Robot-Assisted Ivor Lewis Esophagogastrectomy for Esophageal Cancer
Objectives: Ivor Lewis esophagogastrectomy is a well established oncologic procedure for cancers at or near the gastro-esophageal junction. However, this procedure is associated with significant morbidity related to the thoracotomy, especially following induction chemo/radiation therapy. A thoracoscopic approach may obviate this problem. Currently, thoracoscopic approaches are limited by 2-D visualization and lack of instrument maneuverability.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Robot-Assisted Laparoscopic Belsey Fundoplasty for Gastroesophageal Reflux
Objectives: Belsey Mark IV fundoplasty is associated with less gas bloat and dysphagia compared to the Nissen wrap. Conventionally, a Belsey Mark IV fundoplasty requires a thoracotomy. Laparoscopic approaches to the Belsey procedure have not been satisfactory. By virtue of 3-D visualization and greater maneuverability, robot assistance can overcome the technical shortcomings of the laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Robot-Assisted Thoracoscopic Heller Myotomy for Achalasia
Objectives: The surgical treatment of achalasia remains controversial. Controversies include open vs. videoscopic approach, laparoscopic vs. thoracoscopic approach, and the need for an antireflux procedure. Laparoscopic Heller myotomy is hampered by the requirement of an added antireflux procedure. If the hiatus is not opened, thoracoscopic Heller myotomy does not require an antireflux procedure, but is… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Robotic Assisted Pancreatic Surgery: Single Surgeon Experience.
BACKGROUND: Robotic surgery had widespread in the last years. There are few reports for advanced pancreatic robotic surgery. The indication of robotic surgery for pancreatic diseases has created controversy. The purpose of this review is to analyze the indications and outcomes of robotic surgery for complex pancreatic diseases trying to give an answer to the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Robotic-Assisted, Thoracoscopic Mediastinal Parathyroidectomy for Persistent Hyperparathyroidism
Persistent / recurrent primary hyperparathyroidism is a challenging surgical problem. In a subset of these patients, the source of excess PTH production will be an ectopic parathyroid gland in the mediastinum. A number of these glands will be inaccessible through a low cervical incision. Minimally invasive approaches to these glands are preferable due to the… Continue Reading
- Topic:
- Robotics
Role of Initial Clinical Assessment in the Diagnosis of Acute Diverticulitis
Introduction: This paper aims to determine the diagnostic accuracy of initial clinical assessment in the diagnosis of acute diverticulitis (AD). Patients and methods: Retrospective analysis. Patients admitted to the surgical unit via A&E between Apr 2002 and March 2006 inc. (4y) were identified using the International Code of Diseases (ICD-10 version 2007) coding system. Exclusions… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Role of Video-Assisted Thoracoscopic Anatomical Lung Resections
INTRODUCTION: Although video-assisted thoracoscopic surgery (VATS) is now widely accepted. However, VATS procedure is seldom used for pulmonary segmental resection. Various patterns of branching are seen for pulmonary arteries and veins in the lung hilum. Because a surgeon appreciates individual anatomy before an operation, an operative risk is reduced and indication is increased.SUBJECTS and METHODS:… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Routine Postoperative Upper Gastrointestinal Fluoroscopy Is Unnecessary After Laparoscopic Adjustable Gastric Band Placement
The purpose of this study is to determine whether routine postoperative upper gastrointestinal fluoroscopy (UGI) is necessary after laparoscopic adjustable gastric banding (LAGB). LAGB has become an accepted procedure for weight loss surgery, particularly because of decreased operative time and fewer early perioperative complications. Many centers utilize UGI to ensure stomal patency and gastric integrity… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Roux En Y Intrahepatico-jejunostomy After Common Bile Duct Injury.
We present a case of a 20 year old female, who underwent a laparoscopic cholecystectomy for symptomatic gallstones.Patient was discharged home the same day and returned to the hospital 48 hours after surgery complaining of abdominal pain. A CT scan performed showed a large abdominal fluid collection compatible with a biloma. An ERCP showed an… Continue Reading
- Topic:
- HPB
Roux-en-Y Reconstruction for Failed Fundoplication
.Objective: Post-fundoplication recurrence of symptoms occasionally requires surgical correction. Our objective is to review our initial experience with Roux-en-Y (RNY) reconstructions for failed anti-reflux surgery. Method: After Institutional Review Board approval, a retrospective review of data was performed on patients who had undergone RNY gastrojejunostomy or esophagojejunostomy, with or without gastric resection, after failure of… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Safety of Laparoscopic Adjustable Gastric Band (lagb): 7-year Data From a U.s. Center of Excellence
Objectives: To assess the complications associated with gastric band. Methods: A retrospective analysis was performed using longitudinal data from adult patients who received LAGB between Jan 1, 2000 and Feb 29, 2008. General complications, (bowel obstruction, hernia, dehydration, gall bladder, and pain) as well as band-related complications (erosion, slippage/prolapse, device malfunction, intolerance/removal, and port-related issues)… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Sages Grant Impact on Recipient Academic Career
Introduction: Surgical societies, including SAGES, frequently distribute grant funds to support research in their field as well as to promote the careers of the grant recipients. No objective data supporting the positive impact of grants from a surgical society has been available. We completed a survey of SAGES grant recipients to track academic success and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Salvage Endoscopic Antegrade Dilation on Tight or Complete Coloanal Anastomotic Stricture Via Ileostomy
Background: Dilation of tight or complete coloanal anastomotic strictures has a risk of potential false tract formation and anastomotic disruption. Use of endoscopic dilation is limited by alternated anatomy. Here, we report our experience of three cases of colonoscopic antegrade dilation for coloanal anastomotic stricture via loop ileostomy using pediatric colonoscope.CASES: Three patients underwent low… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Scarless One Port Transumbilical Laparoscopic Sleeve Gastrectomy
Laparoscopic sleeve gastrectomy is usually performed using several trocars. We report a case of a single port sleeve gastrectomy in a 42 year-old, female morbidly obese with a BMI of 42 kg/m2. Through a 2-cm single transumbilical incision Triport® was inserted and roticulator instruments were used. To retrieve the specimen we partially used the device… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Serrated Adenoma of the Appendix: A Risk for Colon Cancer?
Because of the association of serrated adenomas with microsatellite instability in concomitant colon polyps, a more vigilant surveillance may be needed to screen for colon cancer. This is an interesting case of a serrated adenoma of the appendix as a cause of acute appendicitis. This patient is a 70 year old male who presented with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal