A multitasking platform for natural orifice translumenal endoscopic surgery (NOTES): a benchtop comparison of a new device for flexible endoscopic surgery and a standard dual-channel endoscopeGeorg O Spaun
Minimally Invasive Surgery Program, Legacy Health System, 1040 NW 22nd Avenue, Suite 560, Portland, OR 97210, USA
Surg Endosc 23:2720-7. 2009
..This study aimed to measure the amount this new platform would improve performance for bimanual coordination compared with a standard dual-channel scope using a benchtop simulation...
Transcervical heller myotomy using flexible endoscopyGeorg O Spaun
Minimally Invasive Surgery Program, Legacy Health, 1040 NW 22nd Ave, Suite 560, Portland, OR 97210, USA
J Gastrointest Surg 14:1902-9. 2010
..The purpose of this study was to evaluate the feasibility, safety, and success rate of using flexible endoscopes to perform anterior or posterior Heller myotomy via a transcervical approach...
A novel method for performing multiple wire insertions during endoscopic cyst gastrostomyJohn A Evans
Division of Gastroenterology, Wake Forest University Baptist Medical Center, Winston Salem, North Carolina, USA
Gastrointest Endosc 71:612-4. 2010
..A challenging aspect of the procedure is the insertion and confirmation of at least 2 guidewires into the cyst. Many technical procedures to accomplish the wire insertion have been described but are complicated...
Mediastinal surgery in connective tissue tunnels using flexible endoscopyG O Spaun
Legacy Health System, Portland, OR, USA
Surg Endosc 24:2120-7. 2010
..The purpose of this study was to evaluate the feasibility, safety, and success rate of using a transcervical approach and flexible endoscopes to perform mediastinal surgery also in the retro- and paraesophageal mediastinum...
A comparison of early learning curves for complex bimanual coordination with open, laparoscopic, and flexible endoscopic instrumentationGeorg O Spaun
Minimally Invasive Surgery Program, Legacy Health System, Portland, OR 97210, USA
Surg Endosc 24:2145-55. 2010
..We hypothesized that use of an open or laparoscopic paradigm would result in better performance and a shorter learning process (reaching a learning plateau earlier) than an endoscopic paradigm...
Use of flexible endoscopes for NOTES: sterilization or high-level disinfection?Georg O Spaun
Legacy Health, Portland, OR, USA
Surg Endosc 24:1581-8. 2010
..Our objective was to assess the necessity for endoscope sterilization for clinical NOTES and to develop an endoscope processing protocol based on a score for the available processing options...
Endoscopic closure of gastrogastric fistulas by using a tissue apposition system (with videos)Georg O Spaun
Minimally Invasive Surgery Program, Legacy Health System, Portland, Oregon 97210, USA
Gastrointest Endosc 71:606-11. 2010
..Gastrogastric fistulas (GGFs) are seen in 1.5% to 12.5% of patients after Roux-en-Y gastric bypass (RYGB) bariatric surgery, often leading to failure to lose adequate weight...
Bimanual coordination in natural orifice transluminal endoscopic surgery: comparing the conventional dual-channel endoscope, the R-Scope, and a novel direct-drive systemGeorg O Spaun
Minimally Invasive Surgery Program, Legacy Health System, Portland, Oregon 97210, USA
Gastrointest Endosc 69:e39-45. 2009
..The devices used for natural orifice transluminal endoscopic surgery procedures are endoscopes or inspired by endoscopic design, which makes it difficult to accomplish bimanual coordination...
Optimizing surgical approach for natural orifice translumenal endoscopic proceduresMaria A Cassera
Gastrointestinal and Minimally Invasive Surgery Division, The Oregon Clinic, 1040 NW 22nd Ave, Suite 560, Portland, OR 97210, USA
Surg Innov 19:433-7. 2012
..Natural orifice translumenal endoscopic surgery (NOTES) often requires some degree of retroflexion of the endoscopic operating system. This study investigates the impact of retroflexion on task performance in NOTES...
Efficacy of using a novel endoscopic lens cleaning device: a prospective randomized controlled trialMaria A Cassera
The Oregon Clinic, Portland, OR, USA
Surg Innov 18:150-5. 2011
..The authors evaluated a device that does not necessitate an external cleaning process for the laparoscope. It was hypothesized that it will minimize the interruption in operative workflow...
A natural orifice transrectal approach for oncologic resection of the rectosigmoid: an experimental study and comparison with conventional laparoscopyErwin Rieder
Minimally Invasive Surgery Program, Legacy Health, Portland, OR, USA
Surg Endosc 25:3357-63. 2011
..This study aimed to assess whether pure TR rectosigmoidectomy can be performed with strict adherence to oncologic principles compared with a conventional laparoscopically assisted approach (LAP)...
Future applications of flexible endoscopy in esophageal surgeryLee L Swanstrom
Division of Minimally Invasive Surgery, Legacy Health System, Portland, OR 97210, USA
J Gastrointest Surg 14:S127-32. 2010
..We present early results of a series of acute animal experiments studying the feasibility of using flexible endoscopes for complex esophageal surgery such as Heller myotomy and esophagectomy...
Randomized controlled trial comparing single-port laparoscopic cholecystectomy and four-port laparoscopic cholecystectomyJun Ma
Hepatobiliary and Pancreatic Surgery Program, Providence Portland Medical Center, Portland, OR 97213, USA
Ann Surg 254:22-7. 2011
..To compare short-term surgical outcomes and quality of life (QOL) between single-port laparoscopic cholecystectomy (SPLC) and classic 4-port laparoscopic cholecystectomy (CLC)...