The Therapeutic Use of Laparoscopy in the Icu
INTRODUCTION: Early diagnosis and treatment of intraabdominal illness is a challenge in the ICU patient and any delay may have devastating consequences. The aim of this study is to study the role of laparoscopy as a therapeutic tool in the ICU. There are a few studies in the literature describing laparoscopy as a diagnostic tool,… Continue Reading
The Treatment of Urachal Remnants By Laparoscopic Assistant Operation
Objective: To explore the application of laparoscopic technology in the operation of urachal remnants. Methods: Eight children with urachal remnants had been cured though urachal excision operation by Laparoscope in our hospital from july 2003 to January 2008. Result: All of cases recoverd uneventfully. The mean operating time was from 30 minutes to 45 minutes.… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
The Use of a Modified Cyanoacrylate-based Synthetic Glue in Difficult Laparoscopic Cholecystectomy Cases.
INTRODUCTION: Laparoscopy cholecystectomy is the treatment of choice for gallbladder. Unfortunately it is not without complications. The complication rates listed in the literature is low and only increase in the more complex cases or when a less experienced surgeon performs the procedure. Other than the bile duct injuries, the more common complications which are seen… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
The Use of Intraoperative Cholangiography in Patients with Empyema of the Gallbladder
INTRODUCTION: In difficult cases involving the gallbladder, the use of intraoperative cholangiography has been shown to be beneficial. The inflammatory reaction that is associated with empyema of the gallbladder is frequently quite severe making laparoscopic cholecystectomy difficult. We present our experience with intraoperative cholangiography in cases which presented with empyema of the gallbladder.METHODS AND PROCEDURES:… Continue Reading
“the Use of Small Porcine Bowel Submucosa Mesh, in the Treatment of Gastroesophagic Reflux. Long Term Results “
IntroductionGastroesophagic reflux disease is present worldwide, it has a ratio of 360 in 100,000 persons, being the most common esophagic disease, accounting for 75% of casesOne of the most common complications after antireflux surgery is the migration of the fundoplication into the mediastinum , leading to recurrent GERD symptoms. To prevent postoperative intrahoracic wrap herniation,… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Thoracolaparoscopic Ivor Lewis Esophagogastrectomy with a Handsewn Anastomosis in Prone Position
Background: With increasing enthusiasm for minimally invasive esophagectomy, a laparoscopic and thoracoscopic Ivor Lewis esophagogastrectomy with intrathoracic anastomosis is performed when at all possible. Circular stapler is usually used in order to create the intrathoracic anastomosis. We report a completely thoracoscopic handsewn double-layer esophagogastrostomy, realized with the patient in prone position, during a thoracolaparoscopic Ivor… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Tissue Apposition System (tas) – New Technology to Minimize Surgery for Endoscopically Unresectable Colonic Polyps
Introduction: This study reports the first clinical series using the TAS device in a feasibility study of endoscopic polypectomy as an alternative to laparoscopic colectomy (LC) for endoscopically unresectable polyps. TAS is a novel T-tag system for endoscopic placement of sutures which facilitates closure of larger defects from advanced endolumenal or translumenal endoscopic procedures. Such… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Title: Management of Intraoperative Complication During Laparoscopic Proctectomy for Submucosal Rectal Tumor
INTRODUCTION: This video demonstrates a laparoscopic proctectomy in a 51 year old female who presented with a symptomatic sub-mucosal anterior rectal lesion suspected of being a GIST tumour. The video illustrates work up, operative technique, and laparoscopic management of this patient; including two intra-operative complications that occurred during the pelvic dissection.PROCEDURE: This case presentation demonstrates… Continue Reading
- Topic:
- Colorectal
Total Transgastric Appendectomy: A Reality
Objective: Natural orifice surgery is evolving into viable option for surgeons to have in their armamentarium. Totally NOTES operations have remained elusive due to safety concerns. The ability to safely enter the abdominal cavity blindly has remained a challenge therefore requiring one to multiple ports through the abdominal wall to observe entrance into the abdominal… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Totally Laparoscopic Liver Resection for Hepatocellular Carcinoma Located in All Segments of the Liver
Introduction: Laparoscopic liver resection (LLR) is still not a well established treatment modality for hepatocelluar carcinoma (HCC). Moreover, most of reported cases have been limited to the anterolateral segments (segments 2, 3, 4b, 5, 6). We evaluate the clinical and oncologic outcome after LLR for HCC including the lesions located in the posterosuperior segments (segments… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Totally Laparoscopic Right Hemicolectomy with Intracorporeal Anastamosis
Introduction: Laparoscopic right colonic resections has been performed with comparable results to open colectomies. Laparoscopic assisted approach, utilizing an access incision for ileocolic anastamosis is commonly performed for laparoscopic right colectomies. We report our right colon resections experience, using a totally laparoscopic approach utilizing an intracorporeal anastamosis. Methods: Fiftynine patients underwent a laparoscopic right colectomy… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Totally Laparoscopic Right Hemicolectomy with Transvaginal Specimen Extraction
We present our technique for totally laparoscopic right colectomy for locally advanced colon cancer with transvaginal specimen extraction. The patient was a 73 year old female who presented with a biopsy proven cecal adenocarcinoma. We performed a right hemicolectomy using a 4 port approach with the patient in modified lithotomy postion. Medial to lateral mobilization… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Trans-oral Endoscopic Removal of an Eroded Adjustable Gastric Band
Erosion of a laparoscopic adjustable band is a feared complication occurring in less than 0.5% of placed cases. Once diagnosed, removal is imperative. The options for removal include open, laparoscopic and endoscopic approaches. We present for review a video case presentation of an endoscopic removal of an intragastric erosion of an adjustable gastric band. Our… Continue Reading
- Topic:
- Endolumenal / NOTES
Transabdominal Pre-peritoneal Laparoscopic Hernia Repair Allows Diagnosis and Appropriate Treatment of Occult Bilateral Hernias
INTRODUCTION: Transabdominal pre-peritoneal (TAPP) laparoscopic repair has become established as a suitable primary treatment modality for inguinal hernias. The diagnosis and subsequent repair of occult bilateral hernias has been described by a number of authors. In this situation TAPP is thought to be superior to both open and extra-peritoneal laparoscopic repair because it avoids unnecessary… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Transanal Endoscopic Microsurgery (tem): Resection of a 3cm Polypoid Mass Above the 2nd Valve of the Rectum
Endoluminal surgery has enjoyed renewed interest in the age of NOTES. Transanal endoscopic microsurgery (TEM) represents the only established experience to date of endoluminal surgery. Demonstrated is a TEM submucosal, partial full thickness local excision of a 3cm polyp based on the 2nd valve. The resultant defect is closed primarily. Session: Podium Video Presentation Program… Continue Reading
- Topic:
- Colorectal