A “Step” Above The Rest: A Gratifying Pancreatic Step-Up Necrosectomy
Craig R Smith, MD, Christopher C Senkowski, MD. Memorial University Medical CenterNecrotizing, infectious pancreatitis is a difficult condition to manage. Minimally invasive techniques are preferred when operative intervention is required. We report the use of the pancreatic step-up necrosectomy technique in an 80 year-old male with idiopathic necrotizing, infectious pancreatitis. We were successful in this management and… Continue Reading
- Topic:
- Minimally Invasive Other
Adult Right Paraduodenal Hernia: Laparoscopic Repair
Manuel Garcia, MD, Stephanie Keeth, DNP, Jeffrey Quigley, DO, Aarthy Kannappan, MD, Esther Wu, MD, Marcos Michelotti, MD, FACS, Keith Scharf, DO, FACS, FASMBS, Daniel P Srikureja, MD. Loma Linda University HealthPresented is a video case report of a 21 year old male presenting with non-specific abdominal complaints, including epigastric abdominal pain, nausea and vomiting, with CT… Continue Reading
- Topic:
- Minimally Invasive Other
Anatomical Reconstruction Of A Morgagni Hernia With Robotic Assistance
Stephen Sharp, MD, Tejinder P. Singh, MD. Albany Medical CenterObjectives: Morgagni hernias are classified as congenital diaphragmatic hernias and are relatively uncommon. They are caused by a failure of fusion between the septum transversum and the lateral body wall where the internal mammary artery crosses the diaphragm. Traditionally they have been fixed in an open… Continue Reading
- Topic:
- Robotics
Anti-Reflux Mucosectomy using a Band Endoscopic Mucosal Resection System
Herbert M Hedberg, MD1, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemAnti-reflux mucosectomy (ARMS) is a relatively new surgical procedure that was discovered after the observation that individuals who had a gastroesophageal junction mucosectomy for Barrett’s Esophagus also had improvement in symptoms of gastroesophageal (GE) reflux. The procedure is an endoscopically… Continue Reading
Anti-Reflux Surgery: Causes of Failure and Approaches to Redo Laparoscopic Repair
Hope T Jackson, MD, Robert B Yates, MD, Brant K Oelschlager, MD. University of WashingtonAnti-reflux surgery fails because of anatomic problems with the fundoplication or hiatus. These problems include an incorrectly constructed fundoplication, slipped fundoplication, weakened anti-reflux valve and recurrent hiatal hernia. Patient symptoms are typically unable to be controlled with medications and often surgical… Continue Reading
- Topic:
- Foregut
Approaching A 10cm Pheochromocytoma Laparoscopically
Amy L Rosenbluth, MD, Geoff Bellini, MD, Benjamin Golas, MD, Aida Taye. Mount Sinai St. Luke's/WestThis is the case presentation of a nineteen year old female who presented to her primary care physician with severe hypertension. She was found to have a ten centimeter pheochromocytoma which was removed laparoscopically.Presented at the SAGES 2017 Annual Meeting… Continue Reading
- Topic:
- Case Presentations
Atypically Annular: An unusual presentation in an adult
Irene Isabel P Lim, MD, Paresh C Shah, MD, FACS. New York University Medical CenterMore commonly found in newborns, annular pancreas is associated with abnormal development resulting in a ring of pancreatic tissue around the duodenum. This is a case of a variant of annular pancreas presenting in adulthood. The patient is a forty-year old… Continue Reading
- Topic:
- Case Presentations
Circular Stapler Malfunction with Retained Anvil during Ileoproctostomy Anastomosis
Armando Rosales, MD, Morris Sasson, MD, Giovanna Da Silva, MD, Steven D Wexner, MD, PhD (Hon), FACS, FRCS, FRCS(Ed). Cleveland Clinic FloridaThe use of circular stapling devices is now widespread in colorectal surgery and has become standard practice. Stapler malfunction and technical errors are a known and feared complication. We present the case of a… Continue Reading
- Topic:
- Colorectal
COMBINED ROBOTIC AND TRANSANAL APPROACH FOR LOCALLY ADVANCED RECTAL CANCER (CECIL APPROACH)
Beatriz Martin-Perez, MD, Ana Otero-Piñeiro, MD, F Borja De Lacy, MD, Victor Turrado-Rodriguez, MD, Raquel Bravo-Infantes, MD, Antonio M Lacy, MD. Hospital ClinicINTRODUCTION: Combined transabdominal and transanal approach for rectal cancer (Cecil approach) is establishing as the technical solution for the challenging mid and low rectal cancer, particularly on narrow, male, pelvis. Beyond these indications,… Continue Reading
- Topic:
- Colorectal
Complex Cholecystectomy: The Role of Fluorescence
Sean Degmetich, MD1, Manuel Garcia, MD2, Esther Wu, MD2, Stephanie Keeth, DNP2, Aarthy Kannappan, MD2, Daniel Sirkureja, MD2, Jeffrey Quigley, MD2, Keith Scharf, DO, FACS, FASMBS2, Marcos Michelotti, MD, FACS2. 1University of California, Riverside/ Riverside University Health System, 2Loma Linda UniversitySummary of Surgical Case: The so-called “post-cholecystectomy syndrome” can occur in 10 – 40% of… Continue Reading
- Topic:
- Robotics
Complex Laparoscopic Resection and Reconstruction after Mesh Erosion as a Consequence of Paraesophageal Hernia Repair
Kelly R Haisley, MD, Melissa L DeSouza, MD, John G Hunter, MD, FACS, James P Dolan, MD, MCR. Oregon Health and Science UniversityMesh erosion is a rare and dreaded event following paraesophageal hernia repair. This complication can be associated with severe symptoms that can result in significant impact to the health and quality of life… Continue Reading
- Topic:
- Foregut
Distal pancreatectomy: limits for laparoscopic approach
Igor Khatkov, MD, Roman Izrailov, MD, Magomet Baychorov, MD, Arthur Khisamov, Pavel Tytyunnik, MD, Alexey Andrianov. Moscow Clinical Scientific CenterBackground: Laparoscopic distal pancreatectomy was firstly performed in 1994 by A. Cuschieri. Since that time it had become a gold standard for treatment of patient with lesions of distal parts of the pancreas. Number of articles… Continue Reading
- Topic:
- Liver and Pancreas
Dome-Down Laparoscopic Cholecystectomy in Acute Cholecystitis
Kamthorn Yolsuriyanwong, MD, Eric Marcotte, MD, Bipan Chand, MD. Loyola University Chicago, Stritch School of MedicineBackground: In normal situations, laparoscopic cholecystectomy (LC) usually starts with dissection from the triangle of Calot upwards towards the dome of the gallbladder. However, the surgeon may encounter a difficult LC, which loss of anatomical details particularly in the triangle… Continue Reading
- Topic:
- Biliary
EMERGENCY LAPAROSCOPIC PARTIAL SPLENECTOMY IN PEDIATRIC BLUNT SPLENIC TRAUMA
Giancarlo Basili, MD, Dario Pietrasanta, MD, Federico Filidei, MD, Nicola Romano, MD, Aurelio Costa, MD. Pontedera General Hospital, General Surgery DepartmentIntroduction: The incidence of splenic injury in blunt abdominal trauma has been reported as high as 25% in literature. The management has undergone major changes over the past from nearly mandatory laparotomy with splenectomy, to… Continue Reading
- Topic:
- Acute Care Surgery
Emergent Laparoscopic Sleeve Gastrectomy for Gastric Necrosis
Apurva Trivedi, DO1, Jacob A Petrosky, MD2, Jai Prasad, MD2, Ryan D Horsley, DO3. 1Geisinger Wyoming Valley, 2Geisinger Medical Center, 3Geisinger Community Medical CenterThe management of a surgical hemodynamically unstable patient is generally not managed laparoscopically. Our patient is a 47-year-old female with a past medical history of diabetes, asthma, morbid obesity and 24 pack-year… Continue Reading
- Topic:
- Acute Care Surgery