INTRODUCTION – Several techniques of retracting the gallbladder were suggested to facilitate performance of single-incision laparoscopic cholecystectomies. All require placement of transcutaneous sutures with resulting scarring, bruising and postoperative pain. We propose a new technique where gallbladder is secured to the diaphragm using intracorporeal sutures, thus allowing for more precise retraction and elimination of any […]
INTRODUCTION Until now, the operation for severe constipation have seldom been performed, because severe constipation was most common in the elderly or the institutionalized patients, and in patients with a variety neurologic disorders. Recently, we have been able to perform less invasive surgery on the the patients with severe constipation. In all cases we achieved […]
INTRODUCTION: In the case of laparoscopic surgery, it is often very difficult to perform total mesorectal excision and cut the bowel being occluded after irrigating the rectal lumen, particularly in the narrow laparoscopic view of the pelvic cavity. To resolve these problems, we applied our original Rectum Catcher to laparoscopic-assisted high and lower rectal surgery […]
Background:Enteric leakage represents one of the most serious complications of Roux-en-Y gastric bypass (RYGB), possibly leading to overwhelming sepsis and death if not diagnosed and treated promptly. The gastro-jejunal anastamosis accounts for the majority of such leaks, with the remainder being from the jejuno-jejunostomy and the excluded stomach. Leakage from the excluded stomach can be […]
ObjectiveThe first clinical study to evaluate the safety and efficacy of a novel laparoscopic compression anastomosis clip (LapCAC) for laparoscopic gastroenterostomy. MethodsThe study was approved by the ethics committee of Shanghai Hospital of The Second Military Medical University. After signed informed consent, LapCAC was used for Roux-en-Y side-to-side intestinal anastomosis and gastroenterostomy in three patients. […]