New Technologies, New Surgeries

Dr. Marc Bessler is assistant professor of surgery at Columbia University College of Physicians and Surgeons, and director of the Columbia University Center for Metabolic and Weight Loss Surgery. He is also the director of the Minimal Access Surgery Center at New York-Presbyterian Hospital/Columbia University Medical Center. A fellow of the American College of Surgeons, Dr. Bessler's clinical specialties include surgical management of morbid obesity, gastroesophageal reflux disease, laparoscopic surgery of the stomach, esophagus and hernia surgery, and natural orifice surgery. His research interests focus on hormonal, oncologic, and immune responses in laparoscopy.

He earned his medical degree from New York University School of Medicine, and completed his residency in general surgery and his fellowship in surgical endoscopy at the Columbia University College of Physicians and Surgeons and the Presbyterian Hospital in New York City.

  • Transcript


Question: What technologies are reshaping the surgical field?

Marc Bessler: So right now, just like you have an endoscopy, you have a flexible scope that goes there and brings light and visualization with it and a channel or two to put instruments down, that’s the technology we’re using for the most part to get in from a long distance away to reach to the organ we need to get to, you know, in a path that may not be a straight line and so we’re using right now, off the shelf instruments that weren’t particularly designed for the purposes we’re using them ultimately and we need to have things that can steer better, that can provide some rigidity once you get there and although they get there in a flexible manner, end up giving you some stiffness so you can work. We need to triangulate, right now the instruments come out like this and we’re used to operating like this, like with your hands. So we need to have technology that will allow us to come out and back towards the center so that we can work in a triangulated fashion and those technologies exist, they really need to be refined and brought to the market so they can be used for patients, not just on someone’s, you know, work bench.


Recorded on: 6/16/08