Aneurysm of the Splenic Artery: Laparoscopic Approach
Federico Moser, MD, Pablo Maldonado, MD, Veronica Gorodner, P Saleg, MD, Lucio Obeide, MD. Hospital Privado de Cordoba. Aneurysms of the splenic artery are being diagnosed with greater frequency as incidental findings on cross-sectional imaging. The prevalence has been reported between 0.2 to 10.4%. This was a 55 yo woman, who was being evaluated for… Continue Reading
- Topic:
- Minimally Invasive Other
Complex Laparoscopic Repair of Giant Type IV Hiatal Hernia after Esophagectomy
Fredrick Che, MD, Nojan Toomari, DO, Ninh Nguyen, MD. University of California Irvine Medical Center. 69 year old male with a history of esophageal adenocarcinoma status post laparoscopic and thoracoscopic Ivor Lewis esophagectomy, presented with abdominal pain and symptoms of bowel obstruction. Images performed showed a giant type 4 hiatal hernia with transverse and descending… Continue Reading
- Topic:
- Abdominal Wall Hernias
Endoscopic Per-Oral Pyloromyotomy (POP)
Eran Shlomovitz, MD, Christy M Dunst, MD, Radu Pescarus, MD, Ahmed Sharata, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. Providence Portland Medical Center, The Oregon Clinic. This video demonstrates a novel technique of Endoscopic Per-Oral Pyloromyotomy (POP) for the treatment of gastroparesis. In this procedure the endoscopic submucosal myotomy technique is applied to… Continue Reading
Endoscopic Rescue of Dislodged Trans-Abdominal Decompressive Esophagostomy Tube
Ryan M Juza, MD, Tung T Tran, MD, Eric M Pauli, MD. Penn State Milton S. Hershey Medical Center. Transabdominal tube drainage is a well described surgical technique for drainage of a blind-ending luminal structure particularly in the emergent setting. A potentially serious complication of transabdominal drainage includes dislodgement of the tube leading to free perforation and… Continue Reading
- Topic:
- Endolumenal / NOTES
Foramen of Winslow Hernia: A Minimally Invasive Approach
Cristina R Harnsberger, MD, Elisabeth C McLemore, MD, Ryan C Broderick, MD, Peter Yu, MD, Martin A Berducci, MD, Catherine Beck, MD, Hans F Fuchs, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. University Of California, San Diego. Hernias through the Foramen of Winslow have traditionally been managed via an open surgical approach. The case… Continue Reading
- Topic:
- Abdominal Wall Hernias
Hybrid Laparoscopic-Robotic Management of Type IVa Choledochal Cyst in the setting of prior Roux-en-Y Gastric Bypass
Julietta Chang, MD, R. Matthew Walsh, MD, Kevin El-Hayek. Cleveland Clinic Foundation. Choledochal cysts are rare congenital lesions of the biliary system. The recommended treatment is surgical excision with biliary enteric reconstruction. In patients with normal anatomy, Roux-en-Y hepaticojejunostomy is preferred. However, different options in biliary reconstruction must be entertained in those with altered anatomy.… Continue Reading
- Topic:
- Robotics
Laparoscopic Major Venous Resection During Pancreaticoduodenectomy
Nicholas V Gaudet, MD, Michael L Kendrick, MD. Mayo Clinic College of Medicine. Locally advanced pancreatic body adenocarcinoma is a challenging operative problem given the propensity of the lesion to involve the major vascular structures. This video demonstrates the laparoscopic approach to a major vascular resection during pancreaticoduodenectomy, including resection and reconstruction of the superior… Continue Reading
- Topic:
- HPB
Laparoscopic Management of Hiatal Hernias in Difficult Cases
Oscar M Crespin, M, D, Brant K Oelschlager, M, D, Carlos A Pellegrini, M, D. University of Washington Medical Center. Introduction: Hiatal hernia is a common disorder, characterized by a protrusion of any abdominal structure other than the esophagus into the thoracic cavity through a widening of the hiatus of the diaphragm. Reduction of the… Continue Reading
- Topic:
- Foregut
Laparoscopic Median Arcuate Ligament Release
Tatiana Hoyos, MD, John Stauffer, MD, Albert Hakaim, MD, Horacio Asbun, MD. Mayo Clinic, Florida. Median arcuate ligament syndrome is a rare condition in which the median arcuate ligament fibers from the diaphragm compress the celiac artery (CA). This is thought to be due to a low diaphragmatic insertion, a high celiac artery origin from… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic Nissen Fundoplication after Transoral Incisionless Fundoplication (TIF)
Oscar M Crespin, M, D, Brant K Oelschlager, M, D, Carlos A Pellegrini, M, D. University of Washington Medical Center. Introduction: Transoral incisionless fundoplication deploys polypropylene fasteners to coapt gastric fundus to lower esophagus, radially, creating a partial esophagogastric fundoplication. The Long-term outcomes of TIF are unknown, which makes patient decision and counseling difficult.The difficulty… Continue Reading
- Topic:
- Foregut
Laparoscopic Paraesophageal Hernia Repair with Collis Gastroplasty and Diaphragmatic Relaxing Incision
Geoffrey Chow, MD, Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine. This video shows a laparoscopic repair of a type III paraesophageal hernia. Despite full mobilization, a short esophagus was present and a stapled Collis-type wedge fundectomy was performed as an esophageal lengthening procedure. Additionally,… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Paraesophageal Hernia with Falciform Ligament Buttress
Raymond Laird, DO, Fred Brody, MD, MBA, FACS. The George Washington University Medical Center. Introduction: Multiple techniques have been used to decrease recurrence rates following a paraesophageal hernia repair including buttressing the crura with synthetic and biological mesh. However, synthetic mesh is associated with erosions and dysphagia while biologic buttresses are expensive and have not… Continue Reading
- Topic:
- Foregut
Laparoscopic Radical Cholecystectomy for Early Carcinoma Gall Bladder
C Palanivelu, MS, MCh, FRCS, P Senthilnathan, MS, FACS, R Parthasarathi, MS, P Praveen Raj, MS, R Sathiyamurthy, MS, V P Nallankilli, MS. GEM Hospital & Research Centre. Background Carcinoma Gall bladder is a common problem especially in the Gangetic plane of India.Generally patients present late for the surgery. But, when it is diagnosed at… Continue Reading
- Topic:
- HPB
Laparoscopic resection of a NET of the CBD with hepaticoduodenostomy
Steven S Rothenberg, MD, FACS, FAAP, Ted Stathos, FAAP. The Rocky Mountain Hospital for Children. Intro: This video demonstrates the laparoscopcic resection of a neuroendocrine tumor of the common bile duct (CBD) with a hepaticoduodenostomy Methods: A 15 year old female presented with evidence of acute cholangitis and evidence of biliary obstruction. Total bilirubin was… Continue Reading
- Topic:
- HPB
Laparoscopic Total Gastrectomy with D2 Lymphadenectomy in an Obese Patient with Intracorporeal Anastomosis
Leonardo Ferraz, MD, Thiago Boechat, MD, Marcio Balieiro, MD, Baltazar Fernandes, MD, Jose Ribamar S Azevedo, MD, PhD, FACS. Bonsucesso Federal Hospital / Rio de Janeiro - Brazil. The aim of this video is to demonstrate the technique of Total Gastrectomy with D2 Lymphadenectomy with intracorporeal anastomosis in an obese patient . A 54-year-old woman… Continue Reading
- Topic:
- Foregut