SUBCUTANEOUS VIDEOSURGERY APPROACH FOR THE ABDOMINAL WALL DEFECTS (SVAWD)
Willy P Souza, Thiago B Manesco, Gil A Tosta, Barchi C Leandro, Maurice Y Franciss, Bruno Zilberstein. GastromedIntroduction: Although epigastric hernia is very common in the population and its repair procedure is relatively simple, it is observed that there is no consistent and universally accepted approach to the correction of epigastric hernias. Is recognized the… Continue Reading
Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis
Christopher L Kalmar, MD, MBA, Tananchai A Lucktong, MD, FACS. Virginia Tech CarilionRoux-en-Y gastric bypass is the most commonly performed bariatric procedure in the world. Jejunojenual intussusception after RYGB at the enteroenterostomy is a rare but potentially serious complication requiring timely radiographic diagnosis. For presentations without necrosis, surgical therapy with laparoscopic enteropexy of all limbs… Continue Reading
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
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
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
Rectopexy with Magnet Retraction
Estefania Roldan, Leonard K Welsh, MD, Gerardo Davalos, MD, Ramon Diaz, MD, Dana Portenier, MD, Daniel Guerron, MD, Billy Lan, MD. Duke University Medical CenterLaparoscopic rectopexy for rectal prolapse is often complicated by the narrow working space of the pelvis as the sigmoid colon and uterus often obstruct visualization. Many approaches for effective retraction have… Continue Reading
- Topic:
- Colorectal
Median Arcuate Ligament Syndrome, Case Series and Review of the Literature
Jesse Conner, MD, Joshua Gierman, MD, Laura Fischer, MD. Oklahoma University Health Science CenterIntroduction: Median arcuate ligament syndrome is a rare cause of abdominal pain. Symptoms include vague epigastric pain, post prandial pain, nausea, vomiting, and weight loss. The pathophysiology has been thought to be secondary to compression of the celiac artery by a thick… Continue Reading
- Topic:
- Foregut
Minimally Invasive Surgery: Colonoscopic Assisted Transanal Endoscopic Microsurgery for Local Resection of a Large Sigmoid Polyp
Kevin M Izquierdo, MD, Beverly Ng, MD, John H Marks, MD. Lankenau Medical CenterThis video demonstrates a novel approach to perform endoluminal surgery for a 3cm polyp in the distal sigmoid colon using a combined rigid and flexible endoscopic approach. The patient is a 56-year-old male who presented with symptoms of intermittent rectal bleeding for… Continue Reading
Laparoscopic radical rectosigmoid cancer resection with left lateral pelvic lymph nodes dissection in a en-bloc resection manner
Wei Wang, Wenjun Xiong, Xiaofeng Zhu, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineThis was a patient diagnosed with advanced rectosigmoid adenocarcinoma and was identified with enlarged lateral pelvic lymph node by computed tomography and magnetic resonance examination. The clinical TNM stage was T3N2M0 (with left lateral pelvic lymph nodes metastasis) according to the AJCC… Continue Reading
- Topic:
- Colorectal
Laparoscopic right colectomy following an ileal orthotopic neo-bladder
Krystle Lange, DO1, Shankar Raman, MD2. 1SwedishAmerican Hospital a Division of UW Health, Rockford, IL, 2Mercy Medical Center, Des Moines, IAWe present a video of a laparoscopic right colectomy following an ileal orthotopic bladder substitute constructed close to 20 years ago. The challenges associated with performing a right colectomy after a Studor pouch include lysing… Continue Reading
- Topic:
- Colorectal
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
Minimally Invasive Robot-Assisted Left Lateral Segmentectomy for Recurrent Intrahepatic Lithiasis
Subhashini Ayloo, MD, MPH, Jacob Schwartzman, MD. Rutgers, New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of robot-assisted left lateral segmentectomy for recurrent cholangitis due to recurrent intrahepatic lithiasis in a previously Roux-en-Y hepaticojejunostomy patient. A 46 year old man with previous hepaticojejunostomy for common bile duct stones and intrahepatic ductal stones presents with… Continue Reading
- Topic:
- Robotics
Laparoscopic repair of a right-sided paraduodenal hernia: A case report
Kaitlin Edwards, MD1, Brianna Greenberg2, Ashley Vergis, MMed, MD, FRCSC, FACS1. 1University of Manitoba, 2University of Limerick IrelandWe present a case of a 26-year-old male with a 1-day history of dull, aching abdominal pain radiating to his back as well as intermittent episodes of nausea, vomiting, and bloating over the past two years. With limited… Continue Reading
Robotic Median Arcuate Ligament Release
Desmond T Huynh, MD, Miguel Burch, MD, Kevin Shamash, Richard Van Allan, Daniel Shouhed, MD. Cedars-Sinai Medical CenterMedian Arcuate Ligament Syndrome (MALs) is a rare vascular condition in which the median arcuate ligament compresses the celiac trunk which presents as a constellation of symptoms including nausea, vomiting, weight loss, and post-prandial epigastric pain. The treatment… Continue Reading
- Topic:
- Foregut
Robotic Cholecystectomy with variant anatomy on DaVinci Xi
Abraham Krikhely, MD, FACS, Abby Wong, MD. Columbia Univeristy Medical CenterThis is an interesting case of variable anatomy encountered during robotic cholecystectomy performed in a 48 year old female with biliary colic and GERD after sleeve gastrectomy. This was done at the same setting as the robotic revision to a gastric bypass from prior sleeve gastrectomy and the… Continue Reading
- Topic:
- Robotics