Analysis of learning curve for laparoscopic pancreaticoduodenectomy
Yiping Mou, MD, FACS1, Chao Lu, MS2, Weiwei Jin, MD2, Xiaowu Xu, MD1, Renchao Zhang, MD1, Jiafei Yan3, Yucheng Zhou1, Chaojie Huang1, Jiayu Zhou, MD2, Ronggao Chen2, Jingrui Wang2. 1Department of Gastrointestinal and Pancreatic Surgery, Zhejiang Provincial People's Hospital, 2School of medicine, Zhejiang University, 3Department of general surgery, SIR RUN RUN SHAW HospitalBackground:Interest in laparoscopic… Continue Reading
An Update on Idiopathic Intracranial Hypertension and Bariatric Surgery: A Systematic Review
Warren Sun1, Noah J Switzer2, Taylor Smart2, Jerry T Dang2, Richdeep S Gill2, Christopher de Gara2, Daniel Birch2, Shahzeer Karmali2. 1Faculty of Medicine and Dentistry, University of Alberta, 2University of AlbertaIntroduction: We aimed to systematically review the literature to determine the efficacy of bariatric surgery on Idiopathic Intracranial Hypertension (IIH). Commonly referred to as pseudotumour… Continue Reading
An Intraoperative Technique to Reduce Superficial Surgical Site Infections in Laparoscopic Roux-en-Y Gastric Bypass Constructed by Circular Stapler
Yang Zhang1, Oscar K Serrano, MD2, W S Melvin, MD, FACS2, Diego R Camacho, MD, FACS2. 1Albert Einstein College of Medicine, 2Montefiore Medical CenterIntroduction: Laparoscopic Roux-en-Y Gastric Bypass (LGBP) has been established as one of the most effective treatments for morbid obesity. Surgical site infections (SSI) are the most common complication following LGBP, affecting as… Continue Reading
An impact of bariatric surgery on thyroid function and medication use in patients with hypothyroidism.
Alex Zendel, MD1, Yasmin Abu Ghanem, MD1, Tal Yalon, MD1, Yossi Dux, MD1, Eyal Mor, MD1, Galron Keren, MD2, Dov Zippel1, Moshe Rubin, MD1, Aviram Nissan, MD1, David Goitein, MD1. 1General Surgery C, Sheba Medical Center, Israel, 2Pediatric Emergency DepartmentIntroduction: Bariatric surgery is effective in treating obesity associated co-morbidities. However, the effect of bariatric surgery… Continue Reading
An extracorponeal hepatic inflow control for pure laparoscopic liver resection can extend an indication of liver resection
Toru Mizuguchi, Makoto Meguro, Kenji Okita, Tohsihiko Nishidate, Tomomi Ueki, Emi Akizuki, Masafumi Imamura, Goro Kutomi, Yasutoshi Kimura, Ichiro Takemasa. Sapporo Medical University Factors Pr group (N=9) NPr group (N=38) P Clinical demographics Sex (M:F) 4:5 23:15 0.609 Age (Years) 60.8 + 12.9 65.7 + 10.6 0.231 Albumin (g/dl) 3.86 + 0.37 4.06 + 0.33… Continue Reading
An Endoscopic Approach to Weight Regain Secondary to Gastrogastric Fistula
Ellen A Carraro, MD, Sabrena F Noria, MD, PhD. The Ohio State Wexner Medical CenterGastrogastric fistulas occur in 3-6% of Roux en Y gastric bypass patients. They can cause abdominal pain, asymptomatic weight regain, and marginal ulcer formation. While surgical revision is the mainstay of treatment, we demonstrate a case of successful endoscopic suture closure… Continue Reading
An app for patient education and self-audit within an enhanced recovery program for colorectal surgery: A pilot study on validity and usability.
Nicolo Pecorelli, MD1, Julio F Fiore Jr., MSc, PhD1, Pepa Kaneva, MSc1, Abarna Somasundram, BSc1, Patrick Charlebois, MD2, A S Liberman, MD2, Barry L Stein, MD2, Franco Carli, MD, MPhil2, Liane S Feldman, MD2. 1Steinberg-Bernstein Centre for Minimally Invasive Surgery and Innovation, 2McGill University Health CentreIntroduction: While patient engagement and clinical audit are key components… Continue Reading
Alvimopan in the Setting of Colorectal Resection with an Ostomy: to Use or Not to Use?
Yuxiang Wen, BM, Murad A Jabir, MD, Michael Keating, BA, Alison R Althans, BA, Justin T Brady, MD, Bradley J Champagne, MD, Conor P Delaney, MD, MCh, PhD, Scott R Steele, MD. University Hospitals Case Medical Center/Case Western Reserve UniversityIntroduction: Postoperative ileus (POI) is a major cause of morbidity, increasing length of stay (LOS) and… Continue Reading
Alvarado Score with C-Reactive Protein Accurately Predicts Acute Appendicitis During Pregnancy – Algorithmic Approach
Goran Augustin, PhD, Petar Matosevic, MD, Tomislav Secan, MD. University Hospital Center Zagreb and School of Medicine University of ZagrebIntroduction: Diagnosis of acute appendicitis (AA) in pregnancy is more difficult due to physiologic changes, a higher rate of nausea/vomiting and non-specific abdominal pain in pregnancy. Study goals were to evaluate the diagnostic accuracy of the… Continue Reading
Algorithm for Ordering Abdominal CT Scans in Patients After Gastric Bypass: Is It Possible?
Luise I Pernar, MD1, Ryan Lockridge, BS, BSN, RN1, Colleen MccCormack1, Minghua Chen, MD, PhD1, Judy Chen, MD2, Scott A Shikora1, David Spector3, Ali Tavakkoli3, Malcom K Robinson, MD1, Ashley H Vernon3. 1Brigham and Women's Hospital, 2Swedish Medical Center, 3Brigham and Women's Faulkner HospitalIntroduction: Gastric bypass patients frequently present to the emergency department (ED) with… Continue Reading
After 48 Consecutive Endoscopic Gastrojejunal Revisions for Weight Gain Following Roux-en-Y Gastric Bypass: What Have We Learned?
Lava Y Patel, MD, Thomas J Stringer, BA, Craig Brown, BS, Matthew E Gitelis, BS, John G Linn, MD, Woody Denham, MD, Liz Farwell, APN, Stephen Haggerty, MD, Michael B Ujiki, MD. NorthShore University HealthSystemBackground: Endoscopic gastrojejunal revision (EGJR) is a novel procedure for patients seeking a minimally invasive treatment option for weight gain in… Continue Reading
Advanced Laparoscopy Simulation Training: Results of 5 Years of Experience.
Pablo A Achurra, MD, Ruben Avila, MD, Rodrigo Tejos, Richard Castillo, MD, Erwin Buckel, MD, Felipe Leon, MD, Fernando Pimentel, MD, Fernando Crovari, MD, Nicolas Jarufe, MD, Julian Varas, MD. Experimental Surgery and Simulation Center, Department of Digestive Surgery, Pontificia Universidad Catolica de ChileIntroduction: Minimally invasive surgery is currently the gold standard approach for many… Continue Reading
Advanced EndoLaparoscopic Resection of Colonic Neoplasms: the Latest Techniques and Technology
Reuben D Shin, MD, Peter W Marcello, MD. Lahey Hospital & Medical CenterBackground: There is an increasing emphasis on colorectal cancer screening and we are finding more large and advanced polyps along with early stage cancers. Traditionally, these lesions may have required colon resections, however new techniques and technology can allow for endoscopic and endolaparoscopic… Continue Reading
Acute presentation of infected urachal cyst in children: the role of laparoscopy
Ernesto Miranda-Cervantes, MD, Francisco C Sanchez-Garcia, MD, Mauricio Castano-Eguia, MD, Marco Juarez-Parra, MD, Aurora Guillen-Graf, Ulises Caballero-DelaPena, MD, Berenice Medina-Ortiz. Christus Muguerza Hospital Alta Especialidad / UDEMINTRODUCTION: The urachus is a structure that connects the bladder dome with the umbilicus. A urachal cyst occurs when both ends are obliterated but the central portion remains patent.… Continue Reading
Acute Laparoscopic Management of Thoracoabdominal Gunshot Wound
Siddarth Kudav, MD, Roger de la Torre, MD, Jacob A Quick. University of Missouri - Columbia Introduction: Penetrating thoracoabdominal trauma is often associated with hemodynamic instability, precluding laparoscopic management. However, in hemodynamically stable patients, laparoscopy has the ability to both effectively characterize injuries not reliably diagnosed via imaging techniques, as well as provide a viable… Continue Reading