Magnetic Retraction of the Gallbladder During NOTES Transvaginal Cholecystectomy in a Porcine Model: A Novel Technique
Introduction: As the advent of the NOTES era dawns, novel techniques for tissue retraction may be necessary to allow for safe surgical procedures to be performed. There have been multiple case reports of magnets being used to help with retraction during NOTES procedures. Most of these reports employ some type of metallic object placed on… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Malpractice Carrier Underwrites Fls Training and Testing – a Benchmark for Patient Safety
Background: Fundamentals of Laparoscopic Surgery (FLS) is a validated program developed by the Society of American Gastrointestinal and Endoscopic Surgeons (SAGES) to educate and assess competency in Minimally Invasive Surgery (MIS).This study reports the first malpractice carrier sponsored FLS course for surgeons-in-practice underwritten by the Controlled Risk Insurance Company of Harvard’s Risk Management Foundation (CRICO/RMF).… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Management of Common Bile Duct Stones in Patients After Roux-en-Y Gastric Bypass.
INTRODUCTION: Alteration of normal anatomy with Roux-en-Y gastric bypass (RYGB) makes it difficult to access common bile duct (CBD) in cases of choledocholithiasis. We present our experience in management of choledocholithiasis after RYGB. The purpose of the study was to develop the management algorithm of choledocholithiasis in patients after RYGB.METHODS AND PROCEDURES: Retrospective review of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Management of Esophageal Perforations
Background: Perforation of the esophagus remains a life threatening event, which requires rapid diagnosis and treatment. Possible therapeutic modalities are surgical repair, interventional endoscopic or conservative treatment.Objectives: We were interested to examine our experience on the management of esophageal perforations with the aim to find parameters for the recommendation of the best therapeutic modality.Methods: From… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Management of Post Gastric Bypass Noninsulinoma Pancreatogenous Hypoglycemia (nesidioblastosis)
Introduction: Post gastric bypass hyperinsulinemic hypoglycemia defines a group of patients with postprandial neuroglycopenic symptoms similar to insulinoma but in many cases more severe. There are few reports of patients with this condition. The primary surgical therapy is distal or subtotal pancreatectomy. Here we describe our surgical experience for the management of this rare condition.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Solid Organ and Endocrine
Maximizing the Benefits of Laparoscopy, Hals Colectomy in the Morbidly Obese
Morbid obesity continues to be a major obstacle in patients undergoing laparoscopic colon surgery. A review of the surgical literature repeatedly demonstrates morbid obesity to be one of the most common causes of conversion in patients undergoing laparoscopic colectomy. Particular troublesome is the fact that it is these patients who perhaps could benefit the most… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
MDCT navigation for LA via a single umbilical incision
Introduction: Although three ports laparoscopic appendectomy is traditional procedure, it needs the application of much expensive endoscopic instrumentation for resection and removal of the appendix . We studied the cases of three-dimensional (3D) imaging using Multi-detector CT (MDCT) to demonstrate the anatomical location of appendix clearly and of laparoscopic appendectomy via a single umbilical incision.… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Medial to Lateral Splenic Flexure Mobilization for Sigmoid Colectomy
In this video we show our technique for splenic flexure mobilization via a medial to lateral approach This is a 64 year old gentleman with two synchronous lesion in the sigmoid colon, one proximally and one distally as shown by the two tattoed areas.The key landmark for this approach is the inferior mesenteric vein (IMV)… Continue Reading
- Topic:
- Colorectal
Mentoring and Telementoring Leads to Effective Incorporation of Laparoscopic Colon Surgery
OBJECTIVE: To perform a one-year review of a community surgery group following completion of a laparoscopic colon surgery mentoring program.METHODS: A formal mentoring protocol has been previously reported between a university centre and two surgeons at a community hospital. Over 18 months concluding August 2007, surgeons were mentored and telementored through 20 laparoscopic colon resections… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Microlaparoscopy: An Uncomplicated Alternative to NOTES and SILS
Microlaparoscopy: An Uncomplicated Alternative to NOTES and SILS INTRODUCTION: The recent quest to advance laparoscopy and to diminish incisions had led to the developments of NOTES, and more recently SILS (Single Incision Laparoscopic Surgery.) Both methods have increased the complexity of surgical procedures and inherently require a high level of surgical skills. We have explored… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Microscopic Fat Processing with Harvesting of Lymph Nodes in Gastric Cancer Improves Nodal Yield and Upstages N Status
MICROSCOPIC FAT PROCESSING WITH HARVESTING OF LYMPH NODES IN GASTRIC CANCER IMPROVES NODAL YIELD AND UPSTAGES N STATUSObjectives:The current UICC staging system for gastric cancer relies on number of positive nodes to give N stage, up to a maximum of 16 involved nodes. As most nodal harvesting is based on macroscopically detected nodes there is… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Microwave Ablation with 915 Mhz Vs 2.45 Ghz. What Is the Difference?
We present preliminary results from an upcoming prospective, non-randomized comparison of patients with liver tumors treated with either a 915 MHz or a 2.45 GHz microwave ablation system. Results from this institution using a commercially available 915 MHz microwave ablation system (ValleyLab, Boulder, CO) for malignant tumors in the liver have been previously published, using… Continue Reading
Migration of Suture Material: An Unusual Cause of Abdominal Pain After Gastric Bypass Surgery
OBJECTIVE: The potential for internal hernias and subsequent bowel obstruction following laparoscopic RNY gastric bypass (RYGB) mandates closure of mesenteric defects. We have previously recommended the use of non-absorbable suture material to limit this complication. However, recently we have identified several patients presenting with abdominal pain and/or perforation secondary to migration of the suture material.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Mini-gastroplasty: Results of Non-resectional Sleeve Type Gastroplasty
Background:Work continues to find the ideal weight loss surgery. The Mini-Gastroplasty (MG) was designed to provide a simple, safe and effective restrictive type of Gastroplasty, with anatomy similar to the sleeve gastrectomy, has been used for 9 years. Methods: The MG consists of a complete division of the lesser curve from the body of the… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Minimally-invasive Adrenalectomy: A Comparison of Surgical Approaches and Patient Outcomes
Background: Laparoscopic transabdominal adrenalectomy (LTA) is the most common procedure for the surgical treatment of adrenal tumors. Although the retroperitoneoscopic adrenalectomy (RPA) is becoming more common, few studies have examined the safety and outcomes of both procedures.Objective: To compare the safety and surgical outcomes between LTA and RPA.Methods: Retrospective review of 142 patients undergoing laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine