Introduction:Single incision laparoscopic surgery (SILS) and NOTES (Natural orifice translumenal endoscopic surgery) are novel challenging minimally invasive endoscopic surgery. The first barrier of the SILS and NOTES is management of surgical instruments in the peritoneal cavity. Because of the unpredictable nature of endoscopic view and orientation, these forced situations result in an incomplete or lengthy […]
INTRODUCTION: TEM is used for local excision of T1N0 rectal cancer and in selected T2-T3 N0 cases after neoadjuvant radiochemotherapy. TEM usually removes few mesorectal lymph nodes adjacent to the tumor, which may leave the histopathological N parameter undefined. This may be a criticism to the use of TEM to treat T2-T3 patients. Aim is […]
Objective: To report our experience in laparoscopic common bile duct exploration. Department of General Surgery 3. Universitary Hospital of Caracas Patients and methods: This is a descriptive, prospective and longitudinal study. 25 patients with indication of laparoscopic common bile duct exploration were included. The techniques for transcystic and choledochotomy approaches are described. Both of them […]
Introduction:Because of losing 3D depth perception, manipulating instruments inside the human body during NOTES translumenal surgery and single incision laparoscopic surgery (SILS) can be very difficult for even well experienced surgeons. Classical image navigation systems are often incapable of providing support in such situations, because the reference image is usually produced as anatomical appearance from […]
Introduction: There are several methods for ligation of structures during laparoscopic operations. Several studies have studied the efficacy, safety and cost of the various devices in different situations. Each technique has its own potential drawbacks. Applications of endoloop require dexterity and training. Endoscopic staplers are expensive instruments. Titanium clips may be slipped from its primary […]