Introduction: Our objective was to demonstrate the feasibility of definitive management of choledocholithiasis by surgeons in a single operation combining laparoscopic cholecystectomy, intraoperative cholangiogram, and intraoperative ERCP. Until recently, gallstones with associated common bile duct stones were managed in a two step procedure:1. Preoperative ERCP with duct clearance of stones usually performed by a gastroenterologist […]
Introduction: Laparoscopic splenectomy is currently considered the gold standard in elective splenectomy. This study evaluates the safety, efficiency and efficacy of single incision laparoscopic (SIL) splenectomy as compared with the gold standard. It is our belief that SIL splenectomy is an improved technique with one hidden umbilical incision that permits concomitant organ removal without the […]
Background: Coronary artery disease (CAD) is the leading cause of death in the industrialized world with obesity as a leading preventable risk factor for CAD. Certain biochemical cardiac risk factors (BCRF) have demonstrated strong prediction for cardiovascular events. Obese (BMI < 50) and super obese (BMI >50) have been shown to improve certain BCRF at […]
Single port endo-laparoscopic surgery (SPES) has shown much enthusiasm as this procedure is perceived to create an advantage in terms of better cosmesis and less pain as compared to the standard laparoscopic procedures. Comparing SPES and standard TEP is achieved with the clinical outcomes stated below. From May to August 2009, we prospectively compared 20 […]
Objective: We describe our strategy and experience using the da Vinci S system to develop a completely robotic gastric bypass technique in a stepwise fashion. The first robotic bariatric procedure was performed in1999 by Cardiere.1 The wristed movement and 7 degees of motion, enhanced high definition optics, superior ergonomics, and numerous other advantages have been […]