Laparoscopic Paraesophageal Hernia with Falciform Ligament Buttress
Raymond Laird, DO, Fred Brody, MD, MBA, FACS. The George Washington University Medical Center. Introduction: Multiple techniques have been used to decrease recurrence rates following a paraesophageal hernia repair including buttressing the crura with synthetic and biological mesh. However, synthetic mesh is associated with erosions and dysphagia while biologic buttresses are expensive and have not… Continue Reading
- Topic:
- Foregut
Using a Functional Lumen Imaging Probe to Assess the Effect of Variable Myotomy Length During Poem and Heller
Ezra N Teitelbaum, MD, Nathaniel J Soper, MD, Eric S Hungness, MD. Northwestern University Feinberg School of Medicine. This video demonstrates the use of a functional lumen imaging probe (FLIP) to evaluate esophagogastric junction (EGJ) distensibility in real-time during operations for achalasia. FLIP is additionally used to test the physiologic effect of variable myotomy length… Continue Reading
- Topic:
- Foregut
Laparoscopic Nissen Fundoplication after Transoral Incisionless Fundoplication (TIF)
Oscar M Crespin, M, D, Brant K Oelschlager, M, D, Carlos A Pellegrini, M, D. University of Washington Medical Center. Introduction: Transoral incisionless fundoplication deploys polypropylene fasteners to coapt gastric fundus to lower esophagus, radially, creating a partial esophagogastric fundoplication. The Long-term outcomes of TIF are unknown, which makes patient decision and counseling difficult.The difficulty… Continue Reading
- Topic:
- Foregut
Novel Combined Vats/laparoscopic Approach for Giant and Complicated Paraesophageal Hernia Repair: Description of Technique and Early Results
Daniela Molena, MD, Benedetto Mungo, MD, Miloslawa Stem, MS, Anne O Lidor, MD, MPH. Johns Hopkins Medicine. Objective of the study/technique: The laparoscopic approach for repair of giant and/or recurrent paraesophageal hernias (PEH) is challenging, due to limited access to the dissection of the hernia sac into the proximal mediastinum and to esophageal mobilization through the… Continue Reading
- Topic:
- Foregut
Removal of Magnetic Les Augmentation Device
Cristina R Harnsberger, MD, Ryan C Broderick, MD, Martin A Berducci, MD, Catherine Beck, MD, Alberto S Gallo, MD, Moneer Almadani, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. University Of California, San Diego. Magnetic lower esophageal sphincter (LES) augmentation devices are being placed in patients for management of gastroesophageal reflux… Continue Reading
- Topic:
- Foregut
Laparoscopic Type I Choledochal Cyst Excision and Hepaticoduodenostomy in a 4 Year Old Child
C Palanivelu, MS, MCh, FACS, P Senthilnathan, MS, FACS, R Parthasarathi, MS, P Praveen Raj, MS, S Rajapandian, MS, R Sridhar, MS. GEM Hospital & Research Centre, Coimbatore, INDIA. Choledochal cyst is anomaly of the biliary system manifested by cystic dilatation of the extra or intra hepatic biliary tree or both. The accepted mode of… Continue Reading
- Topic:
- HPB
Laparoscopic Radical Cholecystectomy for Early Carcinoma Gall Bladder
C Palanivelu, MS, MCh, FRCS, P Senthilnathan, MS, FACS, R Parthasarathi, MS, P Praveen Raj, MS, R Sathiyamurthy, MS, V P Nallankilli, MS. GEM Hospital & Research Centre. Background Carcinoma Gall bladder is a common problem especially in the Gangetic plane of India.Generally patients present late for the surgery. But, when it is diagnosed at… Continue Reading
- Topic:
- HPB
Robot-assisted side-to-side Roux-en-Y pancreaticojejunostomy for chronic pancreatitis
