Objectives: Minimally invasive surgery for gastric cancer remains controversial. The aim of this study is to compare short term and medium term outcomes and adequacy of tumour resection, in open versus laparoscopic gastric resections.Methods: Clinical data on all patients undergoing open (n = 15) or laparoscopic (n = 52) gastric resection by a single surgeon […]
Background: Recent studies of laparoscopic adjustable gastric band (LAGB) placement demonstrate improvement of gastroesophageal reflux disease (GERD), but the long term results of LAGB for patients with esophageal motility disorders remains unknown. The risk of worsening pre-existing esophageal motility disorders must be balanced against the benefits of LAGB, specifically its efficacy with respect to weight […]
Introduction: Telemedicine applications are necessary developments in today’s “stressed” healthcare environment. Remote Presence® applications for tele-rounding and tele-mentoring using the Wireless Local Area Network-WLAN (802.11) portion of the radio-frequency spectrum and the public internet, have been previously reported by our group. This report documents the first use of a different part of the spectrum, the […]
Objective: To determine the efficacy of acellular dermal matrix reinforcement of cruroplasty for large hiatal hernia (HH) repairs. Method and Procedure: Prospective study over a 1 year period enrolling ten patients with symptomatic large HH. Patients were included in the study if the HH contained more than one-third of the stomach (Type III or IV). […]
Background: Risk factors for symptomatic gallstone formation after bariatric surgery are unknown. Interventions to detect and reduce the incidence such as postoperative ursodeoxycholic acid and routine postoperative ultrasound surveillance have been suggested but remain controversial. A selective approach guided by patients’ risk factors rather than an algorithmic method may be indicated. Patients and Methods: After […]