Laparoscopic Adrenalectomy for Large Adrenal Tumors: Is the “vein First” Approach Really Worthwhile?
Giancarlo Basili, MD, Nicola Romano, MD, Federico Filidei, MD, Graziano Biondi, MD. Health Unit 5 Pisa, Pontedera General Hospital, General Surgery Unit. The role of minimally invasive surgery for large adrenal tumours remains a highly controversial problem. Risks of inadequate margin resection and tumour spillage with the related possibilities of locoregional and port-site recurrence are […]
Laparoscopic TG necrosectomy for infected pancreatic necrosis
David J Worhunsky, MD, Monica M Dua, MD, Jeffrey A Norton, MD, Brendan C Visser, MD. Stanford University Medical Center. Open pancreatic necrosectomy remains associated with significant morbidity. In this video, we present a case of a laparoscopic transgastric necrosectomy, a novel minimally invasive technique for debridement of pancreatic necrosis. Two laparoscopic ports are placed […]
Laparoscopic Removal of a Massive Spleen
Alisa M Coker, MD, Joslin Cheverie, MD, Ryan C Broderick, MD, Cristina R Harnsberger, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. University of California San Diego. We present the case of an 82 year old male requiring multiple admissions and transfusions for autoimmune hemolytic anemia. Computed tomography revealed a very […]
Transanal Minimally Invasive Surgery (TAMIS) resection of early rectal cancer
Francesco Stipa, MD, PhD, FACS, Emanuele Soricelli, MD, Pietro Delle Site, MD, Ettore Santini, MD. Department of Surgery, Colorectal Surgical Unit. San Giovanni Addolorata Hospital – Rome. Purpose: Since its introduction in the early 1980s, Transanal Endoscopic Microsurgery (TEM) has become a safe surgical option for large polyps and low risk rectal cancers . Recently […]
Laparoscopic Repair of a Missed Traumatic Right Diaphragmatic Hernia Containing Colon and Liver
B. Fernando Santos, MD, Thadeus L Trus, MD. Dartmouth-Hitchcock Medical Center, Department of Surgery, Lebanon, NH. Traumatic right diaphragmatic hernias are rare, and if missed can present in a delayed fashion with herniation of the intestines and infrequently the liver. This video demonstrates a laparoscopic approach to such a hernia, offering a minimally invasive alternative […]
Laparoscopic Repair of Foramen of Winslow Hernia
George DeNoto, MD, Shabana Perveen, MD, Shelish Garg, MD. Northshore -LIJ Hofstra University Health system.. The reviewed patient presented to the emergency room at our hospital with five hours of severe epigastric pain. He underwent an emergent CT scan to rule out any intra-abdominal pathology. Review of the CT scan by a radiologist found evidence […]
Intussusception following laparoscopic Roux-en Y Gastric Bypass
Lucas Beffa, MD, Mark Perna, MD, Roger A de la Torre, MD. University of Missouri – Columbia. This is a case of a 41 year old 28 week pregnant female who had previously undergone a laparoscopic gastric bypass procedure 7 years prior. She presented to an outside facility with acute onset of abdominal pain and […]
Seromyotomy as a Treatment Option After Laparoscopic Sleeve Gastrectomy
Abraham Betancourt, MD, Armando Rosales-Velderrain, MD, Fernando Dip, MD, Charles Thompson III, MD, Emanuele Lo Menzo, MD, PhD, Samuel Szomstein, MD, FACS, Raul Rosenthal, MD, FACS. Cleveland Clinic Florida. Introduction: Currently, laparoscopic sleeve gastrectomy and roux-en-y gastric bypass are the two most common procedures. Both of these have known rates of complications. Though the management […]
Laparoscopic Left Hepatectomy for Giant Symptomatic Hemangioma
C Palanivelu, MS, MCh, FACS, P Senthilnathan, MS, FACS, R Parthasarathi, MS, P Praveen Raj, MS, S Rajapandian, MS, FRCS. GEM Hospital & Research Centre. Introduction Hemangiomas are the most frequent benign tumors of the liver with an incidence ranging from 5% to 20% and women accounting for the largest part. Life-threatening complications associated with […]
Laparoscopic Assisted Trans-enteric Endoscopic Retrograde Cholangiogram via Roux Limb for Primary Hepatolithiasis
Paige Quintero, MD, Siddharth Kudav, MD, Hammoud Ghassan, MD, Roger de la Torre, MD. University of Missouri. Primary hepatolithiasis is an uncommon etiology of obstructive jaundice in the United States. The condition is more prevalent in Asia, and in patients with altered anatomy due to previous operations. Various methods for stone extraction after hepaticojejunostomy have […]
