Comparison of oncological outcomes after laparoscopic transhiatal esophagectomy and open esophagectomy for pT1 esophageal adenocarcinoma
INTRODUCTION: This study compared pathological characteristics and patterns of disease recurrence for patients with pT1 esophageal adenocarcinoma treated with either laparoscopic transhiatal esophagectomy or open esophagectomy (Ivor Lewis or transhiatal).METHODS: Case notes were reviewed for consecutive patients, who had esophagectomy with pT1 adenocarcinoma at final pathological staging, during January 2000-December 2006. No patient had neo-adjuvant… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Different Outcome of GERD and NERD Patients after Laparoscopic Nissen Fundoplication.
INTRODUCTION: "Anatomic" or "organic" GERD is cured with antireflux Nissen fundoplication. Patients with symptom of "heartburn" but without erosive esophagitis or NERD are classified as "symptomatic GERD". In our experience the outcome of patients with GERD and patients with NERD following laparoscopic Nissen fundoplication (LNF) was quite different.METHODS: Since Jan1993, one of us (C.V.) has… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Double tract reconstruction after laparoscopy-Assisted distal gastrectomy
Background: Laparoscopy-assisted gastrectomy (LADG) was reported by Kitano et al. in 1994. It is currently one of the option for early gastric cancer treatment. The common reconstruction has been Billroth I method. The roux-en-Y anastomosis is recommended by some surgeons regarding alkaline reflux gastritis, esophagitis, dumping syndrome, and carcinogenesis of the remnant stomach. However, endoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Efficiency of LARS for the treatment of extraesophageal GERD symptoms
Introduction. Gastroesophageal reflux disease (GERD) is common pathology with typical and atypical clinical presentation. Currently, the efficiency of laparoscopic antireflux surgery (LARS) for the treatment of extraesophageal GERD symptoms have not been completely studied. The aim was to study the efficiency of LARS for the treatment of extraesophageal GERD symptoms.Methods and procedures. From 1994 till… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Endo-Laparoscopic Intragastric Tumor Excision (ELITE) of Intragastric GIST – Combined Endoscopic and Laparoscopic Technique
Introduction: Gastric GIST is a mesenchymal neoplasm of gastrointestinal tract with uncertain malignant potential. Complete surgical excision is usually recommended . However, local excision is difficult for GIST located at cardia or prepyloric region and partial gastrectomy may be necessary. Method: For small intragastric GIST ( Session: Podium Presentation Program Number: V028 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Endoscopic-pathologic Correlation in Patients Undergoing Prophylactic Gastrectomy for Hereditary Diffuse Gastric Cancer (hdgc).
INTRODUCTION: We performed a study of endoscopic-pathologic correlation in patients who have undergone prophylactic gastrectomy for hereditary diffuse gastric cancer (HDGC). HDGC is an autosomal-dominant condition associated with a mutation of the e-cadherin/CDH1 gene and carries about an 80% risk of developing diffuse gastric cancer.METHODS: We reviewed a case series of 16 gene-positive patients who… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Endoscopic Ultrasound Does Not Accurately Predict Pathologic Stage in Clinical Early-Stage Esophageal Cancer
Background: Early-stage esophageal cancer can be cured by surgical resection with low mortality and excellent five-year survival. Recently, however, endoscopic therapies have been proposed as an acceptable alternative. Endoscopic ultrasound (EUS) is typically used for pretreatment staging; the presence of muscularis propria invasion and/or nodal metastasis are a contraindication to endoscopic therapy. We hypothesized that… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Endoscopic Ultrasound Overstaging of N-status in Patients with Esophageal Adenocarcinoma
Introduction: Lymphatic metastases are a key determinate of prognosis with esophageal cancer. Endoscopic ultrasound (EUS) is the leading modality for local-regional staging of esophageal cancer, and patients thought to be node-positive are typically recommended to have neoadjuvant therapy prior to esophagectomy. The aim of this study was to asses the prevalence and characteristics of patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Esophageal Manometric Characteristics and Outcomes for Laparoscopic Esophageal Diverticulectomy, Myotomy and Partial Fundoplication for Epiphrenic Diverticula
Introduction: The purpose of this study is to characterize the esophageal motor and lower esophageal sphincter (LES) abnormalities associated with epiphrenic esophageal diverticula and analyze outcomes for laparoscopic esophageal diverticulectomy, myotomy and partial fundoplication.Methods: Endoscopic, radiographic, manometric and perioperative records for patients undergoing laparoscopic esophageal diverticulectomy, anterior esophageal myotomy and partial fundoplication from 8/99-9/06 were… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Esophagojejunostomy After Laparoscopic Total Gastrectomy: Extra- And Intra-corporeal Methods
Introduction: Simple and secure technique of reconstruction is necessary to facilitate acceptance of laparoscopic total gastrectomy for gastric cancer patients. We use a modified functional end-to-end anastomosis technique and make esophagojejunostomy using linear staplers without hand sewing. After experiences of reconstructions with an extra-corporeal method, we perform anastomosis mostly by an intra-corporeal method.Patients: All patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Factors influencing operation time of laparoscopy-Assisted distal subtotal gastrectomy: A large-scale Korean multicenter study
Purpose: There is little information on patient selection criteria for laparoscopy-assisted distal gastrectomy (LADG) that would facilitate a successful initial experience for a surgeon new to the procedure. The aims of this multicenter study were to assess the effect between operation time and frequency of LADG and determine patient selection criteria that will allow increased… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Gastric residues in the remnant stomach after laparoscopy-Assisted distal gastrectomy for gastric cancer
Background: Food retention in the remnant stomach is known to be seen after distal gastrectomy. We have performed laparoscopy-assisted distal gastrectomy (LADG) with Billroth I reconstruction since March 1999, and have come by cases with significant amount of gastric residues which hinder regular endoscopic follow-ups. It seemed to be observed more often with LADG compared… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Is Outcome After Laparoscopic Nissen Fundoplication the Same for Patients with Disparate Indications?: The Impact of Reflux Vs. Dysphagia Before Fundoplication on Outcome
Introduction: It is possible that outcomes after laparoscopic Nissen fundoplication are different when patients are operated upon for disparate indications, e.g., symptoms due to excessive acid reflux or obstruction. This study was undertaken to compare symptomatic outcomes between patients undergoing fundoplication for the disparate indications of excessive acid reflux vs. dysphagia. Methods: Laparoscopic Nissen fundoplications… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Ladg for Early Gastric Cancer in Obese Patients
Objective: Laparoscopy-assisted distal gastrectomy (LADG) has become a popular mode of treatment for patients with gastric cancer. Less operative blood loss, less pain, early recovery of bowel activity, early restart of oral intake, and a shorter hospital stay with LADG compared with the conventional open method has been well documented. There is, however, little information… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic approach to common gastric surgical problems: results and outcomes of 30 cases
Background: Despite large worldwide experience, laparoscopic gastric surgery in the US has been slow to gain acceptance into clinical practice because of a relative paucity of gastric surgical cases in general. Below we review the results and outcomes of 30 laparoscopic gastric operations performed at a large community hospital.Hypothesis: Laparoscopic gastric surgery for benign and… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery