RNY gastric bypass causes more weight loss but lap-band is associated with fewer complications at 2 year followup
Introduction: Roux-en-Y (RNY) gastric bypass surgery is the most common weight loss operation for morbid obesity in USA. Lap-band has gained popularity in the last few years and has become the second most common weight loss operation. The objective of this study is to evaluate the early results in terms of weight loss and complications… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Robot-Assisted conversion from Nissen fundoplication to Gastric bypass
Background:A 35 years old morbidly obese woman presented with a BMI 41 kg/m2. Her previous surgical history was significant for cholecystectomy and open Nissen fundoplication. A decision was made to take down the Nissen and perform a gastric bypass.Material and methods:Six 12 mm trocars were used (supra-umbilical position, left iliac quadrant, xyphoid, left and right… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Robot-Assisted laparoscopic Colectomy: 70 cases – one surgeon
Background: This study reviewed the use of robot-assisted laparoscopic surgery for colon resection. We described the experience of one fellowship-trained, MIS surgeon over six years performing 70 consecutive colectomies using the da Vinci system. Methods: Between September 2002 and September 2007, data on 70 patients undergoing robotic colectomy for diverticular disease, polyps, cancer, or carcinoid… Continue Reading
Robotic-Assisted Treatment of Visceral Artery Aneurysms: New Standard of Care?
This study is a retrospective review of all patients treated with a robotic-assisted mininvasive surgery for visceral artery aneurysms (VAA) at a single Institution. Robotic surgery seems to offer an important alternative to the traditional treatment.Materials and Methods: between September 2001 and June 2007, 12 patients aged 41-78 (mean = 59.25) underwent minimally invasive robotic… Continue Reading
Robotic choledochojejunostomy with intracorporeal Roux-en-Y anastomosis
Biliary surgery can often be very complex with difficult access issues, small structures to be manipulated and sutured and close proximity to major vessels. Additionally, biliary surgery is often reoperative. All of these issues have the potential to be aided by the use of technology which provides three-dimensional vision, excellent illumination and access, with steady… Continue Reading
- Topic:
- Robotics
Robotic Gastric Cancer Surgery using da Vinci system: Clinical results & lessons learned from 2-year experience.
Background: For gastric cancer, robotic surgery is still in its early years. This study is performed to evaluate the technical feasibility, effect, and safety of robot-assisted gastrectomy (RAG) with lymphadenectomy using da Vinci systemMethods: From July 2005 to April 2007, 80 RAG with lymphadenectomy were performed for patients with preoperative diagnosis of EGC. The clinicopathologic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Robotic Pancreatic Surgery: A Single Institution Experience
The overall activity of robotic pancreatic surgery at Misericordia Hospital in Grosseto has been reviewed. From October 2000 to March 2007, has been performed 68 robotic pancreatic resections: 35 pancreatoduodenectomies (PD) (25Whipple, 10 Longmire procedures), 28distal pancreatectomies (DP) (13 spleen-preserving), 3 middle segment pancreatectomies and 2 insulinoma enucleations.The etiology of 35 PD were:11 ductal cancer,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Robotic Splenectomy in Children: A Single Institutional Review
Purpose: Robotic surgery is a new technology which may facilitate minimally invasive surgery (MIS). The main advantages of robotic surgery include three-dimensional visualization, complete camera control, tremor filtration, absence of the fulcrum effect, and articulating instruments with additional degrees of freedom. We report our experience with robotic splenectomies in our first seventeen consecutive pediatric splenectomies.Methods:… Continue Reading
Robotic Thoracoscopic Radical Thymectomy for Myasthenia Gravis
Introduction: A complete, radical "phrenic-to phrenic" thymectomy is the standard of care for myasthenia gravis. Patients with myasthenia gravis (MG) are often poor candidates for median sternotomy because of their significant doses of immunosuppresive drugs and/or compromised respiratory function secondary to their MG. We hypothesized that a complete, radical thymectomy could be performed thoracoscopically using… Continue Reading
Robotic Vs. Laparoscopic Placement of Gastric Electrical Stimulation Electrodes
Introduction: Gastric Electrical Stimulation (GES or Enterra® Therapy) is a low morbidity treatment option that may be effective for refractory symptoms in patients with gastroparesis of diabetic or idiopathic etiology. During surgery to initiate GES, 2 electrodes are tunneled in the muscular wall of the gastric antrum in a precise location. If these electrodes pass… Continue Reading
Role of Early Thorocascopy in the Penetrating Wounds of the Chest
Non life-threatening penetrating wounds of the thorax(PCW) can be treated by tube thoracostomy(TT)alone, but incomplete removal of clots can delay recovery and lead to the development of empyema. We hypothesized that use of early thoracoscopy (TS), within 48 hours, will reduce empyema and missed diaphragmatic injuries(DI).Method: We performed a retrospective chart review of 82 stable… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Thoracoscopy
Role of Laparoscopy in managment of delayed small bowel obstruction in trauma patients
Background: Small bowel obstruction (SBO) after open abdominal exploration for trauma is associated with significant long-term morbidity. Open exploration may be required if conservative treatment is unsuccessful. Laparoscopy in these patients may decrease LOS and decrease the rate of complications associated with repeat open surgery. Most inner city trauma centers are not geared for advanced… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Safety and Cost Effectiveness of Small Bowel Extraction Without Wound Protection in Laparoscopic Roux En Y Gastric Bypass
INTRODUCTION: Small bowel resection is often required during laparoscopic Roux-en-Y gastric bypass (LRYGB), either with a circular stapled anastomosis technique or resection of excess Roux overhang. An extraction bag is often used to remove the resected portion of bowel. However, an extraction bag may cause the specimen to "mushroom," necessitating a larger fascial defect, thus… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Safety and Functionality of a Novel Gastric Sensing and Electrical Stimulation Device to Treat T2DM Overweight Subjects
BackgroundGastric electrical stimulation represents a new paradigm for treating obesity and diabetes, since its mechanism of action is physiological rather than anatomical modification of the stomach.The following describes a feasibility study of an investigational device, the TANTALUSTM System, intended for use in obese and overweight subjects with type 2 diabetes. The TANTALUSTM System (Metacure (USA)… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Seconds from disaster: laparoscopic median arcuate ligament release and lessons learned
This video illustrates 2 cases of laparoscopic median arcuate ligament release. The first case was performed after reviewing a previously presented SAGES video on a similar patient (Carbonelle AM, et al Laparoscopic Management of Median Arcuate Ligament Syndrome, Surg Endosc 2005:19(5)-729.) The authors attempted a similar approach. Upon near completion of the case, a devastating… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other