Management of severe stricture after sleeve gastrectomy: conversion to bypass
Raquel Gonzalez-Heredia, MD, PhD, Mario Masrur, MD, Enrique Elli, MD, FACS. University of Illinois at Chicago. Failure of the sleeve gastrectomy is frequently due to weight recidivism, intractable reflux, strictures, fistulas and malnutrition. One of the challenging situation is presented when sleeve is asociated to stenosis resulting to intractable reflux. Robotic technology way offer technical… Continue Reading
- Topic:
- Robotics
Robotic Assisted Total Pancreatectomy and Autologous Islet Cell Transplantation: Potential Benefits of a Novel Technique
Amer H Zureikat, MD, Trang Nguyen, MD, David Bartlett, MD, Martin Wijkstrom, MD, Herbert Zeh, III, MD, Abhinav Humar, MD. University of Pittsburgh Medical Center. Reducing warm ischemic time can optimize islet cell yield in pancreatic islet cell autotransplantation following total pancreatectomy. Performing a total pancreatectomy without division of the pancreatic neck may also potentially… Continue Reading
- Topic:
- Robotics
Robotic Approach to Giant Paraesophageal Hernia Repair
Juan P Toro, MD, Hernan D Urrego, MD, Aliu O Sanni, MD, John F Sweeney, MD, S. Scott Davis Jr., MD, Edward Lin, DO, MBA, Ankit D Patel, MD. Department of Surgery, Emory University. Atlanta, GA. The repair of large paraesophageal hernias is still a demanding procedure even for experienced laparoscopic surgeons. The anatomy of… Continue Reading
- Topic:
- Robotics
Robot-assisted minimally invasive partial resection of the spleen for nonparasitic splenic cyst
Graziano Pernazza, MD, Annibale D'Annibale, MD. San Giovanni-Addolorata Hospital, Rome. BACKGROUND: Laparoscopy has become the technique of choice for the surgical treatment of non-traumatic pathologies of the spleen. Large published series demonstrated the effectiveness and benefits of the minimally invasive approach. In certain pathological conditions a partial resection seems an appropriate option not to lose… Continue Reading
- Topic:
- Robotics
Totally Robotic Biliopancreatic Diversion with Duodenal Switch
Ranjan Sudan, MD, Erica R Podolsky, MD. Duke University Medical Center. Background The biliopancreatic diversion with duodenal switch (BPD/DS) is a very effective but technically complex bariatric operation. We performed the first robotic BPD/DS in Sept 2000. Since the BPD/DS is performed in three different quadrants of the abdominal cavity and the robot has limited… Continue Reading
- Topic:
- Robotics
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 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
Spleen preserving laparoscopic resection of splenic artery aneurysm
Francesco Stipa, MD, PhD, FACS, Emanuele Soricelli, MD, Ettore Santini, MD, P Paolantoni, MD, Francis Milton Reedy, MD. Department of Surgery, Colorectal and Vascular Surgical Units. San Giovanni Addolorata Hospital - Rome. Purpose: The splenic artery is the most common visceral artery to become aneurysmal. Indications for the treatment of splenic artery aneurysms include symptomatic… Continue Reading
- Topic:
- Minimally Invasive Other
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
Superior Mesenteric Artery Syndrome Four Months Following Sleeve Gastrectomy
Allison M Barrett, MD, David J Harrison, BA, Seth I Felder, MD, Edward H Phillips, MD, FACS, Miguel A Burch, MD, FACS. Cedars Sinai Medical Center. Superior mesenteric artery syndrome is rare, but has been reported in the bariatric surgery population in case reports. We describe a patient who developed SMA syndrome following rapid weight… Continue Reading
- Topic:
- Minimally Invasive Other
Twisted and Backwards: Laparoscopic Ladd’s Procedure in a Patient with Malrotation, Situs Inversus and Preduodenal Portal Vein
Benjamin R Biteman, MD, MS, Todd Ponksy, MD, FACS, Amelia Dorsey, MD. Akron Children's Hospital. Description of failure of rotation and fixation of the intestinal tract was first described in the 1920s. In 1936, Ladd and Gross wrote the article on treatment of the condition. Situs inversus is a congenital condition in which the major… Continue Reading
- Topic:
- Minimally Invasive Other
Real-time intra-operative endoscopic fluorescence imaging for evaluation of bowel perfusion in the setting of ischemic colitis
Sam Atallah, MD, FACS, FASCRS, Francisco Quinteros, MD, Henry Schoonyoung, MD, Beatriz Martin-Perez, MD, Lawna Hunter, BA, Sergio Larach, MD. Florida Hospital. A patient with multiple co-morbidities presented with the dual diagnosis of left-sided ischemic colitis extending to the splenic flexure and a bulky neoplasm in the distal sigmoid colon. During laparoscopic sigmoid resection, the… Continue Reading
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
Totally Laparoscopic Puestow Procedure
Rosara Milstein, MS, Jennifer Schwartz, MD, Andrei Manilchuk, MD, David B Renton, MD. The Ohio State University. Since the Laparoscopic Revolution began in the early 1990s, we have continued to perform more complicated procedures using a laparoscopic approach. For several years now, advanced pancreatic procedures have been approached laparoscopically with a great deal of success.… 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