A Novel Combined Endoscopic and Surgical Approach to Retrieve a Retained Foreign Body Causing a Rectovaginal Fistula
Faris M Murad, MD, Steven R Hunt, MD. Washington University in St. Louis A 45 year old obese female with menorrhagia undergoes robotic hysterectomy. The patient has a previous history of cellulitis after a C-section. During the operation, a piece of the bowel grasper was noted to be missing. The surgeons spent 2 hours searching… Continue Reading
- Topic:
- Endolumenal / NOTES
Laparoscopic Enucleation of Pancreatic Insulinoma With Control of Intraoperative Bleeding
Bernadette U Laxa, MD, Barnard J Palmer, MD, William B Inabnet, MD. Mount Sinai School of Medicine Insulinomas are rare but vascular tumors that require surgical removal as a therapeutic measure. Laparoscopic enucleation has become the standard treatment when feasible with excellent results. We present a laparoscopic insulinoma enucleation, during which intraoperative bleeding was… Continue Reading
- Topic:
- Solid Organ and Endocrine
Esophageal Balloon-Assisted Laparoscopic Heller Myotomy for Achalasia
David L Webb, MD, Nathaniel Stoikes, MD, Ben Powell, MD, Guy R Voeller, MD. University of Tennessee Health Science Center Department of Surgery Esophageal perforation is a well-known and feared complication of laparoscopic Heller myotomy. Most series report an esophageal perforation rate ranging from 1-7% during this procedure. Our video depicts a hybrid technique… Continue Reading
- Topic:
- Foregut
Laparoscopic Lavage for Acute Perforated Diverticulitis
Javier Nieto, MD, Tara Martinez, DO, Eric M Haas, MD FACS FASCRS. Division of Elective General Surgery, Department of Surgery, The University of Texas Medical School at Houston, Houston, TX The proposed purpose of laparoscopic colonic lavage for the management of acute perforated diverticulitis in a patient presenting with generalized peritonitis is to provide… Continue Reading
- Topic:
- Colorectal
Robotic Liver Hemangioma Resection. Fluorescent Identification of Microhemangiomas With the Near-infrared Technique.
David Calatayud, MD PhD, Luca Milone, MD, Stefano D'ugo, MD, Federico Gheza, MD, Mario Masrur, MD, Paolo Raimondi, MD, Enrique F Elli, MD, Francesco M Bianco, MD, Subashini Ayloo, MD, Pier C Giulianotti, MD FACS. University of Illinois at Chicago Medical Center Indocyanine green can be used as a fluorescent agent by means the… Continue Reading
- Topic:
- HPB
Revision of Roux Y Gastric Bypass for Distal Esophageal Stenosis
Daniel Moon, MD, Saber Ghiassi, MD MPH, Keith Boone, MD FACS, Kelvin Higa, MD FACS. University of California, San Francisco, Fresno Thirty-two year-old woman underwent Roux-en-Y gastric bypass for morbid obesity followed by laparoscopic repair of leak at gastric pouch staple line and insertion of self-expanding stent. She eventually developed recurrent distal esophageal stenoses… Continue Reading
- Topic:
- Metabolic / Obesity
Minimally Invasive Repair of a Delayed Stricture and Salvage of a Reversed Gastric Tube
John J Tiedeken, MD, Lance Uradomo, MD, Fred Brody, MD MBA. The George Washington University Medical Center Ingestion of caustic agents may result in severe scarring and stricture formation of the esophagus. Unfortunately, these injuries occur in pediatric patients. A reversed gastric tube esophagoplasty is an option for definitive surgical management of severe esophageal… Continue Reading
- Topic:
- Foregut
The Use of Fluorescence in Robotic Adrenalectomy for Pheochromocytoma
Luca Milone, MD PhD, David Calatayud, MD PhD, Mario Masrur, MD, Federico Gheza, MD, Stefano D'ugo, MD, Paolo Raimondi, MD, Enrique Elli, MD, Francesco Bianco, MD, Subashini Ayloo, MD, Pier Cristoforo Giulianotti, MD FACS. Division of General, Minimally Invasive, and Robotic Surgery, University of Illinois at Chicago Robotic surgery applications are expanding exponentially; adrenalectomy… Continue Reading
- Topic:
- Robotics
Laparoscopic Assisted Robotic Esophagectomy
Sheetal Nijhawan, MD, Alisa M Coker, MD, Michael Bouvet, MD, Nikolai Bildzukewicz, MD, Marcos Michelotti, MD, Takayuki Dotai, MD, Geylor Acosta, MD, Luciano Antozzi, MD, Juan S Barajas-gamboa, MD, Bryan Sandler, MD, Garth R Jacobsen, MD, Mark A Talamini, MD, Santiago Horgan, MD. Center for the Future of Surgery, Department of Surgery, University of California… Continue Reading
- Topic:
- Robotics
Minimally-invasive Separation of Components Without Laparoscopy
Jonathan Carter, MD, Ankit Sarin, MD, Matthew Lin, MD, George Allman, MD. University of California - San Francisco Separation of components may improve results of incisional hernia repair. Recently, laparoscopic techniques to perform separation of components have been described that preserve perforator vessels to the skin flap, but are time-consuming and costly. We present an… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Band and Gastric Imbrication (ilap)
Armando Ramirez, MD, Guy Voeller, MD, George Woodman, MD. University of Tennessee Health Science Center, Memphis The Lap Band is an effective weight loss procedure. Coupled with an imbrication of the fundus and body of the stomach, weight loss results may be enhanced. This is accomplished by reducing gastric capacity and promoting early satiety.… Continue Reading
- Topic:
- Metabolic / Obesity
Single Incision Laparoscopic Anterior Resection for Rectal Cancer
Dan Geisler, MD Associate Staff. West Penn Allegheny Health System The recovery benefits to patients undergoing a minimally invasive approach to colorectal disorders has been well established. The oncologic results of a traditional laparoscopic resection for colorectal cancer are at least equivalent to that of an open procedure when performed by a well-trained surgeon.… Continue Reading
- Topic:
- Colorectal
Laparo-endoscopic Single Site (less) Distal Pancreatectomy and Splenectomy
Sharona B Ross, MD, Franka Co, BS, Harold Paul, BS, Kenneth Luberice, BS, Edward Choung, MD, Alexander S Rosemurgy, MD. University of South Florida & Tampa General Medical Group This video is of a Laparo-Endoscopic Single Site (LESS) distal pancreatectomy and splenectomy undertaken on a 62 year old gentlemen diagnosed with pancreatic adenocarcinoma Laparo-Endoscopic… Continue Reading
- Topic:
- HPB
Laparoscopic Single Incision Anterior Resection
C Palanivelu, P Senthilnathan, P Praveen Raj, R Parthasarthi, S Rajapandian, Jai Ganesh. GEM Hospital & Research Centre Background: Single incision laparoscopy is rapidly gaining acceptance as evidenced by increasing body of reported literature. Single incision anterior resection is indicated mainly in various benign and malignant diseases sigmoid colon and rectum. Recent reports are… Continue Reading
- Topic:
- Colorectal
Notes Total Colectomy in a Human Cadaver
Kyung Su Han, MD, Dae Kyung Sohn, MD PhD, David W Rattner, MD, Patricia Sylla, MD. Massachusetts General Hospital We describe NOTES total colectomy with transanal and transgastric assistance in a male cadaver. The distal rectum was occluded by placing a pursestring suture approximately 2 cm above the dentate line, above the sphincter complex.… Continue Reading
- Topic:
- Endolumenal / NOTES