The Umbilicus as the Access Site

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on The Umbilicus as the Access Site

Fig. 13.1 Illustration of the human embryo at 8 weeks Fig. 13.2 Computed tomography image at the level of the umbilicus. There is no muscle layer or subcutaneous fat layer…

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Needlescopic Devices and Pre-bent Forceps

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Needlescopic Devices and Pre-bent Forceps

Fig. 8.1 Differences between 2-, 5- and 10-mm optics A significant obstacle to needlescopic surgery is the limited visualization achieved with 3-mm and smaller laparoscopes. Minilaparoscopes are available from Olympus…

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Sleeve Gastrectomy for Obesity

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Sleeve Gastrectomy for Obesity

Fig. 35.1 Bariatric Procedures 1. TANKO laparoscopic adjustable gastric banding (LAGB) TANKO LAGB seems to be the least technically demanding of the TANKO bariatric surgeries. LAGB requires an adjustable port…

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Roux-en-Y Gastric Bypass for Obesity

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Roux-en-Y Gastric Bypass for Obesity

Fig. 34.1 Evolution of Roux-en-Y gastric bypass. (a) Mason and Ito (1966), (b) Griffin modification (1977), (c) Torres (1980) Here we describe our technique for SITU-LRYGB. 34.3 Technique The patient…

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Technical Considerations

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Technical Considerations

Fig. 10.1 The difference between conventional laparoscopic surgery (a) and SPLS (b) 10.2 Types and Characteristics of Access Ports Usually, a trans-navel approach is chosen. This approach consists of a…

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Two or Combined Procedures

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Two or Combined Procedures

Fig. 39.1 A view of minimally invasive surgery integrated operating theatres in our institution 39.2.1 Instruments/Equipment There is a large range of products available for the surgeon to utilize. Flexible,…

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Urology

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Urology

Fig. 40.1 (a) SILSTM port (Covidien) and laparoscope positioning during single-port left retroperitoneal laparoscopic surgery. (b) GelPOINT (Applied Medical) and laparoscope positioning during single-port left retroperitoneal laparoscopic surgery. (c) Intraoperative…

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Pediatric Surgery

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Pediatric Surgery

Fig. 43.1 Multitrocar port inserted for SILA using a Lap Protector with EZ access system (Hakko) We believe that single-incision surgery has the potential to become a technique of choice…

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Adrenalectomy

Mar 29, 2017 by in GASTROENTEROLOGY Comments Off on Adrenalectomy

Fig. 25.1 Overcoming the challenges of LESS: the concept of RPLS Herein we describe the techniques for reduced port laparoscopic adrenalectomy (RPLA), in both supine and prone position. 25.2 Surgical…

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