Definition of Single incision laparoscopic surgery with photos and pictures, translations, sample usage, and additional links for more information.

Nicole T Townsend, MD, MS, Edward L Jones, MD, MS, Douglas M Overbey, MD, Thomas N Robinson. University of Colorado. INTRODUCTION: Single incision laparoscopic surgery (SILS) places multiple instruments in close, parallel proximity; an orientation that has been shown to increase stray energy transfer from the monopolar Bovie instrument to nearby instruments during traditional laparoscopy. The purpose of this study was to compare the energy transferred during simulated cholecystectomy via SILS to traditional four port laparoscopy (TRD). Our hypothesis is that close proximity and parallel orientation of the SILS instruments will result in increased energy transfer.. METHODS AND PROCEDURES: In a laparoscopic simulator, instruments were inserted via SILS or TRD set-up. The monopolar generator delivered energy to a laparoscopic L-hook instrument for 5-second activations on 30Watts coag mode. The primary outcome (stray current) was quantified by measuring the heat of liver tissue held adjacent to ...

Introduction : The aim of contemporary medicine is not only a successful course of the operation, leading to improvement of the patients health status, but also its satisfactory cosmetic effect. Single incision laparoscopic surgery (SILS) is a new advance wherein laparoscopy is carried out...

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Background: Continuous Ambulatory Peritoneal Dialysis (CAPD) catheters provide an alternative to hemodialysis in an increasing population of patients with chronic kidney disease. However, CAPD catheters have traditionally been associated with high rates of non-function using both the open and laparoscopic approaches. New advanced laparoscopic techniques utilizing rectus sheath tunneling and selective omentopexy have been reported to improve catheter function.. Methods: This study retrospectively reports the Cleveland Clinic experience during the transition from basic to advanced laparoscopic techniques between June 2002 and July 2008. A total of 201 patients were identified, of which 68 patients underwent insertion with basic techniques and 133 patients received catheters utilizing advanced techniques. Primary non-function, procedural complications, and overall non-function rates were analyzed using the most recent follow-up through June 2008.. Results: Primary catheter non-function occurred in ...

TY - JOUR. T1 - Initial experience with laparoendoscopic single-site nephrectomy and nephroureterectomy in children. AU - Ham, Won Sik. AU - Im, Young Jae. AU - Jung, Hyun Jin. AU - Hong, Chang Hee. AU - Han, Woong Kyu. AU - Han, Sang Won. PY - 2011/5/1. Y1 - 2011/5/1. N2 - Objectives: To assess the clinical utility and safety of laparoendoscopic single-site surgery (LESS) nephrectomy and nephroureterectomy in children by analyzing 6 consecutive cases performed by a single surgeon. Methods: Since March 2009, we have been performing LESS nephrectomy and nephroureterectomy in children. The indications have been recurrent pyelonephritis related to vesicoureteral reflux with an atrophic kidney and continuous urinary incontinence related to an ectopic ureter. A homemade port was placed through an umbilical incision, and the laparoscopic transperitoneal nephrectomy procedures were performed using various combinations of standard and articulating laparoscopic instruments. The patients undergoing a LESS ...

http://www.njbariatricsurgeons.com/wp-content/uploads/alsnj-logo-color-300x128.png 0 0 Advanced Laparoscopic http://www.njbariatricsurgeons.com/wp-content/uploads/alsnj-logo-color-300x128.png Advanced Laparoscopic2011-12-22 05:44:392017-01-06 21:02:22Revisionary bariatric surgery: indications and outcome of 100 consecutive operations at a single center ...

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TY - JOUR. T1 - Laparoscopic ultrasound manipulator with a spring-based elastic mechanism. AU - Arata, Jumpei. AU - Fukami, Kazunari. AU - Oguri, Susumu. AU - Onogi, Shinya. AU - Ikeda, Tetsuo. AU - Nakadate, Ryu. AU - Sakaguchi, Masamichi. AU - Akahoshi, Tomohiko. AU - Harada, Kanako. AU - Mitsuishi, Mamoru. AU - Hashizume, Makoto. PY - 2018/7/1. Y1 - 2018/7/1. N2 - Purpose: Image guidance is a key technology that can improve the outcome of laparoscopic surgery. However, due to the large deformation caused by digestive organs, a computer-aided navigation system based on preoperative imaging data cannot indicate the correct target position of the lesion (e.g., liver tumors and vessels invisible from the organ surface). To overcome this issue, we developed a laparoscopic ultrasound manipulator with two motorized degrees of freedom at the tip, allowing for the performance of a dexterous ultrasound scan in a confined laparoscopic surgical area. Method: The developed manipulator consists of a ...

Introduction: Laparoendoscopic single-site donor nephrectomy (LESS-DN) emerged as an advancement to standard laparoscopic surgery with its advantage of using a single small incision concealed in the umbilical scar as the operative as well as extraction port. LESS-DN can reduce donor morbidity and improve donor satisfaction with better cosmetic results. Aim: To present our experience with trans-umbilical LESS DN. Methods: retrospective study of data from 110 consecutive LESS DN donors and their recipients. Standard laparoscopic instruments were used in all patients. All cases had left sided nephrectomy and no exclusion criteria were used.Results: From 05/2015 to 11/2016, 110 LESS DN were performed by a single surgeon. The mean operative time was 175.9 ± 24.9 minutes and the mean warm ischemia time was 5.2± 1.02 mins. Mean body mass index was 24.8 ± 4.5 kg/m2. Complex vascular anatomy (multiple arteries/veins or retro-aortic vein) was found in 40 patients (36.3%). Pure LESS-DN was successfully ...

TY - JOUR. T1 - Relaparoscopy for salvage surgery in anastomotic recurrence of rectal cancer. T2 - Feasible and safe. AU - Kim, Seon Hahn. AU - Neve, Rakesh S.. AU - Joh, Yong Geul. PY - 2008/11. Y1 - 2008/11. N2 - Laparoscopic approach to rectal cancer is technically challenging even for experienced laparoscopic surgeons. Therefore, in a locally recurrent rectal cancer not many surgeons would be keen to adopt the relaparoscopy approach. In this video article, we present a case of salvage laparoscopic abdominoperineal resection performed for an isolated anastomotic recurrence developed 13 months after a laparoscopic ultralow anterior resection.. AB - Laparoscopic approach to rectal cancer is technically challenging even for experienced laparoscopic surgeons. Therefore, in a locally recurrent rectal cancer not many surgeons would be keen to adopt the relaparoscopy approach. In this video article, we present a case of salvage laparoscopic abdominoperineal resection performed for an isolated ...

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Glove-Assisted Laparoscopic Radical Nephrectomy: A Novel Technique. Nozaki, Tetsuo; Asao, Yoshihiro; Ichimatsu, Keisuke; Ito, Takatoshi; Yasuda, Kenji; Watanabe, Akihiko; Komiya, Akira; Fuse, Hideki // Journal of Laparoendoscopic & Advanced Surgical Techniques;Dec2010, Vol. 20 Issue 10, p843 Background: Laparoscopic surgery has not yet met with widespread acceptance due to its degree of technical difficulty. The laparoscopic radical nephrectomy procedure was improved with the aid of an abdominal wall sealing device, a wound retractor, and a surgical glove. Methods: A 5 cm skin... ...

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Single-port laparoscopy (SPL) was developed approximately 30 years ago in minimally invasive surgery. Literature comparing SPL with conventional laparoscopy (CL) for adnexal surgery (i.e., cystectomy and adnexectomy) is inconsistent. The objective of this systematic review and meta-analysis was to evaluate the advantage of SPL over CL for adnexal surgery. PubMed, Embase, and MEDLINE were searched for publications in English and in French published between 1975 and November 2015 using the following key words: (((single port) or (single site) or (one port) or (single-port access laparoscopy) or (single-site laparoscopy) or (laparoscopic single-site surgery)) and ((adnexal disease) or (ovarian cystectomy) or (ovariectomy) or (adnexectomy))) not (pregnancy ...

The Laparoscopic courses at World Laparoscopy Hospital meet the guidelines established in the SAGES Framework for Post-Residency Surgical Education and Training. The Fellowship in Minimal Access Surgery and Combined University Diploma and Fellowship in Minimal Access Surgery (Combined D.MAS + F.MAS) course designed and offered by World Laparoscopy Hospital is endorsed by the Society of American Gastrointestinal Endoscopic Surgeons (SAGES). The Hands On training which is accepted globally by the Government of more than hundred countries is scientifically designed by academic council of World Association of Laparoscopic Surgeons and it ensures that the participants are able to do all the taught surgery themselves after training. Many thousand of surgeons and gynecologists from every corner of the globe have been trained for advanced laparoscopic skill at World Laparoscopy Hospital within last eight years. There is hardly any country left in the world from where surgeons and gynecologist has not ...

TY - JOUR. T1 - Complications of laparoscopic procedures after concentrated training in urological laparoscopy. AU - Cadeddu, Jeffrey A. AU - Wolfe, J. Stuart. AU - Nakada, Stephen. AU - Chen, Roland. AU - Shalhav, Arieh. AU - Bishoff, Jay T.. AU - Hamilton, Blake. AU - Schulam, Peter G.. AU - Dunn, Matthew. AU - Hoenig, David. AU - Fabrizio, Micheal. AU - Hedican, Sean. AU - Averch, Timothy D.. PY - 2001. Y1 - 2001. N2 - Purpose: To increase the safety and efficiency of laparoscopic surgery clinical training programs have been developed to increase the skill and efficiency of urological trainees. We evaluated the impact of dedicated laparoscopy training on the rate and type of complications after trainees entered clinical practice. Materials and Methods: Data were obtained from 13 centers where laparoscopy was performed by a single surgeon with at least 12 months of training in urological laparoscopy before clinical practice. Data included training experience, laparoscopic procedures performed ...

Despite the prevalence of chronic pelvic pain (CPP)- affecting one in seven women in the U.S.- its cause is often unknown. As such, an evaluation of our current approaches to the work-up of CPP is warranted. Laparoscopy is considered a gold standard tool in the evaluation of CPP with 40% of all laparoscopies in the U.S. performed for this condition [1]. However, limited data exists portraying the clinical importance and outcomes for repeat diagnostic laparoscopies. This is a retrospective case-control study to determine the incidence of multiple laparoscopies for CPP over the past 10 years, and to compare outcomes between patients who underwent single (SL) vs multiple (ML) laparoscopies. We propose that patients who undergo multiple laparoscopies warrant discussion of hysterectomy as our results indicate that resolution of pain in patients who undergo multiple laparoscopies for the indication of CPP is similar to patients undergoing hysterectomy after single laparoscopy.

STEVENS, P. S.; DE VILLIERS, M. e VAN NIEKERK, M.. A survey on the current status of laparoscopic training in paediatric surgery in South Africa. S. Afr. j. surg. [online]. 2011, vol.49, n.1, pp.36-38. ISSN 2078-5151.. OBJECTIVES: To document the current status of laparoscopic training of paediatric surgical registrars in South Africa. METHODS: An anonymous questionnaire was distributed. Participants were asked to document their involvement in a number of index laparoscopic procedures during the preceding year, as well as additional non-operative training they received and their satisfaction with their training thus far. RESULTS: All registrars (N=16) completed the questionnaire. Registrars were from the Universities of KwaZulu-Natal, Cape Town, Stellenbosch, Pretoria, the Witwatersrand, and Walter Sisulu University. The ratio of consultants proficient in paediatric laparoscopy to registrars was between 0.6 and 1. Junior registrars were more likely to assist with, and senior registrars more ...

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In the nineties we experienced a massive development of laparoscopic surgery. Gynecologists were the first who paved the way. The method was simultaneously developed in three countries - the United States, France and Germany. From the United States the vaginal laparoscopically assisted procedures have came to Europe. The French and German schools were based on the historical knowledge of the Schauta radical hysterectomy. In 1989 Reich was the first who operated the LAVH, followed by Querleu in 1992 with lymphadenectomy and Dargeant who combined the Schauta procedure with the laparoscopic lymph node dissection. It was the laparoscopy that taught us the proper functional anatomy. A new nomenclature of the parametries was defined. Careful attention is given to the preservation of the autonomous inervation. In the beginning all laparoscopic surgeons were self-taught. Nowadays a standardized laparoscopic techniques are implemented for a radical laparoscopic operations ...

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TY - JOUR. T1 - Analysis of laparoscopic port site complications. T2 - A descriptive study. AU - Karthik, Somu. AU - Augustine, Alfred Joseph. AU - Shibumon, Mundunadackal Madhavan. AU - Pai, Manohar Varadaraya. PY - 2013/4/1. Y1 - 2013/4/1. N2 - Context: The rate of port site complications following conventional laparoscopic surgery is about 21 per 100,000 cases. It has shown a proportional rise with increase in the size of the port site incision and trocar. Although rare, complications that occur at the port site include infection, bleeding, and port site hernia. Aims: To determine the morbidity associated with ports at the site of their insertion in laparoscopic surgery and to identify risk factors for complications. Settings and Design: Prospective descriptive study. Materials and Methods: In the present descriptive study, a total of 570 patients who underwent laparoscopic surgeries for various ailments between August 2009 and July 2011 at our institute were observed for port site ...

References Rané A. Laparoscopic management of symptomatic simple renal cysts. Int Urol Nephrol. 2004;36:5-9. Bas O, Nalbant I, Can Sener N, et al. Management of renal cysts. JSLS. 2015;19 :e2014.00097. Carus T. Current advances in single-port laparoscopic surgery. Langenbecks Arch Surg 2013; 398: 925-929 Goel R, Lomanto D. Controversies in single-port laparoscopic surgery. Surg Laparosc Endosc Percutan Tech 2012; 22: 380-382 Kim SJ, Ryu GO, Choi BJ, et al. The short-term outcomes of conventional and single-port laparoscopic surgery for colorectal cancer. Ann Surg 2011; 254: 933-940 Weiss HG1, Brunner W, Biebl MO, et al. Wound complications in 1145 consecutive transumbilical single-incision laparoscopic procedures. Ann Surg 2014; 259: 89-95 Ahmed K, Wang TT, Patel VM, et al. The role of single-incision laparoscopic surgery in abdominal and pelvic surgery: a systematic review. Surg Endosc 2011; 25: 378-396 Asakuma M, Hayashi M, Komeda K, et al. Impact of single-port cholecystectomy on ...

Some of the important Laparoscopic General Surgeries are colorectal surgery, bariatric surgery and hernia surgery. This course deals with the various procedures involved in these surgeries and any general surgery. Cholycystectomy and appendicectomy oriented Comprehensive Laparoscopic Surgery Course is an essential course included in the list of Laparoscopic General Surgery Courses. Laparoscopic knot tying and suturing, Laparoscopic Hernia Surgery Course, Laparoscopic Bariatric Surgery Course and Laparoscopic Colorectal Surgery Course are all included under the head Laparoscopic General Surgery Courses ...

At the forefront of surgery for management of sub-fertility and gynaecological conditions, Dr Ng Ying Woo is one of the pioneers in Singapore to develop the application of single incision laparoscopic surgery (SILS) in gynaecology since 2009. He has since then performed more than 400 SILS surgeries successfully for gynaecological conditions such as fibroids, endometriosis and fertility regulation for family planning. In addition, Dr Ng also performed Da Vinci robotic-assisted laparoscopic surgery and mini-laparoscopy. He is also a member of the Endoscopic and Laparoscopic Surgeons of Asia Pacific ...

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Laparoscopy, laparoscopic treatment of disease, site dedicated to laparoscopic surgery and laparoscopic applications in diseases such as obesity, hernias wall, hiatus, hernias, colo rectal diseases, acute appendicitis, everything about laparoscopy

Friedersdorff, F., Werthemann, P., Cash, H., Kempkensteffen, C., Magheli, A., Hinz, S., Waiser, J., Liefeldt, L., Miller, K., Deger, S. and Fuller, T. F. (2013), Outcomes after laparoscopic living donor nephrectomy: comparison of two laparoscopic surgeons with different levels of expertise. BJU International, 111: 95-100. doi: 10.1111/j.1464-410X.2012.11348.x ...

Colorectal cancer, laparoscopic colorectal surgery, laparoscopic gallbladder surgery - single incision laparoscopic surgery, laparoscopic hernia surgery, colonoscopy, gastroscopy, ulcerative colitis, Crohns disease, diverticular disease, haemorrhoids, rectal prolapse, anal fissure and fistula, pilonidal sinus - Limberg flap, constipation and faecal incontinence, pelvic floor disorders, varicose veins - endovenous laser ablation, thread veins - microsclerotherapy and day case surgery ...

Colorectal cancer, laparoscopic colorectal surgery, laparoscopic gallbladder surgery - single incision laparoscopic surgery, laparoscopic hernia surgery, colonoscopy, gastroscopy, ulcerative colitis, Crohns disease, diverticular disease, haemorrhoids, rectal prolapse, anal fissure and fistula, pilonidal sinus - Limberg flap, constipation and faecal incontinence, pelvic floor disorders, varicose veins - endovenous laser ablation, thread veins - microsclerotherapy and day case surgery ...

If youve opted for bariatric surgery in the form of a gastric sleeve, you may be wondering what all that entails. We give you the skinny on what to expect af

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Many studies have compared open surgery and laparoscopic surgery in gynecology. Furthermore, several studies have compared conventional laparoscopy using multiple ports and laparotomy in ovarian cancer [9,18,19-21]. However, no previous study has compared single-port laparoscopic surgery and laparotomy in ovarian cancer, although several studies have compared single-port and multiport laparoscopic surgery for benign gynecologic diseases [13,22]. Therefore, this study is the first to investigate the feasibility of single-port laparoscopic surgery by comparing SPLS and staging laparotomy in early ovarian cancer.. According to our results, SPLS has several advantages in terms of surgical outcomes, such as lower estimated blood loss, lower transfusion rate, less postoperative pain, and shorter postoperative hospital stay, while showing no significant differences in survival outcomes. Less blood loss is well known as one of the main advantages of minimally invasive surgery. In this study, there was ...

Single incision laparoscopic bariatric surgery has developed over the last few years, with single incision laparoscopic adjustable gastric banding (SILS-AGB) being performed most commonly. However, th

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Several recent studies report the detrimental effect of endometrioma excision on the ovarian reserve. Surgical technique and the excessive use of bipolar coagulation could be the key factors. Single-port access laparoscopy (SPAL) ovarian cystectomy has been reported as a comparable procedure to conventional laparoscopy in terms of operative outcomes. The aim of this study was to evaluate whether the single-port surgery affects the ovarian reserve whilst performing laparoscopic ovarian cystectomy for unilateral endometrioma. This was a prospective, case-control study of 99 women with unilateral endometrioma. Forty-nine women underwent single-port cystectomy and 50 women underwent multiport laparoscopic (MPL) conventional cystectomy. The primary outcome was the assessment of the ovarian reserve. We evaluated the serum anti-Mullerian hormone (AMH) levels before, 4-6 weeks and 3 months after surgery. At T2 we performed an ultrasound assessment of the antral follicular count (AFC). We have drawn ...

TY - JOUR. T1 - Single-Site Laparoscopic Colorectal Surgery Provides Similar Clinical Outcomes Compared with Standard Laparoscopic Surgery. T2 - An Analysis of 626 Patients. AU - Sangster, William. AU - Messaris, Evangelos. AU - Berg, Arthur S.. AU - Stewart, David B.. PY - 2015/9/26. Y1 - 2015/9/26. N2 - BACKGROUND: Compared with standard laparoscopy, single-site laparoscopic colorectal surgery may potentially offer advantages by creating fewer surgical incisions and providing a multifunctional trocar. Previous comparisons, however, have been limited by small sample sizes and selection bias. OBJECTIVE: The purpose of this study was to compare 60-day outcomes between standard laparoscopic and single-site laparoscopic colorectal surgery patients undergoing elective and urgent surgeries. DESIGN: This was an unselected, retrospective cohort study comparing patients who underwent elective and unplanned standard laparoscopic or single-site laparoscopic colorectal resections for benign and malignant ...

OBJECTIVE: To compare the efficiency and safety of the transperitoneal approaches with retroperitoneal approaches in laparoscopic partial nephrectomy for renal cell carcinoma and provide evidence-based medicine support for clinical treatment. METHODS: A systematic computer search of PUBMED, EMBASE, and the Cochrane Library was executed to identify retrospective observational and prospective randomized controlled trials studies that compared the outcomes of the two approaches in laparoscopic partial nephrectomy. Two reviewers independently screened, extracted, and evaluated the included studies and executed statistical analysis by using software STATA 12.0. Outcomes of interest included perioperative and postoperative variables, surgical complications and oncological variables. RESULTS: There were 8 studies assessed transperitoneal laparoscopic partial nephrectomy (TLPN) versus retroperitoneal laparoscopic partial nephrectomy (RLPN) were included. RLPN had a shorter operating time (SMD = ...

This is the first report to describe the laparoscopic removal of an FB-induced granuloma from the abdomen of a cheetah. Granuloma formation in this species has not been well described. Similarly, reports on laparoscopic surgery in this species are sparse, particularly those describing the laparoscopic excision of abdominal masses.. The cheetah is known for its strong cellular immune system and probably limited requirement for a humoral response to bacterial infection (Wachter 2014). In this cheetah, a well-encapsulated and omentalised FB was detected by ultrasound before surgery and confirmed by intraoperative cytology. The small amount of free peritoneal fluid was indicative of the marked extent to which this patient could encapsulate FB.. Standard straight laparoscopic instruments have been reported to create instrument cluttering when applied through a single access port (Manassero and others 2012, Runge and others 2012, Wilson and Monnet 2012, Runge and Mayhew 2013) and curved or articulated ...

Medtronic continues to further drive adoption of minimally invasive procedures through our advanced laparoscopic inguinal hernia repair training program.

Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery. Inguinal hernias account for 75% of all abdominal wall hernias, and with a lifetime risk of 27% in men and 3% in women.

TY - JOUR. T1 - Learning curve of single port laparoscopic cholecystectomy determined using the non-linear ordinary least squares method based on a non-linear regression model. T2 - An analysis of 150 consecutive patients. AU - Han, Hyung Joon. AU - Choi, Sae Byeol. AU - Park, Man Sik. AU - Lee, Jin Suk. AU - Kim, Wan Bae. AU - Song, Tae Jin. AU - Choi, Sang Yong. PY - 2011/7. Y1 - 2011/7. N2 - Introduction Single port laparoscopic surgery has come to the forefront of minimally invasive surgery. For those familiar with conventional techniques, however, this type of operation demands a different type of eye/hand coordination and involves unfamiliar working instruments. Herein, the authors describe the learning curve and the clinical outcomes of single port laparoscopic cholecystectomy for 150 consecutive patients with benign gallbladder disease. Method All patients underwent single port laparoscopic cholecystectomy using a homemade glove port by one of five operators with different levels of ...

Laparoscopic inguinal hernia repair originated in the early 1990s as laparoscopy gained a foothold in general surgery. Inguinal hernias account for 75% of all abdominal wall hernias, and with a lifetime risk of 27% in men and 3% in women.

Laparoscopic inguinal hernia repair uses an instrument called a laparoscope. Hernia repair refers to a surgical operation for the correction of a hernia.

TY - JOUR. T1 - Androgen deprivation therapy improves pneumoperitoneum time during laparoscopic radical prostatectomy in Japanese patients with enlarged prostates. AU - Takeda, Toshikazu. AU - Miyajima, Akira. AU - Kaneko, Gou. AU - Kikuchi, Eiji. AU - Nakagawa, Ken. AU - Oya, Mototsugu. PY - 2014/5/1. Y1 - 2014/5/1. N2 - INTRODUCTION: The aim of this study was to investigate if neoadjuvant hormone therapy (NHT) is associated with surgical outcomes of laparoscopic radical prostatectomy.METHODS: A total of 286 patients with organ-confined prostate cancer and a preoperative prostate volume that could be estimated by transrectal ultrasound underwent laparoscopic radical prostatectomy between 2006 and 2011 at our institution. We examined whether NHT was associated with pneumoperitoneum time (PT) or estimated blood loss during laparoscopic radical prostatectomy.RESULTS: NHT was performed in 80 patients; the mean duration of NHT was 5.2 ± 0.2 months. Multivariate analysis demonstrated that history of ...

Clinical trial for Postoperative pain , Effects of Local Anesthesia on Post-operative Pain During Laparoscopic Inguinal Hernia Repair

Take a 1-day course on advanced surgical techniques to increase your knowledge of laparoscopic inguinal hernia repair as a primary procedure.

From November 1994 to March 1996, 150 patients treated by laparoscopic cholecystectomy were included in a prospective study, in order to compare intraoperative cholangiography and laparoscopic ultrasound. The biliary tree was successively explored by the two methods in the systematic detection of common bile duct stones. The feasibility of laparoscopic ultrasound was 100 per cent. Cholangiography was performed in only 125 cases (83 per cent). The duration of the laparoscopic ultrasound exam was significantly shorter (11.6 vs 17.6 minutes, p = 0.0001). In this study, common bile duct stones were found in 14 cases (9 per cent). The detection rates with laparoscopic ultrasound and intraoperative cholangiography were similar. For laparoscopic ultrasound, sensitivity was 80 per cent and specificity was 99 per cent, versus 78 per cent and 97 per cent for cholangiography, respectively. The combination of the 2 examinations had a 100 per cent sensitivity and specificity. Laparoscopic ultrasound failed to

The appropriateness of laparoscopic surgery for the resection of colorectal cancer has been the focus of controversy. The pros insist that besides the smaller wound size, laparoscopic colectomy should induce lesser perioperative stress, which was evidenced by the less pain, quicker flatus passage, early feeding, and more rapid to resume daily activity and work. Moreover, since the laparoscopic colectomy induces lesser immunosuppression, this may be potentially positive for the treatment of colorectal cancer patients. However, the cons insist that first of all, when the summation of 4 or 5 ports, and incisional wound to retrieve specimen in laparoscopic colectomy were considered, the total wound size in laparoscopic colectomy is basically similar to that of the open colectomy. Secondly, since the laparoscopic surgeons advocated that the extent of intra-abdominal dissection was the same between laparoscopic and open colectomy, it seems illogical to speculate that laparoscopic procedure is less ...

Single Incision Laparoscopic Colorectal Surgery. Dan Geisler, MD, FACS, FASCRS. Disclosures. Covidien Consultant. M.I.C.R.S. Strategy to Combat Time Constraints of Laparoscopic Colorectal Surgery. break operation into directly productive vs. nonproductive actions Slideshow 4234233 by juro

TY - JOUR. T1 - Laparoscopic partial nephrectomy with a diode laser. T2 - Porcine results. AU - Ogan, Kenneth. AU - Wilhelm, David. AU - Lindberg, Guy. AU - Lotan, Yair. AU - Napper, Cheryl. AU - Hoopman, John. AU - Pearle, Margaret S. AU - Cadeddu, Jeffrey A. PY - 2002/12. Y1 - 2002/12. N2 - Purpose: To develop a safe and effective technique for laparoscopic partial nephrectomy without need for hilar occlusion. Materials and Methods: Laparoscopic transperitoneal lower-pole partial nephrectomy was performed in five 45- to 50-kg female farm pigs using a 980-nm diode laser. Standard transperitoneal access was obtained, and a four-port approach was used to perform a laparoscopic right partial nephrectomy using a diode laser (23 W) without hilar occlusion. The pigs were allowed to recover and 2 weeks later underwent a left laparoscopic partial nephrectomy. Postoperatively, renal function was monitored by serial serum creatinine measurements. Both kidneys and ureters were removed for ex-vivo ...

LAPAROSCOPIC TOTAL EXTRAPERITONEAL INGUINAL HERNIA REPAIR: A STUDY AT RAWALPINDI MEDICAL COLLEGE AND ALLIED TEACHING HOSPITALS. Hanif, Muhammad; Ahmed, Anis; Khan, Muhammad Mussadiq // JPMI: Journal of Postgraduate Medical Institute;Jul-Sep2014, Vol. 28 Issue 3, p303 Objective: To describe local experience of laparoscopic total extraperitoneal hernia repair in Rawalpindi Medical College (RMC) allied teaching hospitals. Methodology: A descriptive case series was conducted between 2007 and 2012 at Rawalpindi Medical College and Allied Teaching Hospitals... ...

With the recent accelerated development of laparoscopic surgery, it has been applied in all fields of surgery. The main issue today is not the technical ability of performing laparoscopic procedures but rather their justification while considering the disease and cost-benefit aspects. The present study surveys the experience accumulated in recent years concerning the economical aspects of laparoscopic inguinal hernia repair. Issues like length of the surgical procedure, cost, typical complications and recuperation time are being addressed. We reviewed controlled clinical trials that compare laparoscopic and open repair of inguinal hernia. Trials that included at least 100 patients and were published in peer-reviewed journals since 1996 were included. Various operative techniques were compared using clinical and economical parameters. Most studies examined the issues from an institutional or health care system viewpoint and not from a comprehensive societal perspective. Therefore, indirect costs ...

Minimally invasive surgery has become the standard treatment for many gynecologic disease processes. In the last decade, numerous studies have demonstrated that laparoscopic approaches to various gynecologic oncology conditions-particularly for early-stage endometrial and cervical cancers as well as select pelvic masses-is feasible and results in shorter hospital stays, improved quality of life and comparable surgical and oncologic outcomes to abdominal staging [1-5].For instance, the typical gynecologic robotic surgical procedure will require Two to three 5-mm ports and one 12-mm laparoscopic ports. Recently, an even less invasive alternative to conventional laparoscopy surgery has been developed: laparoendoscopic single-site surgery (LESS), also known as single-port surgery. Single port laparoscopy is an attempt to further enhance the cosmetic benefits of minimally invasive surgery while minimizing the potential morbidity associated with multiple incisions. However, to our knowledge, there are ...

Port-site metastasis of hepatocellular carcinoma (HCC) is extremely rare, and only one case has been reported in the English-language literature. Contamination with malignant cells along the needle tract during percutaneous biopsy or radiofrequency ablation is a well-recognized cause of HCC recurrence. Here, we describe a case of port-site metastasis after laparoscopic liver resection of HCC. The patient, who had undergone laparoscopic partial resection of the left lateral segment of the liver 18 months earlier, was diagnosed with HCC. CT showed a nodule in the abdominal wall where the laparoscopic port had been inserted during resection. Local excision was performed, and histological examination revealed HCC consistent with recurrence after laparoscopic resection. The experience described in this report highlights the risk of port-site metastasis of HCC. Imaging for oncologic surveillance after laparoscopic resection must include all port sites.

Since Navarra performed the first single incision laparoscopic cholecystectomy (SILC) in 1997 [1], the rapid advances in minimally invasive surgery have led to the development of several single-port laparoscopic techniques and instruments. The variety of devices and trademarks have spawned a true battle of acronyms (SILS, SSLS, SPA, SSL, OPUS, TUES, E-NOTES, NOTUS, etc.), without a definitive consensus name for this new technique of minimally invasive surgery [2].. In 2008 the NOTES Working Group of the Endourological Society and the Laparoendoscopic Single-Site Surgery Consortium for Assessment and Research tried to standardize the terminology to LESS (Laparoendoscopic single site surgery). LESS was defined as any minimally invasive surgical procedure, performed through a single incision/location, using conventional laparoscopic or newly emerging instrumentations. Although the feasibility of LESS has been demonstrated in general, gynecologic, urologic and bariatric surgery, several ...

Best laparoscopic partial nephrectomy doctor in Delhi NCR. View appointment fee, patient reviews and feedback, OPD schedule, contact number of laparoscopic partial nephrectomy specialist near you in Delhi NCR. Book appointment online with laparoscopic partial nephrectomy doctor at top hospitals - Credihealth

Discusses laparoscopic surgery to repair hernias in the groin. Covers why its done and how well it works. Covers risks. Includes conditions that may not work with laparoscopic surgery. Covers things to think about when choosing laparoscopic hernia repair.

TY - JOUR. T1 - Outcomes of laparoscopic radical nephrectomy in the setting of vena caval and renal vein thrombus. T2 - Seven-year experience. AU - Martin, George Lee. AU - Castle, Erik P.. AU - Martin, Aaron D.. AU - Desai, Premal J.. AU - Lallas, Costas D.. AU - Ferrigni, Robert G.. AU - Andrews, Paul E.. PY - 2008/8/1. Y1 - 2008/8/1. N2 - Purpose: We present our experience with laparoscopic radical nephrectomy for T3b disease focusing on thrombus within the vena cava. Patients and Methods: A total of 14 patients with T3b disease were identified from a retrospective laparoscopic renal cancer database from 2000 to 2007. Patient demographics, clinical stage, preoperative imaging, intraoperative parameters, final pathology, and postoperative course were analyzed. In patients with a large tumor thrombus, the infraumbilical extraction excision was performed early and a gel port was placed. This was used when laparoscopic milking or determination of the distal extent of the tumor thrombus was ...

Laparoscopic inguinal hernia surgery recovery time - Laparoscopic Inguinal hernia surgery with mesh - recovery time? When to start with cycling and exercise for abdominals? Ask your surgeon. He knows the details of your individual case and can give you the most accurate answer.

TY - JOUR. T1 - A collective review of biological versus synthetic mesh-reinforced cruroplasty during laparoscopic Nissen fundoplication. AU - Castelijns, P. S. S.. AU - Ponten, J. E. H.. AU - van de Poll, M. C. G.. AU - Nienhuijs, S. W.. AU - Smulders, J. F.. PY - 2018/4/1. Y1 - 2018/4/1. KW - Biologic. KW - cruroplasty. KW - hiatal hernia. KW - laparoscopy. KW - mesh. KW - Nissen fundoplication. KW - synthetic. KW - HIATAL-HERNIA REPAIR. KW - GASTROESOPHAGEAL-REFLUX DISEASE. KW - PARAESOPHAGEAL HERNIA. KW - RANDOMIZED-TRIAL. KW - PROSTHETIC REINFORCEMENT. KW - POLYPROPYLENE MESH. KW - REDUCES RECURRENCE. KW - ANTIREFLUX SURGERY. KW - FOLLOW-UP. KW - CLOSURE. U2 - 10.4103/jmas.JMAS_91_17. DO - 10.4103/jmas.JMAS_91_17. M3 - Review article. VL - 14. SP - 87. EP - 94. JO - Journal of minimal access surgery. JF - Journal of minimal access surgery. SN - 0972-9941. IS - 2. ER - ...

