery has been recognized as a scar less surgery. There are several access organs into abdominal cavity such as stomach, rectum, vagina, or bladder. In neck surgery, the routes of endoscopic thyroidectomy are via the chest, breast, axillary or a combined of those. Here we introduced the new access route… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Prospective Non-randomized Study of Endoscopic Transvaginal Cholecystectomy Versus Laparoscopic Cholecystectomy
Introduction. Natural orifice transluminal endoscopic surgery (NOTES) makes it possible to perform intraperitoneal surgical procedures with a minimal number of access points in the abdominal wall. At the present time these procedures are hybrids. It is expected a better cosmetic result and lower incidence in parietal complications in front of laparoscopic cholecystectomy, but is necessary… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Preoperative Ultrasound As a Predictor of Gallbladder Extraction During Transgastric NOTES Cholecystectomy
Introduction: Natural Orifice Translumenal Endoscopic Surgery (NOTES) has emerged as a promising minimally invasive surgical approach. Extracting the gallbladder through an endoscopic overtube during NOTES cholecystectomy avoids potential obstruction or injury to the esophagus. This study sought to determine whether preoperative ultrasound findings could be used to predict successful passage of a gallbladder specimen through… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Endolumenal / NOTES
238 Laparoscopic Left-side Colorectal Surgeries with NOSE: A 10-year Experience with Transanal Specimen Extraction
ABSRACT BACKGOUND AND OBJECTIVE: Natural Orifice Specimen Extraction (NOSE) has been postulated as an alternative approach to deliver the resected specimen out of peritoneal cavity through an anatomic passage rather than any abdominal incision after laparoscopic colorectal resections. This prospective study focused on the patients who underwent various laparoscopic left-side colorectal surgeries with intracorporeal anastomosis… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Endolumenal / NOTES
Surgeons\’ Attitudes Towards Natural Orifice Translumenal Endoscopic Surgery
INTRODUCTION: Following the laparoscopic era, which started towards the end of the last century, natural orifice translumenal endoscopic surgery (NOTES) is the breakthrough of modern surgical technology in the 21st century. Despite rapid advances in the technology and surgical techniques, the attitude on NOTES of the surgeons who perform the surgery is a subject that… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Tems Using Single Port Instruments
Introduction: Recently, there is evolved many treatment modalities for early rectal cancer and rectal tumor. And transanal endoscopic microsurgery (TEMS) is raised primary concern in the field. But we need to special instrument specially designed for TEMS and surgeons have to be trained for special techniques to perform TEMS effectively. Heretofore, authors present a case… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES