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WeBSurg Newsletter October 2009

For our monthly update, we are releasing 4 brand-new HD videos that you will be able to download for 9.95€ or 14.95$ only per video! We are also publishing 9 new videos featuring different surgical procedures4 lectures in colorectal surgery and another one in GI endoscopy!

We are also delighted to inform you about the update of the following procedure: Gastric bypass for the surgical treatment of morbid obesity. Click here to access this chapter presentation.

In NOTES, we have new media recorded live at the IRCAD FRANCE (Strasbourg) for our EATS members. The media was shot during the last advanced course in NOTES (October 2-3, 2009) and is available on the EATS website:
For more information on NOTES, please click on the EATS section of the Newsletter.


Update of Operative Technique Chapter on Gastric bypass for the surgical treatment of morbid obesity

Morbid obesity is a major health concern in so many countries. It is associated with severe life-threatening co-morbidities. Unfortunately, many studies have proven that non-surgical approaches to lose weight are doomed to fail. There is good evidence that bariatric surgery is the most enduring and efficacious means of tackling morbid obesity with regards to long-term weight loss.

Roux-en-Y gastric bypass is today one of the gold standard surgeries. It is based on several mechanisms: restriction, malabsorption, and changes in gut hormones secretions.
In this chapter, all aspects of this bariatric procedure such as anatomical details, indications, contraindications, surgical setting and technical details are carefully presented.



Click here to access chapter presentation

new HD videos available for download

Thanks to the new HD links between Strasbourg's New University Hospital and the IRCAD-EITS Training Centre, we are able to offer our WeBSurg members a selection of High Definition videos for download.

Due to the high costs of running such a HD service, the downloads are available for a small fee of 9.95€ or 14.95$ only for each video.

Try them now and prepare for immersive surgery!

Please click here to access the list of these videos

  • Totally laparoscopic splenectomy for benign splenic cyst (10 min 40)
  • Laparoscopic approach for symptomatic benign stricture following laparoscopic sigmoid resection  (17 min 10)
  • Comparison between floppy Nissen and Nissen Rossetti fundoplication: the significance of short gastric vessels division (18 min 36)
  • Laparoscopic resection of liver segments V and VIII for colorectal metastasis (10 min)


new videos this month!

General and digestive surgery:

  • Laparoscopic treatment of recurrent abdominal incisional hernia with dual mesh
  • Laparoscopic Hartmann procedure for Hinchey III diverticulitis
  • Robot-assisted and laparoscopic removal of a gastric band followed by a sleeve gastrectomy
  • Totally extraperitoneal endoscopic inguinal hernia repair (TEP) in 10 steps
  • Ivor-Lewis esophagogastrectomy with hand-sewn anastomosis by thoracoscopy in prone position and laparoscopy
  • Single Incision Laparoscopic Surgery (SILS): gastric banding removal for acute gastric pouch dilatation

Clinical case:

  • Transanal Endoscopic Operation (TEO) for rectal polyp: submucosal dissection with Ligasure Advance®

2 Tips 'n Tricks:

  •   Laparoscopic partial sleeve-like gastrectomy for benign schwannoma
  •   Laparoscopic right adrenalectomy: typical vascular anatomy and 3 major venous variations

New WeBSurg section! Single port access surgery

 Discover the latest videos of single port access procedures

Contribute to WeBSurg... why not yours?

WeBSurg now has more than 100,000 registered members and provides charge-free educational contents to its members. WeBSurg is a unique opportunity to have your work and Institution broadcasted internationally.

If you wish to send us some videos, please click here for instructions.

This month's critical analyses by Dr. Adrian PARK, Professor and Chief of Division of General Surgery, University of Maryland Medical Center

Critical analysis:

Try the critical analysis section to explore the many ways and varying techniques of different experts. Some of the world's leading experts are shown an already published WeBSurg video and their reactions are recorded: the result is a dynamic video in which the viewer is given the thoughts of different authors on a very visual technique.

This month's films:

"Three-trocar splenectomy for thrombocytopenia" - D Mutter, J Marescaux (FR)
"Enucleation of a pancreatic nonfunctioning endocrine tumor" - B Dallemagne, L Soler, J Marescaux (FR)

The critic:


New lectures: 4 in Colorectal Surgery and 1 in GI Endoscopy!

Colorectal surgery (lectures recorded during March 2009 Advanced Course)

  • Splenic flexure mobilization - C Huscher (IT)
  • Which patient should not have laparoscopic surgery? Who should have open surgery? - T Cecil (UK) 
  • Laparoscopic resection for Crohn's disease - R Kennedy (UK) 
  • Laparoscopic surgery for transverse colon cancer - J Okuda, N Tanigawa (JP)

Interventional GI endoscopy (lecture recorded during last April 27-29 Advanced Course):

  • Total endoscopic resection of Barrett's esophagus - S Seewald (DE)

MAKE THE MOST OF OUR ONLINE MASTERCLASS in LAP GYNECOLOGIC SURGERY! Make acquisition of skills and education your goal!

In this self-containing online masterclass, you will find:
5 LECTURES in ONCOLOGIC GYNECOLOGY, 3 LIVE SURGICAL VIDEOS, 3 TIPS 'n TRICKS, 1 OPERATIVE TECHNIQUE CHAPTER, and 1 CRITICAL ANALYSIS, most of which come from the last Advanced Course in Laparoscopic Gynecologic Surgery, "Gynecological cancer and laparoscopic approach: state of the art" that was held at IRCAD FRANCE (Strasbourg) last June 22-24, 2009

- Basic rules for using the laparoscope in oncology
- New classification for total hysterectomy
- Cervical cancer: surgical indications, technique and results
- Laparoscopic approach of low potentially malignant ovarian tumors
- Extraperitoneal para-aortic lymph node dissection in gynecological oncology

- Laparoscopic repair of a vascular injury during the treatment of a patient with endometriosis
- Laparoscopic ureteroplasty for accidental partial ureteral burn during total hysterectomy
- Laparoscopic treatment of a complex adnexal mass with an unusual right trocar entry

- Laparoscopic total hysterectomy for benign conditions: standard technique

- Laparoscopic restaging for ovarian cancer with pelvic and lumbo-aortic lymphadenectomy
- Laparoscopic hysterectomy with adnexectomy
- Laparoscopic total hysterectomy for multiple uterine myomas

on the topic of Laparoscopic total hysterectomy and bilateral pelvic lymphadenectomy for endometrial cancer
Exceptional comments by Dr. Christophe Pomel, Gynecologic oncologist.

Please click here to purchase this educational masterclass

MAKE THE MOST OF OUR ONLINE MASTERCLASS in LAP COLORECTAL SURGERY! Make acquisition of skills and education your goal!

In this self-containing online masterclass, you will find:
5 LECTURES, 6 LIVE SURGICAL VIDEOS, 2 TIPS 'n TRICKS, 1 OPERATIVE TECHNIQUE CHAPTER, and 1 CRITICAL ANALYSIS, all from the last Advanced Course in Laparoscopic Colorectal Surgery that was held at IRCAD FRANCE (Strasbourg)

- Reconstruction after TME
- Laparoscopic right hemicolectomy for cancer
- The place of laparoscopic resection for colorectal cancer
- Functional results after elective laparoscopic sigmoid resection
- Rectal cancer: principles of laparoscopic TME

- A new method for colorectal anastomosis using a triple stapling technique
- Totally intra-abdominal laparoscopic ileocolic anastomosis

- Laparoscopic right colectomy

- Laparoscopic sigmoidectomy for cancer in a female patient: a gold standard technique
- Laparoscopic sigmoidectomy for acute diverticulitis: medial approach with extensive IMV dissection
- Laparoscopic TME dissection with monopolar cautery technique
- Laparoscopic TME in a female patient
- Laparoscopic right colectomy in an obese patient with a dysplastic adenoma
- Three port technique for laparoscopic left colectomy

on the topic of Laparoscopic TME dissection with monopolar cautery
Exceptional comments by Prof. Heald: "There is no doubt that a skilled physician can laparoscopically achieve a perfect oncological specimen, specifically in suitably selected cases", underlines Prof. Heald.

Please click here to purchase this educational masterclass

Training centers in minimally invasive surgery

European training center: IRCAD - FRANCE (Strasbourg)

CME accreditation is provided for all the courses that will be held at the IRCAD in Strasbourg: AMA Category 1 credits™, MAINCERT as well as European CME credits (ECMEC) will be delivered.

To find out more about the center, see the course calendar or register for one of the courses, please click here.

Asian training center: IRCAD - Taiwan

CME accreditation is provided for all the courses that will be held at the IRCAD in Taiwan: AMA Category 1 credits™ and MAINCERT credits will be delivered.

To find out more about the center, see the course calendar or register for one of the courses, please click here.

IRCAD Strasbourg needs you for its extension project!

Click here to support the IRCAD-Haras project

Upcoming conferences in 2009 and 2010

The IRCAD-EITS and WeBSurg will be present as an exhibitor hosted by Karl Storz and will be happy to welcome you at the forthcoming events: 

  • 95th Annual Clinical Congress of the ACS, Chicago, Illinois, USA (October 11-15, 2009)
  • SAGES Annual Meeting and 12th World Congress of Endoscopic Surgery, Gaylord National Resort & Convention Center, Landover, Maryland (just outside Washington DC), USA (April 14-17, 2010)
  • 25th Annual European Association of Urology (EAU), Barcelona, Spain (April 16-20, 2010)


  • 127. Kongress der Deutschen Gesellschaft für Chirurgie, Berlin, Germany (April 20-23, 2010)
  • 18th Congress of the European Association of Endoscopic Surgeons (EAES), Geneva, Switzerland (June 16-19, 2010)
  • American College of Surgeons (ACS) 96th Annual Meeting, Washington DC, USA (October 3-7, 2010)

New exclusive content in N.O.T.E.S. for all EATS members and those to be!

This month's new scientific contents on NOTES!

We are glad to share our online NOTES with more than 1600 members! Following the 9th NOTES Advanced Course that took place last October 2-3, 2009, we are delighted to share new contents with you.

Make sure you browse the EATS website and view all the new NOTES material!

Register now for the next NOTES courses at the IRCAD - FRANCE in Strasbourg and/or at the IRCAD in Taiwan (Asia) to be held in 2009

Find the NOTES course programs to be held at IRCAD - FRANCE (Strasbourg) and registration details
Find the NOTES course programs to be held at IRCAD - Taiwan and registration details here.

Our October 2009 EATS issue:

New video:

Optical Coherence Tomography (OCT) of the colon and its mesentery (including virtual sentinel node biopsy) by natural orifice transluminal endoscopic surgery

New lecture:

NOTES™: Where have we been and where are we going? - D Rattner (US)

New reading suggestions:  Updated monthly

By becoming an EATS member, you will take full advantage of our exclusive NOTES content on, as well as other membership rights.

Come and Attend our next Course Programs in Natural Orifice Transluminal Endoscopic Surgery at IRCAD - FRANCE (Strasbourg) and IRCAD Taiwan!

Calendar for 2010 NOTES courses at IRCAD - FRANCE (Strasbourg):
May 28-29, 2010
October 1-2, 2010

Option A limited to 50 participants
Option B limited to 34 participants

Click here to sign up

Calendar for 2009 NOTES courses at IRCAD - Taiwan:
November 20-21, 2009
Click here for further information

Due to the enormous success of the first NOTES Hands-on courses, priority will be given to people that are on the waiting list and to EATS members. This will operate on a first come, first served basis.

Please click here to download registration forms.


Your opinion matters!

We value your opinion and are receptive to comments and suggestions! To contact us, please click here for the EATS or here for WeBSurg.

Yours faithfully,

President of IRCAD/EITS
WeBSurg Editor-in-Chief

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