Totally Laparoscopic Hepatectomy for Hepatolithiasis
Introduction: To evaluate the feasibility of laparoscopic hepatectomy for patients with intrahepatic stones, we conducted a retrospective review of this approach performed in our institute. Laparoscopic management of the intrahepatic stones was challenging for the dilated bile duct with stones inside as well as the possible perihepatic adhesion after previous biliary tree infection. Additional common… Continue Reading
Totally Laparoscopic Isolated Caudate Hepatectomy with Selective Inflow Control – Case Report
Introduction: Laparoscopic hepatectomy is the latest development of minimally invasive surgery. Traditional indications for laparoscopic hepatectomy include lesions in the anterior-inferior and left lateral aspect of the liver. For lesions in the caudate lobe, the left lateral section of liver frequently interferes the surgical exposure and mandates lateral sectionectomy occasionally in traditional open hepatectomy. In… Continue Reading
Totally Laparoscopic Right Hemicolectomy for Cancer
Introduction:Feasibility and safety of laparoscopic onocological colectomy is now walidated. Aim ef this paper is to show technical details of totally laparoscopic right colectomy for cancer.Methods:The patient is in supine position with right arm alongside the body.Three troacars are used:One 10mm periumbilical port which a 30 degree camera is introduced after apropriate CO2 insuflation,two left… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Totally Laparoscopic Total Gastrectomy with Esophagojejunostomy Using Liner Stapling Devices.
Introduction : Laparoscopic distal gastrectomy for early gastric carcinoma has been accepted widely because of its minimal invasiveness. However laparoscopic total gastrectomy is not still familiar depending on difficulty of esophagojejunomy. When performing open total gastrectomy, esopagojejunostomy with a circular stapling device has been generalized as a substitute for hand-suture. On the other hand, there… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Totally Supine Laparoscopic/thoracoscopic Ivor Lewis Oesophagectomy – A Novel Technique
We would like to present this innovative technique that the author has developed at our centre. In Totally Supine Laparoscopic/Thoracoscopic oesophagectomy we position the patient in Lloyed Davies position and the right arm is elevated in flexion/abduction position. The abdominal phase is performed with standard five port laparoscopic technique followed by the right thoracoscopic mobilisation.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Training Model for Laparoscopic Common Bile Duct Exploration. Impact in the Improvement of Surgical Skills.
Objective: To measure the improvement of surgical skillsina training model of laparoscopic common bile duct exploration.Methods: This is a prospective, comparative, controlled study. Eight subjects ( PGY5 ) were evaluated and divided into two groups, group A and group B (four PGY5 each). Both groups were evaluated in the following tasks: cystic duct cannulation for… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Training the Surgeons for Complex Surgical Upper Gastro Intestinal and Colorectal Procedures in United Kingdom
Aims Advanced laparoscopic surgery requires good eye hand co ordination and familiarity with surgical anatomy. Learning curve for various complex laparoscopic procedures is steep. The major colorectal and Oesophago Gastric cases are particularly challenging. There are few realistic models which allow the surgeons to accomplish competence in the knowledge of anatomy and depth percetion and… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Tranasvaginal Specimen Extraction After Totally Laparoscopic Subtotal Gastrectomy in Early Gastric Cancer
Introduction: In 1993, Delvaux et al reported that he could remove the GB and a large GB stone through transvaginal route after laparoscopic cholecystectomy in female patients. Recently, natural orifice extraction (NOE) has been extensively performed after totally laparoscopic nephrectomy and totally laparoscopic colon resection. However, there have been no report of NOE after subtotal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Trans-umbilical Single Incision Laparoscopic Cholecystectomy Considered About Economic Efficiency
Trans-umbilical single incision laparoscopic surgery is attracting attention as a next generation laparoscopic surgery as it gives an excellent cosmetic result. However, there is a shortcoming in the method; the surgical cost jumps when using a highly flexible forceps or using a small-head port. In the present study, we introduced a method of trans-umbilical single… Continue Reading
Transanal Endoscopic Microsurgery: A Single Institution Experience
INTRODUCTION: Radical rectal resection is associated with significant morbidity and mortality. Given this, in the setting of premalignant and early malignancies of the rectum increasing attention has turned to the transanal endoscopic microsurgery (TEM) technique. In this series, we examine a single institution experience with this approach. METHODS AND PROCEDURES: This is a retrospective analysis… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Transanal Endoscopic Microsurgery Versus Laparoscopic Resections in 100 T2-n0 Rectal Cancers Following Neoadjuvant Treatment: A Prospective Randomized Trial with Five Years Minimum Follow-up
Background: Aim of this study was to compare the oncological results of local excision performed with Transanal Endoscopic Microsurgery (TEM) versus Laparoscopic Resection (LR) with total mesorectal excision in the treatment of T2 N0, G1-2 rectal cancer following NT in both arms, with a 5 years minimum follow-up. Methods: In the period comprised between April… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Transcervical Videoscopic Esophageal Dissection in Minimally Invasive Esophagectomy
Introduction: Currently, minimally invasive esophagectomy (MIE) is being performed using Video-Assisted Thoracoscopic Surgery (VATS) for mediastinal esophageal dissection. The VATS approach is still associated with pulmonary and cardiovascular morbidity, as well as incisional pain. This study investigates the feasibility of MIE using a single-incision transcervical videoscopic esophageal dissection (TVED). A simultaneous laparoscopic and transcervical videoscopic… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Transgastric Approach Does Not Increase Postoperative Infections or Complications in Swine Uterine Horn Resection
IntroductionDoubts have been raised versus NOTES surgery concerning intra abdominal infectious complications. The aim of this study was to compare the postoperative course in open, laparoscopic and transgastric surgery, specially concerning infections and postop well being in a randomized porcine survival study. Methods & Procedures30 landrace pigs were randomized to open, laparoscopic or NOTES (transgastric)… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Transgastric Diagnostic Peritoneoscopy with Laparoscopic Assistance Using a Novel Flexible Toolbox for Advanced Minimally Invasive Procedures: an Initial Evaluation
Introduction: The lack of appropriate instrumentation is a potential obstacle to the feasibility of various NOTES procedures. A Rotary Access Needle (RAN- Ethicon Endo-Surgery, Inc.) and Steerable Flexible Trocar (SFT- Ethicon Endo-Surgery, Inc.) were developed as components of a Flexible Toolbox for Advanced Minimally Invasive Procedures to facilitate transgastric access, visualization, and procedures in the… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Translumenal Transparent Navigation By Osirix Gps System in Single Incision Laparoscopic Surgery and NOTES
Introduction:Because of losing 3D depth perception, manipulating instruments inside the human body during NOTES translumenal surgery and single incision laparoscopic surgery (SILS) can be very difficult for even well experienced surgeons. Classical image navigation systems are often incapable of providing support in such situations, because the reference image is usually produced as anatomical appearance from… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES