A NOVEL APPLICATION OF INDOCYANINE GREEN DURING ROBOTIC ASSISTED HEMINEPHRECTOMY TO ASSESS THE EFFECTIVENESS OF VASCULAR CLAMPING
S Gruessner, MD, MBA, F Gheza, MD, A Mangano, MD, LF Gonzalez Ciccarelli, MD, PC Giulianotti, MD. University of Illinois at ChicagoBackground/Hypothesis: Indocyanine Green (ICG) has an unquestionable versatility in the field of minimally invasive surgery. We postulate that ICG is an effective alternative to Doppler Ultrasound in assessment of effectiveness of vascular clamping during a heminephrectomy. In… Continue Reading
- Topic:
- Robotics
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
A Rare Finding During Sleeve Gastrectomy: Concurrent repair of diaphragmatic hernia during sleeve gastrectomy and hiatal hernia repair
Amlish B Gondal, MD, Matthew E Mobily, MD, MPH, Mahsaw Motlagh, BA, Iman Ghaderi, MD, MSc, MHPE. University of ArizonaIn this video, we present a case of concurrent repair of diaphragmatic hernia during sleeve gastrectomy and hiatal hernia repair. The patient is a 36-year-old male with morbid obesity (BMI 44.8 kg/m2, and weight of 316… Continue Reading
CASE REPORT OF INTERNAL HERNIA AFTER ENDOSCOPIC REDUCTION OF GASTRIC VOLVULUS AND DUAL PEG
Katelin A Mirkin, MD, Samantha R Witte, MD, Vamsi V Alli, MD. Penn State Health Milton S. Hershey Medical CenterGastric volvulus in adults is a rare and potentially fatal condition. The use of dual percutaneous endoscopic gastrostomy has been described in the management of gastric volvulus. This technique involves endoscopic de-rotation of the stomach, and… Continue Reading
Case Series of Laparoscopic Para-Hiatal Hernia Repairs
Victoria Lyo, MD, Thomas Knowles, Yalini Vigneswaran, James Dolan, MD, Andrea Stroud, Stephanie Wood. OHSUThis is a case series of two rare, para-hiatal hernias of different magnitude. Both para-hiatal hernia repairs were performed in the same week at our tertiary care, referral hospital. Our first patient had an elective laparoscopic sleeve gastrectomy, and was incidentally… Continue Reading
Endoscopic and Laparoscopic Management of a Case of Bouveret Syndrome
Branden Hawara, MS1, Ryan D Horsley, DO2. 1Geisinger Commonwealth School of Medicine, 2Geisinger Community Medical CenterWe present a unique case of an 86 year-old male with multiple comorbidities including, but not limited to, chronic kidney disease, cirrhosis, atrial fibrillation, coronary artery disease, and cholecystitis. Over one year prior he underwent percutaneous transhepatic cholecystostomy tube placement… Continue Reading
- Topic:
- Biliary
Endoscopic Management of Retroperitoneal Hydatid Cyst
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Priyanka Saha, MBBS, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Eham L Arora, MS, DNB, Amarjeet E Tandur, MS, Khushboo Kadakia, MBBS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaiaRetroperitoneal isolated psoas and iliacus hydatid cyst are rare entities and… Continue Reading
Endoscopic Mucosal Dissection for a Submucosal Gastric Mass
Kais A Rona, MD, Jamie Kaplan, Sarah Merkel, Christopher Ducoin, MD. Tulane University School of MedicineEndscopic mucosal dissection is an advanced endoscopic technique used in various subspecialties within surgery to perform endoscopic en-bloc resection of a mass lesion. This is a video presentation demonstrating the use of endoscopic submucosal dissection to resect a submucosal gastric… Continue Reading
ENDOSCOPIC T-TUBE PLACEMENT FOR THE MANAGEMENT OF STAPLE LINE LEAK AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY
Andrew R Luhrs, MD, A. Daniel Guerron, MD, Dana Portenier, MD. Duke University Health SystemBackground: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure world-wide, consisting of nearly 50% of all procedures performed1. Despite increased adoption and utilization of LSG, staple line leak (SLL) remains a troublesome complication with significant morbidity and mortality. SLL… Continue Reading
Growing Teratoma Syndrome: A Case Report of Robotic Mediastinal Resection
Richard Zheng, MD, Thomas O'malley, MD, Francesco Palazzo, MD, FACS, Nathaniel Evans, MD, FACS, FCCP. Thomas Jefferson University HospitalGrowing Teratoma Syndrome is a rare clinical entity in which patients with metastatic non-seminomatous germ cell tumors who were treated with systemic chemotherapy later develop progressively enlarging, benign teratomas in various sites throughout the body. We discuss… Continue Reading
- Topic:
- Robotics
ICG Guided Dissection In Laparoscopic Esophagectomy: Preserving Gastric Conduit Blood Supply
Ryan C Broderick, MD, Arielle Lee, MD, Rebeca Dominguez, MD, Kai Neki, MD, Joslin Cheverie, Garth R Jacobsen, Bryan J Sandler, Michael Bouvet, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. University of California San DiegoPresented is a case of laparoscopic and robotic esophagectomy with a modification in technique by using continuous ICG mode during dissection… Continue Reading
- Topic:
- Robotics
Intra-operative Diagnosis and Debridement of Pancreatic Pseudocyst at Robotic Assisted Cholecystectomy
Kirpal Singh, MD, Rima Ahmad, MD, Cory J Banaschak, DO, Jordan Wilkerson, MD, Amelie Leuders, MD. St. Vincent General Surgery ResidencyThis video demonstrates the diagnosis and debridement of a pancreatic pseudocyst at the time of a robotic assisted cholecystectomy for gallstone pancreatitis. The patient had been treated for severe gallstone pancreatitis two months prior. When… Continue Reading
- Topic:
- Robotics
Laparoscopic cholecystectomy for Mirizzi syndrome
Mitchell R Price, MD1, Dimitar S Ranev, MD2. 1Staten Island University Hospital, 2Lenox Hill HospitalThe surgical video shows a challenging laparoscopic cholecystectomy in a 17 year old female patient with Type 1 Mirizzi syndrome. It shows how the operative approach has to be adapted to the altered anatomy - the common hepatic duct and cystic… Continue Reading
- Topic:
- Biliary
LAPAROSCOPIC CHOLEDOCHAL CYST EXCISION IN A PATIENT WHO UNDERWENT A PRIOR CHOLEDOCHODUDENOSTOMY
Srikanth Gadiyaram, Dr, Gaurav Singh, Dr, Yashas H Ramegowda, Dr. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaBackground: Laparoscopic excision of the extrahepatic biliary apparatus with bilio-enteric reconstruction has become standard of care for type 1 choledochal cyst in many centres world wide. Revisional surgery done laparoscopically for excising a choledochal cyst following a… Continue Reading
- Topic:
- Biliary
LAPAROSCOPIC DEROOFING OF HYDATID CYST OF LIVER USING A 150MM, 12MM XCEL® TROCAR
Aditya Kumar, Hemanga K Bhattacharjee, Manjunath Bale, Suhani Suhani, Rajinder Parshad. All India Institute of Medical SciencesIntroduction: Hydatid disease is a rare zoonotic disease, still prevalent in some parts of the world including India. Open surgery is still common worldwide, but minimal access techniques are gaining momentum. Several techniques have been described in literature and… Continue Reading
- Topic:
- Biliary