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
Laparoscopic Management of Hiatal Hernias in Difficult Cases
Oscar M Crespin, M, D, Brant K Oelschlager, M, D, Carlos A Pellegrini, M, D. University of Washington Medical Center. Introduction: Hiatal hernia is a common disorder, characterized by a protrusion of any abdominal structure other than the esophagus into the thoracic cavity through a widening of the hiatus of the diaphragm. Reduction of the… Continue Reading
- Topic:
- Foregut
Transgastric endo-organ resection of proximal gastric lesion
Piyush Aggarwal, MD, Kulsoom Laeeq, MD, Angela Osmolak, MD, Tommy Lee, MD, Sumeet Mittal, MD. Creighton University Medical Center. Laparoscopic trans-gastric resection is a novel technique of removing gastric tumors that are unresectable secondary to their size and location. Tumor near esopahgogastric-junction are especially challenging for removal by endoscopy. We present a case of 41… 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
Sleeve Esophageal Endoscopic Mucosectomy “SEEM”
Ahmed Sharata, MD, Christy M Dunst, MD, Radu Pescarus, MD, Eran Shlomovitz, MD, Ashwin Kurian, MD, Kevin M Reavis, MD, Lee L Swanstrom, MD. Providence Portland Medical Center, The Oregon Clinic. The incidence of esophageal adenocarcinoma is increasing rapidly in the western world. The treatment of the early esophageal cancer (high grade dysplasia & intra… Continue Reading
The nightmare of the GI surgeon
Radu Pescarus, MD, Ahmed Sharata, MD, Eran Shlomovitz, MD, Kevin M Reavis, MD, Christy M Dunst, MD, Lee L Swanstrom, MD. Oregon Clinic and Providence Portland Medical Center; Portland, Oregon. Perforations of the gastro-intestinal (GI) tract represent a major challenge for all surgeons. Various endoscopic tools are increasingly part of the armamentarium of the GI… Continue Reading
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
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
Complex Laparoscopic Repair of Giant Type IV Hiatal Hernia after Esophagectomy
Fredrick Che, MD, Nojan Toomari, DO, Ninh Nguyen, MD. University of California Irvine Medical Center. 69 year old male with a history of esophageal adenocarcinoma status post laparoscopic and thoracoscopic Ivor Lewis esophagectomy, presented with abdominal pain and symptoms of bowel obstruction. Images performed showed a giant type 4 hiatal hernia with transverse and descending… Continue Reading
- Topic:
- Abdominal Wall Hernias
Endoscopic Rescue of Dislodged Trans-Abdominal Decompressive Esophagostomy Tube
Ryan M Juza, MD, Tung T Tran, MD, Eric M Pauli, MD. Penn State Milton S. Hershey Medical Center. Transabdominal tube drainage is a well described surgical technique for drainage of a blind-ending luminal structure particularly in the emergent setting. A potentially serious complication of transabdominal drainage includes dislodgement of the tube leading to free perforation and… Continue Reading
- Topic:
- Endolumenal / NOTES
Single Incision Laparoscopic Low Anterior Resection combined with Natural Orifice Surgery using prolapsing technique
Goutaro Katsuno, MD, PhD, Masaki Fukunaga, MD, PhD, Yoshifumi Lee, MD, PhD, Kunihiko Nagakari, MD, PhD, Masahiko Sugano, MD, PhD, Masaru Suda, MD, PhD, Yoshito Iida, MD, PhD, Seiichirou Yoshikawa, MD, PhD, Masakazu Ouchi, MD, PhD, Yoshitomo Itou, MD, PhD, Yoshinori Hirasaki, MD, PhD, Daisuke Azuma, MD, Shintaro Kohama, MD, Jun Nomoto, MD. Department of… Continue Reading
- Topic:
- Endolumenal / NOTES
Superior Mesenteric Artery Syndrome Four Months Following Sleeve Gastrectomy
Allison M Barrett, MD, David J Harrison, BA, Seth I Felder, MD, Edward H Phillips, MD, FACS, Miguel A Burch, MD, FACS. Cedars Sinai Medical Center. Superior mesenteric artery syndrome is rare, but has been reported in the bariatric surgery population in case reports. We describe a patient who developed SMA syndrome following rapid weight… Continue Reading
- Topic:
- Minimally Invasive Other
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
Use of Chemical Components Separation for Primary Wound Closure in an Open Abdomen
Natasza M Posielski, BS, Clayton C Petro, MD, Yuri W Novitsky, MD, Hooman T Soltanian, MD, Michael J Rosen, MD. University Hospitals Case Medical Center. Introduction: A 58-year-old male with gallstone pancreatitis developed abdominal compartment syndrome requiring a decompressive laparotomy at an outside hospital. Ten days later his fascial defect remained >30cm wide and he… Continue Reading
- Topic:
- Abdominal Wall Hernias
Hybrid Laparoscopic-Robotic Management of Type IVa Choledochal Cyst in the setting of prior Roux-en-Y Gastric Bypass
Julietta Chang, MD, R. Matthew Walsh, MD, Kevin El-Hayek. Cleveland Clinic Foundation. Choledochal cysts are rare congenital lesions of the biliary system. The recommended treatment is surgical excision with biliary enteric reconstruction. In patients with normal anatomy, Roux-en-Y hepaticojejunostomy is preferred. However, different options in biliary reconstruction must be entertained in those with altered anatomy.… Continue Reading
- Topic:
- Robotics