Introduction: Pheochromocytoma is a rare but potentially devastating tumor. ALthpugh usually related to adrenal adenoma, extra-adrenal lesions can produce similar hormonal findings. Laparoscopic Adrenalectomy has been widely preferred for surgical removal of adrenal masses.This video demonstrates the laparoscopic dissection of Right Adrenal mass and total excision of Paracaval mass.
Methods: We present a case of a 76 year old female, BMI of 15.83 kg/m2, with new onset of hypertension, weight lo
Introduction: Laparoscopic Total Gastrectomy with D2 Lymphadenectomy is common in Eastern Asia, however it’s still underutilized in North America.
Methods: We present the case of a 76 year old male who underwent Screening Upper GI Endoscopy for Pernicious anemia. He was found to have a small mass in the fundus of stomach. Biopsies obtained at the time of endoscopy were diagnostic for moderately differentiated Adenocarcinoma.
The patient underwent diagnostic laparoscopy to check the resectabili
We present a case of laparoscopic treatment of peptic ulcer disease. The patient had history of peptic ulcer disease refractory to medical treatment with piloric stenosis that required multiple endoscopic dilatations. She also had hiatal hernia with reflux symptoms. We performed laparoscopic truncal vagotomy, hiatal hernia repair and subtotal gastrectomy with Billroth two reconstruction. This procedure represented the gold standard treatment for chronic peptic ulcer disease in the pre-PPI era t
Introduction: Sports hernia is a misnomer. The term Sports hernias, more appropriately called Athletic pubalgia, is not the typical hernia involving a defect in the strength layer of the abdominal wall. Sports hernias are related to injury and/or inflammation of the tendonous attachments to the pubic tubercle often involving the abdominal and pelvic musculature outside the ball-and-socket hip joint and on both sides of the pubic symphysis. Patients are often athletes and present with groin pain
EndoStim(r) LES stimulation therapy improves GERD in patients with Laparoscopic Sleeve Gastrectomy (LSG)
LSG is the most commonly performed bariatric procedure in the US/Canada and the Asia-Pacific region. However, LSG can result in new GERD and may worsen preexisting GERD.i LSG patients with GERD not well controlled with PPI do not have good treatment options except for more invasive, anatomy-altering gastric bypass surgery. LES electrical stimulation therapy has shown to improve outcomes in GERD patients.ii-iii
Aim: To evaluate the safety and efficacy of LES stimulation in LSG patients with GERD
A Prospective Randomized Comparison of Testicular Function, Sexual Function and Quality of Life Following Laparoscopic Totally Extra Peritoneal (TEP) and Trans Abdominal Pre-Peritoneal (TAPP) Inguinal Hernia Repair
Background: Testicular atrophy following groin hernia repair is a major concern for any male patient. There is very scant literature regarding the impact of inguinal hernia and its mesh repair on testicular function and sexual function following both open and laparoscopic techniques. The present study was designed to compare TAPP and TEP repair in terms of testicular and sexual function, quality of life and chronic groin pain.
Methods: The study was conducted from November 2012 to June 2014. 16
Effective stepwise training and procedure-standardization for young surgeons to perform laparoscopic left hepatectomy
Introduction: Laparoscopic hepatectomy remains to be one of the most difficult procedures for young surgeons. We have recently developed a new training method and procedure-standardization for young surgeons to perform laparoscopic left hepatectomy (Lap-LHx). The aim of this study is to clarify the effect of our method for young surgeons to perform Lap-LHx.
Methods: Standardization of Lap-LHx: After mobilization of left lobe, left 1st Glissonean pedicle is encircled using the Arantius’ ligament
Feasibility and functional outcomes of laparoscopic proximal gastrectomy with double tract reconstruction for proximal gastric cancer: comparative study with conventional laparoscopic total gastrectomy
Introduction: Laparoscopic proximal gastrectomy (LPG) with double tract reconstruction (DTR) is an attractive treatment option for proximal gastric cancer when considering the advantages of a function preservation, including improved nutrition and a decreased incidence of postopertive reflux esophagitis. The aim of this study was to assess the feasibility of LPG with DTR and to compare the functional outcomes of LPG with laparoscopic total gastrectomy (LTG).
Methods: Between November 2011 and A
A novel methodology for in vivo endoscopic phenotyping of colorectal cancer based on real time analysis of the mucosal lipidome: A prospective observational study of the iknife
Rapid Evaporative Ionization Mass Spectrometry (REIMS) provides the operating surgeon with tumour phenotypic data in near real time based on analysis of the mucosal lipidome.(1) This study determined the accuracy of REIMS for detecting established histological biomarkers of poor prognostic outcome in colorectal cancer.
This was a prospective, observational multi-centred cohort study. Patients undergoing elective surgical resection for colorectal cancer were recruited at S
Introduction: In the United States, over 300,000 hernia repairs are performed annually. To assess the integrity of repair, imaging modalities like computed tomography (CT) or ultrasound (US) are used. However, either modality properly characterizes the hernia prior to repair or is capable of reliably identifying the mesh after repair. Shear Wave Elastography (SWE) is an evolving US technique capable of simultaneous real-time imaging and mechanical property analysis. This modality can be utilized