The Japan Society for Endoscopic Surgery (JSES) started Endoscopic Surgical Skill Qualification (ESSQS) in 2004, and carried out three examinations up to 2006. Assessment was performed by reviewing documents, which included laparoscopic surgery experiences, and qualifying unedited video tape by two independent referees. We adopted two criteria to evaluate surgical skills, as common and procedure-specific […]
BACKGROUND: Laparoscopic splenectomy (LS) has been considered as the standard approach to remove a normal-sized spleen, but sometimes involves various troubles when applied to splenomegaly. To get good view for performing splenectomy for ultra-splenomegaly in Banti syndrome, for example, we developed “antero-lateral approach” with hand-assisted maneuver. We present our new methods in our recent cases […]
Introduction: Bariatric surgery remains the only modality to provide morbidly obese patients with a significant and sustained weight loss. Laparoscopic Roux-en-Y Gastric Bypass (LRGB) has become the gold standard of bariatric procedures. However significant but variable complication rates following laparoscopic gastric bypass were reported. Materials and Methods: We present our experience with 434 consecutive patients […]
Background: Laparoscopy-assisted gastrectomy (LADG) was reported by Kitano et al. in 1994. It is currently one of the option for early gastric cancer treatment. The common reconstruction has been Billroth I method. The roux-en-Y anastomosis is recommended by some surgeons regarding alkaline reflux gastritis, esophagitis, dumping syndrome, and carcinogenesis of the remnant stomach. However, endoscopic […]
AbstractBackground: The laparoscopic intraabdominal peritoneal onlay mesh repair (IPOM) is a common technique for the reinforcement of multiple ventral hernias or defined defects after laparotomies. However, the placement of synthetic meshes in the intraabdominal cavity can be associated with severe complications. Adhesions frequently originate from the implant and protruding parts of fixation devices, presenting a […]