Purpose: Advances in surgical techniques and improvements in laparoscopic instruments have enabled most colorectal procedures to be performed by using the laparoscopic approach.Laparoscopic surgery of colon cancer has been accepted to be oncologically adequate compared with open resection.However,the situation in rectal cancer remains unclear,because anatomy and complex surgical procedures.There have been only a few reports […]
Introduction: Patients undergoing laparoscopic paraesophageal herniorraphy, either initial or recurrent, present with a myriad of esophageal and extra-esophageal symptoms. Given an overall recurrence rate of approximately 8%, reoperative paraesophageal herniorraphy is necessary on a significant number of patients. The goal of this study is to determine whether patients proceeding with laparoscopic reoperative paraesophageal herniorraphy experienced […]
Objective: Single-incision laparoscopic surgery (SILS) is rapidly emerging in the field of minimally invasive colon and rectal surgery. We present the feasibility and safety of single-incision laparoscopic right hemicolectomy (SILS-RH) with a modified technique using the SILSTM Multiple Instrument Access Port (Covidien, Mansfield, MA). Methods and Procedure: Between July 2009 and October 2009, single-incision laparoscopic […]
INTRODUCTION: Single port laparoscopic approaches for colon resection confer potential benefits with regard to cosmesis and surgical site pain. One drawback is the potential need for costly proprietary instrumentation with many single port access systems. This video demonstrates a single port right hemicolectomy using standard laparoscopic equipment. METHODS AND PROCEDURES: With the patient in supine […]
INTRODUCTION: Single port laparoscopic surgery is a promising new technique, but may be associated with unique psychomotor challenges, including use of articulated and/or deliberately crossed instruments. Using single port surgical simulation, we defined performance differences between surgeons with and without single port clinical experience, signifying the need for specialized training as a prerequisite for clinical […]