Transesophageal Mediastinal Lymph Node Sampling.
1. Objective of the study: Improved minimally invasive lymph node sampling for cancer staging and diagnosis of mediastinal lymphadenopathy is desirable. Natural orifice approaches may offer improved minimally invasive options. We have previously reported on the technical feasibility and the potential low risk of transesophageal mediastinoscopy using the submucosal endoscopy with mucosal flap safety valve… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transgastric and Transvaginal Endoscopic Cholecystectomy in Human Beings
TRANSGASTRIC AND TRANSVAGINAL ENDOSCOPIC CHOLECYSTECTOMY IN HUMAN BEINGS Gustavo Salinas MD, Lil Saavedra MD, Hellen Agurto MD, * Jeffrey M. Marks MD, Edwin Ramírez MD, José Grande MD, Juan Tamayo MD, Victoria Sánchez MD. Minimally Invasive Surgery. Avendaño Clinic, Lima, Peru, * University Hospitals Case Medical Center INTRODUCTION: The abdominal procedures have been performed for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Transgastric Cholecystectomy Using the Endosamurai – A Novel Endoscopic Operating Platform
One of the basic operating tenets in surgery is the principle of traction/countertraction. This ability is significantly hampered when performing NOTES procedures using standard flexible endoscopes with parallel instrument channels. New technologies must be developed to obtain the dexterity offered by laparoscopic surgery. We demonstrate a transgastric cholecystectomy in a porcine model using a prototype… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES
Transgastric Endoscopic Bloodles Liver Resection Using Radiofrequency Thermal Energy. An Experimental Study
Obsective: To assess the feasibility and safety of transgastric endoscopic assisted hepatectomy using percutaneous radiofrequency thermal energy(PRF) in a porcine model.Methods: Fourteen domestic male white pigs with a mean weight of 17.6 kg (range 15 to 21 kg) were used. Under general anesthesia a standard upper double-lumen endoscope was advanced perorally into the stomach A… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transgastric Endoscopic Peritoneoscopy Does Not Lead to Increased Risk of Infectious Complications
Introduction: As the field of natural orifice transluminal endoscopic surgery (NOTES) develops it remains important to determine the risk of clinically significant bacterial contamination and infectious complications of the peritoneal cavity. We report herein the bacterial contamination of the peritoneum in patients undergoing transgastric endoscopic peritoneoscopy (TEP) during laparoscopic roux-en-y gastric bypass (LRYGB) to perform… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transgastric Endoscopic Peritoneoscopy for Evaluation of the Abdominal Wall, Adhesiolysis and Direction of Trocar Placement in the Morbidly Obese
OBJECTIVE(S): Diagnostic transgastric endoscopic peritoneoscopy (DTEP) has been used as a staging tool to evaluate the abdomen via a natural orifice. Visualization of the abdominal wall is excellent after transgastric endoscopic access. We now present our experience with transgastric endoscopic peritoneoscopy (TEP) to direct trocar placement and adhesiolysis in patients undergoing laparoscopic roux-en-y gastric bypass… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transgastric Endoscopic Retrograde Cholangiopancreatography a Case Series and Description of Technique.
Transgastric Endoscopic Cholangiopancreatography: a Case Series and Description of Technique. Peter M. Bertin DO, Kirpal Singh MD, Maurice E. Arregui MD FACS. St Vincent Indianapolis, IN Purpose: Roux-en-Y gastric bypass excludes the biliary and pancreatic tree from traditional endoscopic evaluation and treatment. As the number of former bypass patients accrues, the need to assess and… Continue Reading
Transgastric Uterine Horn Resection Using a Novel NOTES Toolbox
Introduction: Natural orifice translumenal endoscopic surgery (NOTES) is a developing area of minimally invasive surgery. In order for NOTES to be performed efficiently and safely, there are several fundamental challenges that need to be addressed. These include a safe method for peritoneal access, maintenance of visualization and spatial orientation, design of instruments that provide articulation… Continue Reading
- Topic:
- Endolumenal / NOTES
Transoral Incisionless Fundoplication for Gerd: Early North American Results
Introduction: EsophyX is an endoluminal approach to the treatment of gastroesophageal reflux disease (GERD). We report one of the earliest and largest North American experiences with this device.Methods: Prospective data were gathered on consecutive patients undergoing EsophyX fundoplication for a one-year period between September 2007 and 2008, during which time the procedure evolved to the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Transumbilical Laparoscopic Urologic Surgery – Are Special Devices Strictly Necessary?
Introduction: Laparoscopic urologic surgery is generally performed using three to six ports by transperitoneal or retroperitoneal access. Recent developments regarding laparoscopic surgery have been directed toward reducing the size or number of ports to achieve the goal of minimal invasive surgery, by mini-laparoscopy, natural orifices access and transumbilical approach. In this paper we evaluated the… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Transvaginal Diagnostic Peritoneoscopy in Women with Pelvic Pain
Purpose: Chronic pelvic pain affects many women in reproductive age in the US and laparoscopy is common in the diagnostic algorithm. In the realm of NOTES, a transvaginal approach would be a natural approach to reduce incision sites, postoperative pain and improve cosmesis in this patient population. This is the first report of transvaginal diagnostic… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transvaginal Endoscopic Appendectomy in Humans: An Unique Approach to N.o.t.e.s – Our Initial Case Series
Background: NOTES is the newest technique emerging in the field of surgery. We describe the transvaginal approach for endoscopic appendectomy in humans, probably the world’s first report. Materials and Methods: Out of a total of 6 patients, a totally endoscopic transvaginal appendectomy was successfully performed for 1 patient. Pneumoperitoneum was achieved via a Veress needle… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transvaginal Endoscopic Tubal Sterilization – Case Report
Introduction: Tubal sterilization is one of the most widely used options for female contraception. It can be performed by laparotomy, mini-laparotomy, colpotomy, laparoscopy, and hysteroscopy. In this paper we report the use of the transvaginal endoscopic approach to perform tubal ligation.Methods and Procedures: The access to the abdomen was obtained by a 1.5-cm colpotomy. The… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transvaginal Minilaparoscopic-Assisted Rectosigmoid Resection
Introduction: Natural orifice transluminal endoscopic colorectal surgery is not yet ready for widespread clinical use. Meanwhile, hybrid minilaparoscopic-assisted/natural orifice approach using available laparoscopic instruments may provide patient benefits minimizing wound-related complications, postoperative pain, hospital stay and improving cosmesis. The aim of this study is to assess our initial experience with the transvaginal minilaparoscopic-assisted rectosigmoid resection.… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Transvaginal NOTES Partial Gastrectomy for Gastric Submucosal Tumors: Early Experience in Humans
Introduction: Transvaginal endoscopic gastric surgery is one of the cutting edge procedures in the field of natural orifice translumenal endoscopic surgery (NOTES). Its feasibility has been shown sporadically in bariatric cases, however, not in oncologic conditions. We report our early experience with hybrid transvaginal NOTES gastrectomy for gastric submucosal tumors (SMTs).Methods: Two female patients with… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Endolumenal / NOTES