Outcomes Following Laparoscopic Vs. Robotic Heller Myotomy
Introduction:Achalasia is a rare esophageal motility disorder that is usually treated with endoscopic interventions and/or surgical myotomy. The goal during surgical myotomy is to relieve the esophageal outflow obstruction by dividing all muscle fibers from 2-3 cm distal to the gastroesophageal junction and onto the esophagus 4-6 cm proximally. An incomplete myotomy can lead to… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Outcomes of Laparoscopic Roux-en-Y Gastric Bypass As a Primary Versus Revisional Bariatric Surgery.
BACKGROUND: The purpose of this study was to compare the outcomes of laparoscopic Roux-en-Y gastric bypass (LRYGB) as a primary (CG) versus revisional bariatric surgery (RBS). METHODS: Data of 514 consecutive patients who underwent LRYGB by one surgeon between August 2004 and June 2009 as primary (n=481, 93.6%) or RBS (n=33, 6.4%) were compared. Collected… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Outcomes of Laparoscopic Surgery for Esophageal Achalasia in 200 Patients
Introduction: The laparoscopic Heller-Dor (LHD) surgery has become the procedure of choice for the treatment of achalasia. However, the incidence of achalasia is extremely low, and reports on the outcome of surgical treatment are limited. In this study, outcomes of LHD for achalasia in 200 patients at a single institution were evaluated.Methods: Two-hundred consecutive patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Outcomes of Laparoscopic Ventral Hernia Repair with Routine Defect Closure Using “shoelacing” Technique
INTRODUCTIONLaparoscopic approach has become standard to most ventral hernia repairs. The benefits of minimal access include reduced wound complications, improved cosmesis, and faster functional recovery, among others. However, “bridging” of hernia defects during traditional laparoscopic ventral hernia repair (LVHR) often leads to seromas, bulging and, importantly, does not restore a functional abdominal wall. We have… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Outcomes of Single Incision Cholecystectomies in a Non-select Patient Group
Introduction: Over the past two decades, laparoscopic cholecystectomy has replaced open cholecystectomy as the standard of care for benign gallbladder disease. Recently, attempts have been made to remove the gallbladder through single skin incisions to improve the cosmetic, and possibly other surgical outcomes such as pain. This more complex approach is generally thought to be… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Overcoming Barriers to Development of a Minimally Invasive Esophagectomy Program
Background: Minimally invasive esophagectomy (MIE) is a technically demanding procedure that requires expertise in advanced laparoscopy and esophageal surgery. Widespread implementation has been hindered by high complication rates and the inability to rapidly demonstrate improved outcomes. We hypothesized that safe and effective development of such a program could be performed without the need for additional… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Paediatric Laparoscopic Appendicectomy in an Adult Unit- A Ten Year Experience
Objectives: Laparoscopic appendicectomy has been reported as a safe and effective alternative to the open technique in children. However a majority of studies comparing these techniques in children have been conducted in paediatric surgical units. The aim of this study was to analyse the outcomes of laparoscopic appendicectomies performed in children in an adult surgical… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Paraesophageal Hiatal Hernia Repair Using Gore™ Bio-A™ Tissue Reinforcement, One Year Follow Up Data
Objective: We recently reported a novel technique for repairing paraesophageal hiatal hernias greater than 5cm, using primary non-pledgeted crural repair with onlay fixation of GORE™ BIO-A™ Tissue Reinforcement. The purpose of this report is to present one-year follow up data.Methods: Patients were evaluated at routine clinic follow up visits. Patients with recurrent symptoms of GERD… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Patient Perceptions of Band Adjustments After Laparoscopic Adjustable Gastric Banding
Introduction: Adjustments are an integral part of the success of the laparoscopic adjustable gastric banding. Without these adjustments, successful weight loss is not possible. Fear and pain could create barriers for patients to receive their proper band adjustments. It is important to understand the patient’s perception of adjustments. The objective of this study was to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Patients and Surgeons Perceptions of Natural Orifice Transluminal Endoscopic Surgery (notes), a Southamerican Point of View.
Introduction: Natural orifice transluminal endoscopic surgery (NOTES) is a surgical approach in development which appears as less invasive than laparoscopic surgery and supposes aesthetic, analgesic and potentially economic benefits. There are a large number of reports detailing surgical procedures and technologic development surrounding NOTES, but there are only a few reports about patients and surgeons… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Patients Expect to Lose More Than Average Weight After Bariatric Surgery
Background: While most bariatric surgeons try to help patient achieve a realistic goal weight after surgery, patients are often disappointed that they have not reached “ideal” body weight. We propose that this is because patients begin the surgical process with inflated self expectations and set themselves up for disappointment.Methods and Procedures: At the University of… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Metabolic / Obesity
Pattern of Arterial Branches Crossing the Superior Mesenteric Vein: Its Relevance to Laparoscopic Right Hemicolectomy
Background and Purpose: Laparoscopic right hemicolectomy has been widely accepted for locally advanced cancer of the right colon. Three–dimensional computed tomography was reported to be useful to obtain sufficient information regarding arterial and venous distributions for the right colon preoperatively. However, its routine use in clinical practice has several limitations. This study was performed to… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Pelvic Peritonization After Laparoscopic Abdominoperineal Resection for Low-rectal Carcinoma
BACKGROUND: The abdominoperineal resection was a standard method for low-rectum carcinoma treatment. It was associated with significant mortality and morbidity which were decreasing with the development of preoperative diagnostic procedures, new surgical techniques and new surgical instruments.AIM: Pelvic peritonization is important prevention of postoperative adhesions and postoperative irradiations of terminal ileum for patients who need… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Performance Ramifications of Single Port Laparoscopic Surgery: Measuring Differences in Task Performance Using Simulation
INTRODUCTION: Single port laparoscopic surgery is a promising new technique, but may be associated with unique psychomotor challenges, including use of articulated and/or deliberately crossed instruments. Using single port surgical simulation, we defined performance differences between surgeons with and without single port clinical experience, signifying the need for specialized training as a prerequisite for clinical… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Education / Simulation
Perioperative Outcomes of Surgical Procedures for Recurrent Gerd Following Nissen Fundoplication
Introduction: Anatomic failure and recurrent gastroesophageal reflux (GERD) following fundoplication is a well described occurrence. Occasionally, reoperative surgery is required. The morbidity of revisional GERD surgery can be quite high, and the clinical outcomes may not be as good as is observed following primary antireflux operations. Methods: Data was obtained from a prospectively maintained foregut… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery