Hormonal Evaluation Following the Laparoscopic Treatment of Type 2 Diabetes Mellitus Patients with Bmi 20 – 34
Introduction: A group of patients with Type 2 Diabetes (T2DM) and BMI 20-34 were submitted to the laparoscopic interposition of a segment of ileum into the proximal jejunum or into the proximal duodenum associated to a sleeve gastrectomy. The objective of this study is to evaluate the hormonal changes in the pre and postoperative period.Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Human Transvaginal Cholecystectomy using an IT-Knife
Background: NOTES is an evolving and controversial field of surgery on its beginning. Laparoscopic surgery and Endoscopy merges to fulfill it. Despite NOTES human experience had begin by the transgastric way with Rao in India, the transvaginal approach is taking place as a safer and easy way to achieve the upper abdomen. As on its… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Impact of Iq, Computer-gaming Skills, General Dexterity and Laparoscopic Experience on the Performance with the Da Vinci® Surgical System
BACKGROUND:Due to improved ergonomics and dexterity, robotic surgery is supposed to be very easy to perfom for all individuals and no special premises should be necessary. We have tested the above hypothesis by measering IQ-elements, computer-gaming-skills, general dexterity with chop sticks and evaluating laparoscopic experience in correlation to the performance with the da Vinci robot®… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Improvement in Glycemic Control by Gastric Electrical Stimulation (TANTALUS®) in Overweight Subjects with Type 2 Diabetes (T2DM)
Background: The TANTALUS System (MetaCure Ltd.) is a minimally invasive implantable gastric stimulation modality that does not exhibit malabsorptive or restrictive characteristics. The device applies GCM (Gastric Contractility Modulation) signals to the stomach Antrum. The signals are delivered in synchronization to the native electrical activity of the stomach during meals. Retrospective analysis of previous studies… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Inflammatory Response to NOTES Transgastric Surgery
Study Aim: The risk of gastric spillage during transgastric surgery is a concerning potential complication of NOTES procedures. The aim of this study is to determine the risk of sepsis from gastric spillage in a rat survival model by measuring local and systemic inflammatory markers, adhesive disease, and clinical outcomes.Methods: Under IACUC approval, mini-laparotomy with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Basic Science
Intraoperatively-Acquired Objective Measures to Monitor Laparoscopic Skills
Introduction: Standard skill evaluation methods in the operating room (OR) include direct observation and checklists; both are time consuming and subject to bias. Objective assessment systems have been proposed for simulators using dexterity measures. However, motor performance in simulators can differ from that in the OR, so monitoring motor performance in the OR is necessary… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Laparoscopic approach of colonic perforation due to colonoscopy
Background: Iatrogenic perforation due to colonoscopy is the most serious complication of this procedure. Usually this complication requires segmental resection to be resolved. The laparoscopic approach could be an option to minimize the outcome of this complication.Objective: The aim of this study was to assess the effectiveness of the laparoscopic approach to treat colonic perforations… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic- Assisted Endoluminal Surgery: a Steping Stone to NOTES
Background:As Natural Orifice Transluminal Endoscopic Surgery (NOTES) approaches on the horizon, surgeons will need to develop the fundamental skills and spatial orientation needed to perform in this new perspective. The Natural Orifice Surgery Consortium for Assessment and Research (NOSCAR) has established several fundamental challenges to the safe introduction of NOTES. Our institutional experience with laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Laparoscopic Assisted Surgery for Rectal Cancer. Our Experience and Results in 430 Cases.
Introduction: Laparoscopic assisted surgery for rectal cancer is still a challenge for surgeons. Actually colorectal surgeons believe that total mesorectal excision provides favorable oncologic results for the treatment of rectal cancer and more and more believe that laparoscopic approach is a good and safe approach to do it. The present study is a feasibility study… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Completely Extraperitoneal Repair of Inguinal Hernia in Children; A Single Institute Experiences with 1,257 Repairs in Comparison with Cut-down Herniorrhaphy.
Aim of the study: Conventional open herniorrhaphy in children has been reported to have 2~3% recurrence and 10~20% postoperative contralateral hernia rates. We developed a unique technique to achieve completely extraperitoneal ligation of patent processus vaginalis (PPV) without any skip areas, sparing the spermatic cord and vessels under laparoscopic control. Our technique should be theoretically… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Diaphragm Motor Point Pacing: Complete Worldwide Experience of all Implanted Patients
Background: Diaphragm movement is essential for adequate ventilation and when the diaphragm is adversely affected patients face life long positive pressure mechanical ventilation or death. This report summarizes the complete world wide multi-center experience with the diaphragm pacing stimulation (DPS) system to maintain and provide diaphragm function for ventilation.Methods: In prospective FDA trials, patients underwent… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Laparoscopic Duodenojejunostomy for Superior Mesenteric Artery Syndrome
Introduction: Laparoscopy has become an invaluable part of the surgeon’s armamentarium. It has proven diagnostic and therapeutic benefits for a wide spectrum of disease. This video illustrates the role of laparoscopy for Superior Mesenteric Artery Syndrome. Methods: The aim of this video is to demonstrate key concepts associated with laparoscopic duodenojejunostomy. Management algorithms are discussed… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Duodenopancreatectomy
INTRODUCTIONSince the first report of laparoscopic pancreatic resections in the early 1990’s, laparoscopic resection of pancreatic tail tumors has become increasingly more common in the surgical treatment of both benign and malignant tumors. The minimally invasive approach to duodenopancreatectomies, however, is still only being performed in highly specialized centers. This is principally because of concerns… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Ileal Interposition Associated to a Diverted Sleeve Gastrectomy Is an Effective Operation for the Treatment of Type 2 Diabetes Mellitus Patients with Bmi 21 – 29
Introduction: The objective of this study is to evaluate the clinical results of the laparoscopic interposition of a segment of ileum into the proximal duodenum associated to a sleeve gastrectomy (II-DSG) in order to treat patients with Type 2 Diabetes Mellitus (T2DM) and BMI 21-29.Methods: The laparoscopic procedure was performed in 69 patients. 22 were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic IPAA surgery reduces abdominal and pelvic adhesions
Objectives: Adhesions after open abdominal operations cause >75% of cases of small bowel obstruction. We evaluated adhesions to the anterior abdominal wall and adnexae after laparoscopic ileal pouch anal anastamosis (IPAA).Methods: Patients who underwent laparoscopic proctocolectomy, IPAA and diverting loop ileostomy for Ulcerative Colitis had laparoscopic evaluation of adhesions at closure of ileostomy to assess… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal