Unsupervised detection of tool presence in endoscopic video frames
David Z Li1, Masaru Ishii, MD, PhD2, Russell H Taylor, PhD1, Gregory D Hager, PhD1, Ayushi Sinha, PhD1. 1The Johns Hopkins University, 2Johns Hopkins Medical InstitutionsObjective: The aim of our work is to develop an unsupervised approach for tool detection in endoscopic video data. There is an abundance of medical imaging data available, but most of… Continue Reading
USE OF A REPORT CARD TO EVALUATE OUTCOMES OF ACHALASIA SURGERY: BEYOND THE ECKARDT SCORE
Ealaf Shemmeri, MD, Ralph W Aye, MD, Alexander S Farivar, MD, Adam Bograd, MD, Brian E Louie, MD. Swedish Thoracic SurgeryINTRODUCTION: Achalasia outcome is primarily defined using the Eckardt score with failure recognized as >3. However, patients experience many changes after myotomy including new onset GERD and potential need for additional treatment. We devised a… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
USE OF ALTERNATIVE, COST-EFFECTIVE LAPAROSCOPIC STAPLER RELOAD CARTRIDGES IN BARIATRIC SURGERY : A PROSPECTIVE, TWO-CENTER PILOT
Joshua P Landreneau, MD, MSc1, Andrew T Strong, MD1, Joel S Frieder, MD2, Stacy Brethauer, MD1, Emanuele Lo Menzo, MD2, Samuel Szomstein, MD2, John Rodriguez, MD1. 1Cleveland Clinic, 2Cleveland Clinic FloridaObjective: The United States Food & Drug Administration (FDA) has approved the first new brand of a compatible laparoscopic staplers under the 510(k) process as… Continue Reading
USE OF BIOABSORBALBLE MESH FOR PARASTOMAL HERNIA OF VESICULAR-APPENDICEAL URINARY CONDUIT
Evan Liggett, MD, Ellen Wicker, DO, Carlos Lodeiro, BS, Benjamin Clapp, MD. Texas Tech HSC Paul Foster School of MedicineIntroduction: Bladder and urethral malignancies can require resection with a curative intent. The patient that undergoes resection will need a urinary conduit. The ileum can be used as a conduit for patients that have their bladder… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
USE OF COMPUTED TOMOGRAPHY (CT) VOLUMETRIC MEASUREMENTS TO PREDICT OPERATIVE TECHNIQUES IN PARAESOPHAGEAL HERNIA REPAIR (PEHR)
Angela M Kao, MD, Javier Otero, MD, Sean R Maloney, MD, Tanushree Prasad, MA, Vedra A Augenstein, MD, B. Todd Heniford, MD, Paul D Colavita, MD. Carolinas Medical CenterBackground:Despite advances in diagnostic imaging capabilities, little information exists concerning the impact of physical dimensions of a paraesophageal hernia (PEH) on intraoperative decision-making and postoperative outcomes. Computerized… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Use of Departmental Morbidity and Mortality Conference as a Real Time Barometer of Outcomes and Quality in Pediatric Appendectomy
Julie A Disano, MD, Mary C Santos, MD, Vamsi V Alli, MD, Morgan K Moroi, BS, Robert E Cilley, MD. Penn State Hershey Medical CenterIntroduction: Weekly morbidity and mortality conferences (M&M) are educational staples, playing an important role in quality improvement. After noticing an increased frequency of pediatric appendectomy complications during M&M, we explored the accuracy… Continue Reading
- Type:
- Posters
- Topic:
- Acute Care Surgery
Use of EUS-directed gastro-gastric lumen-apposing metal stents as a viable alternative for gastric remnant and biliary tree access in Roux-en-Y anatomy: A tertiary referral center experience.
Alvaro F Galvez, MD1, Alexa Pesce2, Dane Scantling, DO, MPH1, Lynsey Daniels, MD1, Elizabeth Renza, MD1, Anand Kumar, MD, MPH1, Neal Patel, MD1, Erkanda Ikonomi1. 1Hahnemann University Hospital, 2Drexel University College of MedicineObjectives: The anatomic challenges presented by Roux-en-Y gastric bypass (RYGB) are formidable. Access to the excluded gastric remnant or biliary tree is a common… Continue Reading
- Type:
- Posters
Use of Indocyanine Green augmented Near Infrared Fluorescence Imaging in identification of biliary anatomy during Robotic Radical Resection of Gallbladder Adenocarcinomas.
Ali Ahmad, MD, FACS. University of Kansas School of Medicine-WichitaIntroduction: Gallbladder cancer remains a rare cancer with a poor prognosis. National guidelines recommend radical resection in the absence of metastatic disease. This often requires extensive dissection around the extrahepatic bile ducts. We report our experience of real-time near-infrared fluorescence (NIRF) imaging using indocyanine green (ICG) during… Continue Reading
Use of Indocyanine green fluorescence imaging in upper gastroesophageal cancer resections
S Valanci, MD, J Fiore, PhD, L Lee, MD, L Feldman, MD, G Fried, MD, LE Ferri, MD, C Mueller, MD. McGill UniversityIndocianyne green (ICG) was introduced to laparoscopic surgery to improve anatomical information, it may be ussed for perfusion assessment, lymph node mapping or vascular and biliary anatomy. We present 4 cases of upper… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Use of Intraoperative Provocative Leak Testing in Elective Laparoscopic Bariatric Procedures
Bhavani Pokala, MD, Priscila R Armijo, MD, Corrigan L Mcbride, MD, Dmitry Oleynikov, MD. University of Nebraska Medical CenterIntroduction: Intraoperative leak testing (IOLT), surgical drains, and swallow studies are commonly employed for early detection of gastrointestinal leaks following bariatric surgery, however, their utility remains widely debated. Our aim was to examine the frequency and outcomes of… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Use of Laparoscopic Witzel Gastrostomy without Gastropexy in Bariatric and General Surgery
Joshua Davies, MD, Luise Pernar, MD, Brian Carmine, MD, Donald Hess, MD, Cullen Carter, MD. Boston Medical CenterINTRODUCTION: Gastrostomy placement is the preferred means of long term enteral feeding for patients who cannot eat by mouth. During laparoscopic gastrostomy, it is standard to perform gastropexy, apposing visceral and parietal peritoneum. However, in some settings, such… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Use of Minimally Invasive Surgery in Emergency General Surgery Procedures in NSQIP 2007-2016
Michael R Arnold, MD, Lynnette Schiffern, MD, Beverly L Paton, MD, Brent D Matthews, MD, Caroline Reinke, MD. Carolinas Medical CenterBackground: Minimally invasive surgery (MIS) has demonstrated superior outcomes in many elective procedures. It’s use in emergency general surgery (EGS) procedures is not well characterized. This study examines trends in utilization and outcomes of MIS techniques… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Acute Care Surgery
Use of Near-Infrared Imaging and a Lighted Bougie to Improve Sleeve Gastrectomy Technique
Sarah Assali, DO1, Salim Abunnaja, MD2, Nezar Jrebi, MD2, Lawrence Tabone, MD2, Paolo Fontes, MD2, Nova Szoka, MD2. 1Allegheny General Hospital, 2West Virginia University Ruby Memorial HospitalIntroduction: This pilot study describes a novel use of near infrared imaging in laparoscopic surgery. Specifically, it examines the use of a near infrared camera and lighted bougie during… Continue Reading
Use of transversus abdominis plane block with liposomal bupivacaine in patients undergoing bariatric surgery: a case-control study
Allison M Barrett, MD, FACS1, John A Afthinos, MD, FACS1, Christopher Funfgeld, PAC, MPAS1, Vaughn E Nossaman, MD2, Kevin K Kresofsky, MD2. 1Long Island Jewish Forest Hills Hospital, 2Nassau University Medical CenterIntroduction: The overuse of postoperative narcotics has gained attention due to the epidemic of opiate abuse in the United States. Multimodal postoperative pain management… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Usefulness of the laparoscopic approach for liver resection of multi-site lesions
Masayasu Aikawa, Kenichiro Takase, Yukihiro Watanabe, Katsuya Okada, Kojun Okamoto, Shinichi Sakuramoto, Shigeki Yamaguchi, Isamu Koyama. Saitama medical university, international medical centerIntroduction: The laparoscopic liver resection (LLR) has become widespread because it is less invasive. However, the evidence of its less invasiveness has not been reported in multiple resections for hepatomas. We investigated the less… Continue Reading