Cervicothoracic esophageal leiomyoma at the thoracic inlet: dual cavity minimally invasive resection
Andrew Tang, Eric Lamarre, MD, Siva Raja, MD. Cleveland Clinic FoundationEsophageal leiomyomas are the most common benign esophageal lesions. Based on our institutional experience, these most often occur in the distal esophagus and cause dysphagia. We present a case of an esophageal leiomyoma occuring at the thoracic inlet requiring a combined approach with ENT and… Continue Reading
Laparoscopic Sleeve Gastrectomy in a Patient with Complete Situs Inversus
Luis F Zorrilla-Nunez, MD, Raul J Rosenthal, MD, Federico Serrot, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaSitus inversus is a rare condition with an estimate incidence of 1 in 10000 people. This video demonstrates the feasibility of performing a longitudinal sleeve gastrectomy on a patient with situs inversus.… Continue Reading
Novel Combination technic of laparoscopic and left thoracoscopic for gastroesophageal junction cancer
Yo Kurashima, MD, PhD. Hokkaido UniversityIntroduction: The number of Gastroesophageal junction cancer has been increasing in recent years, however the consensus has not yet been reached on the range of optimal lymph node dissection. In addition, the approach to lower mediastinal lymph node dissection and reconstruction has some options as laparoscopic and thoracoscopic surgery for… Continue Reading
- Topic:
- Foregut
REVERSE SLEEVE GASTRECTOMY FOR RESECTION OF GASTRIC GIST
David A Bernstein, MD, John C Delong, MD, Toshiaki Suzuki, MD, Carlos T Maeda, Thach Pham, MD, Jenny Lam, Garth R Jacobsen, MD, Bryan J Sandler, MD, Santiago Horgan, MD. UCSDThis is a video abstract submission describing an interesting technique for resection of gastric tumors located on the lesser curvature of the stomach. Here we… Continue Reading
- Topic:
- Foregut
Paraesophageal hernia repair pearls and pitfalls: early recurrence and how to avoid it.
L. Renee Hilton, MD1, Andrew J Duffy, MD, FACS2, Kurt E Roberts, MD, FACS2. 1Augusta University, 2Yale UniversityEarly recurrence of paraesophageal hernias following repair is an infrequent complication but can result in significant morbidity or even mortality when it occurs. When an early complication arises it is important to be able to recognize the signs… Continue Reading
- Topic:
- Foregut
Laparoscopic total gastrectomy, take down of prior duodenojejunostomy and Roux-en-Y esophagojejunostomy
Tariq Almerey, MD, Javier Arreaza, MD, Horacio J Asbun, MD. Mayo Clinic FloridaIntroduction: Familiar adenomatous polyposis (FAP) is the most common inherited adenomatous polyposis syndrome and is caused by a germline mutation of the APC tumor suppressor gene. The average age of onset of polyposis in FAP is 16 years and is primarily characterized by… Continue Reading
- Topic:
- Foregut
COMBINATION OF LAPAROSCOPIC CAUDATE LOBE RESECTION AND LOW ANTERIOR RESECTION IN SYNCHRONUS CAUDATE LOBE METASTASIS IN RECTAL CANCER: APPLICATION AND BENEFIT OF FLORESCENCE ENHANCE IMAGING
Siripong Cheewatanakornkul, MD, Nan-ak Wiboonkwan, MD. Prince Of Songkla UniversityICG has been verified for its long clinical use since the late 50s.It has very few side effects (allergic reaction 1/300,000). The clinician uses it for the study of the anatomy of retinal vessels, measuring liver functional reserve before major hepatic resection and assessment perfusion of… Continue Reading
Laparoscopic sleeve gastrectomy with concurrent splenectomy for massive splenomegaly
Pearl Ma, MD, Salim Abunnaja, MD, Ike Akusoba, MD, Ariel Shuchleib, MD, Daniel Swartz, MD, Keith Boone, MD, Kelvin Higa, MD. University of California-San Francisco FresnoSimultaneous laparoscopic sleeve gastrectomy with concurrent splenectomy presents a technical challenge to minimally invasive surgeons. We present a case of a 63 year old female who had a history of… Continue Reading
Intraluminal Zenker’s Diverticulectomy
Jessica Ardila-Gatas, MD, Matthew Allemang, MD, James Villamere, MD, Matthew Kroh, John Rodriguez, Jeffrey Ponsky. Cleveland ClinicIntroduction: Zenker's diverticulum is a false diverticulum in the upper esophagus. Symptoms include dysphagia, regurgitation of food and foul breath. Diagnosis is made with a barium swallowing exam and treatment is surgical. Open and endoscopic techniques have been described.… Continue Reading
4th Time Laparoscopic Anti-Reflux Surgery for Remediation of Multi-Fundoplication Failure
Michael A Antiporda, MD, Steven P Bowers, MD. Mayo Clinic FloridaRemediation of multi-fundoplication failure is one of the most challenging tasks faced by foregut surgeons in terms of selecting the most appropriate operation as well as the technical difficulty of dissecting out a scarred-in hiatus. This video depicts the case of a young patient who… Continue Reading
- Topic:
- Foregut
Laparoscopic Repair of Morgagni Type Hernia with IVC Involvement
Sara Martin Del Campo, MD1, David Renton, MD2. 1Swedish Medical Center, 2The Ohio State Medical CenterOur patient is a 37 year old physically active male who presented to his primary MD with the complaints of chest pain while running. Workup revealed a large diaphragmatic hernia with liver herniated to the right of the heart. The… Continue Reading
Laparoscopic Removal of a Vagal Blocking Device
Tarin C Worrest, MD1, Samer Mattar, MD2, Bruce Wolfe, MD1, Erin W Gilbert, MD1. 1Oregon Health and Sciences University, 2Swedish Medical CenterAn implantable vagal blocking device has been approved by the Food and Drug Administration for the treatment of moderate obesity. However, to date, there has been no report on the technique for the laparoscopic… Continue Reading
AVOIDING HEART TRANSPLANTATION WITH A MIRRORED SLEEVE GASTRECTOMY IN A CASE OF SITUS INVERSUS
Jenny Lam, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, David Bernstein, MD, Thach Pham, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, FACS, Santiago Horgan, MD, FACS. University Of California - San DiegoCase report of a 22 year old obese female with situs inversus, congenital heart disease, pulmonary hypertension and multiple obesity related… Continue Reading
Per Oral Endoscopic Pyloromyotomy after Esophagectomy
S. Julie-Ann Lloyd, MD, PhD, Matthew T Allemang, MD, Kevin M El-Hayek, MD, Jeffrey L Ponsky, MD, Matthew D Kroh, MD, John H Rodriguez, MD. Section on Surgical Endoscopy, Department of General Surgery, Cleveland Clinic, Cleveland, OhioIntroduction: Endoluminal surgery is an innovative and rapidly evolving field, gaining wider acceptance in the treatment of multiple gastrointestinal… Continue Reading
Laparoscopic repair of diaphragmatic hernia secondary to iatrogenic injury
Sunder Balasubramaniam, Dr1, Kheng Tian Lim, Dr2. 1National Healthcare Group, 2Khoo Teck Puat HospitalA 59 year old Chinese man presented to the Emergency Department of our institution with 1 day history of an acute right sided crampy abdominal pain and distension associated with 4 days history of constipation. He gave a history of blunt thoracoabdominal trauma more than 30 years… Continue Reading