Preliminary Experience of Laparoscopic Hepatectomy in Hepatocellular Carcinoma
Introduction: Laparoscopic liver resection has gained much popularity in the recent years, but relatively few centers have performed hepatectomies in hepatocellular carcinoma (HCC) patients due to the technical difficulties faced with underlying liver cirrhosis. We herein present the initial experience of laparoscopic liver resection in HCC performed in a single institution.Methods: From October 2003 until… Continue Reading
Preoperative Chemoradiation Followed By Laparoscopic Intersphincteric Resection for Low Rectal Cancer
Introduction: Transanal intersphincteric resection (ISR) was introduced and has been increasingly performed as an ultimate surgical treatment for extremely low rectal cancer. Preoperative chemoradiation therapy (CRT) for rectal cancer reduces local recurrence and increases anal sphincter preservation rate. On the other hand, laparoscopic surgery is accepted as minimally invasive treatment for rectal cancer. We considered… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Preoperative Evaluation of the Major Branches of the Mid Hepatic Vein and Portal Vein At the Liver Bed with the Dynamic Flow Investigation By the Doppler Ultrasonography to Avoid the Bleeding From the Liver Bed At Laparoscopic Cholecystectomy.
Introduction: The severe liver bed bleeding is one of the common problems during the laparoscopic cholecystectomy. Most of the bleeding is from injured middle hepatic vein (MHV), and from portal vein (PV) occasional as well. Dynamic flow investigation by the doppler ultrasonography (DUS) is useful to find the depth of the vein from the liver… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Preoperative Pancreatic Stenting Prior to Pancreatectomy for Chronic Pancreatitis: A Combined Endoscopic and Surgical Approach
Introduction: There are two predominant approaches to chronic pancreatitis: ductal decompression and pancreatic resection. At our institution, we have adopted a hybrid approach of preoperative endoscopic pancreatic duct stenting (PDS) with subsequent partial pancreatectomy in persistently symptomatic patients. Therapeutic PDS for chronic pancreatitis is less invasive but, felt to be less efficacious than surgical approaches.… Continue Reading
Preoperative Ultrasound As a Predictor of Gallbladder Extraction During Transgastric NOTES Cholecystectomy
Introduction: Natural Orifice Translumenal Endoscopic Surgery (NOTES) has emerged as a promising minimally invasive surgical approach. Extracting the gallbladder through an endoscopic overtube during NOTES cholecystectomy avoids potential obstruction or injury to the esophagus. This study sought to determine whether preoperative ultrasound findings could be used to predict successful passage of a gallbladder specimen through… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Endolumenal / NOTES
Prevention of Stomal Complications
Introduction:It is very well known that Ileostomy and Colostomy operations are associated with a very high rate of complications. These result in increased morbidity and mortality. It also increases the chances of litigation. It is important to understand what is causing the complication and what role the nature is playing in initiating the complication. Once… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Proficiency-based Virtual Reality Laparoscopic Skills Training: A 7-year Experience
Introduction: Based on previous demonstrations of effectiveness of virtual reality (VR) laparoscopic skills training, we implemented a proficiency-based program of laparoscopic VR training for residents at Baystate Medical Center (BMC), Springfield, MA. We report our 7-year experience using two VR laparoscopic simulators: the Minimally Invasive Skills Trainer-Virtual Reality (MIST-VR; Mentice AB, Gothenburg, Sweden) starting in… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Program of Basic Training in Endoscopy for Surgeons to Perform NOTES
Introduction: Throughout the history of medicine, physicians have sought less invasive approaches to the diagnosis and therapy of diseases. Since the advent of interventional endoscopic therapy, the fields of gastrointestinal surgery and interventional endoscopy have been on converging paths. Therapeutic endoscopists are becoming increasingly invasive, performing interventions such as transgastric pseudocyst drainage and pancreatic necrosectomy.… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Progressive Resistance Training to Improve Strength, Fitness and Metabolic Health in Weight Loss Surgery Patients
INTRODUCTION: Severe obesity is associated with sedentary behavior, low fitness, and metabolic dysmetabolism. Exercise can improve strength, fitness, and metabolic health independent of weight loss in obese patients. Progressive Resistance Training (PRT) is particularly beneficial in modifying body composition, developing musculoskeletal strength, and improving metabolic health. To date, there has been no investigation that measures… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Prophylactic Inferior Vena Cava Filters in High-risk Bariatric Surgery
Objective: High-risk patients are at significant risk for venous thromboembolism (VTE) and may benefit from the addition of retrievable inferior vena cava filters (rIVCF) to chemoprophylaxis. However, the optimal VTE prophylaxis has not been established in morbidly obese patients undergoing bariatric surgery. This observational study examines the use of rIVCFs in combination with chemoprophylaxis for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Prospective Comparative Therapies for Portal Hypertension Using Laparoscopy and Open Azygoportal Disconnection
Background Laparoscopy azygoportal disconnection maybe an alternative to open azygoportal disconnection on portal hypertension, the paper aimed to compare clinical effects of laparoscopy or open azygoportal disconnection on portal hypertension, and to discuss the methodology, safety, and effectiveness of laparoscopic splenectomy combined with devascularization of the lower esophagus and upper stomach. Methods Eighty patients (from… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Prospective Comparison of Short-term Outcomes Following Laparoscopic and Open Total Mesorectal Excision for Rectal Cancer
Introduction: Laparoscopic surgery is now well established as the technique of choice for colon cancer surgery. Its application in rectal resections is still under scrutiny/evaluation with increasing evidence in support of a minimally invasive approach. The aim of this study was to examine the short term clinical and oncological outcome after laparoscopic and open approach… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Prospective Comparison of Single Site and Traditional Laparoscopy for Upper Urinary Tract Surgery: Initial Outcomes
Introduction: Single Site Laparospcopy (SSL) is an emerging platform which, which by consolidating working trocar and extraction incision sites, may represent a further decrease in morbidity compared to mult- site traditional laparoscopy (TL). Herein we present a prospective comparison of transperitoneal TL and SSL approaches for laparoscopic Radical Nephrectomy (RN) and Partial Nephrectomy (PN). Methods:… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Prospective Non-randomized Study of Endoscopic Transvaginal Cholecystectomy Versus Laparoscopic Cholecystectomy
Introduction. Natural orifice transluminal endoscopic surgery (NOTES) makes it possible to perform intraperitoneal surgical procedures with a minimal number of access points in the abdominal wall. At the present time these procedures are hybrids. It is expected a better cosmetic result and lower incidence in parietal complications in front of laparoscopic cholecystectomy, but is necessary… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Prospective Randomized Trial Comparing Laparoscopic and NOTES Cholecystectomy: Preliminary Results
Introduction: the feasibility of hybrid NOTES cholecystectomy has been demonstrated. The recommendations from the 4th International Conference on NOTES (Boston, 2009) encouraged randomized trials to prove the advantages of this approach. Methods: Between January and July 2009, a prospective randomized trial of hybrid NOTES cholecystectomy (H-NC) versus laparoscopic cholecystectomy (LC) for patients with symptomatic gallstone… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES