Objective: To review the use of robotic assistance during foregut surgery including Nissen fundoplication, esophagomyotomy, and hiatal hernia repair. We evaluated a seven-year experience of one minimally invasive surgery fellowship-trained surgeon performing 124 foregut operations using the Da Vinci Telerobotic system. Surgical resident participation was tracked over this same period. Methods: An IRB approved retrospective […]
BACKGROUNDParaesophageal hernias (PEH) most commonly afflict the elderly, carrying a 10-30% risk of complications including gastrointestinal hemorrhage, gastric volvulus and strangulation. Ninety percent of all PEH hernias in the United States are still being performed via open approach. As a result, due to their frequent accompanying comorbidities and resultant fears of perioperative morbidity, many elderly […]
Introduction: In 1993, Delvaux et al reported that he could remove the GB and a large GB stone through transvaginal route after laparoscopic cholecystectomy in female patients. Recently, natural orifice extraction (NOE) has been extensively performed after totally laparoscopic nephrectomy and totally laparoscopic colon resection. However, there have been no report of NOE after subtotal […]
Introduction: Single site access (SSA) laparoscopy is gaining popularity but is more challenging to perform than laparoscopy using multiple separate port sites. This study examined the effect of standard multi-port (MP) laparoscopic skills training versus SSA training on laparoscopic skills acquisition and performance in surgically naive individuals. Methods: Forty end-of-first year medical students were randomized […]
INTRODUCTION: To evaluate the morbidity and mortality of laparoscopy assisted gastrectomy and D2 lymph node disecction and compare with the open surgery in a period of 3 years in patients with advanced gastric cancer in a one institucion in colombia.The gastric cancer is the second most common cancer worldwide in our country is the first […]