The overall activity of robotic pancreatic surgery at Misericordia Hospital in Grosseto has been reviewed. From October 2000 to March 2007, has been performed 68 robotic pancreatic resections: 35 pancreatoduodenectomies (PD) (25Whipple, 10 Longmire procedures), 28distal pancreatectomies (DP) (13 spleen-preserving), 3 middle segment pancreatectomies and 2 insulinoma enucleations.The etiology of 35 PD were:11 ductal cancer, […]
Introduction: It is possible that outcomes after laparoscopic Nissen fundoplication are different when patients are operated upon for disparate indications, e.g., symptoms due to excessive acid reflux or obstruction. This study was undertaken to compare symptomatic outcomes between patients undergoing fundoplication for the disparate indications of excessive acid reflux vs. dysphagia. Methods: Laparoscopic Nissen fundoplications […]
Background: Laparoscopic surgery has created an obstacle to traditional teaching of surgical skills. To invest in a simulator is a large responsibility for a teaching institution. The LTS 2000-ISM60 is a computer enhanced video-laparoscopic training system. The purpose of this multicentric multi specialty study was to validate LTS according to laparoscopic experience level and level […]
Background: Endoluminal full thickness gastroplication has been shown to have significant and long lasting improvement of GERD symptoms and health related quality of life (HRQL) with very little patient morbidity. These treatments, however, are criticized for normalizing esophageal acid exposure in only 30 – 40% of patients treated. We hypothesize that there are objective criteria […]
Objective: Natural orifice transluminal endoscopic surgery has potential benefits for patients and clinicians. Many improved tools have been developed in the last few years, but access, navigation and orientation, especially in the upper abdomen for procedures such as diaphragmatic pacing and Nissen fundoplication, remain an unsolved challenge. NeoGuide has developed a computer-controlled multi-segmented endoscope with […]