This video demonstrates LESS resection of an 8 cm mass arising from the pancreatic body. Three 5 mm trocars were placed through one 12 mm incision using a single multi-access port at the umbilicus. A deflectable tip laparoscope was placed after insufflation of the peritoneal cavity. Division of the gastro-colic omentum and short gastric vessels […]
Background. Mesh reinforcement has become the standard of care in the repair of open and laparoscopic inguinal hernia repair. Chronic pain after inguinal hernia repair is often due to nerve injury by penetrating mesh fixation devices, such as staples, tacks or sutures. In several studies on hernioplasty, atraumatic mesh fixation with fibrin sealant (FS) proved […]
Objective: The aim of this study was to clarify the short-term results of laparoscopic intersphincteric resection (LAPISR) for very low rectal cancer.Methods: A total of 24 consecutive resections between October 2003 and March 2009 were included in this study. Our indications for LAPISR were tumor edge 5 cm above the anal verge or 3 cm […]
Background: The atraumatic fixation of meshes by fibrin sealant (FS) has been established for both open and laparoscopic techniques of hernia repair. This study was performed to evaluate the use of FS in hernia mesh fixation with different polymerization speed (thrombin concentrations), using commercial hernia meshes, and in two techniques, TAPP and IPOM. Methods: A […]
Summary:This video demonstrates a Single-incision sigmoidectomy for a sigmoid colon cancer. Single-incision laparoscopic surgery requires a specialized multichannel port for introducing laparoscope and articulating instruments. We present our technique using regular ports and straight instruments for performing single-incision laparoscopic sigmoidectomy. Three ports (one 10mm and two 5mm) were inserted through a 4cm peri-umbilical incision. The […]