Seminar 2008 06 25 NOTES
From CISSTwiki
CISST ERC Seminar
Single Port Laparoscopy or NOTES: A Form of Image Guided Therapy?
Date: Wednesday, June 25, 2008
Time: 12:00pm
Place: CSEB B17
Speaker: Dennis Fowler
Columbia University
Title: Single Port Laparoscopy or NOTES: A Form of Image Guided Therapy?
Presentation: PDF, not yet uploaded
Abstract
Laparoscopic approaches have become standard minimally invasive techniques. Image guided therapy is often considered to be even less invasive by using catheters and wires to deliver therapy using imaging with modalities other than white light. Many diseases in the abdomen still require surgical intervention that includes resection or a major reconstruction that is not yet possible with catheters and wires, and these procedures still require the use of multiple incisions and an actual telescope, which is a very old, limiting technology. White light "imaging" remains the primary imaging modality for both diagnosis and surgical treatment of many of these conditions.
Future minimally invasive therapy to treat these "big" diseases of the GI tract and other abdominal organs will likely include an endoscopic approach through a single incision or through a natural orifice (Natural Orifice Translumenal Endoscopic Surgery, or NOTES). Current designs of newer insertable, remotely controllable, computer guided robots may replace the laparoscope and its associated instrumentation. Single port laparoscopy (also called single incision laparoscopic surgery SILS) and/or NOTES may provide better techniques for minimally invasive surgery. These new techniques will be ever more dependent on innovative, reliable technology in which the computer will be a critical component image guided therapy using white light based imaging.
Bio
Dr. Fowler is U.S. Surgical Professor of Clinical Surgery at Columbia University College of Physicians and Surgeons and Director of the Minimal Access Surgery Center of NewYork-Presbyterian Hospital. In those positions, he oversees the laparoscopic training program for the general surgery residents at Columbia University Medical Center. He is also Vice President-Medical Director of Perioperative Services at the Columbia campus of NewYork-Presbyterian Hospital.
For nearly 20 years, Dr. Fowler has practiced the treatment of gastrointestinal and other general surgical problems utilizing a minimal-access approach. Since his fellowship in gastrointestinal endoscopy, he has pursued an endoscopic approach to the treatment of gastrointestinal disease and in 1991 pioneered several laparoscopic techniques including laparoscopic colectomy and laparoscopic gastrectomy. Recently he was a member of the team that completed the first human case using a natural orifice for access to the abdominal cavity. Currently, Dr. Fowler's practice is almost exclusively laparoscopic surgery, including all types of gastrointestinal tract surgery, hernia repair, and solid organ surgery. His present research interests include the development and validation of technology, the use of prosthetics in laparoscopic hernia repair, and the study of optimal methods for teaching and assessing competence in surgery.
In addition to his current positions at New York-Presbyterian Hospital, Dr. Fowler has served as Chief, Division of General Surgery, and was the Leon C. Hirsch Professor of Clinical Surgery at the Weill Medical College of Cornell University. He is on the Board of Governors of the Society of American Gastrointestinal and Endoscopic Surgeons, Board of Governors of the American College of Surgeons, Board of the Fellowship Council, and on the GI Advisory Council of the American Board of Surgery.