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Related Experiment Video

Updated: Mar 25, 2026

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy
04:38

Subcostal Specimen Removal in Completely Portal Robotic Lobectomy

Published on: April 19, 2024

881

When and How to "Open" in Laparoscopic or Robotic Surgery.

Kenneth B Jones1

  • 1LSU Health Sciences Center, CHRISTUS Shreveport-Bossier Health System, Shreveport, LA, USA. pbsurgkj@aol.com.

Obesity Surgery
|February 19, 2016
PubMed
Summary

This study presents a rapid surgical technique for emergent open conversion during minimally invasive procedures. It aims to help surgeons quickly manage acute hemorrhage or complications when laparoscopic instruments are insufficient.

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Comment on: acid and nonacid gastroesophageal reflux after single anastomosis gastric bypass. An objective assessment using 24-hour multichannel intraluminal impedance-pH metry.

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery·2018
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Kenneth B Jones Jr. MD FACS FASMBS.

Obesity surgery·2017
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Endoscopic management of sleeve gastrectomy strictures: a new application for a proven technology in bariatric surgery.

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery·2017
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Comment on: The prevalence of overweight and obesity in a breast clinic population: consideration for weight loss as a therapeutic intervention.

Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery·2013
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Obituary: Dr. Alexander M.C. Macgregor, "a giant in the field.".

Obesity surgery·2011
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Are we pricing ourselves out of the market in bariatric surgery?

Obesity surgery·2011

Area of Science:

  • General Surgery
  • Surgical Education

Background:

  • Minimally invasive surgery dominates current surgical training.
  • Surgeons often lack experience and confidence in emergent open conversion.
  • There is a need for efficient techniques to manage unexpected complications during laparoscopic procedures.

Purpose of the Study:

  • To provide a rapid technique for emergent open conversion.
  • To assist surgeons inexperienced in open procedures.
  • To enable quick recognition and management of acute hemorrhage or critical issues.

Main Methods:

  • Utilizes a left subcostal or high transverse incision.
  • Describes a 3-cm midline incision extending into a 12-cm left subcostal "hockey stick" incision.
  • Focuses on rapid application of a tamponading sponge and control of bleeding.
Keywords:
Avoiding wound complicationsBariatric surgical incisionsLaparoscopic to open surgeryLeft sub-costal incisionOpen bariatric surgery

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Main Results:

  • The described left subcostal incision technique has been used in over 4000 bariatric cases.
  • Achieved incisional hernia and major wound infection rates below 1% over a 30-year career.

Conclusions:

  • Laparoscopic techniques have reduced emphasis on open visceral procedures in training.
  • This rapid technique aids inexperienced surgeons in managing acute complications.
  • Prevents long-term issues like wound infection, dehiscence, and hernia.