Introduction: To date there have been several methods described for construction of the roux-en-Y jejunojejunostomy in gastric bypass surgery. Several case series report obstruction at this anastomosis because of inadvertent narrowing or acute angulation. Obstruction rates at the jejunojejunostomy have been reported from 0.5 to 2.2% and of patients presenting with bowel obstruction, 14% are […]
BACKGROUND: Anastamotic complications or leaks after esophageal or gastric surgery present an ongoing therapeutic challenge. Avoiding repeat surgery is desirable and may be possible with the use of endoscopically placed stents. We reviewed our single institution experience with the use of various endoscopic stents for the management of leaks and anastomotic complications after gastric surgery.METHODS: […]
Introduction: The journey from conventional laparoscopic operations to truly “minimally invasive” operations naturally includes progression from operations involving multiple trocars and multiple incisions to operations involving access through the umbilicus alone. Laparo-Endoscopic Single Site (LESS) surgery promises improved cosmesis by reducing the number of access incisions to a single incision hidden in the umbilicus, which […]
Introduction: It is known that feedback enhances the learning process, although the optimal type and frequency of feedback is not established. The ProMIS hand-assisted laparoscopic colectomy (HALC) simulator uses a combination of virtual reality (VR) and and physical models of intra-abdominal organs to simulate a left-sided hemicolectomy. It can be used to train surgeons to […]
Introduction. Endoscopic resection of early stage cancers are limited by the inability to provide lymph node status. If a sentinel node can determine node status, a reliable technique to obtain preoperative node biopsies through natural orifice translumenal endoscopic surgery (NOTES) would likely have a great impact in clinical application. Our objective was to determine feasibility […]