Laparoscopic total gastrectomy for adenocarcinoma in a Western country community hospital: safety, oncological issues and mid-term survival
Giuseppe Portale, MD, Valentino Fiscon, MD, Antonio Mazzeo, MD, Giovanni Migliorini, MD, Flavio Frigo, MD. Department of General Surgery. Laparoscopic total gastrectomy (LTG) for adenocarcinoma is a widely diffused operation in Eastern Countries but there are only few reports from Western centers (mostly focused on partial/distal gastrectomy). The aim of this study was to assess… Continue Reading
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
The selective use of laparoscopy-first approach for high-risk patients suffering perforated peptic ulcer is safe.
Anth Y Teoh, MD, Enders K Ng, MD, Philip W Chiu, MD, Simon K Wong, MD. Prince of Wales Hospita, Chinese University of Hong Kong. Background: Since the conclusion of a randomized trial, the laparoscopy-first approach (LFA) was adopted as a routine in our institution for managing patients suffering from PPU. The aim of the… Continue Reading
Novel Combined Vats/laparoscopic Approach for Giant and Complicated Paraesophageal Hernia Repair: Description of Technique and Early Results
Daniela Molena, MD, Benedetto Mungo, MD, Miloslawa Stem, MS, Anne O Lidor, MD, MPH. Johns Hopkins Medicine. Objective of the study/technique: The laparoscopic approach for repair of giant and/or recurrent paraesophageal hernias (PEH) is challenging, due to limited access to the dissection of the hernia sac into the proximal mediastinum and to esophageal mobilization through the… Continue Reading
- Topic:
- Foregut
Twenty-year Trend in the Utilization of Heller Myotomy for Achalasia in the United States
Jennifer Preston, MD, James Dolan, MD, John Hunter, MD, Brian Diggs, PhD. Oregon Health & Science University. Background: The objective of this study was to determine the U.S. national trend in the utilization of Heller myotomy (HM) for achalasia over a twenty year period. Methods: Using the Nationwide Inpatient Sample (NIS) of between 6… Continue Reading
200 “Solo” Laparoscopic Fundoplications with AESOP Robotic Arm
Sergio Rojas-Ortega, MD, Emina Pasic, MD, Rachid Cesin, MD, Luis Miguel Campos, PE, Cris Gomez. Hospital Angeles / Puebla. INTRODUCTION: From 2003 to 2013 we had performed 200 laparoscopic fundoplications with the AESOP ROBOTIC ARM as the treatment for gastro esophageal reflux disease. We found that the surgery could be performed safely with only… Continue Reading
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
The Effect of Differential Proximal Myotomy Length On Esophagogastric Junction Distensibility During Heller Myotomy and Poem
Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Lubomyr Boris, BS, Frederic Nicodeme, MD, Peter J Kahrilas, MD, John E Pandolfino, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine. INTRODUCTION: For laparoscopic Heller myotomy (LHM), it has been shown that a myotomy extending 3cm distal to the esophagogastric junction (EGJ) results in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Predicting Operative Techniques and Outcomes in Laparoscopic Paraesophageal Hernia Repair (PEHR) by Computed Tomography (CT) Measurements
Samuel W Ross, MD, MPH, Blair A Wormer, MD, Bindhu Oommen, MD, MPH, Mimi Kim, MD, John D Watkins, Amanda L Walters, MS, Vedra A Augenstein, MD, Brant T Heniford, MD. Carolinas Medical Center, Dept. of Surgery, Division of Gastrointestinal and Minimally Invasive Surgery. INTRODUCTION: Large PEHR can be challenging to plan pre-operatively given the… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Iatrogenic gastrobronchial fistula following a thoracic spine neurosurgical procedure: report of a case.
Jeffrey J Skubic, DO, Nathaniel Eastman, MD, Jacob Wiesen, MD, Sarah Ogle, DO, Frank Sacco, MD. Banner Good Samaritan Regional Medical Center, Phoenix, AZ; Alaska native medical center, Anchorage, AK. Gastrobronchial fistula(GBF) is a known rare complication. Most recent reports are associated with bariatric surgery as these procedures typically involve working with the stomach and… Continue Reading
The Effect of Laparoscopic Paraesophageal Hernia Repair On Pulmonary Function Test
S Alnassar, J Kondra, J Clifion, R J Finley, S Kaaki. College of Medicine , King Saud University Riyadh , Saudi Arabia .Division of Thoracic Surgery, University of British Columbia, Vancouver, BC. Objective: A retrospective cohort study was conducted to examine the impact of laparoscopic paraesophageal hernia repair on the pulmonary function test (PFT). Methods:… Continue Reading
Laparoscopic Heller Myotomy: Lessons Learned. The Baylor Experience 1997 – 2012
Anuj Mahajan, MD, Matthew Westmoreland, MD, David Arnold, MD, David Vanderpool, MD. Baylor University Medical Center, Division Minimally Invasive Surgery. Background: Laparoscopic Heller myotomy has become the surgical procedure of choice for the treatment of esophageal achalasia. A certain percentage of patients will develop recurrent symptoms and require further surgical treatment. The purpose of this… Continue Reading
Our Simple and Practical Procedure in Anti-reflux Surgery for Gerd Patients
Tatsushi Suwa, MD, Satoshi Inose, MD, Kazuhiro Karikomi, MD, Eishi Totsuka, MD, Naokazu Nakamura, MD, Keigo Okada, MD, Tomonori Matsumura, MD, Kenta Kitamura, MD. Dept. Surgery, Kashiwa Kousei General Hospital. INTRODUCTION Laparoscopic techniques in anti-reflux surgery for GERD patients are still considered complicated by many surgeons. We have simplified it and established a simple and… Continue Reading
Our Standard Procedure in Laparoscopic Total Gastrectomy (D1+) for Gastric Cancer Patients with Coaxial Scope Setting
Tatsushi Suwa, MD, Satoshi Inose, MD, Kenta Kitamura, MD, Kazuhiro Karikomi, MD, Eishi Totsuka, MD, Naokazu Nakamura, md, Keigo Okada, MD, Tomonori Matsumura, MD. Dept. Surgery, Kashiwa Kousei General Hospital. INTRODUCTION Laparoscopic total gastrectomy (LTG) with dissection of the regional lymph nodes has some technical difficulties in dissecting lymph nodes at the supra-pancreatic area. To… Continue Reading
Our Standard Procedure in Laparoscopic Distal Gastrectomy (D2) for Gastric Cancer Patients
Tatsushi Suwa, MD, Satoshi Inose, MD, Kenta Kitamura, MD, Kazuhiro Karikomi, MD, Eishi Totsuka, MD, Naokazu Nakamura, MD, Keigo Okada, MD, Tomonori Matsumura, MD. Dept. Surgery, Kashiwa Kousei General Hospital. INTRODUCTION Laparoscopic distal gastrectomy (LDG) with dissection of the regional lymph nodes has become a common procedure among endoscopic surgeons. But it has still some… Continue Reading