Laparoscopic liver resection including the lesion located in posterior and superior part
Background: Despite the increasing experience of laparoscopic and hepatic surgery, laparoscopic liver resection is still limited to lesions localized on the antero-lateral segments of the liver. The aim of this study is to evaluate the feasibility of laparoscopic liver resection for tumors located in the postero-superior segments of the liver (Segments I, VII, VIII, and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Liver Resection with Prior Vascular Control
INTRODUCTION: The magnification of laparoscopy allows a very precise dissection of the portal pedicles. The aim of this study was to evaluate the effect of prior vascular control (PVC) on parenchymal dissection in 105 consecutive patients undergoing laparoscopic liver resections.METHODS: Between 1999 and 2006 we have performed 105 laparoscopic liver resections. Portal vessels and the… Continue Reading
Laparoscopic management of acute paraesophageal hernia
Objective: Acute paraesophageal hernia is a surgical emergency presenting with chest pain, abdominal pain, dysphagia, nausea and vomiting, retching or significant anemia. This can be due to gastric volvulus, incarceration, strangulation, severe bleeding or perforation. Traditionally this is treated with an open surgery. The purpose of this study is to evaluate the outcome of laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Management of the Acute Abdomen in Pregnancy
The reported incidence of acute abdominal pain in pregnancy is 1/500-1/635. Despite initial concerns about the safety of laparoscopic surgery during pregnancy, there is an increasing body of evidence supporting its use in this scenario. Our objective was to review cases of acute abdominal pain in pregnancy which were managed laparoscopically at our institution to… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic Mesh Repair of Pelvic Organ Prolapse
The laparoscopic repair of rectal prolapse has been well described. Patients with rectal prolapse often, if properly evaluated, will have a concomitant anterior pelvic dysfunction. We present the video of a 69-year-old female with a history of rectal prolapse that underwent a perineal proctectomy only to recur within a year of surgery. On exam she… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Modified Pancreaticojejunostomy for Chronic Pancreatitis
IntroductionLaparoscopic surgery of the pancreas is still not fully developed. Several laparoscopic pancreatic procedures have been described. The most frequent is diagnostic laparoscopy for staging pancreatic neoplasm and, less frequently, treatment of pancreatic pseudocyst and resection of benign lesions of the pancreas. We report a laparoscopic modified Roux-en-Y pancreaticojejunostomy for chronic pancreatitis.Case reportA 39-year-old man,… Continue Reading
Laparoscopic Nissen Fundoplication Assessment: Task Analysis as Model for the Development of a Procedural Checklist
Objective: Learning an advanced laparoscopic procedure is a complex process that requires clinical exposure, direct teaching, and deliberate practice. However, expert laparoscopic surgeons automate their knowledge making it difficult to teach all of the incremental steps. The aim of this study was to deconstruct the operative steps of a laparoscopic Nissen fundoplication (LNF) and develop… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Education / Simulation
Laparoscopic Nissen Fundoplication with Hepatic Shoulder Technique in the surgical management of large para-esophageal hernias
Large paraesophageal hernias are difficult to manage via laparoscopy and are associated with a significant recurrence rate. A novel laparoscopic approach was used to close the diaphragmatic defect in four patients diagnosed with large para-esophageal hernias and GERD symptomatology. Technique: All procedures were performed via laparoscopy. Three patients underwent a reduction of the para-esophageal hernia… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Re-fundoplication As a Treatment for Gastroesophageal Reflux Disease (gerd) – a Study of 42 Cases.
BACKGROUND: Antireflux surgery has a low rate of re-operation, varying from 2 to 10%. Nevertheless, when this is necessary, it is common to opt for open surgery under the belief that this is safer. However, various centers have observed the efficiency of re-operation using laparascopic antireflux surgery, with a low rate for complications and good… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic reduction and three-point gastropexy may be a preferred technique for management of acute gastric volvulus in high-risk patients.
Introduction: Laparoscopic repair of a large hiatal hernia with fundoplication is a procedure that may have significant morbidity in an old and high-risk patient. High recurrence rates after laparoscopic repair have been reported. Intra-thoracic stomach complicated by gastric volvulus consist a surgical emergency that, if untreated, will lead to mortality. We propose an alternative, minimally… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic repair of intra-thoracic stomach
Aim: Intra-thoracic stomach (ITS) represents the most extreme form of paraesophageal hernia (PEH). A high rate of recurrences after laparoscopic repair of PEH has prompted the widespread use of mesh for hiatal reinforcement. However mesh placement can have serious complications. We aim to show that mesh is not needed routinely as long as attention is… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Repair of Perforated Marginal Ulcer Following Laparoscopic Roux-en-Y Gastric Bypass: A Case Series
INTRODUCTION: Perforation of marginal ulcer is a known complication of laparoscopic Roux-en-y gastric bypass (LRYGB), and although not extensively reported in the literature, laparoscopic repair may be a feasible option to avoid the morbidity associated with a large midline laparotomy incision. Our objective is to present our experience with laparoscopic repair of perforated marginal ulcers… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic resection of a duodenal polyp
Introduction: Duodenal polyps are rare lesions traditionally excised using endoscopic or open techniques. Laparoscopic resection is a useful approach for large lesions or in patients not suitable for laparotomy. Methods: A 56 year-old morbidly obese female (BMI = 60) with anemia was found to have a 3 cm sessile polyp at the junction of the… Continue Reading
- Topic:
- Colorectal
Laparoscopic Resection of a Giant Splenic Artery Aneurysm
INTRODUCTION: Splenic artery aneurysm affects 0.1% of population. They are often an incidental radiological finding. A spontaneous rupture may be fatal. Intervention is indicated when they reach 2 cm in diameter, are symptomatic, increasing in size, in pregnant patients or in women of child-bearing age. Small splenic artery aneurysm under 4 cm could be treated… Continue Reading
- Topic:
- Solid Organ and Endocrine
Laparoscopic Resection of Challenging Gastric Tumors
Noninvasive gastric tumors may have malignant potential and should be managed with resection. Large margins are not needed and many can be managed with laparoscopic wedge resection. Tumors along the fundus, anterior wall, and greater curvature of the stomach are approached relatively easily using endoscopic staplers. Tumors near the gastric cardia, lesser curvature and pylorus… Continue Reading
- Topic:
- Esophageal / Gastric Surgery