Transluminal Endoscopic Drain Repositioning for Postoperative Gastrointestinal Leaks: A Practical NOTES Application
Ryan M Juza, MD, Karima Fitzgerald, MD, Eric M Pauli, MD. Penn State Hershey Medical CenterBackground: Gastrointestinal leak is a serious complication following abdominal surgery. Consequences of persistent leak may necessitate formal surgical intervention in a hostile abdomen. In select situations, we have utilized natural orifice transluminal endoscopic surgery (NOTES) methods to enter the abdominal… Continue Reading
Totally laparoscopic management in complicated case of choledochal cyst
Hariruk Yodying, MD1, Sermsri Pongratanakul, MD1, Vichit Viriyaroj, MD1, Thammanij Rookkachart, MD1, Thanatorn Sricharoen, MD2. 1Department of surgery ,Sirindhorn medical center Hospital , Srinakharinwirot University, 2Department of radiology ,Sirindhorn medical center Hospital , Srinakharinwirot UniversityBackground: Choledochal cysts typically are a surgical problem of childhood, but some of the patients can have delay presentation in adult. The… Continue Reading
- Topic:
- Biliary
Three-Trocar-Port Laparoscopic Distal Pancreatectomy with Spleen Preservation
Andres Guevara, MD, Francisco Berrospi, MD. Instituto Nacional De Enfermedades Neoplasicas - Lima PeruThe three port laparoscopic distal pancreatectomy with spleen preservation is a reduced port techinque in laparoscopy. This techinque has the advantage that is less traumatic than the fourth port standard techinque for pancreatic surgery and in spite of being a complex surgery… Continue Reading
Situs Inversus – Testing Ergonomics
Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS, Jasmine Agarwal, Shirish Bhagvat, MS, FMAS, FIAGES, Amol Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Saurabh Gandhi, MS, FMAS, FALS, Chintan Patel, MS, FMAS, FBMS, Shubham Gupta, MS, Eham Arora, MS, Gagandeep Talwar. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaSitus Inversus… Continue Reading
SINGLE-INCISION LAPAROSCOPIC RESECTION OF A DEEP LOCATED HEPATOCELLULAR CARCINOMA ON A CIRRHOTIC PATIENT: THREE-DIMENSIONAL RECONSTRUCTION BASED ON COMPUTED TOMOGRAPHY
Shu-Hung Chuang, MD, PhD, Dev-Aur Chou, MD, Shih-Wei Huang, MD, Min-Chang Hung, MD, Jimmy Chunmin Su, MD, Hurng-Sheng Wu, MD. 1. Division of General Surgery, Department of Surgery, Show Chwan Memorial Hospital, Changhua, Taiwan 2. IRCAD-AITS Show Chwan Health Care System, Changhua, TaiwanINTRODUCTION: Single-incision laparoscopic surgery or laparoendoscopic single-site surgery is an alternative to conventional… Continue Reading
Robotic Repair of Incarcerated Morgagni Hernia in an Adult on the Acute Care Surgery Service
Manuel Garcia, MD, Esther Wu, MD, Robert F Cubas, MD, Daniel P Srikureja, MD, Kaushik Mukherjee, MD, MSCI, FACS. Loma Linda University Medical CenterIntroduction: Morgagni hernia is a relatively uncommon anterior diaphragmatic hernia, particularly in adults. Open, laparoscopic, and thoracoscopic approaches have been described in both adults and children. Only three cases have been reported… Continue Reading
- Topic:
- Robotics
Robotic Assisted Removal of Magnetic Esophageal Sphincter with Fundoplication
Michael P Meara, MD, MBA, FACS, Colleen Alexander, MD, Cole Rodman, David B Renton, MD, FACS, Jennifer Schwartz, MD. The Ohio State University Wexner Medical CenterBACKGROUND: Magnetic esophageal sphincter augmentation is a relatively new technique for management for reflux beyond traditional medications. The long-term outcomes of this device and concerns for potential failure or erosion… Continue Reading
- Topic:
- Foregut
Robotic- Assisted Redo Heller Myotomy; Improved Visions with Fluorescence
Aarthy Kannappan, MD, Manuel Garcia, MD, Esther Wu, Jeffrey Quigley, MD, Stephanie Keeth, DNP, Marcos Michelotti, MD, FACS, Keith Scharf, Crystal Alvarez, DO. Loma Linda UniversityPresented is a video case report of a 44-year-old male who presented with persistent difficulty swallowing liquids and solids approximately 7 months after a laparoscopic Heller myotomy at an outside… Continue Reading
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
Refractory Reflux and Weight Regain after Sleeve Gastrectomy: What Happens When Patient Does Not Want Conversion to Bypass?
Jeffrey E Quigley, DO, Manuel Garcia, MD, Esther Wu, MD, Stephanie Keeth, DNP, Aarthy Kannappan, MD, Daniel Srikureja, MD, Keith R Scharf, DO, FACS, FASMBS, Marcos Michelotti, MD, FACS. Loma Linda University HealthWe present the case of a 49-year-old female who is status post sleeve gastrectomy presenting 2 years ago, now presented with de novo… Continue Reading
Put a Stent in it: Alternative Techniques in Endoscopic Stenting
Yael Marks, MD, Julio Teixeira, MD. Lenox Hill HospitalIntroduction: Although endoscopic stenting for leaks after sleeve gastrectomy can often be easily accomplished by fluoroscopic guidance, anatomoy, strictures, adhesions and other factors can significantly impact the ease and efficiency of stent placement. This video demonstrates alternative techniques of endoscopic stent placenement in complex situations including fluoroscopic… Continue Reading
Purely Laparoscopic Extended Right Hemihepatectomy for Hepatocellular carcinoma with Bile Duct Tumor Thrombus
Kil Hwan Kim, MD, YoungRok Choi, MD, Ho-Seong Han, MD, PhD, Yoo-Seok Yoon, MD, PhD, Jai Young Cho, MD, PhD. Seoul National University Bundang Hospital, KoreaBackground: Laparoscopic liver resection was first introduced in the 1990s and has been performed throughout the world. Since then, surgical techniques & instruments related with laparoscopic surgery have greatly advanced.… 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
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
PARAESOPHAGEAL HERNIA ASSOCIATED WITH POSTERIOR SLIPPAGE OF GASTRIC BAND
William R Shepard, DO1, Emily Speer, MD2, Valerie Halpin, MD1, Christy M Dunst, MD2, Lee L Swanstrom, MD2, Kevin M Reavis, MD2. 1Legacy Good Samaritan, 2Oregon ClinicThis video presents a 71 year old female with a history of laparoscopic adjustable gastric band several years prior, who presented with symptoms of intermittent obstruction and reflux due… Continue Reading
- Topic:
- Foregut