Sleeve Gastrectomy for the Treatment of Diabetic Gastroparesis
Objective: Diabetic gastroparesis often fails to respond to medical management. We present our initial experience with sleeve gastrectomy for the treatment of gastroparesis. Surgical treatment of gastroparesis with gastric pacing has shown some promise, but when this option fails, subtotal gastrectomy is often the end result. Evidence evaluating the efficacy of this is weak. Sleeve… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Sleeve Gastrectomy with Ileal Interposition for Type 2 Diabetes
This video shows technical details for the surgical treatment of type 2 diabetes in a no-obese population . This surgery, sleeve gastrectomy with ileal interposition, was done under approved protocol in 20 patients. The principle used was the ileal-brake. Session: Podium Video Presentation Program Number: V029 Continue Reading
- Topic:
- Metabolic / Obesity
Small-dose India Ink Tattooing for Preoperative Localization of Colorectal Tumor: A Pilot Study
INTRODUCTION: India ink tattooing is widely used for tumor localization. However, the procedure of india ink tattooing was not standardized yet. Our group reported previously that preoperative colonoscopic tattooing using a saline test injection method with prepackaged, sterile India ink was a safe and effective method for tumor localization in laparoscopic colorectal surgery. And then… Continue Reading
- Type:
- Posters
Spontaneous Retroperitoneal Haematoma Caused By Lumbar Artery Bleed.
INTRODUCTION: Spontaneous retroperitoneal hemorrhage can present as a rare life-threatening event. We present the first spontaneous retroperitoneal haematoma due to bleeding from lumbar artery without history of trauma, instrumentation or anticoagulation. Prompt diagnosis and proper management of this condition is essential to improve survival. METHODS AND PROCEDURES: A 84-year old female admitted to hospital for… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Staged Laparoscopic Adjuvant Intraperitoneal Chemohyperthermia (ipch) After Complete Resection for Locally Advanced Colorectal or Gastric Cancer
Purpose: Cytoreductive surgery followed by intraperitoneal chemohyperthermia (IPCH) is a promising treatment for patients with peritoneal malignancies. Usually, IPCH is performed concomitantly with cytoreductive surgery for peritoneal cancinomatosis (PC) or more occasionally as an adjuvant treatment after gastric resection for cancer. In this report, we describe our experience with staged adjuvant laparoscopic IPCH after complete… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Standardization of Video-Assisted Esophagectomy: Hand-Assisted Thoracoscopic Surgery As a Safety Procedure
Introduction: Hand-assisted laparoscopic surgery has been recognized as a safe laparoscopic operative procedure for gastrointestinal malignancies. Although laparoscopic procedure has recently been applied for esophageal cancer, open surgery still remains the standard operative procedure. To overcome the technical difficulty of video-assisted esophagectomy, we applied hand-assisted surgery in VATS esophagectomy. The aim of this study is… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Standardized Trans-Abdominal Suturing with the Imesh Stitcher Device
Introduction In Laparoscopic hernia repair , particularly abdominal herniorrhaphy, fixation of the prosthetic mesh to the abdominal wall is commonly achieved by using tacks ( staples ) and/or trans-fascial sutures. Previous studies have shown trans-fascial suture fixation to be up to 2.5 times stronger than tacks. A correlation between fixation without sutures and hernia recurrence… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Staple Line Reinforcement in Laparoscopic Distal Pancreatectomy
Objectives: Several series document that laparoscopic distal pancreatectomy is as safe as the traditional open approach. However, pancreatic leaks and peri-pancreatic fluid collections remain common morbidities. This report analyzes three methods of staple line reinforcement following laparoscopic distal pancreatectomy, with and without splenic preservation, with regards to post-operative pancreatic fistulas and peri-pancreatic fluid collections. Methods:… Continue Reading
Stapled Transanal Rectal Resection (starr) for Obstructive Defecation Syndrome – a Prospective Study with 6 Months Follow Up
Objectives of StudyStapled transanal rectal resection (STARR) is emerging as a standard of care procedure for the management of obstructed defecation syndrome (ODS). Efficacy of the STARR procedure is promised upon correction of structural abnormality of lower rectum by resecting the lower third rectal segment of about 5 cms. This resection may raise concerns about… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Stepwise Progression to Totally Robotic Bypass
Objective: We describe our strategy and experience using the da Vinci S system to develop a completely robotic gastric bypass technique in a stepwise fashion. The first robotic bariatric procedure was performed in1999 by Cardiere.1 The wristed movement and 7 degees of motion, enhanced high definition optics, superior ergonomics, and numerous other advantages have been… Continue Reading
Study of Human Peritoneal Bacterial Contamination After NOTES Transgastric and Transvaginal Cholecystectomy
Introduction:The recent literature has questioned the infectious risk of natural orifice translumenal endoscopic surgery (NOTES). One important requirement of this technique is the need to minimize the risk of eritoneal contamination.Our study examines the resultant microbial contamination of the human peritoneum after transgastric and transvaginal cholecystectomy. Methods and procedures: From April 2007 to September 2009,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Summary of Five Cases Hals-nephrectomy and Distal Pancreatectomy: Minimally Invasive Approach for Donor Operation of Simultaneous Pancreas and Kidney Transplant
[INTRODUCTION] It is seriously important for living donations to make safer and to reduce operating stress. Laparoscopic surgery is though to be a useful operating procedure for solving these problems. We performed first case of living donor (LD) simultaneous pancreas and kidney transplantation (SPKTx) in Japan in 2004, and until now, we have done 13… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Superior Mesenteric Artery Syndrome Following Laparoscopic-Assisted Proctocolectomy and Ileal J-pouch-Anal Anastomosis in a Pediatric Patient.
Superior mesenteric artery syndrome (SMAS) is a rare cause of proximal bowel obstruction that results from extrinsic compression of the third portion of the duodenum by the superior mesenteric artery against the aorta. It is most commonly seen in the setting of severe weight loss or extreme physical malpositioning. We present the case of a… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Surgeon-controlled Factors That Reduce Monopolar Electrosurgery Capacitive Coupling During Laparoscopy
OBJECTIVE: To determine factors that can be modified by the surgeon to reduce monopolar electrosurgery capacitive coupling (CC) during laparoscopy. BACKGROUND: Monopolar electrosurgery is used in virtually every laparoscopic operation. CC is a major cause of laparoscopic electrosurgery complications. SPECIFIC AIMS: To determine CC energy: (#1) using different generator power settings, (#2) comparing generator mode… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Surgeon Impressions and Technical Difficulty Associated with Laparo-endoscopic Single-site Surgery (less): A Sages Learning Center Study
Introduction: Interest in Laparo-Endoscopic Single-Site Surgery (LESS) is rapidly growing amongst surgeons. The purpose of this study was to characterize current surgeon impressions about LESS and to determine the relative difficulty of performing a simulated LESS task.Methods: This study was conducted at the 2009 SAGES Learning Center. Participants (n=56) were asked to complete pre-test and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation