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
Prospective Randomized Trial Comparing Laparoscopic and NOTES Cholecystectomy: Preliminary Results
Introduction: the feasibility of hybrid NOTES cholecystectomy has been demonstrated. The recommendations from the 4th International Conference on NOTES (Boston, 2009) encouraged randomized trials to prove the advantages of this approach. Methods: Between January and July 2009, a prospective randomized trial of hybrid NOTES cholecystectomy (H-NC) versus laparoscopic cholecystectomy (LC) for patients with symptomatic gallstone… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Radical Transanal Endoscopic Microsurgey (tem): Endoluminal Surgery for Complex Rectal Lesions
Introduction: TEM represents the only longstanding approach to endoluminal surgery. Guidelines excluding large lesions and those that may require entry into the peritoneal cavity limit the applicability of TEM surgery. This study evaluates the feasibility, safety, and efficacy of radical application of TEM for the treatment of complex rectal lesions. Methods: From a prospective TEM… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Randomized Study Comparing Hemodynamic and Pulmonary Effects of Transgastric Endoscopic Surgery with the Insuflation of Co2 and Air.
INTRODUCTION: There is currently interest in further expanding the capabilities of flexible endoscopic surgery to accomplish procedures that presently require laparoscopic access. Natural orifice transluminal endoscopic surgery (NOTES) is a new and rapidly evolving hybrid procedure in which flexible endoscopic technology is used to perform intra-abdominal laparoscopic surgical procedures. Flexible endoscope based endoluminal surgical procedures… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Self Expanding Metal Stents for Complications of Rygb: Do the Benefits Justify the Risks?
Introduction: Several recent reports suggest that self expanding endoluminal stents (SEES) may provide a less invasive and more effective method for managing foregut surgical complications. The objective of this study was to identify factors that might predispose to SEES migration and related complications.Methods: We retrospectively reviewed the EMR of all patients undergoing SEES placement after… Continue Reading
- Type:
- Posters
- 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 Access Transvaginal NOTES Lymphatic Mapping with Colonic Sentinel Node Biopsy in a Porcine Model
Introduction. Endoscopic resection of early stage cancers are limited by the inability to provide lymph node status. If a sentinel node can determine node status, a reliable technique to obtain preoperative node biopsies through natural orifice translumenal endoscopic surgery (NOTES) would likely have a great impact in clinical application. Our objective was to determine feasibility… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Single Incision Laparoscopic Colorectal Surgery: A Preliminary Experience
Background: Natural Orifice Translumenal Endoscopic Surgery (NOTES) is a major conceptual change in the field of modern surgery. However, corresponding technological refinements are yet to be available in order to fill the gap separating the nowadays laparoscopy from the NOTES of tomorrow. Meanwhile, “hybrid” NOTES techniques and single port procedures have been increasingly reported. In… Continue Reading
- Type:
- Posters
- 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
Sleeve Gastrectomy: Comparison Between NOTES, Single Port and Laparoscopic Approach. Initial Experience.
INTRODUCTION: Nowadays, the trend of the modern surgery goes towards “minimally invasive” surgery. Early mini-laparotomies were followed by the big revolution of laparoscopy and now we are living the revolution of natural orifice surgery. NOTES has been a huge change for the surgeons because it involves breaking many established dogmas in general surgery and starting… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Study of Human Peritoneal Bacterial Contamination After NOTES Transgastric and Transvaginal Cholecystectomy
Introduction:The recent literature has questioned the infectious risk of natural orifice translumenal endoscopic surgery (NOTES). One important requirement of this technique is the need to minimize the risk of eritoneal contamination.Our study examines the resultant microbial contamination of the human peritoneum after transgastric and transvaginal cholecystectomy. Methods and procedures: From April 2007 to September 2009,… Continue Reading
- Type:
- Podium Presentations
- 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
Surgical Enteroscopy: The Potential for Less Invasive Surgical Interactions Between Laparoscopes and Intralumenal Enteroscopes
Background: Enteroscopy has improved more than any other form of flexible or rigid diagnostic endoscopy. Double balloon, single balloon, over-tube enhanced methods with stiffeners, spirals and design changes to push enteroscopes has made access to all areas of the small intestine much easier. These changes have improved diagnosis but have not led to changes in… 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
The Fear of Transgastric Cholecystectomy: Misinterpretation of the Biliary Anatomy
Introduction:The prevention of major injury at cholecystectomy relies on the accurate dissection of the cystic duct and artery, and avoidance of major biliary and vascular structures.The advent of NOTES cholecystectomy has led to a new look and insights into biliary anatomy especially of the Calot's triangle. Here we show the clinical case of a NOTES… Continue Reading
- Topic:
- Endolumenal / NOTES