Month: October 2011

– in the Hospital del Mar, 90% of surgery for body and tail of pancreas tumors are made via laparoscopic and 50% of them liver surgery, also. data which have placed it as one of the few hospitals in the country more experience accumulated in the laparoscopic approach in the interventions of pancreas and liver

– the training sessions are lead through surgery cases in real time

-an innovative scalpeldeveloped by surgeons at the Hospital del Mar already it is being tested for use laparoscopic. This device, which drastically reduces bleeding of liver surgery, shorten the days of income and reduce costs. It has been accepted by the Spanish Agency of medicines and will soon be available

Barcelona, 2011-October the complex interventions laparoscopic approach is increasingly a reality. Before, there were unique cases, and type of intervention are qualified as “little complexity” and in the case of the abdomen, confined, until few years ago, almost to the surgery of the gallbladder. Increasingly become more approaches laparoscopic surgeries of more “technical” as liver surgery and pancreas, the last difficulty in joining the list. The number of centres that make laparoscopic of pancreas and liver surgery is very low. Very few centres exceed ten cases made and therefore still less gather a consolidated experience enabling them to offer users the laparoscopy technique of choice.

The Hospital del Mar is one of the centres of pancreas and liver surgery is done by laparoscopy as first choice approach, i.e., only use the “open” surgery if the case does not allow. “This surgical approach makes it possible, even simultaneously make interventions in various viscera – for example liver and kidney – and avoid the sick of enormous extent and consequently, postoperative long scars.” “Also allows you to raise surgeries on patients increasingly more complex, more delicate or older, postoperative recovery is faster,” explains Dr. Ignacio Poves, the course director and surgeon of the unit of surgery Hepato-bilio-Pancreática of the Hospital del Mar. Extensive and proven experience of the Center positions it as a reference for the training of surgeons in the use of this technique. In short, the first course of hepato-bilio-pancreatic surgery laparoscopic responds to a need for improvement by surgeons and did more than respond to a growing demand by these professionals to reach out to the technique, as indicated by the hundreds of participants from many different backgrounds, and to do so in the hands of the specialists of the Hospital del Mar, with proven experience. These experts will lead the course through surgery cases in real time.

For technical sophisticated for selected routine surgery cases

Liver and pancreas interventions have always been a great challenge for surgeons. These interventions as complex, by the location of the body and its characteristics. These are surgeries that require major incisions, greater manipulation of viscera of the abdominal cavity for access to the body which must be involved, for example the pancreas is behind intestines and stomach, and also a difficulty

due to bleeding, for example is the case of the liver. For this reason, despite its technical difficulty, make open liver surgery or laparoscopy radically changes the scene. “Do these interventions taken by laparoscopic implies a better and faster recovery, fewer complications, fewer days of income, and aesthetically, a scar much more small is clear that all are advantages if compared to open surgery, but it is necessary experience and a refined technique”, explains Dr. Poves. Thus understood it surgeons at the Hospital del Mar and they have worked to make the approach of choice for these surgeries in this Center by laparoscopy. Currently, in the Hospital of the sea, “90% of the lumps of body and tail of pancreas surgeries are carried out via laparoscopic and 50% of liver surgery, also.” “This figure is increasing year after year, and we estimate that in about 5 years about 80% of liver surgery be carried out by laparoscopy, and more than half of cases of pancreas also,” concrete Dr. Poves. Fruit of the will transmit this experience was born the Organization of this course, which will take place on 27 and 28 October.

The Hospital del Mar has patented a scalpel which prevents bleeding in liver surgery

The experience of specialists of the Hospital del Mar adds the use of innovative surgical instruments that have also allowed a great evolution of liver surgery. At the end of the year 2009, announcing an innovative instrument in phase of clinical trial with excellent results and which drastically reduced bleeding of this type of surgery, shortening the days of income and reducing costs through the simplification of the use of surgical instruments. This knife already has national and international patent and safety testing has been completed. This surgical tool assisted radiofrequency prototypes have been accepted by the Spanish Agency of medicines and is currently awaiting commercialization. Apart from this knife, called Coolinside, for liver resections in open surgery, the same team is developing the instrument to use laparoscopic will also be presented in the course. “All this allowed that last year the Hospital del Mar was pioneer in the realization of a hepatic resection of all of the right hepatic lobe via laparoscopic, with excellent results”, explains Dr. Luis Grande, Chief of general surgery and digestive system service. “If so far this tool has shown so many advantages in open surgery, when we add them to the benefits inherent in laparoscopy, possibly we will be faced a new stage in liver surgery”, explains Dr. Fernando Burdío, principal investigator of the study and architect of Coolinside. And so also noted it the great Dr., which adds “this and other research, as well as the experience of our surgeons, allows us to innovate and go a little further in our chances, always for the benefit of the patient”.

I course of hepato-bilio-pancreatic surgery laparoscopic, 27 and 28 October.

More information: www.parcdesalutmar.cat