A creative solution to a difficult colorectal anastomosis during TaTME
Allison J Pang, MSc, MD, FRCSC, Sender Liberman, MD, FRCSC, Lawrence Lee, MD, PhD, FRCSC. McGill UniversityObtaining a negative circumferential resection margin (CRM) in rectal cancer is crucial to the control of local recurrence. The adoption of a total mesocolic excision (TME) has greatly impacted oncologic outcomes by significantly decreasing local recurrence rates. Despite neoadjuvant… Continue Reading
- Topic:
- Colorectal
A Transanal Endoscopic Surgery (TES) Approach to the Management of a Colorectal Anastomotic Stricture
Allison J Pang, MSc, MD, FRCSC, Julio Faria, MD, FRCSC, Nancy Morin, MD, FRCSC, Gabriela Ghitulescu, MD, FRCSC, Carol-Ann Vasilevsky, MD, FRCSC, Marylise Boutros, MD, FRCSC. McGill UniversityAnastomotic strictures are complications of colorectal surgery with an incidence of 3-30% depending on the circumstance of the surgery. The underlying pathophysiology of anastomotic strictures are numerous, and… Continue Reading
- Topic:
- Colorectal
Acute Obstruction of Ileal Conduit After Ventral Hernia Repair
Jennifer A Minneman, Andrew Wright. UWThis is a case report of acute obstruction of an ileal conduit after laparoscopic ventral hernia repair with a Sugarbaker-style reinforcement of the ileal conduit.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 95728Program Number: V013Presentation Session: Hernia / Miscellaneous PotpourriPresentation Type: Video Continue Reading
- Topic:
- Abdominal Wall Hernias
Approach to Safe Laparoscopic Cystic Duct Remnant Resection: More Than Just Careful Dissection
Essa M Aleassa, MD, MSc, Kevin M El-Hayek, MD. Section of Hepatopancreatobiliary Surgery, General Surgery, Cleveland Clinic FoundationIntroduction: Presentation of recurrent symptoms of calculous biliary disease after remote cholecystectomy should hint at the presence of a retained cystic duct remnant stone. While non-surgical options should be attempted first, they can be unsuccessful. This video demonstrates… Continue Reading
- Topic:
- Biliary
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
- Topic:
- Minimally Invasive Other
Carbon Dioxide as a Method to Prevent Operating Room Fires
Jason M Samuels, MD1, Heather Carmichael, MD1, Krzystof J Wikiel, MD2, Thomas N Robinson, MD, MS2, Teresa S Jones, MD2, Edward L Jones, MD2. 1University of Colorado, 2Denver Veterans Affairs Medical CenterThis video explores the utilization of carbon dioxide delivery via a smoke evacuation pencil as an operating room (OR) fire mitigation strategy. OR fires… Continue Reading
- Topic:
- Minimally Invasive Other
COMBINED LAPAROSCOPIC AND ENDOSCOPIC TREATMENT OF GASTROGASTRIC FISTULA AFTER OPEN ROUX-EN-Y GASTRIC BYPASS WITH VASCULAR ASSESSMENT WITH INDOCYANINE GREEN.
Romina Pena, MD, Ainitze Ibarzábal, MD, Dulce Momblán, MD, Víctor Turrado, MD, Josep Llach, MD, PhD, Antonio M Lacy, MD, PhD, FASCRS, Hon. Hospital Clínic32-year old woman with history an open RYGB in 2006, complicated with anastomotic leak and stenosis. Patient had an initial and minimum weight of 170 Kg (BMI 60) and 73 Kg… Continue Reading
- Topic:
- Metabolic / Obesity
Complex Polypectomy in The Sigmoid Colon May Be Expedited Using a Novel Double Balloon Overtube (Dilumen)
Talal Alzghari, MD, Kota Momose, MD, PhD, Yohei Kono, MD, PhD, Parul Shukla, MD, Kelly Garrett, MD, FACS. Weill Cornell Medicine/NewYork Presbyterian HospitalINTRODUCTION: Challenging endoluminal large bowel therapies may be due to intrinsic lesion factors such as size, anatomical location or whether on a fold or around a bend. Regarding sigmoid colon lesions, these may be… Continue Reading
- Topic:
- Colorectal
Conversion Of A Sleeve Gastrectomy To A Roux En Y Gastric Bypass In A Patient With Intestinal Non-Rotation
Nader Hanna, MD, Boris Zevin, MD, PhD. Queen's University, Kingston, OntarioIntestinal non-rotation is part of a wider spectrum of a malrotation congenital abnormality and its incidence is around 0.5%. It is usually discovered incidentally during investigation of unrelated pathology. We present a case of laparoscopic conversion from a sleeve gastrectomy to a Roux-en-Y gastric bypass… Continue Reading
- Topic:
- Metabolic / Obesity
Conversion of endoscopic sleeve gastroplasty to laparoscopic Roux-en-Y gastric bypass
Melissa M Beitner, MBBS, Jinlin Lin, MBBS, FRCS, George H Hopkins, MBBS, FRACS. Royal Brisbane and Women's Hospital, AustraliaThis video shows a conversion to laparoscopic Roux-en-Y gastric bypass with handsewn gastrojejunostomy and on table endoscopy in a patient with failed weight loss after endoscopic sleeve gastroplasty.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract… Continue Reading
- Topic:
- Metabolic / Obesity
Crural Blowout Years After Laparoscopic Repair of Recurrent Paraesophageal Hernia
Michael A Antiporda, MD1, Kelly R Haisley, MD1, Walaa Abdelmoaty, MD1, Steven R Demeester, MD2, Christy M Dunst, MD2, Daniel Davila Bradley, MD2, Lee L Swanstrom, MD3, Kevin M Reavis, MD2. 1Providence Portland Medical Center, 2The Oregon Clinic, Portland, Oregon, 3Institute for Image Guided Surgery (IHU-Strasbourg), Strasbourg, FranceIntroduction: Paraesophageal hernia (PEH) repair is associated with… Continue Reading
- Topic:
- Foregut
Dual Strictures and Unexpected Mesh: The Challenges of Revision Bariatric Surgery
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. UC San DiegoIn patients with morbid obesity, management with bariatric surgery is the gold standard for sustained weight loss.… Continue Reading
- Topic:
- Metabolic / Obesity
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
- Topic:
- Minimally Invasive Other
Emergency Laparoscopic Remnant Gastrectomy with a Pouch Gastroplasty in a Gastric Bypass Patient with Acute Gastrogastric Fistula Bleeding
Jad M Abdelsattar, MD, David Kelly, MD, Lawrence Tabone, MD, Nova Szoka, MD, Salim Abunnaja, MD. West Virginia UniversityGastrogastric fistula (GGF) is a rare complication following laparoscopic Roux-en-Y gastric bypass (LRYGB). Patients can be asymptomatic, or present with abdominal pain, marginal ulceration (MU) or weight regain. To our knowledge, this is the first case in… Continue Reading
- Topic:
- Metabolic / Obesity
Endoscopic Diverticulopexy for Recurrent Dysphagia After Myotomy
Stephanie Novak, MS, Zachary Callahan, MD, Michael Ujiki, MD, FACS. NorthShore University Health SystemWe present a video of two cases in which the patients undergo endoscopic intervention for recurrent diverticulum. The first patient is a 49-year-old male with a history of transoral endoscopic Zenker's diverticulostomy. He re-presented with dysphagia and was found to have a… Continue Reading