OBJECTIVE: We developed a model of biliary-enteric anastomosis to test whether assistance with the da Vinci surgical system, as compared to laparoscopy alone, improves performance on a complex minimally invasive surgical (MIS) procedure. METHODS: An ex vivo model for choledocho-jejunostomy was created using specimens of porcine liver that included an intact extrahepatic biliary system and […]
INTRODUCTION: We performed a study of endoscopic-pathologic correlation in patients who have undergone prophylactic gastrectomy for hereditary diffuse gastric cancer (HDGC). HDGC is an autosomal-dominant condition associated with a mutation of the e-cadherin/CDH1 gene and carries about an 80% risk of developing diffuse gastric cancer.METHODS: We reviewed a case series of 16 gene-positive patients who […]
INTRODUCTION: A laparoscopic approach to pancreatic disease is increasingly performed although its ultimate benefit is yet to be confirmed. Laparoscopic distal pancreatectomy with or without splenectomy is gradually gaining acceptance as an alternative to open resection in selected patients. The aim of this study is to report our initial institution experience with laparoscopic distal pancreatectomy […]
Since 1993, we applied laparoscopy assisted gastrectomy for gastric cancer and 195 patients were treated until@August, 2007. Laparoscopy assisted distal gastrectomy (LADG) was performed in 150 cases, total gastrectomy in 12 cases, partial gastrectomy in 14 cases and proximal gastrectomy (LAPG) in 19 cases. The indication of LAPG was limited early gastric cancer in upper […]
Background. Laparoscopy-assisted distal gastrectomy(LADG) has become a viable alternative treatment for patients suffering with early gastric cancer. Surgeons have long thought that obesity might increase the rate of intraoperative or postoperative complications. We set out to clarify the effect that obesity has on performing LADG for the treatment of early gastric cancer.Methods. We retrospectively reviewed […]