Per-oral endoscopic myotomy followed by endoscopic fundoplication, a novel and refined method of POEM
Haruhiro Inoue, MD, PhD. Digestive Disease Center, Showa University Koto Toyosu HospitalBackground: Since its introduction in 2008 POEM (Per-oral endoscopic myotomy) has become a minimally invasive endoscopic treatment of choice for achalasia. In the last 9 years we have performed more than 1500 cases of POEM procedure for achalasia and other esophageal motility disorders. Post… Continue Reading
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Patient Engagement Technology to Deliver Value-Based Surgical Care
Joshua P Liu, MD. SeamlessMDPURPOSE/BACKGROUND: With the shift to value-based care for surgery, healthcare providers need new and more effective ways to educate, engage and keep patients on track throughout the surgical episode. SeamlessMD, a leading patient engagement technology, is used by leading gastrointestinal surgery programs at Stanford, Rush, Sinai, UAB and McGill to deliver value-based… Continue Reading
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Optimizing the Surgical Flow of a Large Flexible Endoscopy Suite Using a Dedicated Cyber-Physical System
Guillaume Joerger, PhD1, John J Nguyen-Lee, MD1, Brian Dunkin, MD2, Marc Garbey, PhD1. 1Houston Methodist Hospital Research Institute, 2Houston Methodist HospitalBackground: Flexible Endoscopy Procedure (FEP) is an ever-growing field. Over 14 million colonoscopies are performed annually in the USA and over 7 million patients are affected by gastroesophageal reflux disorder. In parallel, endoscope and colonoscopy… Continue Reading
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Novel Laparoscopic Enucleation of a Retroperitoneal Mass With Preservation of the Portal-Splenic-Superior Mesenteric Vein Confluence
Danby Kang, MD1, Thea Price1, Ernest Rosato, MD2. 1Rush University Medical Center, 2Thomas Jefferson University Hospitals, Department of SurgeryRetroperitoneal tumors generally require laparotomy and large en bloc resection for R0 excision due to difficult access, small working space, surrounding major vascular structures, and variable anatomy. Additionally due to location, retroperitoneal tumors tend to have an… Continue Reading
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Novel fluorescent dyes for real-time, intraoperative, organ-specific visualization of biliary and urinary systems using dual-color near-infrared imaging.
Jaepyeong Cha, PhD1, Jung-Man Namgoong, MD1, Kihoon Kim, MD, PhD1, Aline Broch, MD1, Roger Nani, PhD2, Venu Bandi, PhD2, Martin J Schnermann, PhD2, Peter Kim, MD, PhD1. 1Children's National Health System, 2NIH/NCIIntroduction: Accurate, real-time visualization is critical for efficient, effective and safe surgery. Although optical imaging using near-infrared (NIR) fluorescence has been used for visualization… Continue Reading
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Multidisciplinary applications of a new single port robotics platform
Barbara Seeliger, MD, Lee L Swanström, MD, FACS. IHU StrasbourgObjective of the technology or device: Single Port laparoscopic surgery, while representing a theoretical advance in minimally invasive access, was not widely accepted by the surgical community due to poor ergonomics and a difficult learning curve. Advanced surgical robotics has been proposed to solve most of these… Continue Reading
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Modified delta-shaped anastomosis via overlap method using linear staplers for colon cancer.
Aya Isobe, Shinichiro Mori, Yoshiaki Kita, Kenji Baba, Kan Tanabe, Masayuki Yanagi, Takaaki Arigami, Yasuto Uchikado, Kosei Maemura, Masahiko Sakoda, Shoji Natsugoe. Kagoshima UniversityObjective: Delta-shaped anastomosis was first presented by Kanaya et al in 2002 after totally laparoscopic gastroenterostomy. This procedure has been widely adopted for gastric cancer, however, the report of delta-shaped anastomosis via… Continue Reading
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Mobile laparoscopy: Smartphone as a tool for the Surgeon
Gabriel E Escalona, MD1, Pedro Monsalve, MD2. 1Clínica Felix Boada, 2Hospital Universitario de CaracasIntroduction: Technological innovations advance rapidly and powerful devices are becoming more accesible at lower cost. The distribution and global use of smartphones make this technology promising and practical in the field of medicine. The objective of this study was to design and… Continue Reading
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MEASURING TENSION AT THE DIAPHRAGMATIC CRUS CLOSURE– DESCRIPTION OF A NOVEL TECHNIQUE AND INITIAL FINDINGS
Katharina Fetten, MD1, Douglas A Cornet, PhD2, Sumeet Mittal, MBBS3. 1St Joseph Hospital Medical Center, 2Principal Biomedical Design Engineer, MicroAire Surgical Instruments, 3Northon Thoracic Institute OBJECTIVE: Approximation of the diaphragmatic crus pillars is a key step in hiatal hernia repair. The dogma of successful hernia repair requires tension free approximation of tissue. There are no… Continue Reading
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Management of Perianal Crohn’s Disease with Porcine Urinary Bladder Matrix
Juliane Y Cruz, MD1, Elyse Leevan, MD1, Kristine Verdell, RN2, Gabriel Akopian, MD, MBA2, Howard S Kaufman, MD, MBA1. 1Huntington Hospital, 2Huntington Medical Research InstitutesObjective of Technology: Perianal disease occurs in up to 24% of patients with Crohn's disease (CD) and can manifest as deep fissures/ulcers, abscesses, fistulae, non-healing wounds, and large hypertrophic skin tags. Persistent… Continue Reading
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Magnetic Surgery for Liver Retraction: An Incision-less Approach for Less Invasive Bariatric Surgery
Matthew J Davis, MD, Camila B Ortega, MD, Dana Portenier, MD, Chan Park, MD, Ranjan Sudan, MD, Jin Yoo, MD, Keri Seymour, DO, Sugong Chen, MD, Scott Schimpke, MD, Alfredo D Guerron, MD. Duke University Health CenterIntroduction: In laparoscopic bariatric surgery, retraction of the liver is essential to ensure appropriate visualization of the surgical field.… Continue Reading
MAGNETIC SINGLE INCISION LAPAROSCOPIC SLEEVE GASTRECTOMY
Camila B Ortega, MD, Alfredo D Guerron, MD, Dana Portenier. Duke University Health System. Department of Surgery. Division of Metabolic and Weight Loss SurgeryThe evolution of Minimally Invasive Surgery has led to the development of innovative surgical tehcniques. The purpose of this video is to demonstrate a Sleeve Gastrectomy procedure completed through a Single Inicision approach… Continue Reading
MAGNETIC ASSISTED LIVER RETRACTION IN BARIATRIC SURGERY
Andres Hanssen, MD, FACS1, Sergio Plotnikov, MD, FACS2, Geylor Acosta, MD, FACS2, Jose G Haddad2, Diego A Hanssen, MD, FACS2, Rafael A Hanssen, MS2. 1Universidad Metropolitana, 2Instituto Médico La FlorestaBackground: Retraction of the left lobe of the liver to allow adequate exposure of GE junction is crucial in most of laparoscopic bariatric procedures, the object… Continue Reading
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Laser-based intrabiliary ablation: first in-vivo experience
Paola Saccomandi, PhD1, Giuseppe Quero, MD1, Francesco Maria Di Matteo, MD2, Riccardo Fassino, MS3, Alfonso Lapergola, MD4, Ludovica Guerriero, MD1, Guido Perrone, PhD3, Alberto Vallan, PhD3, Guido Costamagna, MD1, Michele Diana, MD, PhD4, Jacques Marescaux, MD, FACS, Hon, FRCS, Hon, FJSES, Hon, FASA4. 1IHU-Institute of Image Guided Surgery, Strasbourg, France, 2Campus Bio-Medico di Roma, Roma,… Continue Reading
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LAPAROSCOPIC CUTTING AND SUTURING USING THE RADIUS R2 DRIVE INSTRUMENTS: SURGICAL PERFORMANCE AND ERGONOMICS
Francisco Miguel Sánchez Margallo, PhD1, Juan A. Sánchez-Margallo, PhD1, Andreas Skiadopoulos, PhD2, Konstantinos Gianikellis, PhD3. 1Minimally Invasive Surgery Centre, Cáceres, Spain, 2University of Nebraska at Omaha, 3University of Extremadura, SpainINTRODUCTION: New handheld devices have been developed in order to address the technical limitations and ergonomic issues present in laparoscopic surgery. The aim of this study… Continue Reading
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