Laparoscopic Splenectomy for Management of Refractory ITP After Previous Open Splenectomy
Michael T Fastiggi, MD, L Katz, MD, Philip George, MD. Mount Sinai Medical CenterIntroduction: Splenectomy is usually an effective treatment for medically refractory idiopathic thrombocytopenic purpura. However, some patients develop recurrent thrombocytopenia. At least one third of these cases are attributable to an accessory spleen. Discussion: In recurrent thrombocytopenia after splenectomy, an accessory spleen should… Continue Reading
VIDEO LAPAROSCOPIC TOTAL GASTRECTOMY – STEP BY STEP
Bruno Zilberstein, MD, PHD, FACS, Leandro Barchi, MD, PHD, Maurice Youssef, MD, Thiago Manesco, MD, Willy Petrini Souza, MD. GastromedLaparoscopic surgery has been increasingly applied to gastric cancer surgery. Gastrointestinal tract reconstruction totally done by laparoscopy also has been a challenge for those who developed this procedure. After introduction of laparoscopic stapling methods, the reconstruction… Continue Reading
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- Minimally Invasive Other
DUODENAL GIANT GIST RESECTION BY LAPAROSCOPY, USING A HAND ASSIST DEVICE
Yoelimar Guzman, MD, Dulce Momblan, MD, Ainitze Ibarzabal, MD, Victor Turrado, MD, Gerard Frigola, MD, Jaume Balust, MD, Antonio Lacy, MD, PhD. Hospital Clinic of BarcelonaCase summary: 48-year-old female affected by gastrointestinal stromal tumor (GIST), stage IIIA, located in the 3rd/4th duodenal part, diagnosed because a history of microcytic anemia and abdominal discomfort. After receiving… Continue Reading
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- Minimally Invasive Other
Laparoscopic total pancreatectomy in a challenging case—-technique and tips
Xin Wang. West China Hospital, Sichuan UniversityThis is a 67 years old male, presenting with epigastric pain for over three years. Lab tests indicate significantly elevated oral glucose tolerance and blood glucose. ALT and AST are slightly elevated. CA19-9 is 38.2 U/ml. CT scan shows an enlarged pancreas with dilated duct, indicating chronic pancreatitis. Endoscopic… Continue Reading
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- Minimally Invasive Other
Minimally Invasive Splenectomy For ITP During Pregnancy
David J Berler, MD, Jessica Gonzalez-Hernandez, MD, Sara A Hennessy, MD, FACS. UT Southwestern Medical CenterImmune thrombocytopenic purpura affects up to 2 in 10,000 pregnancies and can lead to devastating, potentially life-threatening peripartum hemorrhage. Treatment with corticosteroids and/or IV immunoglobulin is often effective. For those who fail medical therapy and are found to have significant… Continue Reading
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- Minimally Invasive Other
Laparoscopic subtotal gastrectomy and left adrenalectomy for large gastric GIST with left adrenal incidentaloma in an obese patient
Hariruk Yodying, MD. Department of surgery, HRH Princess Maha Chakri Sirindhorn Medical Center (MSMC) Hospital, Srinakharinwirot UniversityBACKGROUND: Laparoscopic resection has become an accepted treatment for small Gastrointestinal stromal tumors (GISTs) of the stomach, but its application for large GISTs exceeding 5 cm. remains controversial. Because of the advancements in laparoscopic surgical techniques, the combination of different… Continue Reading
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- Minimally Invasive Other
Laparoscopic Resection of a Retroduodenal Paraganglioma
Jarvis W Walters, DO1, Jeremy Holzmacher, MD1, Fred Brody, MD, FACS2. 1George Washington University Medical Center, 2Veterans Affairs Medical CenterParagangliomas are chromaffin-cell tumors of extra-adrenal origin that frequently hypersecrete catecholamines. This video depicts a laparoscopic resection of a retroperitoneal periduodenal paragangliomaPresented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 95717Program Number: V123Presentation Session:… Continue Reading
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- Minimally Invasive Other
Bilateral Retroperitoneal Endoscopic Adrenalectomy
Jamie Oh, MD, Alberto Vitela, MD, Roger Tatum, MD, FACS, Edgar Figueredo, MD, FACS. University of WashingtonThe patient is a 58 yo male MEN 2A syndrome presenting with bilateral pheochromocytomas. He had previously undergone a parathyroidectomy for hyperparathyroidism, and in undergoing a CT scan for a hip injury, he was found to have adrenal masses.… Continue Reading
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- Minimally Invasive Other
Endoscopic Thyroidectomy: The Dawn of New Era ?
