On Demand Trocar Insertion for Laparoscopic Cholecystectomy: Two, Three or Four?
According to the classical definition, laparoscopic cholecystectomy (LC) is performed using four trocars. This study aims to answer the question if this number can be decreased or not. The results of consecutive 40 patients who underwent LC were prospectively analyzed. For all patients, the operation began with the intent to complete the procedure with minimum… Continue Reading
Oncologic and Perioperative Outcomes of Laparoscopic Assisted Vs Hand-Assissted Vs Open Resections for Rectal Cancer Resection: A Case Match Study.
Purpose: Advances in surgical techniques and improvements in laparoscopic instruments have enabled most colorectal procedures to be performed by using the laparoscopic approach.Laparoscopic surgery of colon cancer has been accepted to be oncologically adequate compared with open resection.However,the situation in rectal cancer remains unclear,because anatomy and complex surgical procedures.There have been only a few reports… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Oncological \’holy Plane\’ in Chest for Oesophageal Cancer Resection
Aims Oesophageal carcinoma is an aggressive disease and not all patients are suitable for surgery. In those selected patients who are considered fit for a surgical procedure, the aim is to perform a radical operation to achieve clearance of both the primary tumour and involved lymph nodes. The surgery is technically challenging and we are… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Oncological Outcome of Stage II/III Colon Cancer Treated Via Minilaparotomy Approach
Background and Purpose: A minilaparotomy approach to curative resection of colon cancer has been reported to be an alternative to laparoscopic surgery in terms of minimal invasiveness, although there is little is documentation of the oncological effect of this type of surgery. This retrospective study was performed to clarify the oncological outcome of stage II/III… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Oncological Outcomes of Laparoscopic Colon Resection for Cancer After Implementation of a Full-time Preceptorship
Introduction: The learning curve for laparoscopic colectomy (LAC) is considered long and difficult. The presence of a preceptor may shorten the learning curve of LAC and ensure adequate oncologic and short term results. City of Hope implemented a full time LAC preceptorship between September 2004 and March 2006 with one experienced surgeon assisting 6 other… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
One Step Management of Common Bile Duct Stones
Introduction: Our objective was to demonstrate the feasibility of definitive management of choledocholithiasis by surgeons in a single operation combining laparoscopic cholecystectomy, intraoperative cholangiogram, and intraoperative ERCP. Until recently, gallstones with associated common bile duct stones were managed in a two step procedure:1. Preoperative ERCP with duct clearance of stones usually performed by a gastroenterologist… Continue Reading
- Type:
- Posters
Open Tension-free Mesh-plug Versus Transabdominal Preperitoneal(tapp) Versus Totally Extraperitoneal(tep) Laparoscopic Techniques for Primary Unilateral Inguinal Hernia Repair: A Prospective Randomized Controlled Trial
Background Open tension-free mesh-plug hernia repair, transabdominal preperitoneal(TAPP) and totally extraperitoneal(TEP) laparoscopic techniques are common surgical procedures for primary unilateral inguinal hernia repair. However, the choice of surgical procedure is still controversial in China. Objective To compare open tension-free hernioplasty with two laparoscopic hernia repairs. Methods One hundred sixty-four male patients suffering from primary unilateral… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Open Versus Endoscopic Component Separation – a Cost Effectiveness Analysis
BACKGROUND: Component separation technique (CST) has traditionally been performed using an open approach to repair complex abdominal wall hernias. However, major wound morbidities may ensue from the large lipocutaneous skin flaps. Minimally invasive endoscopic approaches have recently been described. It is unclear if the additional cost of endoscopic instruments outweighs any clinical benefits gained from… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Opinion Survey on Operative Management of Adhesive Small Bowel Obstruction: Laparoscopy Versus Laparotomy in the State of Connecticut
Introduction: Intra abdominal adhesions are responsible for 49-74% of small bowel obstruction [SBO]. Traditionally, open lysis of adhesions [OLA] is the treatment when conservative measures fail. Recent literature has shown safety of laparoscopic lysis of adhesions (LLOA) in treating adhesive SBO. In addition, length of stay and costs are less with LLOA. Despite these favorable… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Optimal Design of Instruments for Single Port Laparoscopic Surgery Using Motion Analysis
Objective: Instruments featuring articulation of the distal tip are highly desirable when access to the surgical site is restricted, as in Single Port Laparoscopic Surgery. This study compares two types of articulating instruments which have different means of controlling the distal articulation - a controlling wheel and a controlling joint - in terms of ergonomics… Continue Reading
- Type:
- Posters
Our Experience of Trans Umbilical Laparoscopic Appendectomy.
INTRODUCTION: In the modern era of cosmetic awareness, there is increasing demand to perform surgery with minimal scarring. Laparoscopic appendectomy, although first described more than 25 years ago, has still not been accepted as the Gold Standard in most hospitals. The standard technique involves three small incisions. The end result for the patient means three… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Outcome Analysis of 100 Patients Undergoing Single-incision Laparoscopic Adjustable Gastric Banding
Introduction Single-incision laparoscopic surgery (SILS), a new trend in minimally invasive surgery, has the potential for decreased post-operative pain and port site complications as well as improved cosmesis. To date, only case reports and small series have been published regarding the technique and safety of this approach. We present a large series of SILS insertion… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Outcome Complications of Percutaneous Endoscopic Gastrostomy Tube Placement in Severly Malnourished Patients
Introduction: In June of 1979, Dr. Michael Gauderer introduced the novel concept of a procedure in which a sutureless approximation of a hollow viscus to the abdominal wall could provide a means of creating long-term enteral access for patients who are unable to swallow without undergoing formal laparotomy. This simple yet safe procedure was initially… Continue Reading
- Type:
- Posters
Outcome of Laparoscopic Rectopexy Versus Perineal Rectosigmoidectomy for Full-thickness Rectal Prolapse in Elderly
Background: Perineal approaches have been preferred for the treatment for full-thickness rectal prolapse in elderly patients despite a higher incidence of recurrence when compared with open abdominal approaches. However laparoscopic rectopexy with or without resection may also be used for elderly patients. Purpose: Therefore, the aim of this study was to evaluate safety and effectiveness… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Outcomes After Repair of the Intra-thoracic Stomach: Objective Follow-up Up to 5 Years
IntroductionLaparoscopic surgery is a viable treatment option for intra-thoracic stomach (ITS); however doubts have been raised regarding its efficacy. Routine use of mesh has been advocated. The aim of this study is to look at long term objective and symptomatic outcomes after repair of ITS with selective use of mesh and fundoplication. MethodsA retrospective review… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery