The Advantages of Laparoscopic Approach for Intersphincteric Resection
Purpose The most difficult steps of Intersphincteric resection (ISR) are circular dissection and separation of the internal sphincter muscle from the external sphincter and puborectalis by the perineal approach. Further dissection of the intersphincteric space by the abdominal approach may reduce the problems associated with the perineal approach. We present our techniques of Laparoscopic ISR… Continue Reading
- Topic:
- Colorectal
The Association Between Gerd and Laparoscopic Sleeve Gastrectomy
Background: Bariatric surgery has often been known as a cure for gastroesophageal reflux disease (GERD), especially if a patient has received a Roux-en-Y gastric bypass. Yet with the increasing popularity of Laparoscopic Sleeve Gastrectomy (LSG), the prevalence of symptomatic GERD postoperatively seems to increase. Very little data is available on this topic. We hypothesize that… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Clinical Reserch of Prevention of Pancreatic Leakage and the Usefulness of Fibrin Glue and Polyglycol Acid Felt After Laparoscopic Assisted Gastrectomy for Gastric Cancer
?Introduction?Pancreatic leakage is a common complication after gastrectomy. Pancreatic leakage and fistula formation are particularly serious and potentially fatal.?Objective?To prevent pancreatic leakage, we investigated the usefulness of fibrin glue and polyglycol acid felt after Laparoscopic assisted gastrectomy for gastric cancer. ?Patients and Methods?A retrospective study was carried out involving 86 patients who underwent laparoscopy-assisted gastrectomy… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
The Critical View of Safety During Single Incision Laparoscopic Cholecystectomy
Background: Single incision laparoscopic surgery (SILS) has been indicated for benign diseases of the gallbladder for recent several years. However, achievement of “the critical view of safety” during SILS cholecystectomy has not been evaluated. Objective: To evaluated the achievement of the critical view during SILS cholecystectomy. Surgical technique: Three 5mm traditional ports or SILS™ port… Continue Reading
The Current Status of Laparo-endoscopic Single-site Surgery (less) Across Surgical Disciplines, a Single Institution\’s Experience.
Objective: To evaluate one institution’s multi-departmental experience performing LESS procedures. Introduction: LESS, also known as single incision laparoscopic surgery, has emerged as one of the newest surgical modifications of laparoscopic surgery. LESS procedures can be performed using various combinations of articulating and straight instruments with various angled or flexible cameras while achieving similar results to… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
The Fashion of Incision and Trocar Placement for Single Port Laparoscopic Cholecystectomy
We report our procedures of incision and trocar placement in single port laparoscopic cholecystectomy (SPS Lap-C) for better cosmetic result. [Operative procedure] The 12-15mm incision from the lower ridge of the navel to the bottom was placed for the operation. After dissecting the subcutaneous tissues and pneumo-peritoneum by Verres needle, A trocar of 150mm length… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
The Fear of Transgastric Cholecystectomy: Misinterpretation of the Biliary Anatomy
Introduction:The prevention of major injury at cholecystectomy relies on the accurate dissection of the cystic duct and artery, and avoidance of major biliary and vascular structures.The advent of NOTES cholecystectomy has led to a new look and insights into biliary anatomy especially of the Calot's triangle. Here we show the clinical case of a NOTES… Continue Reading
- Topic:
- Endolumenal / NOTES
The Feasibility of Less Using Conventional Laparoscopic Instruments.
The feasibility of LESS using conventional laparoscopic instruments. Purpose: To determine the feasibility of Laparo-Endoscopic Single Site surgery (LESS) with non-articulating instruments and conventional trocars. MethodsFollowing Institutional-Review-Board approval, a prospective database was utilized to identify 22 patients who underwent LESS. All procedures were begun utilizing three 5 mm trocars, non-articulating instruments, and a 5 mm,… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
The Fundamentals of Laparoscopic Surgery (fls) Simulator As a Platform for Evaluating Single Port Laparoscopic Surgery and Enabling Instrumentation
Introduction: Single port laparoscopic surgery (SPLS) has been introduced into different surgical specialties as an effort to further decrease the trauma of access to the abdomen. As a result, there is an evolving stream of technology and instrumentation designed to enable performance of these procedures. The development of articulating and bent instrumentation permits triangulation intracorporeally… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
The Impacft of Obesity and Hiatal Hernia on the Long Term Result of Laparoscopic Heller Myotomy
Introduction: To identify pre-operative, intra-operative, and post-operative variables that impact the long term results of laparoscopic Heller myotomy in patients with Achalasia. Methods and Procedures: A retrospective record review and telephone interview with a standardized questionnaire was conducted on 122 consecutive patients who underwent a laparoscopic Heller myotomy from 1995 to 2008. A partial fundoplication… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Impact of a Mentor on the Early Learning Curve in Laparoscopic Colorectal Surgery
INTRODUCTION The aim was to systematically review the literature and determine the impact of a mentor on the conversion rates and outcome data of trainee cases.The best way to ensure safe, effective reproducible training for laparoscopic colorectal surgery (LCS) is unknown. The traditional “master-apprentice” model for learning surgery is gradually being replaced by alternative training… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
The Impact of Atraumatic Fibrin Sealant Vs. Staple Mesh Fixation in Tapp Hernia Repair on Chronic Pain and Quality of Life – Results of a Randomized Controlled Study
Background. Mesh reinforcement has become the standard of care in the repair of open and laparoscopic inguinal hernia repair. Chronic pain after inguinal hernia repair is often due to nerve injury by penetrating mesh fixation devices, such as staples, tacks or sutures. In several studies on hernioplasty, atraumatic mesh fixation with fibrin sealant (FS) proved… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
The Impact of Previous Fundoplication on Laparoscopic Gastric Bypass Outcomes
Introduction: Gastroesophageal reflux disease (GERD) is a common comorbid condition in morbidly obese gastric bypass candidates. The ideal operation for medically refractory GERD in a patient who is also morbidly obese is a laparoscopic Roux-en-Y gastric bypass (LRYGB). Unfortunately, some patients who ultimately present for bariatric surgery have previously undergone Nissen fundoplication for their GERD.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
The Impact of Surgeon Behavior on the Cost of Performing Laparoscopic Appendectomy
INTRODUCTIONWhile laparoscopic appendectomy (LA) can be performed using a myriad of techniques, the cost of performing each method can vary considerably. The purpose of this study is to analyze the effects of the surgeon’s choice of technique on the costs of performing LA.METHODSThe surgeon operative notes, hospital invoice list, and surgeon instrumentation preference sheets were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
The Impact of Verbal Guidance on Laparoscopic Skills Training and Multi-tasking Performance
Introduction: Evidence from studies of implicit motor learning suggest that advantages accrue from discouraging the build up of verbal knowledge about the movements that constitute a skill. The advantages include performance that is impervious to demands present in challenging task environments (e.g., stress, fatigue or multi-tasking). The objective of the study was to examine the… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation