Background. Laparoscopic sleeve gastrectomy (LSG) has become a popular operation during the recent years. This procedure requires resection of 80-90% of the stomach. Extraction of gastric specimen is known to be a challenging and costly stage of the operation. In this paper, we report results of a simple and cost-effective specimen extraction technique which was applied to 137 consecutive LSG p...

BACKGROUND The use of advanced laparoscopy remains controversial in the field of surgical oncology because the potential for port-site recurrence may violate sound oncologic principles. Two mechanisms are theorized to be the cause of port-site recurrences: first, indirect contamination caused by pneumoperitoneum, aerosolization, or intraperitoneal spread, and second, direct contamination by phy...

surgery (NOTES) is a promising technique especially for cholecystectomy. During the last 2 years the combined transvagi− nal and transumbilical approach without visible scars [1] became a real alternative to standard four−trocar cholecystectomy in several institutions [2 ±4]. However, clearly this method cannot be used in men, and there might be psychological or cultural barriers preventing wom...

Introduction. Laparoscopic appendectomy has significant benefits in obese patients. However, morbid obesity can be accepted as an exclusion criterion for natural orifice transluminal endoscopic surgery (NOTES). Here, we present a transvaginal appendectomy in a 66-year-old morbidly obese (BMI 36 kg/m(2), ASA III) patient. Case and Technique. Acute appendicitis was suspected based on history, phy...

Aim: To compare the efficacy and safety of direct trocar insertion and Veress needle to gain access in the abdominal cavity for laparoscopic cholecystectomy Study design: Randomized control study Place and duration of study: Surgical unit II, Akhtar Saeed Trust Teaching Hospital/ Farooq Hospital West Wood , Lahore, from August, 2012 to July, 2014. Methodology: All patients undergoing laparoscop...

BACKGROUND Laparoscopic surgery has gained popularity over open conventional surgery as it offers benefits to both patients and health care practitioners. Although the overall risk of complications during laparoscopic surgery is recognized to be lower than during laparotomy, inadvertent serious complications still occur. Creation of the pneumoperitoneum and placement of laparoscopic ports remai...