TEM is an accepted method of locally excising superficial (pT1) rectal cancers. It is controversial whether this technology is appropriate for cure of more advanced lesions. We retrospectively identified 35 patients (28 pT2, 7 pT3) with rectal cancer, treated with TEM +/- radiation and chemotherapy or radical surgery between 1991 and 2007. Of the pT2’s, […]
Introduction: Laparoscopic repair of massive hiatus hernia (MHH) is a feasible and effective technique. However, the natural history after repair is not well documented, and there have been concerns regarding possible high recurrence ratesMethods: Prospective review of patients operated on for massive hiatus hernia between April 1992 and December 2006 in a tertiary referral unit. […]
INTRODUCTION: The formation of a gastrogastric fistula after laparoscopic roux en y gastric bypass is an infrequent but well documented complication, with an occurrence of 5-15%. These are reported to exist with marginal ulcers 53-100% of the time. Many treatments have been documented that focus on acid suppression with proton pump inhibitors (PPIs) and local […]
Introduction: Pediatric minimally invasive surgery (MIS) has undergone significant development over the last 10 years but the role in complex neonatal and infant surgery is still being evaluated.. Technical advances and new procedures have allowed the evolution of MIS in even the smallest neonates. This report documents our experience in MIS in infants under 5kg.Methods: […]
Introduction: The utility of routine upper gastrointestinal (UGI) evaluations after laparoscopic Roux-Y gastric bypass (LRYGB) has yet to be determined, primarily being used to rule out a gastrojejunal leak. Additional information can be assessed with these studies including the rate of contrast emptying from the pouch; some patients show no or very slow emptying while […]