The role of minimally invasive surgery in the forward combat hospital
Background: Most penetrating abdominal combat wounds are of high energy, with injury to multiple viscera, and require immediate open abdominal exploration for hemorrhage control. There is interest in advanced surgical systems for use in the forward combat environment, but minimally invasive surgery (MIS) has never been utilized in such setting. The authors hand-carried an MIS… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
The role of narrow band imaging (NBI) during follow-up after endoscopic polypectomy
Narrow-band imaging is one of the latest technological achievements of the digital endoscopy. The technique is using interference filter to light surfaces in narrow bands of red, green, and blue colour that visualizes the differences in mucosa colouring and enhances contrast between the mucosa surface and submucosa vascular network. The NBI makes easier differentiating between… Continue Reading
The Role of Palliative Intraluminal Stents for Large Bowel Obstruction in Patients with Advanced Pelvic Malignancy
PURPOSE: Malignant large bowel obstruction (LBO) is a common problem in patients with advanced or recurrent gynecologic malignancy. Studies reviewing palliative surgery have suggested variable short-term success with significant morbidity and diminished quality of life. The purpose of this study is to review our experience and examine the efficacy of intraluminal stents in the management… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The Routine Use of Laparoscopic Ultrasound Decreases Bile Duct Injury
Objective: Laparoscopic ultrasound (LUS) has been used to diagnose bile duct (BD) stones and delineate anatomy during laparoscopic cholecystectomy (LC) for over 10 years. LUS as a modality to prevent BD injury has not been reported in a large series. This study proposes to determine the effect of LUS on preventing BD injury. Methods: A… Continue Reading
The simple and practical procedure in laparoscopy-Assisted distal gastrectomy
The procedure of laparoscopy-assisted distal gastrectomy iLADGj is usually complicated and needs specialized techniques for advanced laparoscopic surgery, more surgeons during the procedure and longer operation time. But we have recently developed simple and practical LADG procedure that needs only two surgeons and shorter operation time. OPERATIVE PROCEDURE -1. A 5 cm incision was made… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Trans-Gastric Endoscopic Rendez-vous Technique (TGER) for Removal of Eroded Non-Adjustable Gastric Bands
Introduction:The application of the nonadjustable gastric band for the treatment of morbid obesity was common in the 1980s. Unfortunately, it was associated with an unacceptable re-operative rate with numerous post-operative complications such as gastric erosion. Removing an eroded gastric band is fraught with difficulty secondary to the extensive inflammatory response around the proximal stomach and… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Use of a Multiple Instrument Guide to Facilitate Lcbde; Report on 119 Cases
Objective: To analyze a large LCBDE experience in a community hospital and determine the efficacy of using a new device, the Multi-channel Instrument Guide (MIG) to achieve safe, practical and effective LCBDE techniques that are applicable to virtually all cases of choledocholithiasis.Methods: All cases of choledocholithiasis that presented to our surgical team were analyzed. An… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
The Use of Esophageal Transit and Gastric Emptying Studies in the Evaluation of Patients Undergoing Laparoscopic Fundoplication
Background: Minimally-invasive gastric fundoplication represents an important therapeutic option in patients with refractory reflux and symptomatic hiatal hernias. Preservation of esophageal and gastric function is a hallmark principle in ensuring optimal surgical outcomes. In this study, we evaluate the impact of fundoplication on esophageal transit and gastric emptying scintigraphy studies, and relate these functional findings… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
The Utility of Preoperative Evaluation Using 3D-CT and Standardization of Laparoscopy-Assisted Gastrectomy for Gastric Cancer
Introduction) Laparoscopy-assisted gastrectomy including lymph nodes dissection consists of complicated procedures. The aim of this study is to clarify the utility of preoperative evaluation using 3D-CT and standardization of the procedures.Patients and methods) The 50 patients with gastric cancer (Stage I: 40, Stage II: 4, StageIIIA: 3, Stage IV: 3 Japanese Classification of Gastric Carcinoma)… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The VAD-BAND, a Promising New Technique for Morbidly Obese Potential Cardiac Transplant Candidates
INTRODUCTION:Morbid obesity remains a strong risk factor limiting cardiac transplantation. Furthermore, numerous cardiac transplant databases have demonstrated that morbidly obese transplant recipients have nearly twice the 5-year mortality of normal-weight or overweight recipients. Hence, many morbidly obese transplant patients require ventricular assist devices to bridge them until they have lost sufficient weight to be considered… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Value of Laparoscopy in Management of Penetrating Rectal Injuries
The basic tenet in management of penetrating rectal injuries is diversion of feces after other injuries are excluded. Laparoscopy may offer expeditious work-up and diversion all in one setting with comparable safety and benefits of a minimally invasive approach. To support this hypothesis, we reviewed all patients with suspected rectal injuries in last 2 years.Method:… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
The value of motion metrics for proficiency-based training on a VR simulator
Background: Virtual reality laparoscopic simulators have proven effective for the acquisition and transfer of laparoscopic skill and offer the advantages of automatically recording participant performance, providing feedback, and minimizing the need for instructor involvement. Such simulators offer multiple performance metrics but their importance for proficiency-based training is poorly understood. The objective of this study was… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
There Is Best Time to Convert the Lap-band® to Another Kind of Bariatric Surgery.
This video shows a patient who had a LAGB for two years until then obtaining an excellent result. It was necessary the band removal due to an erosion. After this event, the patient had a considerable weight regain. This video presents the performance of a laparoscopic gastric bypass and the difficulties after such a complication.… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Thermal Injury Secondary to the Laparoscopic Fiber Optic Cable
Background: Laparoscopy requires a reliable light source to provide adequate visualization. However, thermal energy is produced as a by product from the optical cable. This study attempts to quantify the degree of thermal damage secondary to the fiber optic light source. Temperature variation at the tip of the optical cable was examined also. Methods: Using… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Thermal spread, heat absorbance and device degradation during energised electrosurgery by open and laparoscopic surgery: randomised experimental study in pigs
Aim of study: to examine extent of thermal spread between open and laparoscopic energised dissection with bipolar electrosurgery (Atlas and Advance - ValleyLab). Methods: Experiments were performed in 8 Large White/Landrace pigs (average wt. 27 kg), 4 of which were randomised to open and 4 to laparoscopic multi-site surgical energised dissections. Thermal imaging was performed… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other