Minimally Invasive Esophagectomy for Clinical Early Stage Esophageal Squamous Cell Carcinoma: Thoracoscopy Compared with Mediastinoscopy Assisted
Objective:Minimally invasive esophagectomy has been applied wildly for esophageal carcinoma treatment. Thoracoscope-assisted transthoracic esophagectomy(TATTE) and mediastinoscope-assisted transhiatal esophagectomy(MATHE) were two kind of MIE, the objective of this study was to compare these two methods with respect to surgical feasibility and safety. Methods: Single institute experience with MATHE and TATTE was analyzed to assess morbidity, adequacy… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
DS (Disk Suspension) Method: Novel and Safe Technique for the Retraction of the Liver in Laparoscopic Surgery
BACKGROUND: A sufficient operative field and an adequate working space are critical factors that determine the success of laparoscopic surgery. Although some liver lifting methods have been reported, insufficient operative field, liver disfunction, and risk of liver laceration, particularly for obese patients, have been serious problems. We have developed a novel and safe technique that… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Esophagectomy for Esophageal Cancer Versus Open Thoracoabdominal Esophagectomy
INTRODUCTION: Esophagectomy for esophageal cancer with thoracoabdominal approach is associated with a high rate of morbidity and mortality. Minimally invasive esophagectomy (MIE) using laparoscopic or thoracoscopic surgery has been proposed to decrease these complications. This retrospective study aimed to compare the surgical outcomes between MIE (group A) and conventional open thoracoabdominal approach (group B). METHODS:… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Initial Outcome of Laparoscopic Nissen Fundoplication: Thailand Experience
Recently, the incidence of gastroesophageal reflux disease (GERD) in Thailand has been increasing. Less was known regarding the outcome of laparoscopic antireflux surgery in Asian.The aim of this study was to report our initial outcome of GERD patients who underwent laparoscopic Nissen fundoplication.Method: Twenty patients who underwent laparoscopic Nissen fundoplication were included. All patients had… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Initial Experience with Sentinel Lymph Node Biopsy for Esophageal Cancer
Introduction: There is emerging evidence that isolated tumor cells and micrometastases in lymph nodes have prognostic value in esophageal cancer. To facilitate a detailed examination of a limited number of lymph nodes by the pathologist, we report our initial experience with sentinel lymph node biopsy in patients undergoing resection for invasive esophageal cancer. Methods: Ten… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
The Impacft of Obesity and Hiatal Hernia on the Long Term Result of Laparoscopic Heller Myotomy
Introduction: To identify pre-operative, intra-operative, and post-operative variables that impact the long term results of laparoscopic Heller myotomy in patients with Achalasia. Methods and Procedures: A retrospective record review and telephone interview with a standardized questionnaire was conducted on 122 consecutive patients who underwent a laparoscopic Heller myotomy from 1995 to 2008. A partial fundoplication… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Transoral Esophago-gastric Partial Fundoplication for the Treatment of Gastroesophageal Reflux Disease (gerd): Operative Findings and Safety
BACKGROUND: Attempts at transoral fundoplication to treat gastroesophageal reflux have until recently been limited to gastro-gastric plications. The EsophyX device (EndoGastric Solutions, Redmond, WA) provides the potential to perform a transoral esophago-gastric fundoplication. Polypropylene fasteners are placed between the esophageal lumen and the gastric cardia up to 4 cm above the Z-line to create a… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Perioperative Outcomes of Surgical Procedures for Recurrent Gerd Following Nissen Fundoplication
Introduction: Anatomic failure and recurrent gastroesophageal reflux (GERD) following fundoplication is a well described occurrence. Occasionally, reoperative surgery is required. The morbidity of revisional GERD surgery can be quite high, and the clinical outcomes may not be as good as is observed following primary antireflux operations. Methods: Data was obtained from a prospectively maintained foregut… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Outcomes Following Laparoscopic Vs. Robotic Heller Myotomy
Introduction:Achalasia is a rare esophageal motility disorder that is usually treated with endoscopic interventions and/or surgical myotomy. The goal during surgical myotomy is to relieve the esophageal outflow obstruction by dividing all muscle fibers from 2-3 cm distal to the gastroesophageal junction and onto the esophagus 4-6 cm proximally. An incomplete myotomy can lead to… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic and Thoracoscopic Ivor Lewis Esophagectomy
Minimally invasive (MIS) Ivor-Lewis Esophagectomy is a technically challenging procedure, but series from expert centers have described its feasibility and safety. The benefit in terms of long-term oncologic outcomes is being investigated. The extent of MIS techniques has ranged from a laparoscopic abdominal component with a thoracotomy, mini-thoracotomy, or thoracoscopic component. This video describes the… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Clinical Outcomes of Atypical Symptoms Following Laparoscopic Antireflux Surgery
Introduction: Gastroesophageal reflux disease (GERD) can manifest with both typical (heartburn, regurgitation) and atypical symptoms (cough, hoarseness, wheeze). While it is well established that antireflux surgery is effective in relieving typical symptoms, it is currently unclear whether atypical symptoms foreshadow a less satisfactory outcome following laparoscopic antireflux surgery (LARS). The purpose of this study is… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Identification of Risk Factors for Post-operative Dysphagia After Laparoscopic Primary Anti-reflux Surgery
Introduction: Transient post-operative dysphagia is not uncommon after laparoscopic anti-reflux surgery and usually runs a self limitng course. However a subset of patients has long term dysphagia. The aim of this study was to determine the risk factors for persistent post-operative dysphagia at one year after surgery. Methods: All patients undergoing anti-reflux surgery are entered… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Nissen Fundoplication: It\’s Role in the Treatment of a Failed Esophyx Procedure
This is a 52 year old male, 9/11 responder who developed GERD and respiratory related issues from 9/11. He had a NDO plicator in 2006 with no effect, and an Esophex in November, 2008. This was complicated by abdominal pain, free air, and mediastinal air. He was treated conservatively and eventually responded over one week… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Repair of Acutely Incarcerated Paraesophageal Hernia
This is an 80 year old male who presented with acute incarceration of a known paraesophageal hernia. He was reduced by emergency endoscopy. The past history is significant for hypothyroidism and GERD, long standing. The video demostrates the amount of stomach that can necrose if this emergent condition is not operated quickly. The edema in… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Interstitial Lung Disease and Gastroesophageal Reflux Disease: Key Role of Esophageal Function Tests in the Diagnosis and Treatment.
Background: The high prevalence of gastroesophageal reflux disease (GERD) in patients with respiratory disorders, from asthma to idiopathic pulmonary fibrosis, has led many to speculate that there might be more than a coincidental association between the two disease processes. There is still confusion about the diagnostic steps necessary, and about the effect of treatment.Objectives: To… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery