The Advancement of Single Incision, Endolumenal and Natural Orifice Laparoscopic Surgery at NewYork-Presbyterian Hospital
“We are currently involved in several different studies measuring the decrease of post-operative pain and other positive factors associated with SILS, NOTES and Endolumenal technologies. In addition, we have been at the forefront of using all three of these techniques in a constantly expanding array of surgical fields,” says Marc Bessler, MD, Assistant Professor of Surgery Columbia University College of Physicians and Surgeons, and Director of Minimally Invasive Bariatric Surgery at NewYork-Presbyterian Hospital/Columbia University Medical Center. Also, our doctors continue to participate in the development of new technical advancements in Minimally Invasive Surgery, especially SILS instrumentation. “Because all the instruments needed for a SILS procedure access the abdomen through the same incision, freedom of movement is at a premium. So, we are working with the industry to develop and improve new instrumentation that can rotate or flex out of the surgical field when it is not needed,” remarks Gregory Dakin, MD, Assistant Professor of Surgery, Division of Minimally Invasive and Bariatric Surgery at Weill Cornell Medical College and Assistant Attending Sugeon at NewYork-Presbyterian Hospital/Weill Cornell Medical Center,
On Sept. 23rd at 7:00pm EDT, NewYork-Presbyterian Hospital will present an ORLive webcast featuring single incision, endolumenal and natural orifice surgeries performed by Dr. Dakin and Dr. Bessler. The live webcast, titled THE ADVANCEMENT OF SINGLE INCISION, ENDOLUMENAL AND NATURAL ORIFICE LAPARASCOPIC SURGERY AT NEW YORK PRESBYTERIAN HOSPITAL, will be moderated by Alfons Pomp, MD, Chief of Laparoscopy and Bariatric Surgery at NewYork-Presbyterian/Weill Cornell, Leon C. Hirsch Professor of Surgery at Weill Cornell Medical College. The doctors will demonstrate and discuss these innovative new surgical methodologies and then invite live email questions from the audience. Although current SILS procedures are limited to elective gall bladder, bariatric and simple colorectal surgeries, ever more complex operations are on the horizon. “We know about the substantive cosmetic benefits of this surgery and we are waiting for what studies will show us about improvements in pain, infection and hospital stay rates. But, in the case of SILS, the technological advancements and demand are accelerating its use past the study stage,” adds Dr. Bessler. "Natural orifice surgery, using transendolumenal technology, still requires more study, but the prospect of scarless abdominal porcedures is creating monmentum. We can already perform several procedures outside the stomach with minimal risk."
“Advancements in newly articulated instruments, internal retracting devices and multiple port trocars are just the beginning for this provocative new minimally invasive technique,” agrees Dr. Pomp.
Assistant Professor of Surgery, Columbia University Medical Center, Director of Laparoscopic Surgery NewYork-Presbyterian Hospital
Gregory Dakin, MD
Assistant Professor of Surgery, Division of Minimally Invasive and Bariatric Surgery at Weill Cornell Medical College and Assistant Attending Sugeon at NewYork-Presbyterian Hospital/Weil Cornell Medical Center
Alfons Pomp, MD, FACS
Leon C. Hirsch Professor of Surgery, Weill Cornell Medical College, Attending Surgeon, NewYork-Presbyterian Hospital/Weill cornell Medical Center