Introduction – We present a series of three patients who underwent colonic interposition grafts with vascular evaluation using the Spy Elite imaging system. Gastric pull-up is the preferred method for reconstruction following esophagectomy, but when the stomach is not a suitable conduit colonic interposition is can be performed. Colonic interposition procedures are more complex than gastric pull-up and carry higher morbidity. The anastomotic leak after colonic interposition in the literature ran
INTRODUCTION: As the number of procedures performed laparoscopically has increased dramatically over the last few decades, there is an increasing awareness of the unique ergonomic challenges experienced by the laparoscopic surgeon. Compared to similar open surgeries, laparoscopic procedures are limited by the fulcrum effect, the general lack of articulating instruments, and the adoption of a less mobile posture. On the other hand, the use of laparoscopy allows the surgeon to operate in an uprigh
V-Loc180( A closure device) is the Pori Glico Nate suture.Since this thread is absorbency, application to the part which requires the junction over a long period of time (three weeks or more) is not recommended.Moreover, the safety and validity of this thread are not established alimentary canal anastomosis.However, this suture can be simply used in a continuous suture, and is considered that that power is demonstrated by laparoscopic surgery.We have done auxiliary use of this V-Loc180 in an ali
Introduction: Tissue dissection and vessel sealing in the operating room can be performed using a variety of energy sources and surgical devices. Sonicision™ is a cordless ultrasonic dissector and vessel sealer for use in laparoscopic and open surgery. We describe the post marketing analysis of this novel device in a variety of general and gynecological procedures.
Methods: Patients undergoing laparoscopic and open general surgical and gynecologic procedures were prospectively screened and cons
Background and Objective :Implementation of small-caliber trans-nasal gastroduodenoscopy (NGS) for the diagnosis of upper gastrointestinal disease has become widespread in Japan because it is associated with minimal discomfort. However, there has been some resistance to its implementation from physicians and nurses because its impact on workflow. We compared the workflow of physicians and nurses during NGS and conventional trans-oral gastroduonenoscopy (OGS) from an ergonomic standpoint.
Method