Minimally Invasive Esophagectomy for Esophageal Cancer Versus Open Thoracoabdominal Esophagectomy
INTRODUCTION: Esophagectomy for esophageal cancer with thoracoabdominal approach is associated with a high rate of morbidity and mortality. Minimally invasive esophagectomy (MIE) using laparoscopic or thoracoscopic surgery has been proposed to decrease these complications. This retrospective study aimed to compare the surgical outcomes between MIE (group A) and conventional open thoracoabdominal approach (group B). METHODS:… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Esophagectomy in a Patient with Portal Hypertension.
Minimally invasive esophagectomy in a patient with portal hypertension. Scott J. Keckler MD, Colleen S. Hupp DO, Amit K. Taggar MD, Mazin F. Al-kasspooles MD, Niazy M. Selim MD, MBChB, PhD. University of Kansas Medical Center, Department of Surgery. Kansas City, KS USA. Introduction: Open surgical resection for esophageal cancer has a high morbidity. As… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Esophago- Gastrectomy (ivor-lewis) a Series of 13 Patients
Introduction: Commonest type of Gastro esophageal junction growth in our region is type III with involvement of the cardia. After resection with adequate margin, the length of the stomach tube might not reach the neck. In such situations Ivor-Lewis Esophago- Gastrectomy with intra thoracic anastamosis is a good alternative. Methods: A retrospective analysis of 13… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Management of Jejunal Perforation Due to Accidental Ingestion of Kebab Stick in Intoxicated Morbidly Obese Person
Abstract: Accidental ingestion of foreign bodies is common in patients with altered mental status. Course of these foreign bodies can range from spontaneous uncomplicated passage from GI tract to perforation of intestine. Intoxicated patients and Morbid obese patients with obstructive sleep apnea will have delay in realization of complications secondary to foreign body ingestion and… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Minimally Invasive Oesophagectomy in England: Trends of Utilisation
Aims: The aim of this study was to describe the trends in uptake of minimally invasive oesophagectomy in England over last 12 years (1996-2008). Methods: The Hospital Episodes Statistics (HES) database is a record based system that since 1986 has collected patient-level data from all English NHS trusts. We examined HES data between April 1996… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Pancreatic Necrosectomy – How to Choose the Best Approach?
IntroductionSevere acute pancreatitis with infected necrosis is one of the most morbid diseases. Surgical debridement is needed for majority of patients. With increasing technology and experience, it is now possible to do necrosectomy by minimally invasive techniques. Several minimally invasive approaches to pancreas have been described, such as Laparoscopic, Retroperitoneoscopic and Endoscopic. Variations in the… Continue Reading
Mis Training in Canada: The Staff Surgeons’ Perspective.
Introduction: General surgeons’ perceptions regarding resident laparoscopic training remains poorly defined. The objective of this survey was to identify and evaluate teaching experiences with laparoscopic procedures in general surgical programs on a national level. Methods: Staff surgeons were identified and contacted across Canada through the Canadian Association of General Surgeons at their annual meeting in… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Mortality Risk Associated with Insurance Denials in Bariatric Surgery Candidates
Introduction: Increasing numbers of Americans meet medical candidacy criteria for bariatric surgery; however many are denied or delayed because of absence of insurance benefits or administrative hurdles in the pre-approval process. In many cases, patients endure months of delay before coming to a surgical date or giving up. Since morbid obesity carries inherent medical risk,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Most Recent National Surgical Quality Improvement Project Data (nsqip), Comparison of Laparoscopic Vs. Open Colon Resections
BACKGROUND. The ACS National Surgical Quality Improvement Program (ACS NSQIP) is the first nationally validated, risk-adjusted, outcomes-based program to measure and improve the quality of surgical care. The program employs a prospective, peer controlled, validated database to quantify 30-day risk-adjusted surgical outcomes, which allows valid comparison of outcomes among all hospitals in the program. The… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Multi-functional Robot for Laparoendoscopic Single-site Surgery
Introduction: This study demonstrates the effectiveness of using a multi-functional miniature in vivo robot to perform complex tasks, such as intracorporeal suturing, through a single incision. Existing technologies for Laparoendoscopic Single-Site Surgery (LESS), such as articulating, bent, and flexible instrumentation, are limited in visualization and tissue manipulation capabilities by multiple tools working through a single… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Multicenter Comparison of Intermediate Oncologic Outcomes of Laparoscopic Partial Nephrectomy and Renal Cryoablation
Introduction: The surgical paradigm for small renal masses has evolved towards less invasive nephron sparing intervention. While partial nephrectomy remains the gold standard for the management of most small renal masses, increasing experience with renal cryoablation has suggested a viable alternative with a favorable morbidity profile and good efficacy. We compare intermediate-term oncologic outcomes following… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Multicenter Experience with Non-ischemic Laparoscopic Nephron Sparing Surgery Utilizing Habib 4x™ Bipolar Radiofrequency Ablation Coagulator
Introduction: Laparoscopic nephron sparing surgery (L-NSS) has gained increasing acceptance with emerging data demonstrating equivalence of oncologic outcomes with open NSS. Concerns continue regarding prolonged warm ischemic times and longer-term renal functional outcomes. We report our initial experience utilizing the Habib 4x™ laparoscopic radiofrequency ablation coagulator (Angiodynamics, Queensbury, NY) for non-ischemic L-NSS. Methods: 50 cases… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Natural Orifice Surgery: Initial Brazilian Experience Utilizing the Stomaphyxtm Device to Reduce Gastric Pouches and Gastrojejunostomy Anastomosis (stoma) After Roux-en-Y Gastric Bypass
Introduction: Weight gain after bypass can occur in up to 10% of patients 5 years following and in about 20% of patients 10 years following surgery. This phenomenon has been studied extensively, but there is often no one reason this occurs. Once psychological and dietary reasons have been investigated, revisional surgery may be the only… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Natural Orifice Translumenal Endoscopic Surgery (notes): A Technical Review
Introduction: NOTES is an evolving field in minimally invasive surgery. This review quantifies the published NOTES experience to date and reports the most common techniques for access, dissection, extraction, and closure. Methods: We performed a search of the MEDLINE database using PubMed for all articles describing human NOTES cases. Articles providing a technical description of… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Necessity of Intraoperative Cholangiography During Laparoscopic Cholecystectomy Based on Analysis of Cases of Pancreaticobiliary Ductal Maljunction Without Common Bile Duct Dilatation
OBJECTIVE: In order to diagnose pancreaticobiliary maljunction (PBM) appropriately, direct fluoroscopic examinations of the biliary tract system is necessary. However, for patients without symptoms, these examinations are performed only in selected cases. For some cases, it is not until intraoperative cholangiography (IOCG) during laparoscopic cholecystectomy (LC) is performed that a patient of PBM without common… Continue Reading