A Totally Endoscopic Device for the Treatment of Morbid Obesity
Introduction: Morbid obesity is a major health concern for the United States affecting over 15 million people. Despite its associated comorbidities, less than 1% of patients seek surgical intervention. The need for less costly, minimally invasive procedures that reduce complication rates and result in faster recovery would be a valuable adjunct in the treatment of… Continue Reading
- Topic:
- Metabolic / Obesity
Combined thoracoscopic and laparoscopic esophagectomy
.Minimally invasive esophagectomy for cancer is increasingly adopted by dedicated centers in the world, but the method is highly variable. A video presentation of combined thoracoscopic and laparoscopic esophagectomy in a 54-year old man suffering from a squamous cell cancer of the mid-esophagus is presented. Thoracoscopic esophageal mobilization with mediastinal nodal dissection was carried out… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Dysphagia after using a Biological Mesh to Repair a Recurrent Hiatal Hernia
Introduction: It has been recently demonstrated in a controlled trial that reinforcement of the crura with a biological mesh decreases the incidence of recurrence of paraesophageal hernias after hiatal repair. This technique is therefore increasing in popularity. Complications from this type of mesh have not been reported, but an animal study has suggested that a… Continue Reading
- Topic:
- Outcomes and Quality
Gastric Pouch and Stoma Reduction Using a Novel Endoscopic Device: The Endosurgical Operating System (eos)
GASTRIC POUCH AND STOMA REDUCTION USING A NOVEL ENDOSCOPIC DEVICE: THE ENDOSURGICAL OPERATING SYSTEM (EOS) DK Mullady1, D Herron2, D Lautz1, D Birkett3, and CC Thompson11Division of GastroenterologyBrigham and Women’s Hospital, Boston, MA2Mount Sinai Hospital, New York, NY3Lahey Clinic, Burlington, MA Introduction: Roux-en-Y gastric bypass is an effective treatment for severe obesity. However, many patients… Continue Reading
- Topic:
- Endolumenal / NOTES
Laparoscopic Assisted Ileocolic Resection for Crohn’s Disease with Psoas Abscess
This is Video is about a 32 year old male with a relatively short history of Crohn's disease manifested by an ileo-psoas abscess, partial intestinal obstruction, and an undiagnosed ileo-transverse colon fistula. The technical aspects of performing an ileocolic resection in complicated Crohn's is demonstrated, including intracorporeal division of the fistula and drainage of the… Continue Reading
- Topic:
- Colorectal
Lap-assisted restorative proctocolectomy with IPAA
Open restorative proctocolectomy with ileal pouch-anal anastomosis was first Described in 1978 and since that time has gained popularity in the surgical management of patients with ulcerative colitis and familial polyposis. A laparoscopic proctocolectomy with ileal pouch-anal anastomosis represents the latest development in the evolution of surgical treatment of these conditions. This approach aims to… Continue Reading
- Topic:
- Colorectal
Laparoscopic D2 Lymph Node Dissection with Total Gastrectomy and Jejunal Pouch Reconstruction for Early Gastric Cancer
Introduction:D2 lymph node dissection for early gastric cancer was popularized by the Japanese, though it is still controversial. The adequacy of laparoscopic node harvest remains doubtful. In this video, we present a laparoscopic D2 dissection with total gastrectomy and jejunal pouch anastomosis.Methods: We have performed this procedure in 82 patients from 2002-2007. The dissection was… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Distal Pancreatectomy-Splenectomy for Insulinoma
This video illustrates our laparoscopic technique for removal of an insulinoma in the tail of the pancreas. Because of the distal location of the lesion in the tail of the pancreas, distal pancreatectomy with splenectomy was required. The video also shows how bleeding from a splenic vessel was controlled laparoscopically. A hand port was required… Continue Reading
- Topic:
- HPB
Laparoscopic intramesorectal proctectomy and ileal pouch-Anal anastomosis for ulcerative colitis
We present a case of intramesorectal laparoscopic completion proctectomy and ileal pouch-anal anastomosis in a 34 y/o female who had undergone previous subtotal colectomy, Brooke ileostomy and preservation of rectosigmoid stump for severe ulcerative colitis. She had completed her family and was not concerned about fertility.Intramesorectal dissection has been proposed in open surgery as a… Continue Reading
- Topic:
- Colorectal
Laparoscopic Ladd’s procedure for treatment of adult presentation of congenital intestinal malrotation
Laparoscopic Ladd’s procedure for treatment of adult presentation of congenital intestinal malrotation. Authors: G. Arena, G. Sroka, H. Flageol, G. Fried Intestinal malrotation is a rare cause of abdominal pain among adults with an incidence estimated around 0.2%This condition presents with a combination of symptoms such as acute or chronic abdominal pain, nausea and postprandial… Continue Reading
- Topic:
- Colorectal
Laparoscopic left donor nephrectomy without mobilization of the spleen
Traditional descriptions of laparoscopic transperitoneal left adrenalectomy and nephrectomy include complete division of the splenorenal ligament. The spleen is reflected toward the midline with the tail of the pancreas to expose the origin of the renal pedicle and adrenal gland. Yet despite aggressive mobilization of the upper pole of the spleen as far cephalad as… Continue Reading
- Topic:
- Solid Organ and Endocrine
Laparoscopic resection of a duodenal polyp
Introduction: Duodenal polyps are rare lesions traditionally excised using endoscopic or open techniques. Laparoscopic resection is a useful approach for large lesions or in patients not suitable for laparotomy. Methods: A 56 year-old morbidly obese female (BMI = 60) with anemia was found to have a 3 cm sessile polyp at the junction of the… Continue Reading
- Topic:
- Colorectal
Laparoscopic Resection of a Giant Splenic Artery Aneurysm
INTRODUCTION: Splenic artery aneurysm affects 0.1% of population. They are often an incidental radiological finding. A spontaneous rupture may be fatal. Intervention is indicated when they reach 2 cm in diameter, are symptomatic, increasing in size, in pregnant patients or in women of child-bearing age. Small splenic artery aneurysm under 4 cm could be treated… Continue Reading
- Topic:
- Solid Organ and Endocrine
Laparoscopic Resection of Challenging Gastric Tumors
Noninvasive gastric tumors may have malignant potential and should be managed with resection. Large margins are not needed and many can be managed with laparoscopic wedge resection. Tumors along the fundus, anterior wall, and greater curvature of the stomach are approached relatively easily using endoscopic staplers. Tumors near the gastric cardia, lesser curvature and pylorus… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Resection of Giant Adrenal Tumors
Traditionally, large adrenal tumors have been considered relative contraindications to laparoscopic adrenalectomy. However, with increasing experience with laparoscopic techniques, even giant tumors can be resected in a minimally invasive manner. We present two cases of laparoscopic adrenalectomy of giant adrenal tumors. The first case involves a 42 year old female with flank pain. Imaging revealed… Continue Reading
- Topic:
- Solid Organ and Endocrine