Needlescopic Surgery: The Cosmetic Alternative to SILS
Introduction: Minimally invasive procedures have revolutionized the art of surgical practice. Laparoscopic cholecystectomy (LC) is the gold standard for management of gall bladder disease. In an attempt to further improve on the benefits of the standard multiple incision LC, less invasive methods have been described, including smaller incisions, fewer incisions, and use of single incisions.… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- HPB
Neuroergonomic Assessment of the Robotic Enhancement of Minimally Invasive Surgery
Objective of the StudyMinimally invasive surgery (MIS) offers clear benefits to patients yet places increased demands on the surgeon. This is in part due to a lack of depth perception and haptic feedback and poor instrument ergonomics. Robotic assisted MIS aims to address these challenges. An example of this is Gaze-Contingent Motor Channelling (GCMC). GCMC… Continue Reading
New Equipments and Techniques for Video-Assisted Thyroidectomy Using Lifting Method By New Retractor Via Axillary Approach
We have developed video-assisted thyroidectomy via the axillary approach using the lifting method without carbon dioxide. We created and have used a new equipment in the recent cases. In this study, we presented and verified our method with regard to surgical factors and patients’ complaints after surgery. Method: Our axillary procedure was performed in 35… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
New Platform for a Hybrid N.o.t.e.s.trans-vaginal Sleeve Gastrectomy
The Laparoscopic Sleeve Gastrectomy is being performed as a primary bariatric operation with increasing frequency. This is the first human study reporting the results of 5 hybrid N.O.T.E.S. trans-vaginal sleeve gastrectomy operations using the new Steerable Flexible Trochar, (SFT), from Ethicon. The SFT was used to provide a stable trans-vaginal access platform for visualization during… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Nine Steps to Follow for Safe and Standard Approach for Laparoscopic Paraesophageal Hernia Repair.
Objective: This video illustrates the use of a standardized and reproducible laparoscopic technique to repair paraesophageal hernias. Description of Procedure: The patient is placed on the operating table in the supine position. The abdominal cavity is accessed through a 1 cm supraumbilical incision. Optiview® nonbladed trocar and accessory trocars are placed under view in the… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Not Just Little Stones in Little Adults: Biliary Microlithiasis in Children Is Successfully Managed with Endoscopic Ultrasound and Laparoscopic Cholecystectomy
Objective: The objective of this study is to review the results of laparoscopic cholecystectomy to treat endoscopic ultrasound (EUS) diagnosed biliary microlithiasis in a pediatric case series. Biliary microlithiasis is an uncommon but recognized cause of upper abdominal pain, cholecystitis, cholangitis, and pancreatitis in adults. Gallstones smaller than 3 mm may not be seen on… Continue Reading
NOTES-Assisted Trasvaginal Splenectomy: The Next Step for the Minimal Invasive Approach to the Spleen
Laparoscopic splenectomy (LS) is the gold standard for treatment of normal-medium sized spleens, but spleen morcellation and removal requires an enlargement of the wound port, specially for extraction of the intact spleen. Transvaginal extraction of the resected spleen was described in early 90’, but rarely used, and it didn’t avoid the use of multiple large… Continue Reading
- Topic:
- Endolumenal / NOTES
NOTES in Emergency
Aims. Evaluation of the efficiency and reproductibility of hybrid transvaginal endoscopic surgery in non-elective surgical procedures to treat intraabdominal infections caused by acute cholecystitis, appendicitis or tubo-ovarian infection. Methods. Prospective non-randomized clinical series of ten selected female patients with acute intraabdominal infection caused by acute cholecystitis (n=6), appendicitis (n=2) and pelvic infection of tubes or… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES Peritoneoscopy with Co2 Insufflation Shows Similar Physiologic Stress As Standard Laparoscopy in a Swine Model.
Introduction: Previous studies have reported less acidemia and decreased intraoperative stress during NOTES procedures using endoscopic air insufflation compared to standard laparoscopy in a porcine model. Insufflation gas (Co2 vs air) and pneumoperitoneal pressure may contribute to these findings. Objectives: 1-To evaluate the effects of CO2 versus intraabdominal pressure on intraoperative acidosis. 2-To compare the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
NOTES® Stapled Cystgastrostomy -a Novel Approach for Surgical Management of Pancreatic Pesudocysts
Background:Traditional approach for surgical management of mature pancreatic pseudocysts is by internal drainage by cystgastrostomy or cystjejunostomy via open or laparoscopic approaches. Endoscopic drainage procedures have been described; however, they require multiple interventions and are sometimes not definitive. We describe NOTES® (Natural Orifice Translumenal Endoscopic Surgery) stapled cystgastrostomy as a less invasive surgical procedure for… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Nucleotide-guided Mesorectal Excision (ngme) During Tem for Rectal Cancer: Preliminary Results
INTRODUCTION: TEM is used for local excision of T1N0 rectal cancer and in selected T2-T3 N0 cases after neoadjuvant radiochemotherapy. TEM usually removes few mesorectal lymph nodes adjacent to the tumor, which may leave the histopathological N parameter undefined. This may be a criticism to the use of TEM to treat T2-T3 patients. Aim is… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Nutritional Effect of Oral Supplement Enriched in Beta-hydroxy-beta -methylbutyrate, Glutamine and Arginine on Resting Metabolic Rate After Laparoscopic Gastric Bypass.
Objective- To evaluate the nutritional effect of an oral supplement enriched in beta-hydroxy-beta-methylbutyrate, glutamine and arginine (HMB/Glu/Arg) on resting metabolic rate (RMR) following laparoscopic gastric bypass (LGB). Although, LGB is a highly effective approach to induce weight loss in morbid obesity, most patients regain 10-15% of this weight over time. Studies indicate, this is due… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Obesity Does Not Increase Operative Morbidity for Esophageal Resection
Objective: To compare operative and postoperative outcomes in patients undergoing esophageal resection by patient Body Mass Index (BMI) Methods: All patients undergoing esophageal resection are entered into a prospectively maintained database. After approval from Institutional Review Board the database was queried to extract data on patients who underwent esophagectomy for malignant disease [squamous cell carcinoma… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Obesity Is Associated with Inadequate Lymph Node Harvest in Laparoscopic Right Hemicolectomy
Introduction: Adequate lymph node (LN) retrieval and examination is necessary for both accurate oncologic staging and patient selection for adjuvant chemotherapy, and the National Cancer Institute recommends examination of at least 12 LN to properly stage the LN basin. Laparoscopic colectomy has gained much popularity as studies have shown equivalent oncologic outcomes compared with open… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Objective Assessment of Laparoscopic Surgical Skill Using the Dual-task Approach
IntroductionThe purpose of this study is to determine the effects of administering “distracter” tasks to two groups of participants (surgical residents or “learners”, and experienced surgeons -- “experts”) when performing a simulated laparoscopic task, on the level of the surgical task performance. This study reports initial results from the exploration of a novel approach to… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation