Chopstick Surgery: A Novel Technique Enables Use of the Da Vinci Robot to Perform Single Incision Laparoscopic Surgery (SILS)
INTRODUCTION: Single incision laparoscopic surgery (SILS) is limited by the coaxial arrangement of the instruments. A surgical robot with “wristed” instruments could overcome this limitation but the “arms” often collide when working coaxially. This study tests a new technique of “chopstick surgery” to enable use of the robotic arms through a single incision without collision.METHODS:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Robotics
Chopstick Surgery: A Novel Technique Enables Use of the Da Vinci Robot to Perform Single Incision Laparoscopic Surgery (SILS)
INTRODUCTION: Single incision laparoscopic surgery (SILS) is limited by the coaxial arrangement of the instruments. A surgical robot with “wristed” instruments could overcome this limitation but the “arms” collide when working coaxially. This video demonstrates a new technique of “chopstick surgery” which enables use of the robotic arms through a single incision without collision.METHODS: Experiments… Continue Reading
- Topic:
- Robotics
Chyloperitoneum After Laparoscopic Roux Y Gastric Bypass (LRYGB)
The extravasation of milky chyle into the peritoneal cavity is known as Chylous ascites. A true chylous effusion is defined as the presence of ascitic fluid with high fat (triglyceride) content, usually higher than 110 mg/Dl. This can occur de novo as a result of trauma, neoplasm, obstruction of the lymphatic system as well as… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Chylothorax – a Risk From Laparoscopic Nissen Fundoplication
Chylothorax is a rare complication from a Lap Nissen Fundoplication for treatment of GERD. Two weeks post-op, the patient returned for follow up and was found to have a pleural effusion. Further evaluation, including thoracentesis revealed a chylothorax. The patient was given a trial of conservative management but ultimately required a thoracotomy for mass ligation… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Clinical Analysis of Anastomotic Leakage in Laparoscopic Low Anterior Resection for Rectal Cancer
Introduction: The aim of this study is to present the incidence of anastomotic leakage after anterior resection for rectal cancer and to demonstrate the therapeutic approach for the treatment of this complication.Methods: Retrospective data of 267 patients who underwent anterior resection or low anterior resection of the rectum for rectal cancer from November 2002 to… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Clinical & functional results of transanal endoscopic local excision of rectal tumors
Transanal endoscopic excision of rectal tumors is an accepted sphincter preserving technique in rectum surgery. Detailed preoperative diagnostic procedures (histopathology, endosonography) and functional assessment (manometry, electromyography) are crucial for proper patients selection. Aim: To determine clinical and functional results of patients undergoing local excision for benign and malign lesions. Material and Methods: 90 patients (54… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Clinical Experience with a Multifunctional Flexible Surgery System for Endoluminal, Singe Port and NOTES Procedures
Introduction: Single port and incisionless surgical approaches hold the promise of fewer complications, reduced pain, faster recovery and improved cosmesis compared to traditional open or laparoscopic ones. The ability to select an access approach (i.e., endolumenal, single port, trans-vaginal or trans-gastric) with one platform may be important to optimizing individual patient results.We report our results… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Endolumenal / NOTES
Clinical Feasability of a New Colonic Access Device (megachannel™) for Interventional Procedures At Colonoscopy: A Prospective, Multicenter Trial
Background: Megachannel™ is a new colonic access system that was originally developed for colonoscopic appendectomy. Once in place, the reinforced wall protects the colon from perforation risks during rapid, multiple passes of the colonoscope to the right colon. The 20mm working channel allows the rapid and safe delivery of bulky instruments such as EUS, banders,… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Clinical Outcomes of Laparoscopic Pylorus Preserving Pancreaticoduodenectomy (l-pppd): Comparison of Laparoscopic Assisted Pppd to Totally Laparoscopic Ppppd
Even though most surgeons are reluctant against L-PPPD for malignant lesion of pancreas head because of oncologic point of view yet, if technical feasibility and safety are verified, L-PPPD can be accepted as an alternative option for open pancreaticduodenectomy. (Purpose) The purpose of this report is to present the clinical outcomes of the L-PPPD to… Continue Reading
Clinical Predictors of Operative Complexity in Laparoscopic Ventral Hernia Repair: A Prospective Study
Introduction: Due to uncertainties about the complexity of laparoscopic ventral hernia repair in varying patient populations, surgeons may be reluctant to perform this procedure. The aim of this study is to delineate risk factors that can be identified in the preoperative setting that predict longer operative times and complexity in laparoscopic ventral hernia repair. Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Clinical Prognoses After Laparoscopic Assisted Gastrectomy for 76 Cases with Earlyl Gastric Cancer
(1) objective of this study Although Laparoscopic assisted gastrectomy (LAG) is has been accepted procedure for early stages of gastric cancer, the morbidity and modality are not clear compared to open gastrectomy (OG). We show our patientsf prognoses after LAG. This is a retrospective and single facility report.(2) methods and procedures We have performed 76… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Clinical Research of Digestive Tract Reconstruction Performed with the Nickel-titanium Temperature-dependent Memory-shape Device After Distal Gastrectomy
Clinical research of digestive tract reconstruction performed with the nickel-titanium temperature-dependent memory-shape device after distal gastrectomy 1,2Xinxiang Li MD, 1Shanjun Cai MD, 2Jianxin Ye MD, 2Zheng Shi, MD3Chengzhu zheng MD, 4Raul J. Rosenthal MD 1Department of Colorectal Surgery, Fudan University Cancer Hospital,Shanghai CHINA 2000322Department of Surgery, The First Hospital Affiliated To Fujian Medical University ,Fuzhou… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Clinical Results of Alternative Technique for N.o.t.e.s. Transvaginal Cholecystectomy
Objectives: Transvaginal NOTES is a new diagnostic and potentially therapeutic method of surgical endoscopy, and clinical experience is still limited. A preliminary experience with NOTES transvaginal method for cholecystectomy is described.Methods: IRB approval was obtained at the institution for transvaginal NOTES clinical trials. The technique of transvaginal NOTES cholecystectomy was clinically applied in 15patients with… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Clipless Minilaparoscopic Cholecystectomy: A Comparative Cost Study for a Minimally Invasive and Cost Effective Procedure.
INTRODUCTION: For the surgical treatment of gallbladders diseases, the laparoscopic cholecystectomy has been accepted as the gold standard all over the world. Although, it seems to be clear that the needlescopic procedure, called minilaparoscopic cholecystectomy (MLC) is superior in many aspects when it is compared not only to open surgery, but also compared to the… Continue Reading
Combined Transabdominal and Preperitoneal Obturator Hernioplasty
The patient is a 91 y/o female who presented to the hospital with new onset abdominal pain and distention. CT of the abdomen/pelvis revealed an incarcerated left obturator hernia with evidence of bowel obstruction.This video submission demonstrates combination of the transabdominal and extraperitoneal techniques for reduction and repair of an incarcerated left obturator hernia. Session:… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias