Trans Oral Endoscopic Stapled Esophago Diverticulostomy (toesed ) for Zenker’s Diverticulum
Introduction: Zenker's diverticulum is a known cause for dysphagia and is treated usually by resection or diverticulopexy through a neck incision. In recent years an endoscopic per-oral method has been described. A cohort of patients was treated and long-term follow up was obtained.Materials and Methods: All patients presented with the diagnosis of Zenker's diverticulum were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Trans-gastric Ventral Abdominal Wall Placement of a Biologic Mesh
Introduction:We proposed a feasibility study to determine if biologic mesh may be safely placed in the abdomen in a transgastric fashion, as a precursor to attempting transgastric ventral hernia repair.Methods:Six swine underwent upper endoscopy after decontamination of the stomach with povidone-iodine (Betadine). Under endoscopic guidance the gastric wall was perforated. A plastic overtube was introduced… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Trans-esophageal Cardiomyotomy Utilizing Submucosal Dissection: An Acute Porcine Procedure
Background: Previous investigators have demonstrated the ability to perform an esophageal myotomy via a natural orifice translumenal endoscopic surgery (NOTES) approach. To date, no one has performed a NOTES myotomy including both gastric and esophageal musculature.Objective: Our objective was to perform a complete cardiomyotomy via a trans-esophageal route using the self-approximating translumenal access technique (STAT).Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Trangastric access to the chest: opening a new vista?
Introduction:The NOTES approach to the peritoneal cavity is well established today and procedures in humans have already been performed. The next question to be addressed is whether this access can be extended further. This video shows the feasibility of feasibility of transgastric access to the thoracic cavity in the porcine model.Materials and methods:A series of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Tracheo-esophageal Fistula Treated by Esophageal Stent and Ultrasound-Guided Suture Fixation
Background: Current option for patients with a tracheo-esophageal fistula are limited. Because of stent migration, newer stents have been developed to prevent movement, but stents placed high in the esophagus continue to migrate.Methods: This video describes the procedure of placing an esophageal stent with two different fixation techniques. The first technique involves the use of… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Toward Natural Orifice Surgery with Cooperative Miniature Robots
Introduction: While Natural Orifice Translumenal Endoscopic Surgery (NOTES) is very appealing from the patient’s perspective, it is surgically challenging by its very nature because access is limited to the size of the natural orifice. It is difficult to have multiple instruments simultaneously passing through an orifice, and the instruments must be flexible throughout their entirety… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Totally Laparoscopic Right Hepatectomy
Laparoscopy is slowly becoming an established technique for liver resection. This procedure still is limited to centers with experience in both hepatic and laparoscopic surgery. Preliminary reports include mainly minor resections for benign liver conditions or hand assisted resections and show some advantage in terms of postoperative recovery. The authors present their video with laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Totally Laparoscopic Proctocolectomy with Intracorporeal Ileal Pouch -Anal Anastomosis Followed By ‘natural Orifice Specimen Extraction’ (n.o.s.e)
Introduction:Totally laparoscopic proctocolectomy with intracorporeal pouch-anal anastomosis has been rarely reported. In this video, we present a totally laparoscopic proctocolectomy with pouch-anal anastomosis and a novel method of specimen extraction. Methods: We retrospectively studied 7 female patients from 2004-2007. A totally laparoscopic proctocolectomy with ileal pouch-anal anastomosis was successfully performed for all cases. The operating… Continue Reading
- Topic:
- Colorectal
Totally extraperitoneal (TEP) bilateral varicocelectomy (BLV) – a comparative study of collateral venous channels in left and right varicocele and their accessibility by TEP route
Objective of Study :Results of bilateral varicocelectomy are sometimes a concern due to recurrence, hydrocele and no improvement in semen parameters specially when done for male infertility. Both Retroperitoneoscopic and Microvascular subinguinal approaches have these drawbacks. An anterior Extraperitoneal approach presented by us earlier enables visualization of venous collaterals from high retroperitoneum (HRP) till subinguinal… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Total Laparoscopic Resection of Pancreatic Glucagonoma- case report.
Tumors of the body or tail of the pancreas are uncommon. A large number of these lesions when they present may not be resectable. More recently, laparoscopic distal pancreatectomy and splenectomy has been performed using a hand assisted and less commonly a total laparoscopic resection. We report a total laparoscopic resection of a glucaganoma arising… Continue Reading
Thoracoscopic Treatment of Spontaneous Pneumothorax
Objective: Prospective study to evaluate thoracoscopic treatment of spontaneous pneumothorax by bulla resection with pleurectomy or with pleura coagulation.Patients: From 1991 to 2007, 255 patients were included in this study. Indications were persistent bubbling (45.3%), recurrence (42.9%), opposite side pleurectomy (11.4%), opposite side pneumothorax (5.5%), haemopneumothorax (2.3%), bands (3.2%), huge bulla (2.7%), double sided pneumothorax… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Thoracoscopy
Thoracoscopic Enucleation of an Esophageal Gastrointestinal Stromal Tumor
Introduction: Symptomatic gastrointestinal stromal tumors of the esophagus present a technical challenge with regards to their safe removal. Located within the muscularis propria, these tumors are not typically amenable to endoscopic resection. We describe the technique of thoracoscopic enucleation in a patient with a 3 cm esophageal gastrointestinal stromal tumor located in the middle esophagus.… Continue Reading
- Topic:
- Thoracoscopy
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
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
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