Laparoscopic Whipple Procedure with a 2-Layered Pancreatojejunostomy
ANDREW A GUMBS, MD, BRICE GAYET, MD PhD, John P Hoffman, MD. FOX CHASE CANCER CENTER INTRODUCTIONSince the first report of laparoscopic pancreatic resections in the early 1990's, laparoscopic resection of tumors in the pancreas have become increasingly more common in the surgical treatment of both benign and malignant tumors1. The minimally invasive approach to… Continue Reading
- Topic:
- HPB
Gastric Bypass in a Patient with Unsuspected Malrotation of the Colon
Rahima Nenshi, MD MSc, John Hagen, MD. Humber River Regional Hospital, University of Toronto Congenital rotational GI tract abnormalities result from non-rotation or incomplete rotation around the superior mesenteric artery. The incidence is approximately 1 in 500 live births and up to 25% of patients will present in adulthood. If a patient with an unknown… Continue Reading
- Topic:
- Metabolic / Obesity
Case Report of Revisional Bariatric Surgery: Sleeve Gasrectomy to Gastric Bypass
Adrian Marius Nedelcu, Jean Michel Fabre, Professor, David Nocca, Professor. CHU Montpellier We present a case of revisional bariatric surgery. It is a conversion of sleeve gastrectomy into a gastric bypass. The patient is a 53 y.o. male with a BMI of 59. As past medical history we mention an episode of pulmonary embolism after… Continue Reading
- Topic:
- Metabolic / Obesity
Drainoscopy
Sam Atallah, MD, Teresa DeBeche-Adams, MD, Matthew Albert, MD, Sergio Larach, MD. Florida Hospital To determine the feasibility of using a standard post-operative drain as an access point for the new technique of drainoscopy. Methods and Procedures: Drainoscopy is demonstrated in the operating room on a patient who has undergone a laparoscopic, hand-assisted APR. A… Continue Reading
A Complication of Biologic Mesh Following Nissen Fundoplication
Edward L Felix, MD, Daniel E Swartz, MD. Advanced Bariatric Centers of California The role of synthetic or biologic mesh to reinforce or close the hiatus during Nissen fundoplication has become controversial. A randomized study has shown it to be beneficial for para-esophageal hernia repair, but at what risk. Some have suggested that the potential… Continue Reading
- Topic:
- Foregut
Laparoscopic Excision of Infected Urachal Remnant in a Patient Presented with Recurrent Abdominal Wall Abscesses
Saad A Shebrain, MD, Mohamed H Elgamal, MD, Elizabeth Steensma, MD, Valerie M Gironda, MD MPH, Brandon Minnick, MD. Kalamazoo Center for Medical Studies/Michigan State University Introduction: Surgical excision is the curative treatment for urachal remnant complicated by recurrent infections. We report a video case of performing a laparoscopic excision of urachal cyst/sinus tract in… Continue Reading
Laparoscopic Sleeve Gastrectomy After Failed Vertical Banded Gastroplasty
Michael J Lee, MD, Daniel J Scott, MD FACS. UT Southwestern Medical Center INTRODUCTION: This video describes a laparoscopic approach to sleeve gastrectomy as a revisional procedure for failed vertical banded gastroplasty. METHOD: The patient was a 52 year old woman with a prior vertical banded gastroplasty and a BMI of 57. Her history is… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of a Penetrating Colonic Injury
Stan T Smith, MD, Cyrus A Kotwall, MD, Thomas V Clancy, MD, William W Hope, MD. New Hanover Regional Medical Center The role of laparoscopy for trauma, both diagnostic and therapeutic, continues to evolve. The safety and efficacy of laparoscopy in select trauma patients has been well described but its use has often been relegated… Continue Reading
- Topic:
- Colorectal
Laparoscopic Resection of a Perforated Duodenal Diverticulum
Abdelrahman A Nimeri, MD FACS, Mohammed B Al Haddad, MD. SKMC/Cleveland Clinic Abu Dhabi. Surgery Institute, Division of General, Thoracic, and Vascular Surgery Introduction:Duodenal diverticula (DD) are fairly common anatomical entities present in 22 – 23 % of autopsy series. Diverticula of the duodenum & small intestine rarely cause clinical problems. Symptomatic DD present with… Continue Reading
- Topic:
- Foregut
Laparoscopic Esophago-Gastrostomy for End-Stage Achalasia
Peter G Devitt, Dr, Sarah K Thompson, Dr, Glyn G Jamieson, Dr. University of Adelaide The standard of care for achalasia of the cardia is laparoscopic cardiomyotomy. This procedure achieves satisfactory and long-standing results in over 85% of patients. For those who have a less-than-satisfactory result from cardiomyotomy or who present with more advanced disease,… Continue Reading
- Topic:
- Foregut
Laparoscopic Experience with Vernix Caseosa Peritonitis
Jonathan G Bailey, MD, Dennis Klassen, MD. Dalhousie University Vernix Caseosa Peritonitis (VCP) is a rare condition presenting within several weeks of caesarean section with the triad of peritonitis, fever and leukocytosis. Due to its non-specific symptoms and unremarkable laboratory and radiological investigations VCP is generally diagnosed intraoperatively. A cheesy white exudate coating the serosa… Continue Reading
Novel Technique for Reduced Incision Laparoscopic Nissen Fundoplication Using a Single Incision Multiport Access Device with Flexible Instrumentation
John G Linn, MD, Kyle A Perry, MD, W. Scott Melvin, MD. The Ohio State University Medical Center INTRODUCTION: Reduced incision surgery has generated significant interest in recent years. Few reports of reduced incision gastroesophageal fundoplication have been described. We report our initial case of a novel technique for reduced incision laparoscopic fundoplication using a… Continue Reading
- Topic:
- Foregut
Minimally Invasive Inguinal Lymphadenectomy for Nodal Micrometastatic Melanoma
Joseph J Skitzki, MD, Sydney Lillard, MD, John M Kane III, MD. Roswell Park Cancer Institute Objective: The potentially curative treatment for nodal metastatic melanoma is lymphadenectomy. In the sentinel lymph node (SLN) biopsy era, a superficial (inguinal) lymph node dissection is usually sufficient to address the microscopic nodal metastatic disease. As the majority of… Continue Reading
Single Incision Laparoscopic Distal Pancreatectomy with Or Without Splenic Preservation
Takeyuki Misawa, MD PhD, Takeshi Gocho, MD, Nobuhiro Tsutsui, MD, Ryusuke Ito, MD, Hiroaki Shiba, MD PhD, Shoichi Hirohara, MD, Shigeki Wakiyama, MD, Yuichi Ishida, MD PhD, Katsuhiko Yanaga, MD. Department of Surgery, The Jikei University School of Medicine, Tokyo, Japan Background: Recent interest in better cosmetic outcomes has led to single- incision laparoscopic surgery… Continue Reading
- Topic:
- HPB
Laparoscopic Enucleation of the Insulinoma of the Pancreas
Takeshi Naitoh, MD FACS, T Morikawa, MD, M Kakyo, MD, M Kinouchi, MD, T Ando, MD, F Motoi, MD, S Egawa, MD, M Unno, MD. Department of Surgery, Tohoku University Hospital Neuroendocrine tumor (NET) of the pancreas is considered as relatively low malignant tumor. It is often treated with laparoscopic surgery. Most popular procedure for… Continue Reading
- Topic:
- HPB