Ran B Luo, MD, Shanglei Liu, MD, Domingo Montalvo, MD, Toshiaki Suzuki, MD, Jonathan C DeLong, MD, Jessica L Reynolds, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. University of California, San Diego
This video demonstrates a novel technique for performing a laparoscopic Collis gastroplasty with a single-fire staple load. The patient is a 57-year-old woman with a large paraesophageal hernia who presented to our clinic with persistent reflux despite maximal proton pump inhibitor therapy and Barrett’s esophagus with low grade dysplasia that had been ablated. Her pre-operative barium swallow is shown and described. She then underwent a laparoscopic repair of her paraesophageal hernia, after full dissection of her hiatus it was noted that we were unable to obtain an adequate intra-abdominal esophageal length. A Collis gastroplasty was performed with a novel angled approach utilizing only one laparoscopic staple fire. The key steps of initial hernia reduction, hiatal dissection, reduction of the hernia sac, Collis gastroplasty, fundoplication and intra-operative upper endoscopy are shown and described.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 80141
Program Number: V166
Presentation Session: Foregut 3
Presentation Type: Video