Auditory Stress Versus Mental Loading: The Effects on Laparoscopic Motor Skill Performance
(1) OBJECTIVE External auditory stress and internal mental stress may affect clinical practice. Our aim was to assess the specific impact of dichaotic music versus mental loading on novices performing laparoscopic tasks. (2) METHODS AND PROCEDURES Thirty naïve volunteers were recruited with no hearing or motor handicap. Volunteers were randomized to three simple tasks to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Augmented Reality for Laparoscopic Surgery Using a Novel Imaging Method- Initial Results From a Porcine Model
Background: Intraoperative appreciation of visible anatomy along with awareness of underlying structures and vasculature is invaluable to the operating surgeon. The advent of minimally invasive techniques, with reduced tactile feedback and limited visual displays has only heightened the need for improved visualization of target anatomy and adjacent but visually imperceptible structures. Current laparoscopic images are… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Bariatric Support Line: A Prospective Study of Telephone Activity.
IntroductionIt is widely reported that support is a key element affecting patient outcomes following Bariatric surgery. At NLOSS part of this support is through a telephone helpline, which is manned by the Bariatric Nurse Specialist (K McD). In this prospective study we examined the workload of the telephone helpline. MethodsThe phone line was staffed between08.30… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Bilateral Laparoscopic Transperitoneal Adrenalectomy
Objectives: We report our experience with bilateral laparoscopic transperitoneal adrenalectomy, and evaluate the safety and efficacy of laparoscopic approach for bilateral adrenal disorders.Pateints and methods: Between March 1998 and January 2008, we performed laparoscopic adrenalectomies in 41 patients. Of these, 4 consecutive patients (9.8%) with bilateral adrenal diseases (pheochromocytoma in 3 and Cushing syndrome in… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Bioluminescent Endoscopic Imaging: Technical Requirements of the Chemistry and Camera System
Objective: Bioluminescent chemistry can be infused as an angiography media and by developing endoscopic techniques for bioluminescent imaging (BLI) we have previously demonstrated sensitive visualization of anatomic structures, including the biliary tree and vascular beds. In nature bioluminescence is light produced by a chemical reaction within a living organism. In BLI applications, a luciferin (the… Continue Reading
Blunt Thyroid Working Space Creation: A Tool to Facilitate Transaxillary Endoscopic Thyroidectomy
BACKGROUND: Endoscopic thyroidectomy has been proved to be a safe and effective alternative treatment of a benign small thyroid lesion. To perform this operation, the working space needs to be created. Initially, the space surrounding the incisions is directly made and endoscopic part is followed. The appropriate working space is then endoscopically harvested with the… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Minimally Invasive Other
Body Image and Cosmesis After Laparoscopic or Open Appendectomy
Introduction: Minimal invasive techniques such as laparoscopic appendectomy (LA) are thought to produce better cosmetic results. This aim of this study was to evaluate the body image n cosmesis of patients after LA and open appendectomy (OA).Methods and procedures: Between August 2007 and June 2008, patients who underwent LA or OA with the diagnosis of… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Broad-view Camera System for Endoscopic Surgery
Introduction:The disadvantage of endoscopic surgery (laparoscopic surgery, NOTES, etc.) is the narrow operative field provided by a single endoscope. The broad-view camera system (BVCS) has been developed with the aim of providing a wide-ranging view by using miniature camera units located on the inside of the patient's body. The BVCS can automatically record not only… Continue Reading
- Type:
- Posters
Can a Nintendo Wii Be Considered Homework and Does It Improve Performance on a Surgical Simulator?
Background: Computer based simulators are increasingly being used to assist trainees in the acquisition and development of surgically relevant psychomotor skills. Work hour restrictions and other educational demands have made achieving adequate practice on these simulators challenging ,and others suggest that experience playing video games translates into improved performance on surgical simulators. We hypothesized that… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Can Morbidly Obese Patients Awaiting Bariatric Surgery Achieve a 10% Weight Loss Prior to Surgery and What Is Its Significance?
IntroductionIt has been suggested that a preoperative weight loss of 10% of excess body weight, be a key component of the pre-operative preparation process. It can demonstrate motivation and commitment to surgery, reduce liver size and abdominal adiposity as well reducing operating time and length of stay (LOS). It is has also been demonstrated to… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Can the Morbidly Obese Benefit From Laparoscopic Colorectal Resection?
OBJECTIVE: The aim of this study is to assess the feasibility and clinical outcomes of laparoscopic colorectal surgery (LC) in patients with body mass index (BMI) >40. METHODS: Prospectively accrued data for patients with BMI >40 (Group A) undergoing LC were compared with those for patients with BMI Session: Poster Program Number: P550 Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Cardiovascular Differences Within the Omentum of Morbidly Obese Diabetic Patients
Background: The metabolic syndrome describes the association between obesity and a host of co-morbidities including insulin resistance, hypertension, dyslipidemia, and cardiovascular (CV) disease. Adipokines produced from omentum increase the inflammatory state and reportedly contribute to the risk of CV disease. This study examines the genetic differences in the omental tissue of morbidly obese diabetic and… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Cecectomy May Be a Superior Alternative to Right Hemicolectomy for Select Benign Cecal Polyps
Introduction: Colorectal cancer usually arises from polyps. Patients with endoscopically-unresectable polyps frequently undergo hemicolectomy. Selected patients with very proximal benign cecal polyps may be amenable to cecal cap resection with preservation of the ileocecal valve. The purpose of this study was to compare outcomes at our institution of patients undergoing cecectomy vs. right hemicolectomy for… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Changing Practice of Laparoscopic Bariatric Surgery in 2 Countries
Introduction: Internationally, operative procedures performed for weight loss differ in type based upon local socioeconomic conditions. The purpose of this study was to examine the practice patterns for bariatric surgeons at a hospital in Cuenca, Ecuador and in Nashville, TN at a major tertiary care institution. Methods: The personal database of the surgeon in Ecuador… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Cholangioscopic Laser Lithotripsy for Complete Encrustation of the Extra-hepatic Biliary Tree By 15-year Retained Biliary Stent
The authors report on a case of stone-stent complex encrusting the entire extra-hepatic biliary tree after biliary stent placed in 1993 for gallstone-associated pancreatitis. The patient presented with cholangitis 14 years after initial treatment, and underwent multiple serial ERCP procedures for biliary decompression and papillotomy, but failed removal of the stent-stone complex. Figure 1 shows… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other