Using a Functional Lumen Imaging Probe to Assess the Effect of Variable Myotomy Length During Poem and Heller
Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine. This video demonstrates the use of a functional lumen imaging probe (FLIP) to evaluate esophagogastric junction (EGJ) distensibility in real-time during operations for achalasia. FLIP is additionally used to test the physiologic effect of variable myotomy length… Continue Reading
- Topic:
- Foregut
Use of Chemical Components Separation for Primary Wound Closure in an Open Abdomen
Natasza M Posielski, BS, Clayton C Petro, MD, Yuri W Novitsky, MD, Hooman T Soltanian, MD, Michael J Rosen, MD. University Hospitals Case Medical Center. Introduction: A 58-year-old male with gallstone pancreatitis developed abdominal compartment syndrome requiring a decompressive laparotomy at an outside hospital. Ten days later his fascial defect remained >30cm wide and he… Continue Reading
- Topic:
- Abdominal Wall Hernias
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
Transgastric endo-organ resection of proximal gastric lesion
Piyush Aggarwal, MD, Kulsoom Laeeq, MD, Angela Osmolak, MD, Tommy Lee, MD, Sumeet Mittal, MD. Creighton University Medical Center. Laparoscopic trans-gastric resection is a novel technique of removing gastric tumors that are unresectable secondary to their size and location. Tumor near esopahgogastric-junction are especially challenging for removal by endoscopy. We present a case of 41… Continue Reading
- Topic:
- Foregut
Transanal Total Mesorectal Excision for Rectal Cancer: A Training Pathway
Elisabeth C McLemore, MD, Cristina R Harnsberger, MD, Patricia Sylla, MD, Ryan C Broderick, MD, Alberto S Gallo, MD, Martin A Berducci, MD, Alisa M Coker, MD, Moneer Almadani, MD, Hans F Fuchs, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. University Of California, San Diego. The majority of surgically treated rectal cancer via a… Continue Reading
- Topic:
- Endolumenal / NOTES
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
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
Total Laparoscopic Living Donor Right Hepatectomy: World First Report
Ho-Seong Han, Jai Young Cho, Yoo-Seok Yoon, Dae Wook Hwang, Young Ki Young Ki Kim, Hong Kyung Shin, Woohyung Lee. Seoul National University Bundang Hospital, Seoul National University College of Medicine. Background Right lobe living donor liver transplantation (LDLT) is the predominant form of adult-to-adult LDLT. Accordingly, cosmetic and functional demand by young donors is… Continue Reading
- Topic:
- HPB
THE SURGEON AND THE SCOPE: TALES FROM THE EARLY DAYS Tales from the Early Days of Laparoscopy at McGill
Katherine M McKendy, MD, Yusuke Watanabe, MD, Ekaterina Lebedeva, MLIS, Liane S Feldman, MD, Gerald M Fried, MD, Melina C Vassiliou, MD, MEd. McGill University Health Centre, Jewish General Hospital. This video is a compilation of interviews with the surgeons who pioneered the implementation of laparoscopic surgery at McGill. Using semi-structured interviews, we collected the… Continue Reading
- Topic:
- Education / Simulation
The nightmare of the GI surgeon
Radu Pescarus, MD, Ahmed Sharata, MD, Eran Shlomovitz, MD, Kevin M Reavis, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. Oregon Clinic and Providence Portland Medical Center; Portland, Oregon. Perforations of the gastro-intestinal (GI) tract represent a major challenge for all surgeons. Various endoscopic tools are increasingly part of the armamentarium of the GI… Continue Reading
The Medial Approach to the Splenic Flexure
Christopher M Schlachta, MD, Syed T Ali, MD. CSTAR, London Health Sciences Centre. This video demonstrates the medial approach to the splenic flexure for when full splenic flexure mobilization is required. Demonstrated in this video will be following steps: 1. Identification of the IMV 2. Creating a window behind the IMV 3.… Continue Reading
- Topic:
- Colorectal
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
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
Sleeve Esophageal Endoscopic Mucosectomy “SEEM”
Ahmed Sharata, MD, Christy M Dunst, MD, Radu Pescarus, MD, Eran Shlomovitz, MD, Ashwin Kurian, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. Providence Portland Medical Center, The Oregon Clinic. The incidence of esophageal adenocarcinoma is increasing rapidly in the western world. The treatment of the early esophageal cancer (high grade dysplasia & intra… Continue Reading
Single Incision Laparoscopic Low Anterior Resection combined with Natural Orifice Surgery using prolapsing technique
Goutaro Katsuno, MD, PhD, Masaki Fukunaga, MD, PhD, Yoshifumi Lee, MD, PhD, Kunihiko Nagakari, MD, PhD, Masahiko Sugano, MD, PhD, Masaru Suda, MD, PhD, Yoshito Iida, MD, PhD, Seiichirou Yoshikawa, MD, PhD, Masakazu Ouchi, MD, PhD, Yoshitomo Itou, MD, PhD, Yoshinori Hirasaki, MD, PhD, Daisuke Azuma, MD, Shintaro Kohama, MD, Jun Nomoto, MD. Department of… Continue Reading
- Topic:
- Endolumenal / NOTES