Laparoscopic Conversion of Gastric Band to Laparoscopic Gastric Bypass Due to Failure of Weight Loss and Worsening Gastroesophageal Reflux
Guillermo Higa, MD, Abraham Abdemur, MD, Samuel Szomstein, MD, Raul Rosenthal, MD. Cleveland Clinic Florida Introduction:One of the most difficult and challenging problems in bariatric surgery is working with a patient who has failed to achieve control of comorbidities or weight through a primary bariatric procedure. There are a number of patients who experience… Continue Reading
- Topic:
- Metabolic / Obesity
Resident Education in Robotic Surgery: Bridging the Gap With the Da Vinci SI Surgical System in a Robotic Proctectomy
Brian Bello, Konstantin Umanskiy, Alessandro Fichera, Stephen Small. Univeresity of Chicago Since the introduction of the da Vinci Surgical System, resident education in robotic surgery has been a challenge. The new da Vinci Si Surgical System has new enhancements that can potentially bridge the gap in surgical education. We present a case of a… Continue Reading
- Topic:
- Robotics
Endoscopic Suture Repair of Full Thickness Esophagotomy During Per Oral Esophageal Myotomy (POEM) for Achalasia
Ashwin A Kurian, MBBS, Neil H Bhayani, MD, Christy M Dunst, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. Oregon Clinic and Foundation for Surgical Inovation and Education A Per Oral Esophageal Myotomy (POEM) procedure was undertaken for the diagnosis of Achalasia on a female patient. A full thickness esophagotomy was inadvertently created… Continue Reading
- Topic:
- Endolumenal / NOTES
Laparoscopic Transabdominal Hernioplasty of a Lumbar Hernia of the Grynfelt – Lesshaft Triangle
Juan D Hernandez, MD. Fundacion Santa Fe de Bogota, Universidad de los Andes We present the case of a 51 years old lady with a reproduced right lumbar hernia. The first intervention was planned for a lumbar lipoma, but a hernia of the Grynfelt- Lesshaft triangle was found and repaired. After two years the… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of a Large Pericardial Hernia
Chan W Park, MD, Aurora D Pryor, MD. Duke University Introduction: Pericardial hernias are rare but known iatrogenic complications following pericardial windows performed for various indications. To date, only a handful of case reports are available in the literature, and surgical experience is also extremely limited. We present a video depicting the technique for… Continue Reading
- Topic:
- Foregut
The Use of a T-tube to Manage Leak After Sleeve Gastrectomy
Matthew Y Lin, MD, Ankit Sarin, MD, Stanley J Rogers, MD, Andrew M Posselt, MD, Jonathan T Carter, MD. University of California, San Francisco Abstract: Laparoscopic sleeve gastrectomy is gaining momentum as an alternative option to Roux-en-y gastric bypass in bariatric surgery. Post-operative leaks, albeit rare (~4%), can be quite devastating. While it is widely… Continue Reading
- Topic:
- Metabolic / Obesity
Gastrectomy and Roux-en-Y Esophagojejunostomy for Gastric Necrosis After Gastric Band Slippage
Jason F Richardson, MD, Ninh T Nguyen, MD. University of California Irvine Medical Center A video demonstration of a gastrectomy and Roux-en-Y esophagojejunostomy performed in a patient who developed gastric necrosis after gastric band slippage. Radiologic review, endoscopic evaluation, gastric band removal, gastric resection, and reconstruction are featured in this video. Session Number: SS08… Continue Reading
- Topic:
- Metabolic / Obesity
Incisionless Gastric Cancer Resection Using Endoscopic Suturing With Pulley Retraction
Neil H Bhayani, MD MHS, Ashwin A Kurian, MBBS, Kevin M Reavis, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. The Oregon Clinic This video demonstrates the resection of an early, T1a, gastric adenocarcinoma using endoscopic submucosal dissection. To facilitate dissection, we used endoscopic suturing to create a pulley system for retraction. Session… Continue Reading
