Firefly –Flip a Switch to See the Ureter Use of Indocyanine Green for Localization and Preservation of Ureters in Robotic-Assisted Colon Surgery
Daniel R Slack, MD, Sandeep Sachidananda, MD, Diego Holguin, MD, Jayakara Shetty, MD. Waterbury HospitalBackground: Identification and preservation of ureter is a technical challenge during colon and pelvic surgery. The use of fluorescent dye has recently been included as an adjunct to enable easy intra-operative identification and hence preservation of the ureter during robotic-assisted surgery.… Continue Reading
Flex Robotic System, a Novel Technology for Transanal Excision of Rectal Malignancy.
Matthew Skancke, MD, Vincent Obias, MD. George Washington University HospitalObjective: In 2017, an estimated 39,910 people will receive a new diagnosis of rectal cancer. While the baseline surgical management of advanced rectal cancer remains the total mesorectal excision; more recently treatment for early rectal cancer has evolved with data to support local excision. Lesions that are… Continue Reading
Flexible endoscopic cricopharyngeal myotomy with Thulium laser
Stefano Siboni, MD, Alberto Aiolfi, MD, Chiara Ceriani, MD, Marco Sozzi, MD, Luigi Bonavina, MD, FACS. IRCCS Policlinico San DonatoAims. Flexible endoscopic treatment of Zenker’s diverticulum is feasible, but electrocautery and CO2 laser technology carry the risk of collateral thermal injury. Thulium laser septum incision may overcome this limitation. We describe for the first time… Continue Reading
Full Length Sleeve Gastrectomy Stapler
Adam Dunki-Jacobs, Jonathan R Thompson, MD, Ben Thompson. Standard Bariatrics, Inc.Objective of the technology or device: Sleeve gastrectomy is currently performed by firing a general purpose 60mm laparoscopic stapling device multiple times to transect the stomach. Orogastric calibration systems fail to help surgeons maintain desired distances from anatomic landmarks or align the anterior and posterior sides… Continue Reading
Gastric Leaks Arising after Bariatric Surgery and an Innovative Approach to Closure
Elizabeth Long, MD, Osama Abdul-Rahim, MD, Paul Rider, MD, William O Richards, MD, FACS. University of South AlabamaBackground: Gastric leaks continue to be a troubling predicament for physicians and patients alike. They are especially concerning after bariatric surgery. Electrolyte abnormalities and dehydration continuously pose a life threatening problem in these patients. Methods: This is an… Continue Reading
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GESTURE CONTROL FOR MEDICAL IMAGE NAVIGATION AND REMOTE CONTROL DURING LAPAROSCOPIC SURGERY: EFFICIENCY AND FACE VALIDITY
Francisco M. Sánchez Margallo, PhD, Juan A. Sánchez-Margallo, PhD, José L. Moyano-Cuevas. Minimally Invasive Surgery Centre, Cáceres, SpainINTRODUCTION: Surgical environments require special aseptic conditions for direct interaction with the preoperative images and surgical equipment, which hampers the use of traditional input devices. We presented the feasibility of using a natural user interface (NUI) for gesture… Continue Reading
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Impact of patient age on morbidity and survival following laparoscopic pancreaticoduodenectomy
Lingwei Meng1, Qinghong Xia2, Yunqiang Cai1, Yongbin Li1, Bing Peng3. 1Department of General Surgery, ChengduShangjinNanfu Hospital, 2Department of Operation Room, ChengduShangjinNanfu Hospital, 3Department of Pancreatic Surgery, West China Hospital of Sichuan UniversityAIM: To present short- and long-term outcomes in elderly patients who performed laparoscopic pancreaticoduodenectomy (LPD) compared with the young. METHODS: A total of 189… Continue Reading
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INCISIONAL NEGATIVE PRESSURE WOUND THERAPY ON HIGH RISK SURGICAL PATIENTS: ONE YEAR EXPERIENCE
Alisan Fathalizadeh, MD, MPH1, Eric Weiss, MD1, Madeline Tadley2, Mark Kaplan, MD, FACS1, Pak Leung, MD, MSc, FACS1. 1Albert Einstein Medically Center, 2Sidney Kimmel Jefferson Medical CollegeObjective: To demonstrate that negative pressure therapy can reduce postoperative wound complications on clean closed incisions. A standardized patient selection protocol was created and implemented for utilization of Incisional… Continue Reading
