The Laparoscopic Approach to Small Bowel Obstruction
Edward L Felix, MD. Clovis Community Medical Center. In the past the accurate diagnosis and treatment of small bowel obstruction relied on an open exploration of the abdomen. With the advent of minimally invasive techniques, the accuracy of of determining the underlying etiology of the obstruction has been increased while decreasing the morbidity of the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Conversion: VBG to Gastric Bypass
Edward L Felix, MD. Marian Hospital, Santa Maria California. Vertical banded gastroplasties were common 20 to 30 years ago, but are rarely performed today because of high failure rates and complications. Complications include band erosion, stenosis or obstruction, reflux, and gastro-gastric fistulas or break down of the partitioning staple line as well as weight regain.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Vertical Sleeve Gastrectomy (LVSG) in a patient with Dilated Cardiomyopathy with a Left Ventricular Assist Device (LVAD)
Pornthep Prathanvanich, DO, Bipan Chand, DO. Loyola University Chicago Stritch School of Medicine. Background: A ventricular assist device (VAD) provides cardiac output in patients with severe cardiac dysfunction. This surgically implanted pump delivers blood from the left ventricle to the aorta and may also provide a bridge to cardiac transplantation. We report a case of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Removal of Hiatal Mesh
Grant O Lee, MD, Hui Sen Chong, MD. Department of Surgery, University of Iowa Hospitals and Clinics. Background: Hiatal hernia repairs are known to have a high recurrence rate, with opinions divided between the use of mesh and type of mesh for crural reinforcement during a repair. Recent data suggest that mesh reinforcement is associated… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Bochdalek Hernia Repair
David A Santos, MD, Nina N Bowman, DO, Clifford C Eke, MD, FACS. Kaiser Permanente Southern California Fontana/Ontario Medical Center. Background: Bochdalek hernias are rare entities in adults and usually present as bowel obstruction. Asymptomatic hernias, as diagnosed on computed tomography, have an incidence of 0.17% in the general population. The optimal repair of a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Management of Perforated Gastric Ulcers after Gastric Bypass with a combined Laparoscopic-Endoscopic Technique
Benjamin Clapp, MD. Providence Memorial Hospital. This video demonstrates the combined laparoscopic and endoscopic management of perforated ulcers after gastric bypass. The first segment shows a perforated ulcer at the gastrojejunostomy and the laparoscopic management with an omental patch. The second segment shows the management of an antecolic antegastric bypass with a perforated prepyloric ulcer.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Outcomes and Quality
Laparoscopic Adrenalectomy for Large Adrenal Tumors: Is the “vein First” Approach Really Worthwhile?
Giancarlo Basili, MD, Nicola Romano, MD, Federico Filidei, MD, Graziano Biondi, MD. Health Unit 5 Pisa, Pontedera General Hospital, General Surgery Unit. The role of minimally invasive surgery for large adrenal tumours remains a highly controversial problem. Risks of inadequate margin resection and tumour spillage with the related possibilities of locoregional and port-site recurrence are… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Intussusception following laparoscopic Roux-en Y Gastric Bypass
Lucas Beffa, MD, Mark Perna, MD, Roger A de la Torre, MD. University of Missouri - Columbia. This is a case of a 41 year old 28 week pregnant female who had previously undergone a laparoscopic gastric bypass procedure 7 years prior. She presented to an outside facility with acute onset of abdominal pain and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic resection of Brunner’s gland adenoma of the duodenum
Agustin Duro, MD, Axel F Beskow, MD, Fernando G Wright, MD, Alfredo Amenabar, MD, Juan R Medici, MD, Demetrio Cavadas, MD. Hospital Italiano de Buenos Aires. Brunner's gland adenomas are rare benign tumors of the duodenum that are traditionally managed endoscopically or surgically. A 38-year-old male who presented with vague epigastric pain and upper gastrointestinal… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Total Laparoscopic Choledochal Cyst Excision with Roux-En-Y Hepaticojejunostomy. Safe and Feasible Techniques and Tips in Pediatric Age group.
Sendhil Kumar, PhD, Latif Bagwan, Dr, Piyush Patwa, Dr, Deepu Thyagraj, Dr. Gateway Clinics. Coimabtore. India. Choledochal cyst excision and biliary enteric reconstruction constitute the best therapy for choledochal cyst. With increased familiarity with the laparoscopic anatomy of the biliary tract and advances in minimally invasive techniques, surgeons have ventured further to operate on technically… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Transumbilical Single-access Laparoscopic Left Adrenalectomy for Giant Symptomatic Pheocromocytoma
Giovanni Dapri, MD, PhD, FACS, Viola Zulian, MD, Maria Bortes, MD, Perrine Mathonet, MD, Guy-Bernard Cadiere, MD. European School of Laparoscopic Surgery, Brussels, Belgium. Background: Single-access laparoscopy (SAL) has been reported for adrenal gland surgery. This technique can also be applied for patients presenting giant and symptomatic diseases such as pheochromocytoma. Video: A 17-year-old woman… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Solid Organ and Endocrine
Single Incision Transumbilical Laparoscopic Bilateral Inguinal Hernia Repair (TEP)
Giovanni Dapri, MD, PhD, FACS, Leonardo Gerard, MD, Viola Zulian, MD, Maria Bortes, MD, Jean Bruyns, MD, Guy-Bernard Cadiere, MD, PhD. European School of Laparoscopic Surgery, Brussels, Belgium. Background: Laparoscopic repair of inguinal hernia by totally extra-peritoneal mesh placement (TEP) has been popularized. Recently, with the advent of single-incision transumbilical laparoscopy, this procedure has to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Reduced Port Laparoscopic Roux-en-y Gastric Bypass with Manual Gastrojejunostomy
Giovanni Dapri, MD, PhD, FACS. European School of Laparoscopic Surgery, Brussels, Belgium. Background: The philosophy to reduce the invasiveness of minimal access surgery invested the last years of general laparoscopy. Single incision laparoscopic surgery (SILS) has been reported to be feasible and safe. Reduced port laparoscopic surgery (RPLS) consists in performing conventional multiport laparoscopic procedures… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Recurrent intussusception- laparoscopic conversion of loop gastrojejunostomy with side to side enterostomy to Roux Y configuration
Daniel L Moon, MD. Kaiser Permanente Los Angeles Medical Center. Intussusception is an uncommon but recognized complication of Roux en Y gastrojejunostomy. One of the theories for it is disruption of the migrating motor complex. This patient is peculiar in that she had persistent episodes of retrograde intussusceptions over the course of a year in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Outcomes and Quality
Laparoscopic radical lymphadenectomy with complete mesocolic excision for advanced ascending colon cancer near the hepatic flexure
Dai Uematsu, Gaku Akiyama, Kouji Yamamoto, Akiko Magishi, Takehiko Sugihara. Saku Central Hospital. Background: Complete mesocolic excision has translated into lower local recurrence rates and better overall survival in colon cancer patients. For cancer of the hepatic flexure of the colon, roughly 5% of lymph nodes over the head of the pancreas are positive. We… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal