Objectives: Natural orifice translumenal endoscopic surgery (NOTES) promises to decrease patient morbidity and hospital length of stay by eliminating incisions in the anterior abdominal wall. The clinical introduction of this technique has in part been hindered by the relative complexity of operating the conventional flexible endoscope within the peritoneal cavity. Following the development of a […]
Introduction: Sleeve Gastrectomy is now recognized as a weight loss procedure in a staged fashion for high risk patients or increasingly as a primary procedure for non super-obese patients. Reducing the risks of hernia and infections is important in the morbid obese patient. The aim of the presentation is to describe the steps of a […]
Laparoscopic fundopliction(LF) has become the treatment of choice for patients who need surgery for gastroesophageal reflux disease(GERD). In this retrospective study, we outline our experience with laparoscopic fundoplication over a 10 year period.Materials and Methods: From 1999 to 2008, 62 patients underwent a LF for GERD. Pre-operative evaluation consisted of endoscopy, a barium swallow, esophageal […]
Introduction: As the field of minimally invasive surgery has matured, a trend has developed toward fewer and smaller incisions. As laparoscopic techniques and equipment have advanced, surgeons have continued to reduce the surgical footprint with regard to cosmesis and tissue trauma. Laparoendoscopic single site (LESS) surgery is a product of this effort in which a […]
The aim of this study was to assess the feasibility and safety of laparoscopic hepatectomy using the stapler technique in a porcine model. Method: Fourteen female pigs weighting more than 25kg were used. Five trocars (10mm) were used for the introduction of the video camera and the other laparoscopic instruments. With the porta hepatis not […]