Introduction: The purpose of this study is to characterize the esophageal motor and lower esophageal sphincter (LES) abnormalities associated with epiphrenic esophageal diverticula and analyze outcomes for laparoscopic esophageal diverticulectomy, myotomy and partial fundoplication.Methods: Endoscopic, radiographic, manometric and perioperative records for patients undergoing laparoscopic esophageal diverticulectomy, anterior esophageal myotomy and partial fundoplication from 8/99-9/06 were […]
Objective: Access to the peritoneal cavity to direct therapy is one of the initial steps in the evaluation of NOTES. We hypothesize the peritoneal cavity can be safely entered transgastrically without laparoscopic guidance to visualize the abdominal wall and guide laparoscopic port placement in morbidly obese patients undergoing Roux-en-y gastric bypass (RYGB) surgery.Methods: Abdominal trocar […]
This video illustrates 2 cases of laparoscopic median arcuate ligament release. The first case was performed after reviewing a previously presented SAGES video on a similar patient (Carbonelle AM, et al Laparoscopic Management of Median Arcuate Ligament Syndrome, Surg Endosc 2005:19(5)-729.) The authors attempted a similar approach. Upon near completion of the case, a devastating […]
Virtual reality (VR) technology is expected to play an increasingly important role in laparoscopic surgical training in the future. Haptic feedback in VR training remains a debated topic amongst researchers and practitioners. This study was designed to test the hypothesis that haptics would improve the control of force application in a virtual pick-and-place task, especially […]
INTRODUCTION: Morbidly obese patients often have impaired respiratory mechanics leading to restrictive lung disease. Weight loss after bariatric surgery has been shown to improve or resolve many obesity-related comorbidities; however, little is know about the long-term changes in pulmonary mechanics after bariatric surgery. We hypothesize that pulmonary function may improve with weight loss after laparoscopic […]