Carbon Footprint of Laparoscopic Cholecystectomy Performed with or Without Energized Dissection-A Case Controlled Study
Objectives of StudyClimate change related challenges & concerns have united the chasm across socio-political, geographical, cultural & professional spectra. Persuasion, coercion & offering incentives like carbon credits & personal carbon trading are all being implemented to reduce the global carbon footprint. No civilisation sustaining activity including surgery is carbon neutral. Till the emergence of carbon… Continue Reading
Case Report: Gastrointestinal Tract Duplications Treatement with Laparoscopic Surgery
INTRODUCTION: Gastrointestinal tract duplications are rare malformations that can affect any segment of the gastrointestinal tract, although half of the cases occur in the ileum. They are divided into cystic and tubular and can be either adjacent or completely separated from the intestine.As we have had the opportunity to diagnose a patient with this issue… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Case Report: Laparoscopic Adrenalectomy for Bilateral Metachronous Aldosteronomas
Introduction: Primary aldosteronism affects 5-13% of patients with hypertension. Idiopathic bilateral hyperplasia (IHA) and unilateral aldosterone-producing adenoma (APA) are the most common types of primary aldosteronism. Bilateral APA is a rare entity with only few reports in the literature. We describe the case of a patient with metachronous bilateral APA treated with metachronous bilateral total… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Cholecystectomy By Microlaparotomy-As the Precursor of Single Incision Laparoscopic Surgery- Comparing to Standard Laparoscopic Cholecystectomy (in Honour of Two Hungarian Surgeons)
It is less known that at the beginning of laparoscopic era, two Hungarian surgeons, G. Jako and I. Rozsos, developed a new minimally invasive method for the removal of the gallbladder performed through the abdominal wall, using a similarly small 2.5-3 cm incision as that of the transumbilical single incision laparoscopic procedure. The technique called… Continue Reading
- Type:
- Posters
- Topic:
- Basic Science
Choosing the Cosmetically Superior Laparoscopic Accesss to the Abdomen: The Importance of the Navel
Introduction: Single incision laparoscopy(SIL) is rapidly growing in the field of laparoscopic surgery. The most frequent location of abdominal access during SIL is the umbilicus. In order to introduce 3 or more instruments, an incision of at least 1.5 to 3 cm has to be placed in the umbilicus, potentially leading to alterations due to… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Circular Stapled Transanal Rectal Resection, a Useful Technique in Treating Rectal Intussusception and Rectocele. Our Experience of a Single Center with 23 Cases.
Objectives: Rectocele and rectal intussusception can lead to mechanical obstruction with difficulty or inability to void formed faeces. Rectocele and intussusception are widespread, often asymptomatic and coexisting with other pelvic alterations like enterocele, hyperdescending perineum and genital prolapsed. The role of each alteration in Obstructed Defecation Syndrome (ODS) is unclear. The Circular Stapled Transanal Rectal… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Circumferential Periumbilical Incision Approach for the Resection of T1n0 and Tis Colon Cancer: Relevance to Single Port Laparoscopic Surgery (SILS)
Background and Purpose: Single incision laparoscopic surgery (SILS) has been introduced to colonic cancer. One of the benefits of SILS is better cosmesis compared with other surgical approaches. We have previously performed resection of T1N0 or Tis colon cancer via circumferential periumbilical incision (CPI), which seems to be an alternative to SILS. The long-term oncological… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Clinical Outcomes Compared Between Laparoscopic and Open Distal Pancreatectomy for Benign Tumors
(Introduction) Though laparoscopic distal pancreatectomy for benign conditions was first described in the early 1990s, there is limited information on the outcomes of the laparoscopic surgery compared with open surgery. Therefore, this study aimed to investigate the clinical outcomes and to evaluate efficacy of laparoscopic distal pancreatectomy compared with open distal pancreatectomy in the benign… Continue Reading
Clinical Outcomes of Atypical Symptoms Following Laparoscopic Antireflux Surgery
Introduction: Gastroesophageal reflux disease (GERD) can manifest with both typical (heartburn, regurgitation) and atypical symptoms (cough, hoarseness, wheeze). While it is well established that antireflux surgery is effective in relieving typical symptoms, it is currently unclear whether atypical symptoms foreshadow a less satisfactory outcome following laparoscopic antireflux surgery (LARS). The purpose of this study is… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Clinical Outcomes of Laparoscopic Cholecystectomy (without Energised Dissection) Performed By a Basic Surgical Trainee or a Consultant-double Blind Randomized Control Study
Objective of Study Avascular anatomical planes guided surgery is an important prerequisite for expeditious & safe procedure. These so called “holy planes” are of help in performing Laparoscopic cholecystectomy (LC). We have earlier reported technique of LC without any energised dissection (ED) and its replication by a higher surgical trainee (HST). The HST had an… Continue Reading
Clinical Significance of Endoscopic Surgery for Thoracic Esophageal Cancer After Neoadjuvant Chemotherapy
Introduction: The growing evidence has verified the survival benefit of combined treatment of the chemotherapy followed by the surgery for advanced thoracic esophageal cancer. The endoscopic surgery for thoracic esophageal cancer has been shown to facilitate the early resumption of daily activity of the patients in the postoperative course, but is considered technically difficult especially… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Co-morbidities Recur with Weight Regain After Initial Resolution Post-gastric Bypass
Background: Roux-en-Y gastric bypass (RYGB) results in rapid weight loss and improvement of associated co-morbidities; however, a significant number of patients regain weight. We hypothesize that co-morbidities will recur in patients who regain weight. Methods: In this retrospective study, 52 patients who presented with weight regain were analyzed, along with their co-morbidities. Predictors for co-morbidity… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Collagen Type I/III Ratio in the Supporting Ligaments of the Gastroesophageal Junction in Patients with Paraesophageal Hernias
Introduction: The purpose of this study was to examine the biologic environment of the esophageal hiatus through analysis of the collagen content within the gastrohepatic ligament (GHL), gastrophrenic ligament (GPL), and phrenoesophageal ligament (PEL) in patients with Type III paraesophageal hernias (PEH). Methods: A control group (N=10) with achalasia and patients (N=10) with Type III… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Basic Science
Colon Resections in an Era of Nonagenarians: Nsqip Predictors of Mortality
BACKGROUND Nonagenariansare a growing population often viewed as high-risk surgical candidates. This study aims to review mortality and predictors of adverse outcome in nonagenarians undergoing colon resection.The National Surgical Quality Improvement Project (NSQIP) database was used for the analysis. METHODSThe 2005-2008 NSQIP databases were reviewed for all patients over ninety years old who underwent colon… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Colorectal
Colonic Volvulus: Not Only a Disease of the Elderly
Introduction: Colonic volvulus is a rare cause of intestinal obstruction typically described in the elderly. The purpose of this study was to evaluate a single institution twenty-year experience with volvulus and to compare differences between age groups. Methods: This study describes a retrospective review of all adult patients who were evaluated for colonic volvulus between… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal