Technique and Clinical Outcome of Laparoscopy proximal gastrectomy with partial fundoplication in early gastric cancer
Hirofumi Sugita, MD, Shinichi Sakuramoto, MD, Hiroki Takeshita, MD, Yohei Morita, MD, Katsuhiro Anami, MD, Shinichi Oka, MD, Hiroshi Satoh, MD, Isamu Koyama, MD. Department of Digestive Surgery, Saitama International Medical CenterBackground Reconstruction methods after Laparoscopic proximal gastrectomy (LPG) in early gastric cancer are various. We present the technique and clinical outcome of laparoscopy proximal… Continue Reading
Technology Utilization in Surgical Innovation
Laura E Grimmer, MD, Mary C Nally, Jonathan Myers, Daniel Deziel, Minh B Luu, MD. Rush University Medical CenterBackground: Technology has the potential to increase efficiency, improve patient safety, and enhance technical capability in surgery. While some surgical innovations do not utilize technology (such as creating new post-operative pathways), other innovations are dependent on such… Continue Reading
Temporary replacement of the common biliary duct by a silicone tube, as an urgent repair of iatrogenic injury. Experimental study in pigs.
Daniel A Napolitano, MD, PhD, Xavier Rodriguez Bertola, MD, Gabriela M Sambuelli, MD, Federico Moser. Universidad Catolica de CordobaSurgery of the biliary tract is complex, and its volume has increased with iatrogenic injuries and living donor transplantation. The aim of this study and original idea was to analyze if the common duct can be temporarily… Continue Reading
Terminal Ileostomy and On-table Enteroscopy for Retrieval of Foreign Bodies – A Novel Approach to Avoid a Midline Laparotomy in the Difficult Abdomen
Shadi Al-Bahri, MD, Esther Cha, MD, Gregory B Burgoyne, MD. MedStar Union Memorial HospitalIntroduction: With any abdominal surgery in a difficult abdomen, the procedure is filled with potential hazards. In addition to a prolonged operative time, there is a risk of enterotomy or damage to blood vessels and ureters. An irradiated pelvis increases this risk… Continue Reading
The ability of staging laparoscopy (SL) to change the surgical decision in esophageal cancer patients in the era of EUS and PET/CT scanning: when should it be performed?
M Aboul Enein, MBChB,, MSc,, MRCS, M Khalil, MBChB, A Hamouda, MD, FRCS, A Nisar, FRCS, FRCSI, H Ali, MD, FRCS. Maidstone and Tunbridge Wells hospitals NHS trust.INTRODUCTION - To assess whether staging laparoscopy changes the surgical decision making in resectable esophageal cancer patients who were staged as T3 M0 after EUS and PET/CT scanning.… Continue Reading
The alimentary canal suture by the laparoscopic surgery using V-Loc thread.
Shigehiko Yagi, MD, Makoato Shirai, MD, Masanori Hottchi, MD. Ehime Prefectural Central HospitalV-Loc180( A closure device) is the Pori Glico Nate suture.Since this thread is absorbency, application to the part which requires the junction over a long period of time (three weeks or more) is not recommended.Moreover, the safety and validity of this thread are… Continue Reading
The Application of A New-type Anatomical Transanal Decompression Tube In Preventing Postoperative Anastomotic Leakage of Rectal Cancer
Yun Yang, MD, Shu Ye, MD, PhD. West China Hospital, Sichuan UniversityObjective: Anastomotic leakage is the most significant complication after low anterior resection (LAR) for rectal cancer, and it is the major cause of postoperative mortality and morbidity. The objective of the present study was to investigate whether the use of a new-type anatomical transanal… Continue Reading
The Black Liver Case
Sergio Rojas-ortega, MD, Emina Pasic, MD, Rachid Cesin, MD, Gerardo Reed, MD. Hospital Angeles Puebla25 y.o. female presenting with jaundice and right upper cuadrant abdominal pain. Liver function test with direct hyperbilirubinaemia and normal enzymes. (BD 2.5mg / dl, BI 0.7 mg / dl, AST 75 u., ALT 65 u., Alk P 80 u.) Ultrasound… Continue Reading
The Center for Medicare Services (CMS) Two Midnight Rule: Policy at Odds with Reality
Ciara R Huntington, MD, Tiffany C Cox, MD, Laurel J Blair, MD, Tanushree Prasad, MA, Kent W Kercher, MD, FACS, Vedra A Augenstein, MD, FACS, B. Todd Heniford, MD, FACS. Carolinas Medical CenterIntroduction: To reduce costs, CMS implemented new policies governing which patients are automatically admitted as inpatients (staying greater than “two midnights”) and which… Continue Reading
The connected gastric bypass: how remote monitoring of vital parameters could improve safety following day surgery.
Philippe Topart, MD, Carine Phocas, RN. Clinique de l'AnjouObjective Although large published series have shown that at least 84% of the patients could be discharged within 23 hours of a laparoscopic Roux-en-Y gastric bypass (RYGB), a 2 or 3 day hospital stay is still considered the norm. Although no difference has been shown by 2… Continue Reading
The cost of damage control laparotomy: hernia incidence after laparotomy in the war-injured patient
Jillian Piaggione, BS1, Amy Vertrees, MD2. 1Uniformed Services University of the Health Sciences, 2Walter Reed National Military Medical CenterObjectives: The hernia incidence after trauma laparotomy in the war-injured patient is not known. This study sought to determine the hernia incidence as well as factors that contributed to hernia occurrence. Methods: Retrospective review of records for… Continue Reading
The Effect of Bariatric Surgery On Employment Status and Mobility
Jean-Eric Tarride, BA, MA, PhD1, Ruth Breau, BA2, Dennis Hong, MD, MSc, FRCSC, FACS1, Scott Gmora, MD, FRCSC1, Mehran Anvari, MB, BS, PhD, FRCSC, FACS1. 1McMaster University, 2the Centre for Surgical Invention and InnovationINTRODUCTION: A common perception exists that there is a higher rate of unemployment among morbidly obese patients. The question therefore arose as… Continue Reading
The Effect of Incremental Distal Gastric Myotomy Lengths On Intraoperative EGJ Distensibility During POEM for Achalasia
Ezra N Teitelbaum, MD, MEd, Joel M Sternbach, MD, Rym El Khoury, MD, Nathaniel J Soper, MD, John E Pandolfino, MD, Peter J Kahrilas, MD, Zhiyue Lin, MS, Eric S Hungness, MD. Northwestern UniversityIntroduction: Limited data exist regarding the optimal distal gastric myotomy length in operations for treatment of achalasia. The functional lumen imaging probe… Continue Reading
The effect of rs9939609 FTO Gene Polymorphism on weight loss after Laparoscopic Sleeve Gastrectomy
Ozgur Balasar1, Tugrul cakir2, Ozgur Erkal3, Arif Aslaner2, Bulent cekic4, Mehmet Uyar5, Nurullah Bulbuller, Ass, Prof, Dr2, Mehmet Tahir Oruc, Ass, Prof, Dr2. 1Department of Medical Genetics, Dr Faruk Sukan Maternity and Pediatric Hospital, Konya, TURKEY, 2General Surgery Department, Antalya Training and Research Hospital, Muratpa?a, Antalya, TURKEY, 3Medical Genetics, Antalya Training and Research Hospital, Muratpa?a,… Continue Reading
The Effect Of Tilt On Flow And Pressures In A Miniaturized Extracorporeal Life Support System
Hilary B Loge, MD1, Ryan Schutter, MD2, Brian J Gavitt, MD, MPH1, Jeremy Cannon, MD3, J Kevin Grayson, DVM, PhD1, B. Zane Atkins, MD, FACS1. 1Travis AFB, 2McConnell AFB, 3Ft Sam HoustonObjectives: Wounded warriors with severe lung injuries are currently being transported out of theater on extracorporeal life support (ECLS) via fixed-wing aircraft. There has… Continue Reading