INTRODUCTION Minimally invasive surgery has allowed less abdominal wall trauma, but anastomoses are completed in a fashion similar to open surgery with staplers. Disadvantages to stapled anastomoses include requiring large port sites and large enterotomies for passage of staplers. An alternative is a compression anastomosis created by applying a constant pressure between adjacent bowel limbs […]
Although transabdominal lateral approach has been described robotically, the posterior retroperitoneal adrenalectomy has been done laparoscopically. Despite the recent interest in the posterior technique, there are significant limitations regarding dexterity using conventional instrumentation. We hypothesized that the use of the robot would facilitate this approach by providing better angulation of the instruments with a wider […]
Currently, a new trend for no scar procedures has become very popular, mainly for cholecystectomy. The needlescopic surgery is not suitable for complicated cases and the incisions are located at visible points. TUES procedure has a limited critical view and requires at least a 25 mm umbilical incision. NOTES requires a sophisticate endoscope through the […]
IntroductionBariatric surgery has become the gold standard for the treatment of morbid obesity. Post-operative changes in gastrointestinal hormone levels have been implicated with weight loss as well as remission of diabetes mellitus. However, it is unknown if these beneficial changes are secondary to weight loss or to the mechanical alteration of the anatomy of the […]
Introduction: Laparoscopic surgery through a single incision (SILS™) aims to enhance the benefits of conventional minimally invasive surgery by reducing the number of required surgical incisions. To date, SILS™ has been utilized to accomplish cholecystectomy, gastric banding, Nissen fundoplication, appendectomy, nephrectomy, tubal ligation, gastric bypass, right colectomy, sleeve gastrectomy, and numerous other procedures. The initial […]