Over the last two years the field of minimally invasive surgery has seen the emergence of single port laparoscopic techniques. In May 2007, we performed our first Single Port Access (SPA) cholecystectomy. This technique provides an alternative approach to accessing the abdominal cavity for minimal access procedures. Additionally, it enhances cosmesis and decreases skin incisions. […]
Objective of the study: The primary goal of this study was the successful intraoperative near infrared fluorescence (NIRF) imaging of extra and intra hepatic bile ducts using the SPY and laparoscopic SPY2 scope systems (Novadaq Technologies Inc.) after parenteral administration of Indocyanine Green (ICG). Optimal NIRF imaging of biliary anatomy occurs when sufficient amount of […]
Introduction) Laparoscopic enucleation of pancreas (LEP) can be best treatment option avoiding resection or pancreatic anastomosis, if performed appropriately and safely. But reports regarding LEP have been rare and mainly case report. So, we herein report the largest series of LEP to date.Method) From April 2006 to Aug 2008, total 13 cases of LEP were […]
Objective: A minimally invasive approach to hepatobiliary reconstruction can be technically difficult due to the need to suture a fine structure in an enclosed space, intimately related to critical vascular structures, often with significant adhesions or fibrosis. Using the da Vinci surgical system can aid in visualization and maneuverability, facilitating the dissection and anastomosis in […]
The Single Port Access (SPATM) technique utilizes the umbilicus as a single portal of entry into the abdominal cavity. The goal of this access technique is to maintain the current, safe dissection of standard multiport laparoscopic cholecystectomy while performing the entire operation through one incision concealed within the umbilicus.The critical view is a proven paradigm […]