Esophagectomy for Adenocarcinoma: Comparison of Minimally Invasive, Transhiatal and En Bloc Resection Techniques
Background: There are competing goals in the surgical treatment of esophageal cancer. One is to minimize the physiologic impact of the operation and the other is to maximize the resection of regional lymph nodes. The former can be accomplished with a transhiatal esophagectomy, and the latter is maximized with an open transthoracic/transabdominal en bloc resection.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Endoscopic Closure of an Esophagocutaneous Fistula Using a Bioabsorbable Material and Tissue Glue
Objective: Non-operative closure of a chronic esophagocutaneous fistula whichwas unresponsive to othermodalities utilizing endoscopy for placementofbioabsorble material(Bio-A) buffered by tissue sealant. Methods: The fistula had been demonstrated on barium studies, and he had failed diversion as well as lesser operative attempts at closure. The fistula was cannulated, and under endoscopic control a grasper was passed… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Obesity Does Not Increase Operative Morbidity for Esophageal Resection
Objective: To compare operative and postoperative outcomes in patients undergoing esophageal resection by patient Body Mass Index (BMI) Methods: All patients undergoing esophageal resection are entered into a prospectively maintained database. After approval from Institutional Review Board the database was queried to extract data on patients who underwent esophagectomy for malignant disease [squamous cell carcinoma… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Reoperative Antireflux Surgery for Dysphagia
Background: Little is known regarding the predictors of favorable outcomes following re-do Anti-reflux surgery (Re-ARS). The aims of this study were: (1) to analyze the efficacy of Re-ARS in resolving dysphagia; and (2) to identify risk factors for persistent or new-onset dysphagia after Re-ARS. Methods: After IRB-approval, a prospectively maintained database was retrospectively reviewed to… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Treatment Choices and Outcomes of Patients with Manometrically Diagnosed Achalasia
Purpose:This prospective population based study was designed to evaluate treatment choices in patients with manometrically diagnosed achalasia and their outcome.Methods: In this research ethics board approved study, consenting patients referred to esophageal function laboratory were enrolled after manometric diagnosis of achalasia. Patients completed an initial validated questionnaire on their symptom severity, duration, treatment pre-diagnosis and… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Comparison of the Effect of Obesity on Laparoscopy-Assisted Distal Gastrectomy with That on Open Distal Gastrectomy
INTRODUCTION: Whether the effect of obesity is more adverse on laparoscopy-assisted distal gastrectomy (LADG) than on open distal gastrectomy (ODG) is not clear.METHODS: Patients (LADG: n = 210, ODG: n = 208) who underwent distal gastrectomy were enrolled. Primary regression equations obtained by regression analyses between body mass index (BMI) and operation time and between… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A Novel Laparoscopic Compression Anastomosis Clip (lapcac) for Laparoscopic Gastroenteroanastomosis:
ObjectiveThe first clinical study to evaluate the safety and efficacy of a novel laparoscopic compression anastomosis clip (LapCAC) for laparoscopic gastroenterostomy. MethodsThe study was approved by the ethics committee of Shanghai Hospital of The Second Military Medical University. After signed informed consent, LapCAC was used for Roux-en-Y side-to-side intestinal anastomosis and gastroenterostomy in three patients.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Sleeve Resection for Non-cancerous Gastric Tumors
Introduction: Feasibility of minimally invasive resection for gastric tumors such as gastrointestinal stromal tumors (GIST) has been established. However, the safety and efficacy in large tumors (>2.5 cm) is still controversial. Also, role of laparoscopic sleeve resection in unusual gastric tumors is undefined.Methods: Records of patients who underwent a laparoscopic sleeve resection for gastric tumors… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Posterior Vagus Nerve Within or Outside Nissen Fundoplication: Does It Matter?
Background: Laparoscopic Nissen surgery is the gold standard surgical treatment for gastro-esophageal reflux disease. Either one or both vagus nerves can be within or outside the fundoplication. The aim of this study was to determine if placing the posterior vagus nerve within or outside the fundoplication had any effect on patient symptom relief. Materials and… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Does Metastatic Lymph Node Ratio Accept As a Prognostic Factor in the Patients Underwent Lymphadenectomy with Less Than 15 Lymph Nodes for Gastric Cancer?
Background. The necessity of accurate lymph node staging is a vital while evaluating different treatment consequences. This study evaluates the metastatic lymph nodes (pN)and the comprehensive use of ratio of lymph nodes as a prognostic factor in the patients with gastric cancer underwent the surgery. Method. Review of 88 consecutive patients with gastric adenocarcinoma. The… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Outcomes of Laparoscopic Surgery for Esophageal Achalasia in 200 Patients
Introduction: The laparoscopic Heller-Dor (LHD) surgery has become the procedure of choice for the treatment of achalasia. However, the incidence of achalasia is extremely low, and reports on the outcome of surgical treatment are limited. In this study, outcomes of LHD for achalasia in 200 patients at a single institution were evaluated.Methods: Two-hundred consecutive patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Treatment of a Unique Case of Large Sliding Paraesophageal Hiatal Hernia with Intrathoracic Stomach and Achalasia
Purpose: We present a unique case of large sliding paraesophageal hiatal hernia, intrathoracic stomach and achalasia in a 54 year old male. Due to the concomitant paraesophageal hiatal hernia and intrathoracic stomach, and the need for surgical treatment, endoscopic management for achalasia was not attempted. The patient underwent laparoscopic paraesophageal hiatal hernia with reduction of… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A Preliminary Study on Preoperative Three-dimensional Simulation Using Mdct for Single Port Access Surgery on Gist
PURPOSERecently, Single Port Access (SPA) surgery becomes to be performed for cholecystectomy or gastrostomy. SPA surgery is performed using a single incision in the patient’s belly button. We try to remove gastric GIST using SPA plus one or two additional ports. However gastric wedge resection for GIST is variable about location or size comparing to… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Thoracoscopic Total Oesophagectomy
THORACOSCOPIC TOTAL OESOPHAGECTOMY Introduction: Oesphagectomies have been performed by either a thoracoabdominal, transhiatal or thoracoscopic approach. These methods especially transthoracic procedure have known to have high intra and post operative morbidity. Principle of minimally invasive oesophagectomy is to perform the same operation through a smaller incision thus reducing the operating trauma without compromising the oncological… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Effects of Nissen Fundoplication on Ablation of Barrett\’s Esophagus with Endoscopic, Endoluminal Radiofrequency Ablation
Background: Endoscopic, endoluminal radiofrequency ablation is achieving increasing acceptance as a mode of eliminating Barrett’s metaplasia and, thus, reducing the risk of developing esophageal adenocarcinoma. It is believed that reducing the exposure of the esophageal epithelium to acid is essential to achieve long-term ablation of Barrett’s esophagus. However, it is unclear whether the use of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery