Comparison between open and laparoscopic surgery for colorectal cancer
Aim of this study is to report the clinical results of 852 consecutive colorectal cancer (CRC) resections between April 2001 and December 2006.Laparoscopic bowel resection (LAC) with lymph node dissection (D2/D3) was applied for advanced CRC as well as LAC with D1 lymph node dissection for early CRC where endoscopic mucosal resection was not indicated.… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Comparison of Laparoscopic versus Open Liver Resection: A Case-Controlled Study
Background: Although there is data in the literature about the safety and efficacy of laparoscopic liver resections, there are not many studies comparing laparoscopic versus open approaches in a case-matched design. The purpose of this study is to compare the perioperative outcome of laparoscopic versus open liver resections from a single institution.Methods: Twenty-two patients underwent… Continue Reading
Comparison of oncological outcomes after laparoscopic transhiatal esophagectomy and open esophagectomy for pT1 esophageal adenocarcinoma
INTRODUCTION: This study compared pathological characteristics and patterns of disease recurrence for patients with pT1 esophageal adenocarcinoma treated with either laparoscopic transhiatal esophagectomy or open esophagectomy (Ivor Lewis or transhiatal).METHODS: Case notes were reviewed for consecutive patients, who had esophagectomy with pT1 adenocarcinoma at final pathological staging, during January 2000-December 2006. No patient had neo-adjuvant… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Comparison of the incidence of anastomotic leak following laparoscopic and open low anterior resection
OBJECTIVE: To compare the incidence of postoperative anastomotic leak following laparoscopic (LP) versus open (OS) lower anterior resection. METHODS: A retrospective review of cases were performed between September of 2000 and June of 2007. A total of 33 cases of LP and 31 cases of OS lower anterior resection were performed by the same surgeon.… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Comparison of Two Dosing Regimens of Low Molecular Weight Heparin in Patients Undergoing Laparoscopic Bariatric Surgery
Introduction: Venous thromboembolic events (VTE) are a concern for morbidity and mortality in patients undergoing laparoscopic bariatric surgery. While VTE prophylaxis is recommended in bariatric surgery, data regarding monitoring and appropriate dosing of low molecular weight heparins are limited. Enoxaparin prophylactic doses from 30 mg to 60 mg q12h have been used in this population.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Compensatory Sweating After Thoroscopic Sympathectomy- Outcome Study
Excessive sweating is a problem that affects 0.6% of the population. It is most prevalent in young adults. Since 1985 bilateral thoroscopic sympathectomy (ETS) has been available, being performed as an outpatient with minimal side effects. It is 98% effective in controlling hand sweating, but has a higher failure rate with severe compensatory sweating (CS)… Continue Reading
- Type:
- Posters
- Topic:
- Thoracoscopy
Complex Pediatric Robotic Surgery: A Single-institution\’s Experience
Purpose: For advanced laparoscopists, the greatest benefit of robotic surgical technology is in its use for complex procedures, ones that require significant dexterity in limited workspace and are challenging with conventional instrumentation. We present our 3-year institutional experience using robotic-assisted laparoscopic surgery for complex pediatric surgical procedures. Methods: Retrospective review from 2003 to 2006 of… Continue Reading
\”Complications of permanent mesocolon suture\”. An unusual consequence of retrocolic Roux En Y gastric bypass.
Background: The debate regarding the retrocolic or antecolic routing of the Roux limb with respect to gastric bypass for morbid obesity has centered on the incidence of internal hernias. Retrocolic proponents claim that complete closure of all mesenteric defects limits this complication. There have been no reports of complications attributable to the mesenteric closure itself.… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Composite Analysis of Surgical Review Corporation Bariatric Surgery Centers of Excellence Hospitals
Introduction: Surgery is currently the only effective long-term therapy for morbid obesity and its complications. A variety of surgical procedures can now offer durable and safe weight control as well as previously unrealized full remission of costly co-morbidities. This is a preliminary investigation of patient outcomes at Bariatric Surgery Centers of Excellence (BSCOE) Hospitals. Methods… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Metabolic / Obesity
Concomitant Laparoscopic Splenectomy and Cholecystectomy in Children: Our Outcomes and Technical Standardization
[Objectives] Hereditary spherocytosis (HS) is the most common red blood cell membrane disorder and often is associated with hemolytic crisis and cholelithiasis. The aims of this study are to evaluate the safety and cosmetic result of concomitant laparoscopic splenectomy (LS) and cholecystectomy (LC), and to describe our current technique.[Methods] We evaluated 7 LS+LC procedures (HS… Continue Reading
Conservative treatment for acute cholecystitis: Predictors of failure
Objective: To identify risk factors for failure of conservative treatment for acute cholecystitis and thus identify earlier patients who will require percutaneous drainage.Summary Background: Current treatment options for acute calculus cholecystitis include either early cholecystectomy, or conservative treatment consisting of intra-venous antibiotics and an interval cholecystectomy several weeks later. Percutaneous drainage of the gallbladder is… Continue Reading
Consideration to improve Quality of the section of Laparoscopic Cholecystectomy in Endoscopic Surgical Skill Qualification in Japan
The Japan Society for Endoscopic Surgery (JSES) started Endoscopic Surgical Skill Qualification (ESSQS) in 2004, and carried out three examinations up to 2006. Assessment was performed by reviewing documents, which included laparoscopic surgery experiences, and qualifying unedited video tape by two independent referees. We adopted two criteria to evaluate surgical skills, as common and procedure-specific… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Construct Validity of Assessing Technical Skills of Trainees After Repetition in Simulated Laparoscopic Surgery
AimsAssessing and appraising laparoscopic technical skills is a topical issue. To date there has been little attempt to comprehensively assess both human or computer based assessment tools after repetition of a task/procedure. In this study we aim to compare these different assessment tools in repeated simulated laparoscopic cholecystectomy. MethodsThree groups of trainees were prospectively recruited:… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Conversion in laparoscopic surgery: Do intraoperative complications influence outcome?
Background: Conversion from laparoscopic to open surgery occurs in up to 30% of cases of colon and rectal surgery. Patients in whom the operation is converted to a laparotomy may have a worse outcome than after a successfully completed laparoscopic procedure. The aim of this study was to compare the outcome of converted cases based… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
CT Mapping of Anterior Abdominal Wall Defects.
INTRODUCTION: Ventral hernia is a challenging surgical problem. Occult ventral hernia defects contribute to the relatively high recurrence rate after open surgical repair.METHODS: 44 patients underwent comprehensive physical examination, CT scan, and laparoscopy for ventral hernia. Hernia defects were mapped using all three methods and the results were compared. Descriptive statistics were used to analyze… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias