Minimally Invasive Ivor-Lewis Esophagogastrectomy for Gastric Cardia Cancer
Introduction: Gastric cardia cancer with involvement of the esophagus may require an esophagogastrectomy to obtain negative tumor margins. We have shown that minimally invasive esophagectomy is a safe approach for the treatment of esophageal cancer. We describe the technique of a minimally invasive Ivor Lewis esophagectomy in a patient with a large gastric cardia tumor.Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Comparison of oncological outcomes after laparoscopic transhiatal esophagectomy and open esophagectomy for pT1 esophageal adenocarcinoma
INTRODUCTION: This study compared pathological characteristics and patterns of disease recurrence for patients with pT1 esophageal adenocarcinoma treated with either laparoscopic transhiatal esophagectomy or open esophagectomy (Ivor Lewis or transhiatal).METHODS: Case notes were reviewed for consecutive patients, who had esophagectomy with pT1 adenocarcinoma at final pathological staging, during January 2000-December 2006. No patient had neo-adjuvant… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Long-term quality of life after laparoscopy-Assisted distal gastrectomy
Background : Laparoscopy-assisted distal gastrectomy (LADG) needs longer@operation time, but brings lesser pain, invasiveness after operation compared with open distal gastrectomy (ODG). Patients undergone LADG can recover earlier than ODG. However comparative study of long-term quality after LADG and ODG is not performed.Patients and Method : From August 2007 to July 2006, 197 patients with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Endo-Laparoscopic Intragastric Tumor Excision (ELITE) of Intragastric GIST – Combined Endoscopic and Laparoscopic Technique
Introduction: Gastric GIST is a mesenchymal neoplasm of gastrointestinal tract with uncertain malignant potential. Complete surgical excision is usually recommended . However, local excision is difficult for GIST located at cardia or prepyloric region and partial gastrectomy may be necessary. Method: For small intragastric GIST ( Session: Podium Presentation Program Number: V028 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Pre-operative predictors of the short esophagus
Background: Short esophagus is a common cause of failure of anti-reflux surgery. Minimally invasive intervention for short esophagus is technically difficult. Reliable predictors of short esophagus would allow appropriate referral and better outcomes.Methods: Between January 1994 and August 2007, a total of 84 patients underwent antireflux surgery with Collis gastroplasty (Group A) at Creighton University… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Analysis of 1,543 Gastric Carcinoid Patients for Proposed Staging System
Background: Gastric carcinoid tumors are rare and little is known about the long term prognosis of these tumors, since no staging system currently exists. The aim of this study was to create a predictive staging system to accurately estimate prognosis. Methods: A retrospective review of 15,983 carcinoid patients from the SEER database identified 1,543 patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
A Randomized Controlled Trial of Laparoscopic Nissen Fundoplication (LNF) versus Proton Pump Inhibitors for Treatment of Patients with Chronic Gastro-Esophageal Reflux Disease (GERD)
Objective: In patients with GERD who were stable and symptomatically controlled on long-term medical therapy we performed an RCT to compare ongoing optimized medical therapy with LNF.Methods: 201 patients were eligible for randomization, 104 gave informed consent (age mean 42.9, sd11; male 55 female 49) and 2 withdrew from the study immediately after randomization. Patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Combined Prone Thoracoscopy and Supine Laparoscopy for treatment of an Epiphrenic Diverticulum
The laparoscopic treatment of epiphrenic diverticula via a totally abdominal approach has been well described. One of the challenges of the laparoscopic approach to the treatment of large epiphrenic diverticula has been safe and adequate proximal dissection. Thoracoscopy provides another means of accessing the mid to distal esophagus, while addition of this modality allows for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Esophageal Manometric Characteristics and Outcomes for Laparoscopic Esophageal Diverticulectomy, Myotomy and Partial Fundoplication for Epiphrenic Diverticula
Introduction: The purpose of this study is to characterize the esophageal motor and lower esophageal sphincter (LES) abnormalities associated with epiphrenic esophageal diverticula and analyze outcomes for laparoscopic esophageal diverticulectomy, myotomy and partial fundoplication.Methods: Endoscopic, radiographic, manometric and perioperative records for patients undergoing laparoscopic esophageal diverticulectomy, anterior esophageal myotomy and partial fundoplication from 8/99-9/06 were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Anti-reflux Surgery Is Not Totally Effective Against Esophageal Adenocarcinoma, Despite the Regression or Disappearance of Barrett’s Esophagus in Most Cases – A Study of 80 Barret’s Patients.
BACKGROUND: Barrett’s Esophagus (BE) is a complication of gastroesophageal reflux disease (GERD) and can be a pre-malignant condition. laparascopic anti-reflux surgeries (LARS) significantly correct physiological and anatomical abnormalities in patients with GERD; nevertheless, there is no consensus about its effectiveness in preventing malignant transformation in patients with BE. The impact of LARS on those suffering… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Outcome of Laparoscopic Gastrectomy for Gastric Cancer
As less-invasive operations have been noted in recent years, laparoscopic gastrectomy for gastric cancer has become popular in Japan. We have performed laparoscopic gastrectomy with regional lymph node dissection on 750 cases of gastric malignancies between March 1998 and August 2007. Here we present the outcome of laparoscopic gastrectomy for gastric cancer..Of all 750 cases,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic management of acute paraesophageal hernia
Objective: Acute paraesophageal hernia is a surgical emergency presenting with chest pain, abdominal pain, dysphagia, nausea and vomiting, retching or significant anemia. This can be due to gastric volvulus, incarceration, strangulation, severe bleeding or perforation. Traditionally this is treated with an open surgery. The purpose of this study is to evaluate the outcome of laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Video Assisted Thoracoscopic Esophagctomy for Carcinoma Esophagus
Introduction:Thoracoscopic esophagectomy is emerging as an alternative to conventional open esophagectomy. It is perceived to have advantages of reduced surgical trauma and hence lesser postoperative morbidity. This paper presents outcome of patients undergoing thoracoscopic esophagectomy and compares it to patients undergoing open surgery in the same time period in the thoracic surgical service of Tata… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Assessment of the Clinical Utility of Routine Barium Esophagram After Laparoscopic Anterior Esophageal Myotomy for Achalasia
Introduction: The purpose of this study is to evaluate the clinical utility of routine barium esophagram (BAS) after laparoscopic anterior esophageal myotomy for achalasia.Methods: Records of 260 consecutive patients (pts) undergoing laparoscopic anterior esophageal myotomy for achalasia from 5/96-8/07 were reviewed from a prospective, IRB-approved database. All radiographic reports and perioperative records were reviewed. Data… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic versus open gastrectomy for adenocarcinoma : A proscpective comparative analysis
BACKGROUND: The role of laparoscopic gastrectomy in the treatment of gastric adenocarcinoma.AIM: To compare open and laparoscopic gastrectomy for adenocarcinoma.METHODS : Between january 2000 and december 2006, we prospectively enrolled all patients operated for gastric adenocarcinoma. Datas were later analyzed according to the type of procedure (open versus laparoscopic). Parameters included : operative incidents, conversion,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery