Laparoscopic Repair of a Duodenal Atresia and Ladd\’s Procedure in a Neonate
Purpose: To demonstrate current refinements of technique in performing a duodenal anastomosis in a neonate with duodenal atresia. Methods: A 33 week premature infant with a prenatal diagnosis of Duodenal atresia was explored laparoscopically on day two of life for repair. The patients weight was 2 Kg. Two 3mm ports and one 4mm port were… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic \”sudeck\” Suture Rectopexy for Elderly Patients
OBJECTIVE OF THE TECHNIQUE: Intussusception of the anterior rectal wall plays known to be a leading mechanism of rectal prolapse. In general, surgical management for rectal prolapse is divided into perineal and transabdominal approaches, and the former is known to be associated with a high recurrence rate. If the patient is medically fit, even in… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Loop Snare Technique for Transfascial Suturing
We present an alternative technique for placing transfascial sutures using commonly encountered operating room materials. This method utilizes two 18 gauge spinal needles and a polypropylene suture to pass sutures for ventral hernia repair with mesh, or other uses. This method is inexpensive, relatively less traumatic to mesh and the abdominal wall, and is technically… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Management of Retained Gallbladder/ Cystic Duct Remnant Post-cholecystectomy
Abstract : Pain upper abdomen following laparoscopic cholecystectomy often presents with diagnostic dilemma. We present 13 cases of gall bladder / cystic duct remnant containing stones that presented with recurrent biliary symptoms. Material & Methods : Over the last 10 years, 13 patients were referred to our institution for the evaluation of unexplained recurrent biliary… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Measuring Esophagogastric Junction Distensibility Perioperatively At Heller Myotomy for Achalasia Using Endoflip®
Objective: To investigate the potential for using EndoFLIP ® as a tool for measuring changes to the distensibility at the EGJ as a result of the mechanical changes caused by Heller myotomy and subsequent Dor fundoplication.Method: The EndoFLIP catheter with a 11cm long deflated balloon was inserted orally and positioned to straddle the EGJ before… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Mentoring Facilitates Oncologically Sound Laparoscopic Colon Resection
Objective: There is a significant learning curve to overcome for laparoscopic colorectal resection. For the established general surgeon there are minimal opportunities for obtaining the necessary skills for advanced laparoscopic procedures. Our hypothesis is that the assistance of a MIS trained surgeon facilitates comparable and oncologically adequate laparoscopic colorectal resection when performed by an established… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Mini-incision Laparatomy As a One Stage Approach in Management of Complicated Gallstone Disease
Background: Mortality, complication and conversion rates are significantly higher for patients with complicated forms of gallbladder stones than in those with uncomplicated types. To reduce these criteria we designed a working algorithm for management of such patients. Methods: In a period of 5 years (2004 – 2008) 412 patients with different complication forms of gallbladder… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Minilaprotomy Approach to Perforated Duodenal Ulcer
Background and Purpose: Although the technical feasibility of laparoscopic approach to perforated duodenal ulcer is well established, this procedure has not been widely performed because of several limitations. This retrospective study was performed to clarify the feasibility, safety, and minimal invasiveness of a minilaparotomy for perforated duodenal ulcer. Patients and Methods: We retrospectively analyzed data… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Mis Training in Canada: The Staff Surgeons\’ Perspective.
Introduction: General surgeons’ perceptions regarding resident laparoscopic training remains poorly defined. The objective of this survey was to identify and evaluate teaching experiences with laparoscopic procedures in general surgical programs on a national level. Methods: Staff surgeons were identified and contacted across Canada through the Canadian Association of General Surgeons at their annual meeting in… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Multicenter Comparison of Intermediate Oncologic Outcomes of Laparoscopic Partial Nephrectomy and Renal Cryoablation
Introduction: The surgical paradigm for small renal masses has evolved towards less invasive nephron sparing intervention. While partial nephrectomy remains the gold standard for the management of most small renal masses, increasing experience with renal cryoablation has suggested a viable alternative with a favorable morbidity profile and good efficacy. We compare intermediate-term oncologic outcomes following… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Multicenter Experience with Non-ischemic Laparoscopic Nephron Sparing Surgery Utilizing Habib 4x™ Bipolar Radiofrequency Ablation Coagulator
Introduction: Laparoscopic nephron sparing surgery (L-NSS) has gained increasing acceptance with emerging data demonstrating equivalence of oncologic outcomes with open NSS. Concerns continue regarding prolonged warm ischemic times and longer-term renal functional outcomes. We report our initial experience utilizing the Habib 4x™ laparoscopic radiofrequency ablation coagulator (Angiodynamics, Queensbury, NY) for non-ischemic L-NSS. Methods: 50 cases… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
New Equipments and Techniques for Video-Assisted Thyroidectomy Using Lifting Method By New Retractor Via Axillary Approach
We have developed video-assisted thyroidectomy via the axillary approach using the lifting method without carbon dioxide. We created and have used a new equipment in the recent cases. In this study, we presented and verified our method with regard to surgical factors and patients’ complaints after surgery. Method: Our axillary procedure was performed in 35… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Opinion Survey on Operative Management of Adhesive Small Bowel Obstruction: Laparoscopy Versus Laparotomy in the State of Connecticut
Introduction: Intra abdominal adhesions are responsible for 49-74% of small bowel obstruction [SBO]. Traditionally, open lysis of adhesions [OLA] is the treatment when conservative measures fail. Recent literature has shown safety of laparoscopic lysis of adhesions (LLOA) in treating adhesive SBO. In addition, length of stay and costs are less with LLOA. Despite these favorable… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Outcomes of Single Incision Cholecystectomies in a Non-select Patient Group
Introduction: Over the past two decades, laparoscopic cholecystectomy has replaced open cholecystectomy as the standard of care for benign gallbladder disease. Recently, attempts have been made to remove the gallbladder through single skin incisions to improve the cosmetic, and possibly other surgical outcomes such as pain. This more complex approach is generally thought to be… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Paediatric Laparoscopic Appendicectomy in an Adult Unit- A Ten Year Experience
Objectives: Laparoscopic appendicectomy has been reported as a safe and effective alternative to the open technique in children. However a majority of studies comparing these techniques in children have been conducted in paediatric surgical units. The aim of this study was to analyse the outcomes of laparoscopic appendicectomies performed in children in an adult surgical… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other