Objective: Robotic-assisted laparoscopic surgery has recently received enthusiasm for application in colorectal resections involving the pelvis. We present the feasibility and safety of using the da Vinci® surgical robotic system for the treatment of sigmoid diverticulitis requiring anterior rectosigmoid resection with primary anastomosis. Methods and Procedures: Between August 2008 and September 2009, robotic-assisted laparoscopic rectosigmoid […]
INTRODUCTION: Recent studies have shown laparoscopic esophagomyotomy with fundoplication (LM) to have superior long-term symptom relief and low rates of post-operative gastroesophageal reflux when compared to endoscopic dilation (ED). This study evaluates the morbidity, mortality and cost of treating achalasia with LM versus ED.METHODS: The University HealthSystem Consortium (UHC) is an alliance of more than […]
Aims Oesophageal carcinoma is an aggressive disease and not all patients are suitable for surgery. In those selected patients who are considered fit for a surgical procedure, the aim is to perform a radical operation to achieve clearance of both the primary tumour and involved lymph nodes. The surgery is technically challenging and we are […]
Single port surgery through the umbilicus has been proposed as an embryologic natural orifice surgical approach. For colorectal resection concerns regarding visualization and retraction have been raised when considering the feasibility of single port colon surgery. We present in this video the treatment of a sigmoid volvulus, via an umbilical single port laparoscopic sigmoidectomy, in […]
Background: Many surgeons disagree on the optimal method of repair for an inguinal hernia. Some surgeons believe that the plug and patch method of repair is a superior alternative to a straight Lichtenstein repair. A recent literature review however describes numerous complications from this method of repair including chronic pain, plug migration and enterocutaneous fistula […]