Mario Masrur, MD, Jean Pierre Martucci, Md, Despoina Daskalaki, MD, Kristin Patton, MD, Shin Wang, MD, Francesco Bianco, MD, Pier Giulianotti, MD, FACS. University of Illinois at Chicago, Chicago, Illinois, USA. Background Lateral pancreaticojejunostomy (LPJ), also known as Puestow procedure, has been the preferred surgical option for intractable abdominal pain in patients with chronic pancreatitis… Continue Reading
- Topic:
- HPB
Total Laparoscopic Living Donor Right Hepatectomy: World First Report
Ho-Seong Han, Jai Young Cho, Yoo-Seok Yoon, Dae Wook Hwang, Young Ki Young Ki Kim, Hong Kyung Shin, Woohyung Lee. Seoul National University Bundang Hospital, Seoul National University College of Medicine. Background Right lobe living donor liver transplantation (LDLT) is the predominant form of adult-to-adult LDLT. Accordingly, cosmetic and functional demand by young donors is… Continue Reading
- Topic:
- HPB
Laparoscopic Transgastric Drainage of Complex Peripancreatic Fluid Collections
W. Cory Johnston, MD, Pippa Newell, MD, Paul Hansen, MD, Chet Hammill, MD, Ronald Wolf, MD. Providence Cancer Center, The Oregon Clinic, Foundation for Surgical Innovation and Education. Laparoscopic transgastric drainage is a definitive treatment for simple pancreatic pseudocysts. We have also found it to be an effective method for managing more complex retrogastric peripancreatic… Continue Reading
- Topic:
- HPB
Laparoscopic resection of a NET of the CBD with hepaticoduodenostomy
Steven S Rothenberg, MD, FACS, FAAP, Ted Stathos, FAAP. The Rocky Mountain Hospital for Children. Intro: This video demonstrates the laparoscopcic resection of a neuroendocrine tumor of the common bile duct (CBD) with a hepaticoduodenostomy Methods: A 15 year old female presented with evidence of acute cholangitis and evidence of biliary obstruction. Total bilirubin was… Continue Reading
- Topic:
- HPB
Totally Laparoscopic Puestow Procedure
Rosara Milstein, MS, Jennifer Schwartz, MD, Andrei Manilchuk, MD, David B Renton, MD. The Ohio State University. Since the Laparoscopic Revolution began in the early 1990s, we have continued to perform more complicated procedures using a laparoscopic approach. For several years now, advanced pancreatic procedures have been approached laparoscopically with a great deal of success.… Continue Reading
- Topic:
- HPB
Laparoscopic Transcystic Common Bile Duct Exploration
Ezra N Teitelbaum, MD, Bill R Luo, MD, Nathaniel J Soper, MD, Eric S Hungness, MD, Alex P Nagle, MD. Northwestern University Feinberg School of Medicine. This video shows a laparoscopic transcystic common bile duct exploration, performed for choledocholithiasis in a patient who had undergone a previous Roux-en-Y gastric bypass. The key steps of initial… Continue Reading
- Topic:
- HPB
Laparoscopic Major Venous Resection During Pancreaticoduodenectomy
Nicholas V Gaudet, MD, Michael L Kendrick, MD. Mayo Clinic College of Medicine. Locally advanced pancreatic body adenocarcinoma is a challenging operative problem given the propensity of the lesion to involve the major vascular structures. This video demonstrates the laparoscopic approach to a major vascular resection during pancreaticoduodenectomy, including resection and reconstruction of the superior… Continue Reading
- Topic:
- HPB
Real-time intra-operative endoscopic fluorescence imaging for evaluation of bowel perfusion in the setting of ischemic colitis
Sam Atallah, MD, FACS, FASCRS, Francisco Quinteros, MD, Henry Schoonyoung, MD, Beatriz Martin-Perez, MD, Lawna Hunter, BA, Sergio Larach, MD. Florida Hospital. A patient with multiple co-morbidities presented with the dual diagnosis of left-sided ischemic colitis extending to the splenic flexure and a bulky neoplasm in the distal sigmoid colon. During laparoscopic sigmoid resection, the… Continue Reading