Dr Ian Martin is a consultant hepatobiliary and upper gastro-intestinal surgeon in Brisbane and Sydney. He offers laparoscopic surgery, laparoscopic hernia repairs and obesity surgery

The laparoscopic approach (key hole) is now the approach that is preferred by the majority of surgeons and patients, as opposed to the more traditional open hernia repair. Strictly speaking it is not laparoscopic i.e. there is no requirement to go into the abdominal cavity proper. A potential space is established between the muscles of the anterior abdominal wall and the peritoneum (lining of the abdominal cavity). This allows identification of both a direct defect and an indirect sac and more importantly the mesh which is an essential part of the repair is placed within this potential space, thereby obviating any contact of the mesh with the bowel and therefore the attendant risk potentially of adhesions which might otherwise lead to a bowel obstruction. The distinction between a direct inguinal hernia which is a protrusion through the muscle of the groin and an indirect hernia which is a persistence of a congenital (i.e. you are born with it) peritoneal sac that extends into the inguinal canal ...

RESULTS. A total of 174 laparoscopic explorations of the common bile duct were performed. Indications for surgery (some overlapping) included: concomitant gallstones and common bile duct stones (n=68, 39%) in young persons (2 cm) or multiple common bile duct stones (n=40, 23%), and need for laparoscopic bypass to improve bile drainage (n=34, 20%). Mean patient age was 63 (standard deviation, 16) years and 103 were female. Altogether 156 choledochotomies and 18 transcystic duct explorations were performed, with 12 (7%) open conversions. The mean operating time was 129 (standard deviation, 57) minutes. Additional procedures included: 54 laparoscopic operative cholangiographies, 34 laparoscopic biliary bypasses, and 31 instances of adhesiolysis in patients with a history of open upper gastro-intestinal surgery. Complete stone clearance was achieved in 160 (92%) patients. Non-lethal complications occurred in 34 (20%) patients and one died of sepsis after a major bile leak. The mean postoperative ...

TY - JOUR. T1 - Transfer of laparoscopic radical prostatectomy skills from bench model to animal model. T2 - A prospective, single-blind, randomized, controlled study. AU - Sabbagh, Robert. AU - Chatterjee, Suman. AU - Chawla, Arun. AU - Hoogenes, Jen. AU - Kapoor, Anil. AU - Matsumoto, Edward D.. PY - 2012/5/1. Y1 - 2012/5/1. N2 - Purpose: Learning laparoscopic urethrovesical anastomosis is a crucial step in laparoscopic radical prostatectomy. Previously we noted that practice on a low fidelity urethrovesical model was more effective for trainees than basic suturing drills on a foam pad when learning laparoscopic urethrovesical anastomosis skills. We evaluated learner transfer of skills, specifically whether skills learned on the urethrovesical model would transfer to a high fidelity, live animal model. Materials and Methods: A total of 28 senior residents, fellows and staff surgeons in urology, general surgery and gynecology were randomized to 2 hours of laparoscopic urethrovesical anastomosis ...

Litwin, D.E.M.; Novitsky, Y.; Kercher, K.W.; Sandor, A.; Yood, S.M.; Kelly, J.J.; Beane, R.M.; Ek, S.; Meyers, W.C.; Gallagher, K.A., 2002: New Device for Hand-Assisted Laparoscopic Surgery

Laparoscopic management of Gall Bladder Disorders. Laparoscopic Cholecystectomy is the gold standard of treatment nowadays for removing the diseased gall bladder. Laparoscopic Cholecystectomy is performed under general anaesthesia by giving several small incisions in the abdomen. A laparoscope is inserted through one of the incisions that is attached to the camera through which internal images can be seen on the monitor. After thorough inspection of gall bladder and other internal organs, various other instruments are inserted through other incisions. The diseases gall bladder is retracted and dissected from its place. Usually laparoscopic Cholecystectomy requires four incisions but the new technology has enabled this surgery by single incision. It is called Single Port Laparoscopy (SPL) or SILS (Single Incision Laparoscopic Surgery). Unlike a traditional multi-port laparoscopic approach, SILS is a minimally invasive laparoscopic procedure that is performed almost exclusively through a single ...

TY - JOUR. T1 - Preservation of the celiac branch of the vagus nerve during laparoscopy-assisted distal gastrectomy. T2 - Impact on postprandial changes in ghrelin secretion. AU - Takiguchi, Shuji. AU - Hiura, Yuichiro. AU - Takahashi, Tsuyoshi. AU - Kurokawa, Yukinori. AU - Yamasaki, Makoto. AU - Nakajima, Kiyokazu. AU - Miyata, Hiroshi. AU - Mori, Masaki. AU - Doki, Yuichiro. PY - 2013/9. Y1 - 2013/9. N2 - Background: Ghrelin is a brain-gut peptide with GH-releasing and appetite-inducing properties. Because ghrelin is secreted mainly by the stomach, fasting levels fall after distal gastrectomy. The vagal nerve is responsible for periprandial changes. The presents study investigated the impact of preserving the celiac branch of the vagus nerve during laparoscopy-assisted distal gastrectomy on postoperative ghrelin secretion. Method: Between May 2009 and July 2010, 42 consecutive patients who underwent LADG were divided into two groups, the first in which the celiac branch of the vagus was ...

TY - JOUR. T1 - Technique of Right Laparoscopic Donor Nephrectomy. T2 - A Single Center Experience. AU - Johnson, Mark W.. AU - Andreoni, Kenneth. AU - McCoy, Lynn. AU - Scott, Lisa. AU - Rodegast, Beverly. AU - Friedman, Elizabeth. AU - Thomas, Suzanne. AU - Salm, Jane. AU - Gerber, David A.. AU - Fair, Jeffrey. PY - 2001/9. Y1 - 2001/9. N2 - The majority of laparoscopic donor nephrectomies (LDNs) are limited to the left side due to technical and allograft concerns in using the right. We review our experience with right LDNs. Since June 1997, 15 right LDNs were performed and the records retrospectively reviewed for demographics, operative time, transfusions, complications, and length of stay. Recipient records were also reviewed for delayed graft function, complications, and serum creatinine levels. Overall donor, recipient and graft survivals at 6 months are 100%. Mean operative time was 317±11.0 min, length of stay was 4.2±0.2 d, and mean serum creatinine levels at discharge, 1, 3, and 6 ...

TY - JOUR. T1 - Endourologist at work. T2 - Laparoscopic placement of drains after nephrectomy. AU - Moran, M. E.. AU - Low, Roger. AU - Kim, C. A.. PY - 1993. Y1 - 1993. N2 - The exact indications and ideal candidates for laparoscopic nephrectomy are yet to be identified. Occasionally, urologists might drain the renal fossa, depending on the pathogenesis of the renal disease prompting the nephrectomy, as with chronic infection. The authors describe a technique of placing a closed drainage system under full view with insufflation after laparoscopic nephrectomy. No additional stab wounds are necessary.. AB - The exact indications and ideal candidates for laparoscopic nephrectomy are yet to be identified. Occasionally, urologists might drain the renal fossa, depending on the pathogenesis of the renal disease prompting the nephrectomy, as with chronic infection. The authors describe a technique of placing a closed drainage system under full view with insufflation after laparoscopic nephrectomy. No ...

Although criticized for technical difficulty and cost , the 3 ports in technique has been widely practiced and remains the gold standard, among techniques of laparoscopic appendectomy, due to its significant advantages [3]. However, it needs a complete surgical laparoscopy set in addition to a trained surgeon. Its clear that advantages of laparoscopic appendectomy over open approach include decreased pain, fewer postoperative complications, and decreased length of hospitalization, improved intra-abdominal visualization, and better cosmetic results. Studies support that laparoscopic procedures reduce the inflammatory cascade by reducing expression of pro inflammatory cytokines. Those cytokines can be responsible of an increase of systemic inflammatory response and perioperative morbidity and mortality. Three laparoscopic ports are traditionally required to complete a laparoscopic appendectomy. In the minimally invasive surgery area, pediatric surgeons continue to be concerned with alternative ...

Aim: This study aims to determine the advantages and the disadvantages of single-incision laparoscopic surgery (SILS) and standard laparoscopic cholecystectomy by comparing the cases of these two techniques. Material and Method: Between September 2010 and June 2013, the datas of 80 patients with laparoscopic cholecystectomy were studied retrospectively. Operations were seperated into 2 groups that were SILS and standard laparoscopic surgery. Each group consisted of 40 randomly chosen patients. The age, sex, weight, height, body mass index, American Society of Anesthesiologists score (ASA), duration of operation, postoperative duration of hospital stay, need for surgical drain, infection injury, and postoperative need for analgesic of the patients were recorded. SPSS 21 was used analyzing these datas. Results: Operation period was signaficiantly short in SLK technic (p=0,001). Duration of staying hospital was statisticaly short in SLK technic (p=0,001). There was no complication except for wound ...

TY - JOUR. T1 - The Influence of Instrument Length Calibration on Laparoscopic Depth Perception. T2 - A Randomised Controlled Trial. AU - Riaz, Mohammad K.. AU - Tang, Manhon. AU - Tang, Benjie. AU - Alijani, Afshin. PY - 2018. Y1 - 2018. N2 - Aim: Laparoscopic task performance relies on the interpretation of 2-D visual image with deteriorating depth perception. This study aims to investigate the impact of laparoscopic instrument length calibration on the depth perception through a randomised controlled trial.Methods: Twenty medical students were randomised into two groups (scale and control). Studied instrument was calibrated with scale markings, 10 mm apart from instrument tip. Predesigned sheet (10 cm diameter) inside an endotrainer box was marked at 8 peripheral clockwise points. Total distance from the centre of sheet to any of these clockwise points was 10 cm. This distance was concealed from candidates. Instructions were provided to mark the sheet eight times at target distance (TD) from ...

DESIGN AND SUBJECTS: An unselected cohort of 507 patients who underwent laparoscopic totally extraperitoneal (TEP) inguinal hernia repair before September 2005 were included in this study, thus ensuring a minimum 5-year follow-up. Patient demographic data, clinical notes, operating notes and outpatient follow-up notes were studied. Patients were interviewed telephonically regarding hernia recurrence, chronic pain and technique preference if they had previously undergone an open repair. All data collected were recorded on an electronic spreadsheet. The primary outcome parameter was recurrence. The secondary outcome parameters were postoperative and long-term complications ...

Gynecologic laparoscopy has evolved into a major surgical tool used to treat a multitude of gynecologic indications. Laparoscopy is the most common surgical procedure performed by gynecologists today. This book catalogs the full spectrum of laparoscopic procedures in gynecology, oncology, and infertility treatment. The authors describe different techniques in minimally invasive surgery and review the evidence-based medical literature supporting these techniques. Included are sections on the management of complications during laparoscopy, ranging from vascular injury to bladder or bowel injury. It contains expanded chapters on laparoscopic anatomy, operative hysteroscopy and pelvic floor repair. The editors have pioneered some of the most important laparoscopic procedures used today. Their work has opened up the video laparoscopy field for surgeons worldwide. The contributors have extensive experience in laparoscopy and hysteroscopy, and many of them have established some of the surgical techniques

In this video we present 9 years old boy that presented with recurrent right flank pain. His ultrasound showed multiple right renal cysts. His computed tomography of the abdomen and pelvis confirmed the diagnosis of right multicystic dysplastic kidney. LESS right nephrectomy was done using Covedien port that was inserted through 2.5 cm skin incision through the umbilicus. Both straight and articulating instruments were used. Because of the huge size of the right kidney, initially a large lower polar cyst was drained. The atrophic right renal pedicle was identified, dissected and clipped en-bloc using hem-O-clips. One 5-mm port was added through the same skin incision, but through a different fascial plane to allow retraction of the liver at the time of clipping of renal pedicle. The specimen was retrieved through 3-cm skin incision ...