Laparoscopic Repair of Hiatal Hernia With Dor Fundoplication After Sleeve Gastrectomy in a Patient With Intractable GERD and Retained Gastric Body
Andre Teixeira, MD MBA MPH, Carolina Ampudia, MD, Samuel Szomstein, MD FACS FASMBS, Raul Rosenthal, MD FACS FASMBS. Cleveland Clinic Florida Introduction: Sleeve gastrectomy is one of the newest procedures and one of the fastest growing surgeries in the bariatric armamentarium. Technical details of the sleeve are important and failure to adhere to strict… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Revision of Roux-en-Y Gastric Bypass: Resection of Gastrojejunal Anastomosis, Trimming Gastric Pouch, and a Proximal Remnant Gastrectomy
Abraham Fridman, MD, Rena Moon, MD, Samuel Szomstein, MD FACS FASMBS, Raul Rosenthal, MD FACS FASMBS. Cleveland Clinic Florida Introduction: Bariatric surgery is becoming more popular and widespread throughout the world, and long-term complications are being diagnosed more frequently. The surgical management that is often necessary should be handled in highly specialized and experienced… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of Diastasis of Recti
C Palanivelu, P Senthilnathan, P Praveen Raj, R Parthasarthi, P S Rajan, V Vaithiswaran, Singh Jasmeet, Jai Ganesh. GEM Hospital & Research Centre IntroductionRectus abdominis diastasis or divarication of recti is a term used to define the split between the two rectus abdominis muscles. It is common in pregnancy and persists in 30-60% of… Continue Reading
- Topic:
- Abdominal Wall Hernias
The Poor Man’s Tem
Roel Hompes, MD, Frederic Ris, MD, Christopher Cunningham, FRCS, Neil Mortensen, FRCS, Ronan Cahill, FRCS. 1. department of colorectal surgery, John radcliffe hospitals, Oxford 2. Department of visceral surgery, Geneva University Hospitals, Geneva, Switzerland 3. Department of colorectal surgery, Beaumont Hospital, Dublin, Ireland Objective: Single port laparoscopic tools and principles are transferable to transanal… Continue Reading
- Topic:
- Colorectal
Hybrid Resection for Gastric Submucosal Tumor in Combination With Single Port Laparoscopy and Peroral Endoscopy
Noriyuki Inaki, MD PhD, Hisashi Doyama, MD PhD, Yasuhiro Ishiyama, MD, Michihiro Yamamoto, MD, Hiroyuki Bando, MD PhD, Tetsuji Yamada, MD PhD. Ishikawa Prefectural Central Hospital Background: We developed a hybrid technique for the partial resection of stomach for gastric submucosal tumor (SMT) in combination with the Single Port Surgery (SPS) and peroral endoscopic… Continue Reading
- Topic:
- Foregut
Sinistroposition: True Left-sided Gallbladder. a Rare Condition in a Common Operation. a Series of Three Cases
Patrick R Reardon, MD, Amanda Parker, MD, Michele A Riordon, MD, Vadim Sherman, MD, Brian J Dunkin, MD. The Methodist Hospital Department of Surgery; Methodist Institute for Technology, Innovation, and Education Houston, Texas 77030 Introduction: Sinistroposition of the gallbladder (SPG), is a very rare anatomic variant. Between September of 2005 and June of 2009… Continue Reading
- Topic:
- HPB
Laparoscopic Minor Pancreatic Resections (enucleations/atypical Resections). a Long-term Appraisal of a Supposed Mini-invasive Approach.
Renato Costi, MD PhD, Bruto Randone, MD PhD, Frédéric Mal, MD, Silvia Basato, MD, Hugues Levard, MD, Vincenzo Violi, MD, Brice Gayet, MD. 1 Département de Pathologie Digestive, Institut Mutualiste Montsouris, Paris, France; 2 Dipartimento di Scienze Chirurgiche, Università degli Studi di Parma, Parma, Italia. IntroductionLaparoscopic pancreatic enucleation is increasingly performed worldwide. Few retrospective,… Continue Reading