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Initial experience of laparoscopic total colectomy with transanal minimally invasive proctectomy for ulcerative colitis
Takatoshi Matsuyama, Sinichi Yamauchi, Akifumi Kikuchi, Kazuyuki Kojima, Yasuaki Nakajima, Masamichi Yasuno, Yusuke Kinugasa. Tokyo Medical and Dental UniversityObjective of the technology or device: Laparoscopic surgery is well established for colon cancer, with defined benefits. Use of laparoscopy for the performance of restorative proctocolectomy (RPC) with ileoanal anastomosis is more controversial. There are several technical hurdles… Continue Reading
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INNOVATIVE INTRAOPERATIVE URETERAL IMAGING IN ROBOTIC COLON AND RECTAL SURGERY
Sheev I Dattani, MD, Haane G Massarotti, MD, Allen P Chudzinski, MD. Florida Hospital TampaINTRODUCTION: The purpose of our report is to highlight the use of intraureteral indocyanine green (ICG) and subsequent visualization using near-infrared fluorescence (NIRF) to prevent iatrogenic ureteral injuries. Robotic surgery has gained popularity over the years specifically in colorectal surgery. Ureteric… Continue Reading
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Intraoperative localization of insulinoma using near-infrared fluorescent light
David Gutierrez Blanco, MD1, Lisandro Montorfano, MD1, Lisandro Alle, MD2, Gonzalo Carles, MD2, Fernando Dip, MD1, Luis Sarroto, MD2, Emanuele Lo Menzo, MD1,Raul Rosenthal, MD1. 1Cleveland Clinic Florida, 2Hospital de Clinica Jose de San MartinThis video demonstrates the use of near-infrared fluorescent light in the localization of insulinoma. This is a 65-year-old man that came… Continue Reading
KHORAL – a novel instrument for extracting foreign bodies from the GI-tract
Brynjulf Ystgaard1, Per E Storli1, Lars C Rekstad, MD1, Tonje S Steigedal, PhD2. 1St Olav University Hospital, 2Norwegian University of Science and TechnologyMost hospitals have a group of patients with psychological disorders causing self-harming behavior. A few of these do this by swallowing objects such as eating utensils, batteries and razor blades. Some objects are… Continue Reading
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Laparoscopic and Open Surgery for Ulcerative Colitis.
Shinichi Yamauchi, MD, PhD1, Takatoshi Matsuyama, MD, PhD1, Ayumi Takaoka, MD1, Yuriko Matsumiya, MD1, Ryota Seki, MD1, Fukuichiro Orita1, Megumi Sasaki, MD1, Tomiyuki Miura, MD1, Akifumi Kikuchi, MD, PhD1, Megumi Ishiguro, MD, PhD2, Toshiaki Ishikawa, MD, PhD2, Hiroyuki Uetake, MD, PhD2, Masamichi Yasuno, MD, PhD1, Yasuaki Nakajima, MD, PhD1, Kazuyuki Kojima, MD, PhD1, Yusuke Kinugasa,… Continue Reading
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Laparoscopic CME via reduced port surgery using Endo Relief for colon cancer
Hanako Nakasaki, Shinichiro Mori, Yoshiaki Kita, Kenji Baba, Kan Tanabe, Masayukie Yanagi, Takaaki Arigami, Yasuto Uchikado, Kosei Maemura, Masahiko Sakoda, Shoji Natsugoe. Department of Digestive, Breast and Thyroid Surgery, Graduate School of Medicine, Kagoshima UniversityDevise: Endo Relief (Hope Denshi, Kamagaya, Chiba, Japan) Objective: We have evaluated the safety and feasibility of laparoscopic complete mesocolic excision… Continue Reading
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LAPAROSCOPIC CUTTING AND SUTURING USING THE RADIUS R2 DRIVE INSTRUMENTS: SURGICAL PERFORMANCE AND ERGONOMICS
Francisco Miguel Sánchez Margallo, PhD1, Juan A. Sánchez-Margallo, PhD1, Andreas Skiadopoulos, PhD2, Konstantinos Gianikellis, PhD3. 1Minimally Invasive Surgery Centre, Cáceres, Spain, 2University of Nebraska at Omaha, 3University of Extremadura, SpainINTRODUCTION: New handheld devices have been developed in order to address the technical limitations and ergonomic issues present in laparoscopic surgery. The aim of this study… Continue Reading
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