Laparoscopic Splenectomy for Splenic Artery Aneurysm in a Pregnant Patient
Amit Kaul, MD, Ulises Garza, MD, Angela Echeverria, MD, Felipe Maegawa, MD, Carlos Galvani, MD. Section of Minimally Invasive and Robotic Surgery, Department of Surgery, University of Arizona IntroductionSplenic artery aneurysms (SAA) are a rare entity, and commonly diagnosed incidentally. They are the third most common site of intra-abdominal aneurysms. Its association with pregnancy… Continue Reading
- Topic:
- Solid Organ and Endocrine
Thoracoscopic Resection of Giant Mediastinal Parathyroid Tumor
Shalini Reddy, MD, Steven D Schwaitzberg, MD. Cambridge Health Alliance, Harvard Medical School Giant mediastinal parathyroid lesions (< 4cm) though rare, have been reported in the literature. The approach to these large lesions has primarily been via a throracotomy. This video demonstrates the thoracoscopic resection of one of the largest parathyroid lesions reported in… Continue Reading
- Topic:
- Solid Organ and Endocrine
The Feasibility of a Two-incision Approach for Video-Assisted Thoracoscopic Lobectomy
Hyun Koo Kim, Ho Kyung Sung, Hyun Joo Lee, Jiae Min, Young Ho Choi. College of Medicine, Korea University Guro Hospital ABSTRACT Purpose: We performed video-assisted thoracoscopic (VATS) lobectomy with two incisions for treatment of benign lung disease or primary lung cancer and evaluated the feasibility of this procedure. Methods: Fifty-two patients (male 35,… Continue Reading
- Topic:
- Solid Organ and Endocrine
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
Robotic Assisted Single Incision Transgastric Resection of a 5 Centimeter Gastric Mass in Patient Status Post Coronary Artery Bypass Graft With Gastroepeploic Artery
Luca Giordano, MD FACS. Aria Health, Philadelphia,PA, USA Laparoscopic transgastric excisions of gastric lesions, not amenable to endoscopic removal, have been reported. The pathology examination of those lesions usually dictate further treatment when necessary.We report a case of a 78 years old male with past medical history significant for severe aortic stenosis, atrial fibrillation… Continue Reading
- Topic:
- Robotics
Robotic Assisted Ultralow Anterior Resection With Colonic J Pouch-Anal Anastomosisis
Celeste Kang, MD, Alessio Pigazzi, MD. Department of Surgery, University of California, Irvine School of Medicine A 72 year old male is newly diagnosed with low rectal adenocarcinoma. Following neoadjuvant chemoradiation therapy, a hybrid laparoscopic-robotic ultralow anterior resection with colonic J pouch-anal anastomosis performed in the lithotomy position. After the splenic flexure mobilization and… Continue Reading
- Topic:
- Robotics
Single Quadrant Robotically Assisted Roux-en-Y Gastric Bypass: Description of a Surgical Technique
Brad E Snyder, MD, Erik B Wilson, MD, Todd Wilson, Nicholas M Brown, MD, Nathan Miller, MD. University of Texas Health Science Center at Houston Surgery utilizing a robot has been successfully performed for Roux-en-Y gastric bypass (RYGB). Studies have shown the proven efficacy, reported lower complication rates, and technical benefits of robotic surgery.… 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
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
Resident Education in Robotic Surgery: Bridging the Gap With the Da Vinci SI Surgical System in a Robotic Proctectomy
Brian Bello, Konstantin Umanskiy, Alessandro Fichera, Stephen Small. Univeresity of Chicago Since the introduction of the da Vinci Surgical System, resident education in robotic surgery has been a challenge. The new da Vinci Si Surgical System has new enhancements that can potentially bridge the gap in surgical education. We present a case of a… Continue Reading
- Topic:
- Robotics
Laparoscopic Hyperthermic Intra-peritoneal Chemotherapy (hipec) for Peritoneal Carcinomatosis
Spiros P Hiotis, MD PHD, Anna G Rosenblatt, BA, Daniel M Labow, MD. Mount Sinai School of Medicine Patients with peritoneal carcinomatosis are sometimes eligible for treatment with surgical cytoreductive therapy and hyperthermic intra-peritoneal chemotherapy (HIPEC). These procedures are often planned in patients with metastatic appendiceal carcinoma, but patients with other primary cancers are occasionally candidates… Continue Reading
- Topic:
- Minimally Invasive Other
Endoscopic-guided Transgastric Laparoscopic Retrieval of a Duodenal Stent
Maureen M Tedesco, MD, Tonya Kaltenbach, MD MS, Roy Soetikno, MD, Dan Eisenberg, MD MS. Stanford University Medical Center and Palo Alto VA HCS Introduction: Endoscopic placement of expandable Nitinol stents have been used in the upper and lower gastrointestinal tract to palliate areas of malignant stricture or obstruction. They are designed to allow… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic Median Arcuate Ligament Release
Richard M Peterson, MD MPH, Stephen J Fenton, MD. University of Texas Health Science Center San Antonio; Wilford Hall Medical Center Median Arcuate Ligament Syndrome (also known as Celiac Artery Compression Syndrome) was first described in 1963. There are very few series in the literature with most published work as case reports. The success… Continue Reading
- Topic:
- Minimally Invasive Other
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
Laparoscopic Conversion of Gastric Band to Laparoscopic Gastric Bypass Due to Failure of Weight Loss and Worsening Gastroesophageal Reflux
Guillermo Higa, MD, Abraham Abdemur, MD, Samuel Szomstein, MD, Raul Rosenthal, MD. Cleveland Clinic Florida Introduction:One of the most difficult and challenging problems in bariatric surgery is working with a patient who has failed to achieve control of comorbidities or weight through a primary bariatric procedure. There are a number of patients who experience… Continue Reading
- Topic:
- Metabolic / Obesity