A laparoscopic vagus preserving Merendino procedure
Introduction: Laparoscopic vagal preserving oesophagectomy is a recognised treatment option for high grade dysplasia of the oesophagus[1]. A jejunal interposition, as described by Alvin Merendino in 1955[2], aims to substitute the lower oesophageal sphincter, thereby treating physiological disorders such as reflux oesophagitis. Methods: We aimed to combine these procedures in the treatment of an otherwise… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Results after laparoscopic Heller-Dor operation for esophageal achalasia in 100 consecutive patients
Background: Laparoscopic Heller-Dor operation (LHD) has been the procedure of choice for the treatment of esophageal achalasia. However since, the incidence of achalasia is low, at one in 100,000 in USA and Japan, reports on the outcome of surgical treatment for such a disease are limited. In this study, we investigated the therapeutic results after… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Tracheo-esophageal Fistula Treated by Esophageal Stent and Ultrasound-Guided Suture Fixation
Background: Current option for patients with a tracheo-esophageal fistula are limited. Because of stent migration, newer stents have been developed to prevent movement, but stents placed high in the esophagus continue to migrate.Methods: This video describes the procedure of placing an esophageal stent with two different fixation techniques. The first technique involves the use of… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Resection Techniques for Gastroesophageal Junction Gist Tumors
Introduction: Gastrointestinal Stromal Tumors (GIST) are relatively rare neoplasms of mesenchymal origin with uncertain malignant potential. Complete gross resection without a need for microscopically negative margins or lymph nodes is oncologically adequate. Minimally invasive resection techniques such as laparoscopic wedge gastectomy are feasible and safe. Unfortunately, GIST lesions located near the gastroesophageal junction can be… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic D2 Lymph Node Dissection with Total Gastrectomy and Jejunal Pouch Reconstruction for Early Gastric Cancer
Introduction:D2 lymph node dissection for early gastric cancer was popularized by the Japanese, though it is still controversial. The adequacy of laparoscopic node harvest remains doubtful. In this video, we present a laparoscopic D2 dissection with total gastrectomy and jejunal pouch anastomosis.Methods: We have performed this procedure in 82 patients from 2002-2007. The dissection was… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Combined thoracoscopic and laparoscopic esophagectomy
.Minimally invasive esophagectomy for cancer is increasingly adopted by dedicated centers in the world, but the method is highly variable. A video presentation of combined thoracoscopic and laparoscopic esophagectomy in a 54-year old man suffering from a squamous cell cancer of the mid-esophagus is presented. Thoracoscopic esophageal mobilization with mediastinal nodal dissection was carried out… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Ivor Lewis Esophagectomy
This video illustrates the preferred technique for minimally invasive esophagectomy at the University of Pittsburgh. Previously, our described technique included mobilization of the esophagus via thoracoscopy, laparoscopic creation of the gastric tube and construction of a cervical esophagogastric anastomosis. Although we have reported excellent outcomes with this technique, we have since modified the procedure to… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Management of Anastamotic Leak after Esophagectomy with Endoscopic Esophageal Stent
INTRODUCTION: A 59 year old male with a long history of barrett's esophagus and previous nissen fundoplication underwent a laparoscopic, thoracoscopic Ivor Lewis Esophagectomy for esophageal carcinoma. Upper GI on POD # 9 showed a contained mediastinal leak measuring 3 x 4 cm.METHODS: Endoscopy confirmed an anastamotic disruption. A pig tail drain was endoscopically placed… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
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
Clinical outcome after laparoscopic proximal gastrectomy for gastric cancer.
INTRODUCTION; Various types of function-preserving gastrectomy and limited gastrectomy have been performed in attempts to improve postoperative quality of life for gastric carcinoma. Proximal gastrectomy, which is one of the noteworthy procedures, is performed to retain gastric function and minimize loss of digestive and absorptive ability. Recently, laparoscopic gastrectomy is increasingly applied for gastric cancer… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Prognostic value of endoscopic ultrasound in re-staging after neoadjuvant treatment in esophageal cancer
Introduction:Endoscopic ultrasound (EUS) in patients with esophageal cancer is a useful diagnostic tool for locoregional tumor staging. Patients with advanced esophageal cancer receive neoadjuvant radiochemotherapy to downstage the tumor prior to surgery. The role and accuracy of EUS after neoadjuvant therapy is uncertain.Methods:Between 2002 and 2005 we prospectively enrolled 70 consecutive patients with localized esophageal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Heller procedure for the treatment of esophageal achalasia
Background. The need of fundoplication while the Heller procedure is still controversial. It was proved, that fundoplication reduces the rate of gastroesophageal reflux, but increases surgery time and may increase the recurrence rate. Thus, we hypothesized that fundoplication must have exact indications, such as achalasia, associated with hiatal hernia and preoperative gastroesophageal reflux. So, this… 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
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
A decades experience of laparoscopic anterior Watson fundoplication in children.
Background: Laparoscopic anti-reflux surgery has become firmly established in the management of gastro-oesophageal reflux in children. The Nissen remains the most widely used anti-reflux procedure, but its success is frequently compromised by mechanical complications. Several modifications, such as partial wraps, have been described. It is not known whether the advantages of partial fundoplication translate into… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery