(Introduction)Single-port laparoscopic surgery is predicted to be the next generation of minimally invasive surgery. We have devised an alternative laparoscopic cholecystectomy approach by inserting a single port at the umbilicus and without establishing pneumoperitoneum by using the abdominal wall-lifting method.(Surgical technique)A 2~3 cm curvilinear supraumbilical incision was made, and lapprotector ® was inserted into the […]
IntroductionIsolatedintra-abdominal lymphadenopathy identified radiologically may be an incidental finding or discovered during a staging workup for a lymphoproliferative disorder. A pathological diagnosis requires tissue obtained either percutaneously or surgically. We hypothesize that laparoscopic lymph node biopsy is a safe and effective diagnostic procedure for solitary intra-abdominal lymphadenopathy. Methods All patients undergoing laparoscopic biopsy for CT-identified […]
Introduction: The optimal method to manage a second recurrence of a paraesophageal hernia and a simultaneous gastrobronchial fistula is debatable. This video demonstrates a laparoscopic approach to this complex revisional operation performed on a 62 year old female who presented to our office with this diagnosis.History: This patient’s surgical history began with a laparoscopic paraesophageal […]
Introduction: Techniques which limit incisions, such as NOTES (Natural OrificeTranslumenal Endoscopic Surgery) or single port surgery have gained muchattention recently. They are thought to have many benefits. Someinvestigators have applied these techniques to bariatric surgery. Wehave assessed the safety of Roux-en-y gastric bypass surgery usingmicrolaparoscopy techniques as an alternative. Methods: Retrospective analysis of institutional NSQIP […]
Introduction: Single-incision laparoscopic surgery (SILS) has emerged as a promising way to perform laparoscopic surgery less invasively. Currently, most SILS procedures are performed using standard laparoscopic instruments. This video demonstrates the use of novel powered articulating instruments to perform a SILS cholecystectomy in a cadaver. Methods: SILS cholecystectomy was performed through an umbilical incision in […]