Objective:Emphasis on extended lymph node dissection during esophagectomy is increasing. Many propose that the best technique to achieve this goal is to approach the mediastinal portion of the operation trans-thoracically. However, this may increase overall surgical morbidity compared to a purely transhiatal technique. Totally laparoscopic transhiatal esophagectomies have been performed but while better than open, […]
Objective of the technology. TEM (Transanal Endoscopic Microsurgery) is a minimally invasive endoscopic technique, which offers excellent access and visualization of the surgical field, improving the quality of local excision for rectal lesions with full-thickness excision of the rectal wall. We have modified the Buess rectoscope in order to improve the quality and versatility of […]
ENDOLUMENAL FULL-THICKNESS COLON-WALL RESECTION USING AN OVER-THE-SCOPE-CLIP: THREE TECHNIQUES COMPARED IN A PORCINE SURVIVAL STUDY Rieder Erwin, Mesteri Ildiko, Bolton J. Emily, Mathews F. Connor, Timmel B. Gregory, Whiteford H. Mark, Swanström L. Lee Minimally Invasive Surgery Program, Legacy Health, Portland, ORMedical University of Vienna, Austria Objective: It is widely recognized that reliable endoscopic full-thickness […]
Introduction: The trend towards minimally invasive procedures has progressed rapidly over the past several decades. Novel techniques and new technologies are constantly being introduced to perform increasingly complex procedures through very limited incisions. Utilization of an ostomy site for laparoscopic colorectal surgery has been described. We performed a cholecystectomy and ileorectal anastamosis (IRA) through an […]
Objective of the device. During standard colorectal laparoscopic resection, in order to insert the anvil with the purse-string technique, anastomosis is performed by extracting the left colon through a small laparotomy. Intracorporeal colon anastomosis avoids extensive and unnecessary colon mobilisation, but is considered technically challenging. During intracorporeal colorectal anastomoses with the circular stapler, the anvil […]