Introduction: To evaluate the safety and efficacy of laparoscopic proctectomy with per-anal delivery of the specimen for rectal cancer, avoiding an incision for specimen extraction while accomplishing sphincter preservation we review our experience. Methods: Between 2001 and 2009, in a prospective database, 51 patients with invasive adenocarcinoma of the rectum underwent laparoscopic total mesorectal excision […]
We would like to present this innovative technique that the author has developed at our centre. In Totally Supine Laparoscopic/Thoracoscopic oesophagectomy we position the patient in Lloyed Davies position and the right arm is elevated in flexion/abduction position. The abdominal phase is performed with standard five port laparoscopic technique followed by the right thoracoscopic mobilisation. […]
Introduction. Hiatal hernia discovered during LAGB presents a treatment dilemma. However small should it be repaired or disregarded. The following case report illustrates the extent of delayed morbidity if HH is left unchecked. Methods and Procedures. A 46 year old female with a initial BMI of 34.2 underwent LAGB in an outside hospital two years […]
Introduction: Bariatric surgery has rapidly become an established and accepted treatment for morbid obesity. Bariatric surgery is offered when patients fail to attain a significant and sustainable weight loss using behavioral changes and life style modifications. In most bariatric centers, patients are started on a supervised diet to achieve some weight loss prior to undergoing […]
Introduction: Although Heller´s myotomy has proven to be the best treatment for patients with Achalasia, the addition of an antireflux procedure is still debatable. The aim of the study is to analyze the impact of the Heller myotomy without an antireflux procedure on postoperative gastroesophageal reflux and LES pressure in patients with Achalasia.Methods: From a […]