9th World Congress of Endoscopic Surgery

Cancun, Mexico, February 2-7, 2004



Dear Colleagues
It is my pleasure to make the introduction of this book that contains selected papers presented during the 9th World Congress of Endoscopic Surgery which took place in Cancun, Mexico, the week of February 2-7, 2004.
The World Congress, the main event of IFSES (The International Federation of Societies of Endoscopic Surgery) is organized every two years, and this time we, the Latin American Surgeons, were charged with the task and I am proud to inform you that thanks to the generous support from the industry, we were able to invite a distinguished Faculty of 328 Speakers and had a total attendance of more than 2500 surgeons from 61 countries, who participated in this revolutionary field of minimally invasive surgery.
For the first time in the History of IFSES, our Organizing Committee was able to waive registration fees for 800 young surgeons from many areas of the world who were thus able to learn the latest advances of endoscopic surgery.
My sincere thanks to the Organizing Committee, faculty and Medimond for putting together this volume.

May 19, 2004
Dr. Alberto Chousleb


This 9th World Congress of Endoscopic Surgery is dedicated to the memory of Dr. Kurt Karl Stephan Semm, one of the most prominent figures and a true pioneer of Endoscopic Surgery, who died at the age of 75 on July 16, 2003 at his home in Tucson, Arizona.
Dr. Semm was born in Munich, Germany on March 23, 1927, where he studied medicine and then specialized in Obstetrics and Gynecology. He worked initially at the Frauenklinik Universitaet in Munich and was later Professor and Director of the Klinikum Christian Albreachts Universitaet in Kiel.
Dr. Semm was a great innovator and in the early 60’s started his long and productive work in “pelviscopy” developing numerous instruments, among them the automatic laparoinsuflator, trocars and fórceps. In 1974 he introduced the extracorporeal knot, opening the field to many therapeutic interventions, since laparoscopy was then limited to diagnostic procedures. His unprecedented impact in endoscopic surgical techniques included all types of gynaecologic interventions from resection of ovarian cysts, tumors, tubal pregnancies, lysis of adhesions laparoscopic intracorporeal suturing to laparoscopic hysterectomies.
In 1955 he founded the German Society of Fertility and Sterility. Like many individuals who were born ahead of his times, he faced strong opposition from members of his profession who were critical of his work on laparoscopic surgery. He was called a “lunatic” and was asked to seek consultation in a mental institution because he was doing and promoting “crazy things”.
In 1981 he was the first to perform a laparoscopic appendectomy and this resulted in a threat of expulsion from the German Society of Gynecology. His paper on the subject was rejected by the American Journal of Obstetrics and Gynecology.
With the passing of time, his work in laparoscopy was widely recognized and he received honors from many surgical organizations from all over the world. He was an enthusiastic teacher who travelled to numerous countries to demonstrate his techniques. A prolific writer he published several books and more than 1000 scientific papers.
Dr. Semm was an avid pilot and liked to fly his airplane to visit friends and to lecture. He enjoyed company, good life and a good wine.
With his death, the world of Surgical Endoscopy has lost one of its most important and enthusiastic champions. May he rest in peace.

Dr. Jorge Cervantes
IX World Congress of Endoscopic Surgery




Laparoscopic Cholecystectomy and Common Bile Duct

Thromboprophylaxis with Dalteparin After Laparoscopic Cholecystectomy
D. Korolija, M. Skegro, A. Markicevic, V. Vegar-Brozovic, D. Predrijevac and S. Tadic

Preoperative Grading System for Predicting Operative Conditions of Laparoscopic Cholecystectomy
K. Takegami, Y. Kawaguchi, H. Nakayama, Y. Kubota, T. Watanabe and H. Nagawa

Management for Extrahepatic Bile Duct Injury Complicating with Laparoscopic Cholecystectomy – An Experience of the Magnetic Compression Anastomosis Between the Common Bile Duct and the Duodenum –
Sakurao Hiraki, Yoshihiro Tokuhisa, Katuhiko Morita, Akitoshi Kudo, Shintaro Fukuda, Nobuo Eguchi, Kenji Okamoto, Kazutoshi Sanuki and Eigoro Yamanouchi

Routine or Selective Cholangiography?
J.M. Schiappa

Bile Duct Injuries in a University Hospital
J. Yarmuch and A. Csendes


Laparoscopic Liver Surgery

Biliary Cysts and Polycystic Liver Disease: Results of the Laparoscopic Approach
V. Neri, A. Ambrosi, A. Fersini, N. Tartaglia, G. Di Lauro, F. Samele, L. Petito, G. Procaccini, T.P. Valentino and C. Santacroce

The Efficacy of Endoscopic Linear Cutter in Laparoscopic Dome Resection Against the Huge Liver Cyst
Yoshihiro Tokuhisa, Sakurao Hiraki, Katsuhiko Morita, Akitoshi Kudoh, Shintaro Fukuda and Nobuo Eguchi

Laparoscopic Deroofing of Hepatic Cyst
R. Oropeza, J. Luna, A. Del Pozo and F. Ugalde

MIS for Hiatal Hernia and Reflux Disease
Reflux and the Presence of Hiatal Hernia Detected Laparoscopically
R. Loehnert, H. Rojas, J. Hamilton, G. Wiedmaier, J.C. Glasinovic and R. Loehnert T.

Decrease and Disappearance of Barrett’s Esophagus in Gastroesophageal Reflux with Surgical Treatement
R. Loehnert, J. Glasinovic, R. Santander, E. Rios, F. Finkelstein, H. Rojas, J. Hamilton, G. Wiedmaier and R. Loehnert T.

Is There a Role for Minimally Invasive Surgery in the Treatment of Esophageal Cancer?
E.A.B. Ferreira


Laparoscopic Gastric Surgery

Gastric Leiomyoma and GERD. Laparoscopic Treatment with Only One Operation
M. Schietroma, M. Rossi, B. De Berardis, M.A. Pistoia and G. Amicucci

Laparoscopic Assisted Pylorus Preserved Gastrectomy
T. Urushihara, K. Sumimoto, M. Ochi, K. Shimokado, M. Ohira, Y. Tanimoto and M. Kameoka

Real Time Navigation Surgery Using 3D CT in Laparoscopic Gastric Surgery
S. Takiguchi, M. Sekimoto, M. Hiroshi, Y. Fujiwara, T. Yasuda, M. Yano,
M. Hori, T. Murakami, H. Nakamura and M. Monden


Laparoscopic Colon Surgery

Laparoscopic Versus Open Resection for Diverticular Disease. A Case Matched Study
F. López-Köstner, D.A. Fullerton, G. Soto D., G. Pinedo, G. Tapia, K. Schnettler, A. Zárate, M.E. Molina and L. Ibáńez

Laparoscopic Colorectal Surgery in Chile: Early Results of a Single Center
F. López-Köstner, D.A. Fullerton, G. Pinedo, G. Soto D., M.E. Molina, J. Nishizawa and L. Ibáńez

Results of an Animal Model of Intracorporeal Laparoscopy Hand-sewn Colonic Anastomosis in Pigs
G. Soto D., D.A. Fullerton, G. Pinedo and F. López-Köstner

Minilaparotomy Approach to Colon Cancer: A Comparison Between Minilaparotomy, Laparoscopy and Conventional Colectomy
K. Takegami, Y. Kawaguchi, H. Nakayama, Y. Kubota, T. Watanabe and H. Nagawa


Laparoscopic Hernia Surgery

Total Extraperitoneal Laparoscopic Herniorrhaphy Using a Kugel Patch
M. Ohira, T. Urushihara, K. Sumimoto,
M. Ochi, K. Shimokado, Y. Tanimoto and M. Kameoka


MIS for Morbid Obesity

Laparoscopic Adjustable Gastric Banding. The American Experience
N. Zundel and E. Chousleb


MIS for Endocrine Disease

Laparoscopic Right and Left Adrenalectomies: Technique with Lateral Position
M. Schietroma, L. Franchi, C. Mazzotta, B. De Berardis and G. Amicucci

Laparoscopic Hand Assisted Left Adrenalectomy. Case Report
A. Villalobos-Alva, R. Carvajal-Garcia, F. Fuentes-Flores and F. Ventura-Gonzalez

Laparoscopic Adrenalectomy: A Prospective Evaluation of 131 Patients
M. Otto, J. Dzwonkowski, G. Szostek, I. Nawrot, H. Feizallahpoor, K. Bojakowski and J. Szmidt

Bilateral Adrenal Tumors in Laparoscopic Surgery
M. Otto, J. Dzwonkowski, I. Nawrot, M. Wojtaszek, T. Jakimowicz and J. Szmidt

Novel Gasless Video-assisted Thyroidectomy via the Axillary Approach Using the Lifting Method
K. Kayano, H. Mizutani, I. Miyazaki and S. Nishioka

Endoscopic Assisted Thyroidectomy
P.K. Chowbey, V. Soni, R. Khullar, A. Sharma and M. Baijal



Double-J Stent Drainage by Endoscopy for Infectious Pancreatic Pseudocyst After Laparoscopic Gastrocystostomy: A Case Report
M. Hagiike, T. Yano, F. Goda, S. Yachida, K. Izuishi, S. Okada, H. Usuki and H. Maeta



Living Donor Laparoscopic Hand Assisted Nephrectomy
A. Villalobos-Alva, J. Montes de Oca,
R. Carvajal-Garcia and J. Gaspar-Saldańa



Clinical Management with Laparoscopy in Premature Ovarian Failure
Y. Hirota, K. Tsukada, E. Nishio, S. Tada and Y. Udagawa

Video Assisted Suprapubic Cystolithotomy
M. Miranda-del-Olmo and S. Posada-Arévalo



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