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Amarjeet E Tandur, MS, Girish D Bakhshi, MS, MRCS, DNB, FCPS, MNAMS, FMAS, FIAGES, Amol Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS, Eham L Arora, MS, DNB, Shekhar Jadhav, MS, Jalbaji P More, MS, Jai Rathore, MBBS, Priyanka Saha, MBBS, Soumya Chatnalkar, MBBS. Grant Government… Continue Reading
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- Minimally Invasive Other
Transoral Endoscopic Thyroidectomy Vestibular Approach (TOETVA).
Kojo Wallace, MD, Amy Rosenbluth, MD, William Inabnet, MD, Aida Taye, MD. Mount Sinai St. Luke's and WestVideo presentation of a "Left Hemithyroidectomy using the Transoral Endoscopic Thyroidectomy Vestibular Approach" (TOETVA). The patient underwent resection of a isthmus mass with involvement of the left thyroid lobe.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract… Continue Reading
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- Minimally Invasive Other
INTRA-OPERATIVE ENTEROSCOPIC POLYPECTOMY- AN INNOVATIVE APPROACH
Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS1, Nidhisha Sadhwani, MBBS1, Waqar Ansari, MS, MRCS, DNB, FCPS, MNAMS, FMAS, FIAGES1, Amol Wagh, MS, FICS, FBMS, FALS, FMAS1, Shekhar Jadhav, MS, FMAS1, Eham Arora, MS1, Prashant Rahate, MS, FMAS, FALS2, Raj Gajbhiye, MS1, Shivang Shukla, MBBS2. 1Grant Government Medical College & Sir J.J. Group of… Continue Reading
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- Minimally Invasive Other
Laparoscopic Resection of Large Retroperitoneal Mass of Unknown Origin
Loic Tchokouani, MD, Michael Fastiggi, MD, Edward Chin, MD. Mount Sinai Medical CenterThis is a 34-year old woman with no past medical or surgical history who presented with chronic right upper quadrant pain. A right upper quadrant ultrasound was initially obtained revealing a 5-cm mass in the left upper quadrant. Subsequent CT scan and MRI… Continue Reading
A novel technique for laparoscopic gastric feeding tube with omental patch as an alternative to Stamm or Wetzel in a immobile and shortened stomach
Daanish Kazi, Leena Khaitan. UH Cleveland medical tenderWhen percutaneous methods for feeding tube placement are not available, laparoscocpic feeding tube placement is considered a minimal risk surgery with less morbidity as compared to open feeding tube. Similar to open, laparoscopic methods use either a Stamm or Witzel technique. They both are make of minimize gastric… Continue Reading
Utilization of Normal Saline injection in Tissue Planes to Facilitate Safe Tissue Dissection in Laparoscopic Surgery
Ghaith Khair, MD, FACS, Andrea Zaw, MD, Kuldeep Singh, MD, FACS, FASMBS, MBA. St agnes hospitalBackground: Lysis of adhesions though almost is routinely done in surgery, is neither routine nor benign procedures. It is fraught with injury to structures, intestines, infected wounds and fistula formation, with or without sepsis. Methods: A video clip describing normal saline injection… Continue Reading
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- Minimally Invasive Other
PURE LAPAROSCOPIC LEFT LATERAL SECTIONECTOMY FOR GIANT HEMANGIOMA OF LEFT LATERAL SEGMENT OF LIVER
Srikanth Gadiyaram, Dr, Kumar Parth, Dr, Gaurav Singh, Dr, Yashas H Ramegowda, Dr. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaBackground: Laparoscopic resection has become standard of care for left lateral sectionectomy (LLS), however, there could be technical challenges in laparoscopic resection while dealing with giant tumors. In a medline search we did not… Continue Reading