Background: Significant bowel distention can result from lumenal gas insufflation during NOTES procedures. This can reduce the peritoneal cavity operative domain. Bowel distention may be more apparent with tunneling-type access techniques that require more time to cross the viscus wall. Objective: Utilizing commercially available products, we designed an intestinal occlusion catheter (IOC) that can be […]
INTRODUCTION: Previous studies analyzing the learning curves in laparoscopic colorectal surgery have focused mainly on non-oncologic outcomes or consisted predominantly of patients with colon cancer. The aim of this study was to analyze the learning curve with particular reference to short-term oncologic outcomes for the laparoscopic approach to recto-sigmoid carcinoma (RSC). MATERIALS AND METHODS: A […]
Background: Short esophagus is a common cause of failure of anti-reflux surgery. Minimally invasive intervention for short esophagus is technically difficult. Reliable predictors of short esophagus would allow appropriate referral and better outcomes.Methods: Between January 1994 and August 2007, a total of 84 patients underwent antireflux surgery with Collis gastroplasty (Group A) at Creighton University […]
SINGLE-PORT VIDEO ASSISTED THORACOSCOPY: EXPERIENCE IN A COMMUNITY TEACHING HOSPITALMatthew Campbell MD, Steven Reitz MD, Aaron Kulwicki MD, Dennis Tishko MD, David S. McCready MS. Mount Carmel Medical Center, Columbus, OhioBackground:Single-port video-assisted thoracoscopic surgery (sVATS) is an alternative to conventional three-port thoracoscopy. Published reports in the literature have primarily consisted of small series from university […]
[Objectives] Hereditary spherocytosis (HS) is the most common red blood cell membrane disorder and often is associated with hemolytic crisis and cholelithiasis. The aims of this study are to evaluate the safety and cosmetic result of concomitant laparoscopic splenectomy (LS) and cholecystectomy (LC), and to describe our current technique.[Methods] We evaluated 7 LS+LC procedures (HS […]