Comparison Wound Bacterial Contamination Between Open Colorectal Surgery and Laparoscopic Colorectal Surgery
PURPOSE: Many investigators reported the advantage of laparoscopic colorectal surgery for prevention of surgical site infection (SSI). To compare wound bacterial contamination between open colorectal surgery (OC) and laparoscopic colorectal surgery (LC).METHOD: Colorectal cancer surgery with no association of ileus was evaluated between 22 OC cases and 19 LC cases. Preoperatively, only mechanical preparation was… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Completely Transvaginal NOTES Cholecystectomy in a Porcine Model Using Novel Endoscopic Instrumentation
Introduction: Transvaginal NOTES Cholecystectomy has been successfully performed but all reports have required laparoscopic assistance. The purpose of this study was to perform completely transvaginal cholecystectomy in a porcine model.Methods: Pigs 1-5 underwent non-survival and Pigs 6-8 underwent 14-day survival procedures. Through a vaginotomy, a 2T gastroscope and an 18mm x 38cm access port were… Continue Reading
- Type:
- Posters
- Topic:
- Endolumenal / NOTES
Completion of a Novel Virtual Reality-based Advanced Laparoscopic Curriculum Improves Advanced Laparoscopic Skills in Senior Residents
Introduction: Virtual reality simulators have been shown to contribute to basic laparoscopic skill acquisition. More advanced skill development, as measured by the Fundamentals of Laparoscopic Surgery (FLS), has not yet been shown to be improved with these trainers. We have customized novel basic and advanced curriculums for the LapSim® trainer (Surgical Science, Göteborg, Sweden). Successful… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Complications of the Mini-gastric Bypass: 10 Years Experience
The Mini-Gastric Bypass (MGB) is increasingly being adopted in countries around the world (England, France, Spain, Turkey, Lebanon, India, Australia, Taiwan, Columbia etc.) The purpose of this study is to report on the world's largest experience with the MGB and complications that can be expected following the MGB. Methods: Complications in over 4,584 patients followed… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Complications Related to the Access-port in 435 Cases of Laparoscopic Adjustable Gastric Binding.
Objective: To establish the frequency and nature of complications related to the access-port in patients who underwent Laparoscopic Adjustable Gastric banding (Allergan, Inc., Irvine, CA).Methods: We reviewed the medical records of 435 patients who underwent laparoscopic adjustable gastric banding in our institution to ascertain the complications related to the access-port. The complications data were collected… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Comprehensive Single Center Review of Impact of Body Mass Index on Symptomatic Results of Laparoscopic Nissen Fundoplication
INTRODUCTION: Laparoscopic Nissen fundoplication is accepted as a standard and effective therapy for refractory GERD; however, controversy exists regarding the eficacy of Nissen fundoplication in obese patients. We report on the results of symptomatic outcomes of a series of obese and non-obese patients with GERD receiving laparoscopic Nissen fundoplication. METHODS: A single center retrospective review… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Computer-based Haptic and Nonhaptic Virtual Reality Surgical Simulators: Performance Characteristics and Perceptions of New Users
Background: In order to define the value and perception of importance of haptic features in virtual reality (VR) laparoscopic simulators, we evaluated the initial experience of surgeons using both haptic and nonhaptic simulation devices in the performance of an advanced laparoscopic task.Methods: At the 2008 SAGES meeting, 68 Learning Center attendees were randomized to use… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Concurrent Hiatal Hernia Repair During Laparoscopic Adjustable Gastric Band Placement and Its Effect on Gastroesophageal Reflux Disease
Introduction: Presence of hiatal hernia (HH) in patients undergoing laparoscopic adjustable gastric band (LAGB) placement may pose technical difficulties and predispose to postoperative GERD and a higher risk of band prolapse. We reviewed our experience with LAGB and concurrent HH repair.Methods: Retrospective chart review of all patients who underwent LAGB and prospective interview of patients… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Concurrent Validity and Skill Decay for the Lap Mentor Laparoscopic Surgical Simulator
Introduction: We hypothesized that the LAP Mentor virtual reality (VR) simulator can improve scores on a video test, which has previously been proven to accurately measure surgical skill, thus establishing concurrent validity. Furthermore, we suspected that a decline in performance would be noted following a three week to one month period without training.Methods and Procedures:… Continue Reading
- Type:
- Posters
- Topic:
- Education / Simulation
Consecutive Case Series of Single Incision Laparoscopic Cholecystectomy
Introduction: After training for SILS cholecystectomy, the technique was introduced in clinical practice to any consenting patients who were candidates for standard four-port laparoscopic cholecystectomy. The feasibility of this technique and frequency of conversions were assessed. Methods and Procedures: Over a one month period, 15 patients underwent laparoscopic cholecystectomy by an academic surgeon. The initial… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Contribution of Flexible Endoscopy in Trauma Reimbursement
IntroductionThe ability of a trauma surgeon to perform flexible endoscopy helps in early and accurate diagnosis of various acute injuries and adds to the bottom line in a predominantly trauma practice. With decrease in operative trauma cases, flexible endoscopy may help to generate enough revenue to sustain trauma practice. Methods: The following data was collected-1)… Continue Reading
- Type:
- Posters
Conversions in Anatomic Vats Lung Resection: A Method of Assessing Reasons for Conversion
Objectives: Following analysis of why VATS lobectomy cases were converted to open procedures we propose a simple method of classifying reason for conversion that allows monitoring during the implementation & development of a minimally invasive thoracic surgery program. Background: Lung cancer remains one of the commonest causes of cancer death in North America. Lung resection… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Could the Tumor Characteristics Identified By Colonoscopy Predict the Locally Advanced Rectal Carcinoma?
The research is supported by a fund from the Science and Technology Commission of Shanghai Municipality (No: 07DZ1950) Objective: To investigate the clinical and pathological characteristics of locally advanced rectal carcinoma and identification of the candidates for neoadjuvant chemoradiation (nCRT). Summary Background data: So far the nCRT has been the standard care for locally advanced… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Could Total Extraperitoneal Hernia Repair Done Under Spinal Anesthesia Without Fixation of Mesh Be Recommended As the First Line Procedure for Unilateral Inguinal Hernias?
Background-Though laparoscopic total extra peritoneal repair (TEP) of inguinal hernia has been recommended as the method of choice for bilateral and recurrent inguinal hernias, yet for unilateral inguinal hernias, both the open and TEP are considered at par.While doing unilateral inguinal hernia repair, TEP has several advantages over the open repair. The pain in the… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
CT-guided Vs. Laparoscopic Radiofreqnecy Ablation (rfa): A Comparison of Morbidity and Hospital Cost
Background: CT-guided radiofrequency ablation (CT-RFA) is presumed to be less morbid and less costly than laparoscopic RFA (L-RFA). CT-RFA, however, has a higher treatment failure rate than L-RFA. This analysis looks at the 30-day morbidity and financial data for CT-RFA versus L-RFA for hepatocellular cancer (HCC) and colorectal liver metastases (CRLM). Methods: All patients with… Continue Reading