Advances in Virtual Reality Fls (fundamentals of Laparoscopic Skills)
Objectives: The aim of our study was to evaluate the face and construct validity of VBLaST (Virtual Basic Laparoscopic Skills Trainer), a virtual reality simulator version of Fundamentals of Laparoscopic Surgery (FLS). Methods: 31 subjects were categorized into 2 groups: 14 experts (PGY 5/fellows/faculty) & 17 novices (PGY 1-4). Subjects were randomized to perform 3… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Advantages of Laparoscopic Assisted Colorectal Surgery At a Va Hospital Indianapolis
Advantages of Laparoscopic Assisted Colorectal Surgery at a VA HospitalBackground: The safety and efficacy of laparoscopic assisted colectomy has been demonstrated in several trials and has become an accepted means for the surgical management of benign and malignant colorectal disease. We provided a laparoscopic colorectal surgery option to our veteran population at the Indianapolis VA… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Adverse Events Associated with Laparoscopic Colostomy Reversal Following Hartmann\’s Procedure : A Multi-institutional Study.
Background : Open restoration of bowel continuity after Hartmann’s procedure has been associated with significant morbidity, including anastomotic leak, incisional hernia, inability to re-establish intestinal continuity and wound infections. Few studies have examined the role of laparoscopy in performing Hartmann’s reversal. The aim of this study is to review our experience with laparoscopic colostomy reversal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Alternative Treatment of Acute Pancreatitis
The contemporary approach to treatment of acute pancreatitis (AP) is far from satisfactory. This resulted in the increased number of AP patients as well as increased number of cases that developed complications. Our idea is not an original one since we strictly followed the guidelines of the World and European Pancreatic Societies that recommend obtaining… Continue Reading
Analysis of 9 Cases of Pancreaticobiliary Ductal Maljunction Without Common Bile Duct Dilatation Based on Intraoperative Cholangiography During Laparoscopic Cholecystectomy
OBJECTIVE OF THIS STUDY: In order to diagnose pancreaticobiliary maljunction (PBM), it is necessary to perform direct fluoroscopic examinations of the biliary tract system. However, for patients without symptoms, these examinations are performed only in selected cases. For some cases, it is not until intraoperative cholangiography (IOCG) during laparoscopic cholecystectomy (LC) is performed that a… Continue Reading
Analysis of Factors Contribute to Less Invasivenes of Laparoscopic Gastrectomy Compared with Conventional Open Surgery for Gastric Cancer Patients
INTRODUCTION: We have been reported that analysis of systemic inflammatory indicators showed lower responses after laparoscopic assisted distal gastrectomy (LADG) compared with conventional open distal gastrectomy (ODG)(Hayashi et al., Surg. Endosc., 2005). In order to analyze factors contributed to the lower systemic inflammatory response in patients after LADG, both peritoneal and systemic immune response were… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Anastomotic Leak After Gastric Bypass for Morbid Obesity: Laparoscopic Management.
INTRODUCTION – Postoperative anastomotic leak after bariatric surgery is of low incidence but it has significant morbidity and mortality. This complication is often treated by open surgical means. We present our experience with laparoscopic management of anastomotic leak after laparoscopic Roux-en-Y gastric bypass (LGB).METHODS AND PROCEDURES –We retrospectively reviewed all anastomotic leak cases after LGB… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Anterior Minithoracotomy As a Safety Measure in Robotic Lung Resection
OBJECTIVE: After introduction in the 1990s, the minimally invasive approach for lung resection is performed in specialized institutions. Various minimally invasive techniques have been proposed, with and without minithoracotomy. Variations in the technique include an anterior versus a posterior approach, either with or without rib spreading. This study discusses a technique using anterior minithoracotomy for… Continue Reading
Appendectomy Trends Lead to One Main Road: Laparoscopy
INTRODUCTIONThe use of laparoscopic appendectomy has steadily grown since its inception. Various reports demonstrated its advantage over open approach in reducing postoperative pain, incidence of wound infection, shorter duration of hospital stay. Currently, the choice of operative approach is mostly at the surgeons’ discretion. A retrospective study was performed to evaluate the trend for one… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Application of Laparoscopic and Hand-Assisted Approach in Segmental Colectomy
Background: We have previously shown that laparoscopic (LAP) colectomy can be accomplished safely for the curative treatment of benign and malignant colorectal disease. Hand-assisted (HA) laparoscopic surgery appears to be an effective treatment for colorectal disease as well. Here, we perform a comparative analysis of clinical outcomes for open, LAP, and HA segmental colonic resection.Study… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Are We Following Guidelines for the Management of Acute Pancreatitis?
Background: In 1998 the British Society of Gastroenterolgy (BSG) published guidelines for the management of acute pancreatitis, which were further revised in 2003. These guidelines include 11 audit criteria, which allow individual units to appraise their performance, and allow for national comparison. The aim of the study was to assess the adherence of BSG guidelines… Continue Reading
Assessing the Potential and Limitations of Laparoscopic Ultrasound in the Staging of Pancreatic Cancers
Introduction: Although the role of laparoscopic ultrasound (LUS) during staging laparoscopy for pancreatic cancers is well established there is no consensus as to whether it provides useful information over and above other imaging modalities. Aim: To evaluate the value of intra-operative LUS in the pre-operative assessment of pancreatic cancer. Methods: A retrospective consecutive case series… Continue Reading
Assessment of Gastric Conduit Ischemia Following Esophagectomy: The Role of Ct-scan Vs. Early Endoscopy
Background: Ischemia of the gastric conduit is a rare but devastating complication of esophagectomy. Fear of iatrogenic injury to the anastomosis by early endoscopy has resulted in use of CT scan for diagnosis of this complication which may lead to delay in diagnosis. The aim of this study was to assess the role of CT… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Assessment of Intracorporeal Suturing Skills – a Comparison of Four Tools Using the Fls Task Model
Objective: To compare various previously validated assessment tools for intracorporeal suturing. The aim of the study was to evaluate the correlation between 4 assessment tools and review the advantages and disadvantages of each of them as a tool for objective assessment. Methods: The study included fifteen senior (PGY3-5) general surgery residents participating in a workshop… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Attention Disruptions to the Operating Surgeon During Laparoscopic Cholecystectomy
Introduction: Disruptions to surgical workflow have been correlated with an increase in surgical errors and suboptimal outcomes in patient safety measures. Yet, our ability to quantify such threats to patient safety are woefully inadequate. Data is needed to gauge how the laparoscopic operating room (OR) work environment, where the visual and motor axes are no… Continue Reading