Intraoperative localization of insulinoma using near-infrared fluorescent light
David Gutierrez Blanco, MD1, Lisandro Montorfano, MD1, Lisandro Alle, MD2, Gonzalo Carles, MD2, Fernando Dip, MD1, Luis Sarroto, MD2, Emanuele Lo Menzo, MD1,Raul Rosenthal, MD1. 1Cleveland Clinic Florida, 2Hospital de Clinica Jose de San MartinThis video demonstrates the use of near-infrared fluorescent light in the localization of insulinoma. This is a 65-year-old man that came… Continue Reading
ROBOTIC RESECTION OF RETROPERITONEAL SCHWANNOMA
Alessandra Marano, Gaspare Cannata, Marco Mannino, Maria Carmela Giuffrida, Felice Borghi. Santa Croce e Carle HospitalSchwannomas are tumors that arise from Schwann cells in neural sheaths and those located in the retroperitoneal region are rare counting for only 0.7%–2.7% of all primary schwannomas. Diagnosis is usually made only after excision and histological examination owing to… Continue Reading
- Topic:
- Robotics
LAPAROSCOPIC CELIAC PLEXUS GANGLIONEUROMA RESECTION
Omar Ghanem, MD1, Pouya Hemmati, MD2, Juliane Bingener, MD2. 1Mosaic Life Care, 2Mayo Clinic, Department of SurgeryThis is a video case presentation of a laparoscopic celiac plexus ganglioneuroma resection. The video highlights background information, history, imaging, pathology, and postoperative course. It focuses on the operative approach and critical portions that include meticulous dissection of the… Continue Reading
- Topic:
- Case Presentations
Laparoscopic resection of a right retro-caval mass
Edwin Onkendi, MD, Tariq Almerey, MD, John Stauffer, MD, Horacio J Asbun, MD. Mayo Clinic FloridaRetroperitoneal masses are uncommon. We present a 36 year old man who was incidentally found to have a retroperitoneal mass that was located behind the right adrenal and abutting the vena cava on an MRI of the abdomen. The mass… Continue Reading
- Topic:
- Minimally Invasive Other
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
Surgical strategy for splenic flexure cancer
Takeru Matsuda, Yasuo Sumi, Kimihiro Yamashita, Hiroshi Hasegawa, Masashi Yamamoto, Yoshiko Matsuda, Shingo Kanaji, Taro Oshikiri, Tetsu Nakamura, Satoshi Suzuki, Yoshihiro Kakeji. Kobe UniversityLaparoscopic surgery for splenic flexure cancer is technically challenging and not standardized yet. Our surgical strategy for splenic flexure cancer based on anatomy is described with figures. Our laparoscopic D3 dissection is… Continue Reading
- Topic:
- Colorectal
SIMULTANEOUS LAPAROSCOPIC LOW ANTERIOR RESECTION AND LATERAL SECTIONECTOMY FOR SYNCHRONOUS COLORECTAL LIVER METASTASIS: BENEFIT OF FLORESCENCE ENHANCE IMAGING
Siripong Cheewatanakornkul, MD, Nan-ak Wiboonkwan. Prince Of Songkla UniversityAnastomotic leakage is one of the most feared complications in colorectal surgery. Although, technical advancements have led to an overall reduction of other complications, anastomosis leakages still require an operation in 95 % of cases. Moreover, most patients, who have anastomosis leakage have to live with temporary… Continue Reading
- Topic:
- Colorectal
Laparoscopic lateral pelvic lymph node dissection for rectal cancer
Thinh H Nguyen, MD, PhD, Bac H Nguyen, MD, PhD, Prof, Huy D Tran, MD, Duc M La, MD, Kien T Le, MD. University Medical Center, Ho Chi Minh CityIntroduction: Pelvic lympho node metastasis may reach to 15% in stage II-III rectal cancer.In Japan, lateral pelvic lympho node dissection (LPLD) ( have been performed for… Continue Reading
- Topic:
- Foregut
Various Techniques for Transvaginal Extraction in Laparoscopic Colectomy
Christina Y Koh, MD, Mehraneh D Jafari, MD, Alessio Pigazzi, MD. University of California Irvine Medical CenterThis video demonstrates various techniques for transvaginal extraction in laparoscopic colectomy. For the first case we show a laparoscopic right colectomy with a transvaginal extraction of the specimen through a posterior vaginotomy in a patient with a small uterus. … Continue Reading
- Topic:
- Colorectal
Robotic SILS Completion Proctectomy with Creation of Ileal Pouch Anal Anastomosis and Diverting Loop Ileostomy
Ravi N Ambani, MD, MBA, James McCormick, DO, Ari Reichstein, MD. Allegheny General HospitalIntroduction: In this video, we demonstrate the use of the existing ileostomy site to perform a robotic single incision (SILS) completion proctectomy with creation of an ileal pouch anal anastomosis (IPAA) and diverting loop ileostomy as a novel second stage of a… Continue Reading
- Topic:
- Colorectal
Laparoscopic Detorsion of Ileoanal J-Pouch
Philip E George, MD, Stewart Whitney, MD, Alexander Greenstein. Icahn School of Medicine at Mount SinaiBackground: Restorative Proctocolectomy with Ileal Pouch Anal Anastomosis has been the surgical treatment of choice for patients with Ulcerative Colitis who are medicine refractory or in those patients with dysplasia. Even with the advent of laparoscopy, complications are still present… Continue Reading
- Topic:
- Colorectal
Step by step guide to performing a safe retroperitoneal inguinal mesh removal
Adam Truong, MD, MS, Shirin Towfigh, MD. Cedars Sinai Medical CenterInguinal hernia repairs are amongst the most common surgery done worldwide and an increasing amount are done laparoscopically. Chronic postoperative inguinal pain is common and postoperative mesh infection is disastrous; each require explantation of mesh. We advocate for a minimally invasive approach with a robotic… Continue Reading
- Topic:
- Minimally Invasive Other
LAPAROSCOPIC TRANS-ABDOMINAL RETRO-MUSCULAR REPAIR FOR VENTRAL / INCISIONAL HERNIAS: A NOVEL & PROMISING TECHNIQUE
Ashwin A Masurkar, Dr. Masurkar HospitalINTRODUCTION: There has been a need to devise a feasible, reliable and replicable Laparoscopic technique for Ventral / Incisional hernias; with Retro-muscular mesh placement. The reports of complications with Intra-peritoneal Onlay repair using composite meshes makes Retro-muscular mesh placement a safer option. This study is from a small town private… Continue Reading
- Topic:
- Abdominal Wall Hernias
ROBOTIC ASSISTED GRYNFELTT-LESSHAFT HERNIA REPAIR
Jenny Lam, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, David Bernstein, MD, Thach Pham, MD, Bryan Sandler, MD, Santiago Horgan, MD, FACS, Garth R Jacobsen, MD, FACS. University Of California - San DiegoCase report of a 62 year old female who presented with a right flank bulge, she was found to have a rare… Continue Reading
- Topic:
- Case Presentations
THE LESSER OF TWO EVILS: DEALING WITH COMPLICATIONS AFTER LAPAROSCOPIC SUBTOTAL CHOLECYSTECTOMY
Guillaume S Chevrollier, MD, Danica N Giugliano, MD, Jennifer A Rich, BS, Jonathan M Stem, MD, Andrew M Brown, MD, Francesco Palazzo, MD, Michael J Pucci, MD. Sidney Kimmel Medical College of Thomas Jefferson University, Department of SurgeryWe present a video case presentation of a patient who developed cholecystolithiasis, choledocholithiasis, and a cystocutaneous fistula after… Continue Reading
- Topic:
- Biliary