Introduction: The lack of appropriate instrumentation is a potential obstacle to the feasibility of various NOTES procedures. A Rotary Access Needle (RAN- Ethicon Endo-Surgery, Inc.) and Steerable Flexible Trocar (SFT- Ethicon Endo-Surgery, Inc.) were developed as components of a Flexible Toolbox for Advanced Minimally Invasive Procedures to facilitate transgastric access, visualization, and procedures in the […]
Introduction: Single port laparoscopic surgery (SPLS) has been introduced into different surgical specialties as an effort to further decrease the trauma of access to the abdomen. As a result, there is an evolving stream of technology and instrumentation designed to enable performance of these procedures. The development of articulating and bent instrumentation permits triangulation intracorporeally […]
Objectives:The purpose of this study is to determine if laparoscopic plication of a gastrojejunostomy with endoscopic guidanceis a feasible surgical option for the gastric bypass patient who has regained weight due to a dilated gastric stoma. Methods and Procedures:After obtaining IACUC approval, a porcine model was used to simulate a gastric bypass with an enlarged […]
Introduction: Adequate lymph node (LN) retrieval and examination is necessary for both accurate oncologic staging and patient selection for adjuvant chemotherapy, and the National Cancer Institute recommends examination of at least 12 LN to properly stage the LN basin. Laparoscopic colectomy has gained much popularity as studies have shown equivalent oncologic outcomes compared with open […]
Introduction: While the identification of lymph node metastases is prognostic, there is considerable controversy regarding the extent of lymph node resection in the surgical management of esophageal cancer. In this single-institution study, we examine the significance of total number of lymph node counts on survival in patients with lymph node negative esophageal carcinoma (American Joint […]