Introduction:The recent literature has questioned the infectious risk of natural orifice translumenal endoscopic surgery (NOTES). One important requirement of this technique is the need to minimize the risk of eritoneal contamination.Our study examines the resultant microbial contamination of the human peritoneum after transgastric and transvaginal cholecystectomy. Methods and procedures: From April 2007 to September 2009, […]
Introduction: Laparoscopic splenectomy is increasingly performed for both benign and malignant disorders. With advancements in laparoscopic techniques, the indications for laparoscopic splenectomy have broadened. To determine if clinical practice nationwide reflects the published superiority of the laparoscopic over the open approach, we compared the utilization of laparoscopic versus open splenectomy by analyzing the National Surgical […]
Objective: Diabetic gastroparesis often fails to respond to medical management. We present our initial experience with sleeve gastrectomy for the treatment of gastroparesis. Surgical treatment of gastroparesis with gastric pacing has shown some promise, but when this option fails, subtotal gastrectomy is often the end result. Evidence evaluating the efficacy of this is weak. Sleeve […]
In this video, we present a laparoscopic repair of an inadvertent common bile duct injury during laparoscopic cholecystectomy in a 16 year old female. This patient had chronic cholecystits. She was brought to the operating room for a laparoscopic cholecystectomy. During dissection, the common bile duct was mistaken for the cystic duct and was ligated. […]
Background: Single-incision laparoscopic surgery is widespread, especially for cholecystectomy, oophorectomy and appendectomy, but single-incision laparoscopic colorectal surgeryis not often performed because of the highly complex operative skills required. We report a new technique for single-incision laparoscopic rectal anterior resection with conventional instrumentation.Method: A 65-year-old man required additional excision because the deep margin was positive by […]