Introduction: Disruptions to surgical workflow have been correlated with an increase in surgical errors and suboptimal outcomes in patient safety measures. Yet, our ability to quantify such threats to patient safety are woefully inadequate. Data is needed to gauge how the laparoscopic operating room (OR) work environment, where the visual and motor axes are no […]
Background: Dilation of tight or complete coloanal anastomotic strictures has a risk of potential false tract formation and anastomotic disruption. Use of endoscopic dilation is limited by alternated anatomy. Here, we report our experience of three cases of colonoscopic antegrade dilation for coloanal anastomotic stricture via loop ileostomy using pediatric colonoscope.CASES: Three patients underwent low […]
INTRODUCTION: Single incision laparoscopic surgery (SILS) is limited by the coaxial arrangement of the instruments. A surgical robot with “wristed” instruments could overcome this limitation but the “arms” often collide when working coaxially. This study tests a new technique of “chopstick surgery” to enable use of the robotic arms through a single incision without collision.METHODS: […]
Objective: To investigate the feasibility of laparoscopic total mesorectal excision (TME) in mid-lower rectal cancers following neoadjuvant chemoradiation (nCRT).Summary Background data: The laparoscopic approach for colon cancer has been widely accepted. A few studies have shown that there are advantages of laparoscopic over open TME surgery for rectal cancer. However, the role of laparoscopy has […]
Purpose: Laparoscopic proctectomy is still controversial, especially for lower rectal cancer. This study assessed laparoscopic proctectomy for extraperitoneal rectal cancer.Patients: Thirty four consecutive laparoscopic proctectomy for extraperitoneal rectal cancer were enrolled since 2002 to 2008. Mean age was 64.4 year-old, they were 21 males and 13 females. Procedures were; low anterior resection (LAR) with stapling […]