Options and Technical Solutions in Single Incision Laparoscopic Cholecystectomy
Introduction: Single incision laparoscopic cholecystectomy (SILC) may offer advantages over traditional laparoscopic cholecystectomy. However, surgeons must be able to offer this procedure with equal safety and results. Thus, various technical options should be in the repertoire of any surgeon planning on performing SILC. The objective of this study was to describe various technical nuances and… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Our Pouch Roux-y Reconstruction Technique After Laparoscopically Assisted Total Gastrectomy
[Introduction] In laparoscopically assisted total gastrectomy (LATG), Roux-Y (RY) reconstruction has been performed. We have performed pouch with Roux-en-Y (PRY) reconstruction in LATG on eight cases since 2007. We demonstrated the techniques in the surgical procedure by photos and compared them with those used in the RY method.[Point of the procedure] Under the laparoscope, the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Outcome of Laparoscopic Colonic Resection for Submucosal Colorectal Carcinoma Not Suitable for Endoscopic Resection
Introduction: Endoscopic resection (ER) that may be malignant deep invasion may not be suitable for ER. The submucosal colorectal carcinoma (CRC) may be needed additional treatment such as laparoscopic colonic resection (LAC), when tumors are failed to remove endoscopically. The purpose of this study was to assess the outcome of submucosal CRC (pT1 tumor) that… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Outcomes of a Hybrid Technique for Video-Assisted Thoracoscopic Surgery (vats) Pulmonary Resection in a Community-based Practice
Background Despite more than 15 years passing since the first description of video-assisted thoracoscopic surgery (VATS) for pulmonary resection, the technique has yet to gain widespread acceptance, especially in community hospitals. The majority of surgeons who routinely perform VATS resections work in academic or government institutions. The perceived complexity of the technique, inadequate instrumentation and… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Outcomes of Fundamentals of Laparoscopic Surgery (fls) Skills Training for Senior Medical Students Entering Surgical Residency
Introduction: Laparoscopic skills training is usually reserved for surgical residents who have some experience in performing open surgical procedures. This study examined the outcomes of training 4th year medical students matched in a surgical specialty (who had no prior open case experience as primary surgeon) in the skills tasks of the SAGES FLS program. Methods:… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Education / Simulation
Outpatient Laparoscopic Hysterectomy with Same Day Discharge, a Case Series
Study Objective: To Assess the feasibility of performing Laparosopic Hysterectomy in an Ambulatoy Surgery Center with Same Day Discharge to Home. Design: Case Series (Canadian Task Force Classification II-3) Setting: The Pearl Women's Center, Portland, OR, USAPrivate, Physician Owned, Freestanding Ambulatory Surgery Facility Patients: 250 Consecutive Patients 2005-2008 Results: 250 consecutive hysterectomy patients are presented… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Patient Satisfaction Best Determines the Management of Recurrent Dysphagia After Heller Myotomy for Achalasia
Heller myotomy (HM) is an effective treatment for achalasia, however failure to reliably achieve long-term palliation of dysphagia occurs in about 10%. It is unclear when and how best to manage these patients. We sought to characterize patients with recurrent dysphagia with particular focus on the management of this difficult patient population. METHODS: A prospectively… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Per Oral Stapled Fundoplication with the Medigus Srs Device
We are presenting a one year follow up of the initial experience with a transoral method for creating an anterior fundoplication (Dor-Thal) using the MediGus endoscopic stapling system (SRS)The device is a stand alone single use flexible endoscope, which incorporates an ultrasonic range finder and a surgical stapler. The stapler fires a quintuplet of standard… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Perioperative Nasal Administration of Ketamine Successfully Eliminates the Need for Opioid Usage in the Bariatric Patient
Introduction: Usage of opioids for pain management in bariatric surgery patients requires special attention. Administration of narcotics to the obese patient carries the risk of respiratory suppression both due to the opioids and redistribution of the anaesthetics from the adipose tissue. We would like to share our experience in nasal administration of ketamine for post… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Peritoneal Cytology in Upper Gi Cancers- Dilemma Continues
BackgroundTimely and accurate staging of oesophago-gastric cancer can prevent unnecessary surgical intervention and associated patient morbidity. Role of peritoneal cytology in staging of theses cancers is not well established. We conducted a survey among Upper GI surgeons to get their views regarding the role of peritoneal cytology in upper GI cancers. MethodsA questionnaire was designed… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Peritoneal Inflammatory Response of Natural Orifice Translumenal Endoscopic Surgery (notes) Versus Laparoscopy with Carbon Dioxide and Air Pneumoperitoneum
Background: The immunologic and physiologic effects of NOTES are poorly understood when compared to traditional surgical approaches. Previous experimental models have shown NOTES and laparoscopy share similar acute-phase systemic inflammatory cytokine profiles, except for a possible late phase TNF-a depression in NOTES. The local immunologic peritoneal reaction and immunomodulatory influence of pneumoperitoneum agents are also… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Peroral Transgastric Cholecystectomy:a Case Report of Two Human Patients
Aim: NOTES represents an emerging technology, including under its umbrella a variety of approaches and combinations. We present 2 human patients who underwent transgastric cholecystectomy. Methods: In April 2008, 2 patients underwent transgastric cholecystectomy at our institute. The procedure entailed the use of a double-channel endoscope, a 3-mm umbilical port for retraction of gall bladder… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Physiologic Impact of Prolonged Intra-luminal Insufflation
PHYSIOLOGIC IMPACT OF PROLONGED INTRA-LUMINAL INSUFFLATION.Cedric S.F. Lorenzo MD, Thai H. Pham MD, Kyle A. Perry MD, Blair A. Jobe MD, John G. Hunter MD, Charles R. Phillips MD, Robert O’Rourke MD. Department of Surgery; Oregon Health and Science University, Portland, OR.Introduction: Prolonged intra-luminal and intra-peritoneal insufflation with gas is a critical component of endoluminal… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Endolumenal / NOTES
Physiology: The Key to Validating Management Techniques in Gord.
IntroductionMost studies validate treatment of gastro-oesophageal reflux disease (GORD) using improvement in symptoms alone. Symptoms are difficult to interpret due to the placebo effect of any intervention. We present data comparing pre and post operative physiology in our series of laparoscopic Nissen’s Fundoplication and compare this to a review of the current literature using meta-analytical… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Plasma Angiostatin and Endostatin Levels Remain Unchanged for the First 3 Weeks After Colorectal Cancer Resection
Purpose: Angiostatin and endostatin are endogenous inhibitors of angiogenesis that have been shown to have anti-cancer effects. Major surgery has been associated with significantly elevated plasma VEGF and Angiopoetin 2 levels for the first 3 weeks after colorectal resection. Furthermore, human plasma from the second and third Post-operative week has been shown to stimulate in… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal