Minimally Invasive Approach to Left-sided Large Bowel Obstruction
Introduction: Self-expanding metallic stents (SEMS) are being used for “palliation” and as a “bridge" to surgery in obstructing colorectal disease. This approach may be associated with less morbidity and mortality than immediate operation for this surgical emergency. A laparoscopic approach is usually contraindicated due to bowel distention encountered in this acute situation. However, by relieving… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Minimally Invasive Colorectal Resection Is Associated with a Rapid and Sustained Decrease in Plasma Epidermal Growth Factor Levels in the Colon Cancer Setting
Purpose : Epidermal Growth Factor (EGF) is a potent promoter of angiogenesis. Most colorectal adenocarcinomas (CRC) express the EGF-receptor and many make EGF as well. EGF is thought to independently stimulate tumor growth in addition to promoting tumor angiogenesis. Blood EGF levels have been shown to be elevated in CRC patients. The early impact of… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Minimally Invasive Colorectal Resection Is Associated with a Transient Increase in Plasma Hgf Levels Early After Surgery for Cancer
Purpose: Hepatocyte Growth Factor (HGF) is a potent angiogenic factor; preoperative blood levels have been shown to correlate with disease stage and prognosis in colorectal cancer (CRC) patients. In addition, some CRC’s express HGF receptor which suggests HGF might directly stimulate tumor growth. The impact of minimally invasive colorectal resection (MICR) on plasma HGF levels… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Minimally Invasive Esophagectomy: Initial Experience
Objective: Since 2006 we have incorporated minimally invasive (MIE) esophageal resection in our operative armamentarium in the surgical treatment of esophageal cancer. The aim of this study is to examine trends in operative technique, extent of resection including lymphatic dissection and post-operative outcomes with increasing surgeon experience. Methods: All patients undergoing esophageal resection are entered… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Functional Abdominal Wall Reconstruction: A New Paradigm in Ventral Hernia Repair.
Laparoscopic ventral hernia repair has resulted in significant reduction of wound complications as compared to standard open techniques. However, the current laparoscopic approach requires bridging of an adynamic sheet of prosthetic material. This can result in paradoxical abdominal wall motion during straining. Abdominal wall bulging and a poor functional and cosmetic outcome can result in… Continue Reading
- Topic:
- Abdominal Wall Hernias
Minimally Invasive Oesophagectomy with Two-field Lymphadenectomy
THORACOSCOPIC PHASE1. Thoracoscopic access and Ports2. Diaphragm retraction stitch3. Division of inferior pulmonary ligament up to inferior pulmonary vein4. Division of mediastinal pleura and development of pericardial plane5. Division of azygous vein6. Completion of oesophageal mobilisation Meso-esophageal vessels are ligated and vagal branches are clipped on the Oesophagus. Slings are applied7. Radical nodal resection. Lymph… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Pancreatic Debridement: Intracavitary and Transperitoneal Debridement
Pancreatic debridement is necessary for treatment of infected pancreatic necrosis but is associated with significant morbidity that includes a high incidence of wound complications and enterocutaneous fistulae. We demonstrate two minimally invasive techniques of pancreatic debridement: catheter-guided intracavitary debridement and laparoscopic transperitoneal debridement. In the first patient, fine needle aspiration of a heterogeneous lesser sac… Continue Reading
- Topic:
- HPB
Minimally Invasive Removal of Silastic Band Following Banded Gastric Bypass
INTRODUCTION - Diagnosis and management of silastic band malfunction after gastric bypass in the referred patient is the focus of this paper. The use of prosthetic material to reinforce the gastric outlet created during open bariatric surgery has seen many iterations. These “bands” are intended to prevent dilation of this ostomy in an attempt to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Minimally Invasive Tension Free Repair of Epigastric Hernias with Diastasis Recti
Abstract Background Repair of ventral epigastric hernias with diastasis recti can be a challenging problem because it may require a large incision thereby leaving a visible scar in the upper abdomen. This scar may not be cosmetically acceptable to the patient. This large scar line is in a highly visible position of the upper abdomen… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Minimaly Invasive Adrenalectomy: Our Experience in 40 Patients.
INTRODUCTION–Due to its retroperitoneal anatomy, minimally invasive adrenal surgery is considered the procedure of choice for benign adrenal tumors. Because of potential hemorrhage, surgeons performing these operations should be experts in the field but, being an infrequent procedure, it is difficult to gain expertise and to master the procedure.METHODS AND PROCEDURES–. We included all patients… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Minimizing the Learning Curve for Laparoscopic Paraesophageal Hernia Repair -the Fellowship Effect.
Introduction: Laparoscopic paraesophageal hernia (PEH) repair is technically demanding with anatomic recurrence rates as high as 20-40% reported from leading centers. The learning curve is an important factor in these failures. Our aim was to estimate the effect of MIS fellowship training on the learning curve for this procedure.Methods: We analyzed data accrued prospectively from… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Mis Training in Canada: A National Survey of General Surgery Residents
Objective: General surgery trainees perceptions regarding their own laparoscopic training remains poorly defined. The objective of this survey was to identify and evaluate learner experiences with laparoscopic procedures in general surgical programs on a national level. Methods: 284 residents were identified and contacted at English speaking general surgery programs across Canada. Each was asked to… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Modified Single Incision Lapraroscopic Adjustable Gastric Band
Introduction: Single incision surgery is an evolving technique which aims to minimize pain and scarring related to multiple laparoscopic incisions. This video describes a modified single incision laparoscopic approach for adjustable gastric band placement in a 28 year old female with a BMI 48.75. Methods: Although we originally used a true single incision technique and… Continue Reading
- Topic:
- Metabolic / Obesity
Morbidly Obese Patients with Post Traumatic Stress Disorder Perform As Well As Matched Controls After 1 Year Following Roux-en-Y Gastric Bypass
Objective: Post traumatic stress disorder (PTSD) is an important diagnosis in the Veterans Affairs Health System, where obesity is common. There is little available data describing the impact of PTSD on outcomes following weight loss surgery in morbidly obese patients. Conversely, the mental health effect of weight loss surgery in these patients is unclear. In… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Most Likely Level of Impaired Bolus Transit Measured By Multichannel Intralumenal Impedance
Introduction: Although multiple esophageal motility disorders have been defined manometrically, the underlying esophageal pathology is not always clear. Esophageal function testing(EFT), which combines manometry and multichannel intraluminal impedance (MII), has been increasingly useful in assessment of the Esophageal Motility disorders. MII allows the assessment of bolus transit. Impairments in bolus transit remain poorly understood. This… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery