Opinion Survey on Operative Management of Adhesive Small Bowel Obstruction: Laparoscopy Versus Laparotomy in the State of Connecticut
Introduction: Intra abdominal adhesions are responsible for 49-74% of small bowel obstruction [SBO]. Traditionally, open lysis of adhesions [OLA] is the treatment when conservative measures fail. Recent literature has shown safety of laparoscopic lysis of adhesions (LLOA) in treating adhesive SBO. In addition, length of stay and costs are less with LLOA. Despite these favorable… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Disparities in Access to Basic Laparoscopic Surgery At US Academic Centers
Background: Laparoscopy is the standard approach for basic gastrointestinal procedures such appendectomy and cholecystectomy. We determined the disparities in access to basic laparoscopic surgeryat U.S. academiccenters. Methods: A retrospective analysis of a large administrative, clinical, and financial database (University Health System Consortium) of US Academic Medical Centers was conducted.Using appropriate ICD-9-CM procedure codes and diagnosis… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
Day Case Laparoscopic Surgery: How Can We Improve ?
INTRODUCTION: The Irish Health Service Reform (DOH&C 2003) focuses on financial, professional and organizational accountability and responsibility. Utilizing more cost effective Day surgery therefore makes for prudent financial management. In the USA and Canada, day surgery accounts for nearly 90% of all surgery performed (Castoro et al. 2007) however in Ireland fewer than 30% of… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Single Port Laparoscopic Surgery Under Abdominal Wall Lifting (lift-sps) for Appendectomy, Hernia Repair, Cholecystectomy
[Introduction] Pneumoperitoneum creates a sufficient workspace,but we have many disadvantage about crowding and clashing of instruments and air-tight trocars in Single Port Laparoscopic Surgery (SPS). For the purpose of avoiding difficulties concerning about pneumoperitneum, we developed SPS under abdominal wall lifting method. We performed single port laparoscopic appendectomy, hernia repair, cholecystectomy under abdominal wall lifting… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Initial Experience in Single Incision Laparoscopic Surgery Lead to Modifications and Dedicated Tools for Comparable Safety to Stnadard Laparoscopy
INTRODUCTION: The desire to reduce incision related post-operative morbidity and pain while achieving improved cosmetic results has recently led to the introduction of less invasive techniques. In this respect, single incision laparoscopic surgery (SILS) is an attractive option. One of the major criticisms of SILS is that the vision is impaired and therefore the safety… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic Inferior Mesenteric Artery Ligation Prior to Endovascular Abdominal Aortic Aneurysm Repair
IntroductionLarge caliber inferior mesenteric arteries (IMA) are thought to be responsible for type II endoleaks following endovascular abdominal aortic aneurysm repair (EVAR). IMA ligation has been successfully employed to treat this condition. However, limited data exist regarding laparoscopic IMA ligation prior to EVAR. We describe a positive outcome with this technique in a patient at… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
SILS Using Standard Laparoscopic Instruments
HYPOTHESIS: Laparoscopic surgery has decreased trauma and improved results of surgery and single incision laparoscopic surgery (SILS) should be a further step in this direction. Minimizing the number and size of ports was an attempt to improve postoperative pain control, rapid return to activity, patient satisfaction, and cosmetic result. The umbilicus is a scar could… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
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 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 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
Single Incision Laparoscopic Cholecystectomies Cost Comparison
Objective: Cholecystectomy performed using the Single Incision Laparoscopic Surgery (SILS) technique should not cost significantly more or less than standard multiport cholecystectomy. Single access techniques are becoming more common for a multitude of laparoscopic procedures. Criticism has revolved around potential costs associated with increased operative time and use of innovative equipment. Methods: Retrospective cost data… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Minimally Invasive Other
A Simple ‘fundal Traction Suture\’ in Single Incision Laparoscopic Cholecystectomy
IntroductionThe last two years have seen numerous reports on single incision laparoscopic surgery (SILS) in surgical literature. Achieving an appropriate fundal traction is one among the many technical challenges while performing a SILS cholecystectomy. We describe herein a simple method of suture traction of gall bladder fundus during SILS cholecystectomy.MethodsProspective data of patients who underwent… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic Gastrojejunostomy for the Treatment of Gastric Outlet Obstruction
IntroductionGastric outlet obstruction (GOO) can be a consequence of advance stages of several disease processes. With the prevalence of minimally invasive surgery, laparoscopic gastrojejunostomy has become the preferred technique to minimize patient’s morbidity and mortality. This study aims to investigate the feasibility and safety of laparoscopic gastrojejunostomy in relieving GOO in patients with malignant and… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Anatomic Thoracoscopic Lung Segmentectomy Simulated By Three-dimensional Computed Tomography Angiography
Objective: In lung resection, thoracoscopy has been mainly used for wedge resection and lobectomy. Several reports have discussed thoracoscopic segmentectomy. However, most of these reports are limited to describing the procedure for segments that can be excised easily, such as the lingual segment. We report the safety and efficacy of thoracoscopic pulmonary segmentectomy and the… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Single Incision Intracoporal Laparoscopic Appendectomy: An Early Experience
INTRODUCTION:Acute appendicitis is one of the most common causes of abdominal pain that a general surgeon will encounter. The appendectomy has traditionally been preformed via an oblique right lower quadrant incision, transecting the three layers of muscle of the anterior abdominal wall to gain access to the peritoneal cavity. Surgeons across the globe were employing… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other