Traditional laparoscopic surgery for colorectal cancer is commonly defined as the form of laparoscopy-assisted surgery with a mini-laparotomy for specimen retrieval. This mini-laparotomy is often the cause of postoperative pain, wound infection, and other pain-related complications. We have developed a new technique of laparoscopic surgery for colorectal cancer. This procedure, called “Incisionless Lap”, is a […]
OBJECTIVE: Although intraoperative cholangiography (IOC) has been recommended for avoiding bile duct injury during laparoscopic cholecystectomy (LC), radiographic IOC is time-consuming and the procedure itself may cause bile duct injury. We have developed a novel fluorescent cholangiography technique by applying the principle that indocyanine green (ICG) is excreted into bile and emits light with a […]
Objective: Non-operative closure of a chronic esophagocutaneous fistula whichwas unresponsive to othermodalities utilizing endoscopy for placementofbioabsorble material(Bio-A) buffered by tissue sealant. Methods: The fistula had been demonstrated on barium studies, and he had failed diversion as well as lesser operative attempts at closure. The fistula was cannulated, and under endoscopic control a grasper was passed […]
Introduction: This study compares the effects of surgical techniques (one-handed versus two-handed) and surgeon’s standing position (side-standing versus between-standing) during laparoscopic cholecystectomy (LC) and its outcomes on surgeons’ learning, performance, and ergonomics. There is little homogeneity in how to perform and train for LC. Variations in standing position (“American” or side-standing technique where the surgeon […]
INTRODUCTION:Acute appendicitis is one of the most common causes of abdominal pain that a general surgeon will encounter. The appendectomy has traditionally been preformed via an oblique right lower quadrant incision, transecting the three layers of muscle of the anterior abdominal wall to gain access to the peritoneal cavity. Surgeons across the globe were employing […]