Carbon Dioxide Insufflating Intraoperative Upper Gastrointestinal Endoscopy Minimizes Distension of Downstream Bowel During Laparoscopic Surgery: A Historical Comparison Study
INTRODUCTION: Intraoperative endoscopy (IOE) has gained wider clinical acceptance as a useful adjunct in advanced laparoscopic surgery. One known drawback of IOE, however, is prolonged distension of downstream bowel which compromises the subsequent surgical exposure/procedure, resulted in open conversion in worst case scenario. The use of rapid absorptive carbon dioxide (CO2) instead of air, has… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Celiac Axis Compression Syndrome: The Optimal Approach is Laparoscopic
INTRODUCTION: The objective of this study is to evaluate outcomes with laparoscopic management of celiac axis compression syndrome (CACS). Celiac axis compression syndrome (CACS) is a rare entity associated with epigastric abdominal pain and extrinsic compression of the celiac artery. Although the precise etiology is not certain, many patients benefit from open surgical decompression. Laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Characterization of rapid performance improvement on a complex laparoscopic task using a virtual-reality trainer in the SAGES Learning Center
Background: The SAGES Learning Center offers the opportunity to expose surgeons of varying backgrounds to new training methods. We used this venue to assess surgeons¡¦ initial performance on a virtual reality (VR) trainer and to determine if this brief initial exposure is associated with capacity for learning and perception of educational value. Methods: Attendees of… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Chronic Aspiration Shifts the Immunue Response from Th-1 to Th-2 in a Murine Model of Asthma
Chronic aspiration associated with gastroesophageal reflux disease (GERD) is thought to play a substantial role in the development of asthma, the incidence of which is dramatically increasing in industrially developed countries. The majority of data examining the association between aspiration and asthma has been obtained from epidemiological studies, which show that between 50 and 90%… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Clinical outcome after laparoscopic proximal gastrectomy for gastric cancer.
INTRODUCTION; Various types of function-preserving gastrectomy and limited gastrectomy have been performed in attempts to improve postoperative quality of life for gastric carcinoma. Proximal gastrectomy, which is one of the noteworthy procedures, is performed to retain gastric function and minimize loss of digestive and absorptive ability. Recently, laparoscopic gastrectomy is increasingly applied for gastric cancer… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Clinical Outcome of Thoracoscopic Esophagectomy for Patients with Esophageal Cancer: Our 2-year Experience
Introduction: Esophagectomy with extended lymphadenectomy is the principal modality for the cure of esophageal cancer in case the curative resection is possible, and less invasive or minimally invasive surgery has been required to offer less morbidity and favorable prognosis. We have incorporated thoracoscopic esophagectomy into esophageal resection since August 2005. We addressed our procedure which… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
“Clinically Significant Reason for TAPPS over TEPPS?”
Introduction: Would the ability to diagnose unexpected secondary findings be a crucial factor to choose TAPPS over TEPPS? The primary surgeon of this abstract incidentally diagnosed a liver malignancy that prompted this question. Over the years, debate between the two approaches has been an on-going issue. Neither surgery has demonstrated definitive superiority over the other.… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
CO2-Pneumoperitoneum Induces Renal Apoptosis in a Rat Model
Background: Kidneys harvested by laparoscopic donor nephrectomy regain normal function slightly later than laparotomy-harvested organs. Several factors affect the organs after laparoscopic recruitment, which could explain the relatively prolonged period of recovery. We investigate the role of CO2-induced pneumoperitoneum (PNP) on organ dysfunction as expressed by cell apoptosis.Methods: CO2-PNP was established in 24 anesthetized Wistar… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Basic Science
Colonic Sterilization for NOTES Procedures – a Comparison of Two Decontamination Protocols
Introduction:In the 2005 White Paper, prevention of infection was named as one of the ten potential barriers to performing NOTES surgery. The aim of this study was to evaluate the effect of two different sterilization protocols on the bacterial counts in the swine colon while preparing for NOTES surgery.Methods:After placing a proximal colon balloon, 16… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Colonoscopic colorectal cancer screening in average-risk population in a Community Hospital of Argentina.
Introduction: The role of colonoscopy in screening for colorectal (CR) neoplasia in average-risk population, remains to be determined. The aim of this study was to evaluate the utility of colonoscopy for screening in asymptomatic adults, with average-risk of CR neoplasia.Methods and Procedures: A retrospective study was conducted to evaluate the patients that underwent colonoscopy for… Continue Reading
- Type:
- Posters
Combined Prone Thoracoscopy and Supine Laparoscopy for treatment of an Epiphrenic Diverticulum
The laparoscopic treatment of epiphrenic diverticula via a totally abdominal approach has been well described. One of the challenges of the laparoscopic approach to the treatment of large epiphrenic diverticula has been safe and adequate proximal dissection. Thoracoscopy provides another means of accessing the mid to distal esophagus, while addition of this modality allows for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Combined thoracoscopic and laparoscopic esophagectomy
.Minimally invasive esophagectomy for cancer is increasingly adopted by dedicated centers in the world, but the method is highly variable. A video presentation of combined thoracoscopic and laparoscopic esophagectomy in a 54-year old man suffering from a squamous cell cancer of the mid-esophagus is presented. Thoracoscopic esophageal mobilization with mediastinal nodal dissection was carried out… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Comparative analysis on clinical outcomes between laparoscopic distal pancreatectomy and open distal pancreatectomy : single center, single operator, same period experience
Purpose) Laparoscopic pancreatic surgery on distal lesion is in development state now. However benefit of laparoscopic distal pancreatectomy over the open surgery is not well known yet. We compared the clinical data of the patients underwent laparoscopic distal pancreatectomy (LDP group) with the patients underwent open surgery (ODP group) on the base of same operator,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Comparative Study of Treatment Outcome in Achalasia :Surgical Myotomy VS Pneumatic Balloon Dilatation
Less was known regarding the effectiveness of surgical myotomy and pneumatic balloon dilatation in the treatment of achalasia particular in laparoscopic era.This study aimed to compare the treatment outcome of surgical myotomy and pneumatic balloon dilatation. Methods:There were 72 patients diagnosed as achalasia admitted to King Chulalongkorn hospital between 1998-2006. Medical records of these patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Comparative Weight Loss Analysis of Laparoscopic Gastric Bypass and Adjustable Gastric Band
Introduction: Comparative weight loss analysis between the gastric bypass (GB) and the adjustable gastric bypass (AGB) is difficult due to the need for long-term follow-up the need to control for potential confounders (i.e. initial BMI).Methods: Longitudinal mixed-effects models were used to analyze weight loss after either the GB or AGB. The multivariable analysis included controls… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity