Introduction:The NOTES approach to the peritoneal cavity is well established today and procedures in humans have already been performed. The next question to be addressed is whether this access can be extended further. This video shows the feasibility of feasibility of transgastric access to the thoracic cavity in the porcine model.Materials and methods:A series of […]
Purpose: Robotic surgery is a new technology which may facilitate minimally invasive surgery (MIS). The main advantages of robotic surgery include three-dimensional visualization, complete camera control, tremor filtration, absence of the fulcrum effect, and articulating instruments with additional degrees of freedom. We report our experience with robotic splenectomies in our first seventeen consecutive pediatric splenectomies.Methods: […]
OBJECTIVE: To determine if a novel, hands-free, multi monitor, pointer improves instruction efficiency in a simulated laparoscopy environment.METHODS: Twenty arbitrary instruction points were selected on a picture of a partially dissected cholecystectomy within a laparoscopic trainer box. A single instructor guided twenty trainees to locate points with a laparoscopic instrument. Points were visible to the […]
Introduction:Minimally invasive distal pancreatectomy for cystic lesions located in the body and tail of the pancreas is usually achieved with splenectomy. We report a case of a laparoscopic distal pancreatectomy with spleen preservation .Materials:A 52 year old woman presented with a cystic lesion of the body of the pancreas. Preoperative workup including MRI , CT […]
Introduction: Appendectomy and small bowel enterolysis for adhesions are commonly performed general surgical procedures. Our lab aimed to assess the feasibility of natural orifice translumenal endoscopic surgery (NOTES) for appendectomy and lysis of adhesions (LOA) using a live porcine model.Methods: The bicornuate uterus of the female swine has been used previously as a model for […]