Approaching The Difficult Gallbladder: Preoperative Decision-Making
Dr. Steven Schwaitzberg, MD disclosures–43 sec are you a master at CCX?–1:50 optimizing the difficult case–4:05 anticipating problems–4:33 acute cholecystitis–13:35 chronic cholecystitis–14:20 cirrhosis–15:10 know when to call for help–15:55 optimizing outcomes–16:09 Keyword(s): ABS, acute cholecystitis, chronic cholecystitis, cirrhosis, conversion rate, CT, CVS, dilated CBD, ERCP, GB, GB disease, GBP, hydrox, imaging, informed consent, IOCs, jaundice, […]
Bile Duct Injury: Now What?
Dr. Horacio Asbun, MD timing of discovery–1:28 dx–2:18 Delphi results–4:18 procedural video–5:29 discovery of CBDI post-op–7:59 work-up–8:33 MRC–8:51 mechanisms of injury–9:05 surgical repair–10:32 conclusion–13:47 Keyword(s): biliary tree, CBDI, drain, ERCP, hepatectomy, hepaticojejunostomy, jaundice, LC, MRC, MRCP, MRI, OC, PTCH, T-tube, Triangle of Calot, US
Approaching The Difficult Gallbladder: Intraoperative Techniques
Dr. Benjamin Poulose, MD disclosures–37 sec general rules–56 sec biliary tree anatomy–1:57 arterial anatomy–5:35 pathology–6:42 practical algorithm–7:28 is there anatomy or path present requiring a different approach?–8:09 cystic duct ID–9:30 will GB separate from fossa easily?–9:45 bailout maneuvers–10:08 pt cases–1:28 Keyword(s): aberrant anatomy, biliary colic, biliary dyskinesia, biliary tree, CCX, cholecystitis, cholecystostomy tube, chronic biloma, […]
Additional Considerations: The Community Surgeon Perspective
Dr. Jeffrey Crooms, MD personal background–2:03 surgical indications–2:17 surgery timing–2:32 surgical techniques–3:12 cholangiography–4:46 special considerations–5:18 complications–6:24 prevention–6:54 community buy in–8:03 ask help–8:50 summary–9:52 Keyword(s): bile leak, CBDI, cholecystitis, cholecystostomy tube, cholelithiasis, cirrhosis, community surgeon, CVS, FLS, gallstone pancreatitis, IOCs, morbid obesity, NOTES, pediatric, recertification, robotic CCX, single incision CCX, tertiary care, US
Mechanisms of Bile Duct Injury
Dr. Abe Fingerhut, MD causes of injury–1:07 mis-ID–1:29 Strasberg classification–2:27 ATOM–2:56 https://www.ncbi.nlm.nih.gov/pubmed/?term=23892759 non leaking vs leaking BDI–6:02 safety measures–7:30 https://www.ncbi.nlm.nih.gov/pubmed/20610259 https://www.ncbi.nlm.nih.gov/pubmed/8338094 https://www.ncbi.nlm.nih.gov/pubmed/?term=15912491 https://www.ncbi.nlm.nih.gov/pubmed/25559890 imaging–8:29 technical errors–9:31 common mistakes–9:45 ID of cystic & hepatic arteries–10:31 tenting effect–11:15 traction–11:28 beware of monopolar energy–13:12 human factors–13:27 essential steps–14:05 thought process–15:24 Keyword(s): ATOM, CBDI, COSIC, CVS, cystic duct, EAES, […]
Imaging Techniques in Biliary Surgery
Dr. Daniel Deziel, MD overview–32 sec methods for intra-op bile duct imaging–40 sec IOCs–53 sec https://www.ncbi.nlm.nih.gov/pubmed/12165830 https://www.ncbi.nlm.nih.gov/pubmed/?term=23982367 https://www.ncbi.nlm.nih.gov/pubmed/?term=14570952 LUS–7:47 https://www.ncbi.nlm.nih.gov/pubmed/?term=18528611 https://www.ncbi.nlm.nih.gov/pubmed/?term=24074430 fluorescence cholangiography–9:48 https://www.ncbi.nlm.nih.gov/pubmed/?term=24986018 conclusion–11:21 Keyword(s): BDI, bile duct imaging, CCX, fluorescence cholangiography, ICG, inflammation, IOCs, IVA, LC, LUS, Medicare, NIRFC, obesity, population studies
The Critical View Of Safety: What Is It, Hot To Achieve It, Why It Works
Dr. Steven Strasberg, MD CVS definition–1:12 target ID–1:24 citations–2:42 https://www.ncbi.nlm.nih.gov/pubmed/8000648 https://www.ncbi.nlm.nih.gov/pubmed/20610259 https://www.ncbi.nlm.nih.gov/pubmed/11129816 infundibular technique–5:22 evidence for the CVS–6:37 https://www.ncbi.nlm.nih.gov/pubmed/18942628 https://www.ncbi.nlm.nih.gov/pubmed/?term=19009323 https://www.ncbi.nlm.nih.gov/pubmed/16021365 https://www.ncbi.nlm.nih.gov/pubmed/17206564 https://www.ncbi.nlm.nih.gov/pubmed/20535578 https://www.ncbi.nlm.nih.gov/pubmed/24439739 why the CVS works–8:16 a problem with the CVS–9:56 https://www.ncbi.nlm.nih.gov/pubmed/21887779 https://www.ncbi.nlm.nih.gov/pubmed/24440064 criteria for scoring doublet photo–11:06 warning–11:37 citation–13:05 https://www.ncbi.nlm.nih.gov/pubmed/16183501 COSIC–13:24 https://www.youtube.com/watch?v=sHsA7fR-GhI Keyword(s): BDI, biliary injury, COSIC, CVS, cystic duct, cystic plate, […]
Emergency Department Visits After Cholecystectomy: The NY State Experience
Dr. Dana Telem, MD background–1:04 data–1:40 https://www.ncbi.nlm.nih.gov/pubmed/24006552 value based medicine–1:57 NY data–2:30 what does this mean?–3:44 what can we do?–5:58 Keyword(s): abdominal pain, analgesia, CCX, CMS, CVS timeout, ED utilization, HCUP, LC, MEPS, phlebitis, readmissions, self-pay, SPARCS, value based medicine
The Critical View Of Safety: Is This It?
Dr. Robert Fanelli, MD disclosures–1:10 doublet photographs–1:40 CVS grading exercise–1:51 doublet grading review–2:34 https://www.ncbi.nlm.nih.gov/pubmed/?term=24440064 quiz–3:56 doublet photo review–4:33 concluding discussion–11:36 Keyword(s): CCX, CVS, cystic plate, doublet photographs, hepatocystic triangle
Art Innovative Design
ART INNOVATIVE DESIGN James D. Geiger, MD disclosures–1:06 innovation definition–1:18 clinical immersion–4:49 opportunity discovery–5:54 solution creation–6:46 innovation pathway–7:39 educational programs–8:12 M-PED consortium–10:17 commercialization programs–10:46 citation–11:24 https://www.uofmhealth.org/news/archive/201305/baby%E2%80%99s-life-saved-groundbreaking-3d-printed-device achieving biomedical innovation for peds–11:41 could simple be better?–13:22 you have an idea, now what?–14:49 Keyword(s): clinical immersion, commercialization programs, da Vinci, device development, device trials, educational programs, fellowship, […]
Guidelines Committee
Guidelines Committee Keyword(s): abstracts, achalasia, CPG, dx laparoscopy, EBP, endo, ESRD, guidelines committee, healthcare, IOM standards, lit review, mortality, NLM, PICO, reflux, SRDR, systematic review, TAMIS
DO WE VIOLATE THE HIPPOCRATIC OATH WHEN WE INNOVATE? contd.
DO WE VIOLATE THE HIPPOCRATIC OATH WHEN WE INNOVATE? contd Holger Till, MD ethical concerns–3:39 inappropriate intro–3:54 https://www.ncbi.nlm.nih.gov/pubmed/18664007 duties to the profession–4:35 https://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Ethics/Innovative-Practice-Ethical-Guidelines appropriate intro–5:10 premature adoption–6:13 duties to the profession–7:19 example of mature adoption–7:39 pt protection–9:06 discussion–10:23 IPEG–11:06 https://www.ipeg.org/meeting/ Keyword(s): conflict of interest, ethics, ethics committtee, Hippocratic oath, informed consent, innovation, IPEG, thoracoscopic TEF […]
Guidelines Committee contd.
Guidelines Committee contd. Keyword(s): abstracts, achalasia, adverse outcomes, clinical outcomes, Cochrane risk of bias, cost, CPG, dx laparoscopy, EBL, EBP, endo, ESRD, guidelines committee, HCV, healthcare, IOM standards, kidney guidelines, lit review, liver failure, LOS, meta-analysis, mortality, Nissen fundoplication, NLM, pain, PICO, reflux, robot, SRDR, systematic review, TAMIS, transfusions
You are More Than Just a Surgeon
You are More Than Just a Surgeon Brian Jacob, MD innovations–1:17 research–1:46 start up companies–2:55 https://inclinx.com/ passion–4:31 likeable social media–5:35 https://www.amazon.com/Likeable-Social-Media-Revised-Expanded/dp/0071836322/ref=sr_1_1?s=books&ie=UTF8&qid=1457296240&sr=1-1&keywords=likeable+social+media principle of a likeable business–5:56 Orbera intragastric balloon–10:26 International hernia collaboration–11:41 https://www.facebookstories.com/stories/99818/revolutionizing-surgery-through-worldwide-collaboration online collaboration–13:19 coming soon–15:04 summary–15:45 Keyword(s): angelMD, endoluminal surgery, facebook, IncLinx, innovation, International Hernia Collaboration, mentorship, Obera intragastric balloon, online collaboration, overtube, […]
Facing Mishaps Around the Hiatus
FACING MISHAPS AROUND THE HIATUS Stylianos Tzedakis, MD Bernard Dallemagne1, Carter Lebares2, Didier Mutter1, Jacques Marescaux1, Silvana Perretta1; 1CHU – Nouvel Hopital Civil, Strasbourg, 2university hospital california san fransisco (UCSF)
Learning Transanal Endoscopic Surgery: Technique, Tips and Tricks
LEARNING TRANSANAL ENDOSCOPIC SURGERY: TECHNIQUE, TIPS AND TRICKS Tanya Castelino, MD, Nancy Morin, MD, FRCSC, FACS, Carol-Ann Vasilevsky, MD, FRCSC, FACS, Julio Faria, MD, FRCSC, Gabriela Ghitulescu, MD, FRCSC, Philip Gordon, MD, FRCSC, FACS, Marylise Boutros, MD, FRCSC; McGill University, Division of Colon & Rectal Surgery, Jewish General Hospital
V010 Laparoscopic Management of a Colovesical Fistula
V010 LAPAROSCOPIC MANAGEMENT OF A COLOVESICAL FISTULA Cristina R Harnsberger, MD Ryan C Broderick, MD, Hans F Fuchs, MD, Moneer E Almadani, MD, Santiago Horgan, MD, Elisabeth C McLemore, MD; University of California, San Diego, Department of Surgery
V011 Robotic Low Ligation of the Inferior Mesenteric Artery with Real-time Identification of the Vascular System for Rectal Cancer Using the Firefly Technique
V011 ROBOTIC LOW LIGATION OF THE INFERIOR MESENTERIC ARTERY WITH REAL-TIME IDENTIFICATION OF THE VASCULAR SYSTEM FOR RECTAL CANCER USING THE FIREFLY TECHNIQUE Sung Uk Bae Byung Soh Min, Nam Kyu Kim; Keimyung University and Dongsan Medical Center, Yonsei University College of Medicine
V012 Endoscopically Assisted Laparoscopic Wedge Resection of Colon
V012 ENDOSCOPICALLY ASSISTED LAPAROSCOPIC WEDGE RESECTION OF COLON Ashwini Kumar, MD Robert J Bowles, MD; University of Miami intro–9 sec case presentation–1:04 Keyword(s): colonoscope, EMR, ESD, sessile polyp, wedge colon resection
V014 Combined Endoscopic Laparoscopic Surgery (CELS) for Large Right Colon Polyps
V014 COMBINED ENDOSCOPIC LAPAROSCOPIC SURGERY (CELS) FOR LARGE RIGHT COLON POLYPS Paul R O’Mahoney, MD Tushar Samdani, MD, Sang W Lee, MD, Jeffrey W Milsom, MD; Weill Cornell Medical College-NewYork Presbyterian Hospital overview–5 sec equipment–26 sec Keyword(s): CELS, colon polyps
V015 Laparoscopic Repair of a Left-sided Paraduodenal Hernia.
V015 LAPAROSCOPIC REPAIR OF A LEFT-SIDED PARADUODENAL HERNIA. Joshua S Winder, MD Shaukat A Gulfaraz, MD, Eric M Pauli, MD, Randy S Haluck, MD; Penn State Milton S. Hershey Medical Center PDH–5 sec Keyword(s): lap repair, PDH
V016 Robotic Spermatic Cord Lysis for Treatment of Post-operative Chronic Testicular Pain after Laparoscopic TEP Inguinal Hernia Repair with Mesh
V016 ROBOTIC SPERMATIC CORD LYSIS FOR TREATMENT OF POST-OPERATIVE CHRONIC TESTICULAR PAIN AFTER LAPAROSCOPIC TEP INGUINAL HERNIA REPAIR WITH MESH Erfan Zarrinkhoo, BA Shirin Towfigh, MD, David Josephson, MD; Beverly Hills Hernia Center, Tower Urology
V016 Robotic Spermatic Cord Lysis for Treatment of Post-operative Chronic Testicular Pain after Laparoscopic TEP Inguinal Hernia Repair with Mesh
V016 ROBOTIC SPERMATIC CORD LYSIS FOR TREATMENT OF POST-OPERATIVE CHRONIC TESTICULAR PAIN AFTER LAPAROSCOPIC TEP INGUINAL HERNIA REPAIR WITH MESH Erfan Zarrinkhoo, BA Shirin Towfigh, MD, David Josephson, MD; Beverly Hills Hernia Center, Tower Urology pt story–11 sec Keyword(s): IHR, mesh, spermatic cord denervation, spermatic cord lysis, TEP, testicular pain
A Challenging Case of Bouveret Syndrome
A CHALLENGING CASE OF BOUVERET SYNDROME Ashwini Kumar, MD Robert J Bowles, MD, Jose M Martinez, MD, Alberto R Iglesias, MD; University of Miami