Laparoscopic Resection of Large Duodenal Submucosal Lipoma
Taylor Paziuk1, Carly Comer1, Sami Tannouri, MD2, Michael Pucci, MD, FACS2. 1Sidney Kimmel Medical College at Thomas Jefferson University, 2Department of Surgery at Thomas Jefferson University HospitalWe present a case of a 52 year old man who presents with a large, nonobstructing, submucosal duodenal lipoma, not amenable to endoscopic resection. We performed an endoscopic-assisted, laparascopic… Continue Reading
- Topic:
- Case Presentations
Ileosigmoid Knot: A Rare Pediatric Surgical Emergency
Vadim Meytes, DO, Rebekah Campbell, MD, Sharon B Larson, DO, Dmitriy Karev, MD. NYU Lutheran Medical CenterIntroduction: Ileosigmoid Knot (ISK) is a rare cause of bowel obstruction that leads to necrosis. In this condition, the ileum wraps around the sigmoid colon causing a knot and strangulation of both structures. ISK is extremely rare in North… Continue Reading
- Topic:
- Case Presentations
Pericardial Small Bowel Tamponade
Robert A Grossman, MD, Daniela Treitl, MD, Michael Hurtado, MD, Irvin Willis, MD. Mount Sinai Medical CenterBackground: The minimally invasive maze procedure can be performed to attain sinus rhythm in patients with atrial fibrillation. We present a case in which a patient presented eight days after a minimally invasive hybrid maze procedure with epigastric pain,… Continue Reading
- Topic:
- Case Presentations
Post Splenectomy Diaphragmatic Hernia
Laura E Grimmer, MD, Michael L Brunt, MD. Washington UniversityIn this video abstract, we present an interesting case of posterior, lateral diaphragmatic hernia occurring ten years after a difficult splenectomy for lymphoma. We performed a laparoscopic diaphragmatic hernia repair with mesh.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 80152Program Number: V082Presentation Session:… Continue Reading
- Topic:
- Case Presentations
Vertical Banded Gastroplasty Revision: Laparoscopic Roux-en-Y Gastric Bypass versus Endoscopic Assisted Stapled Gastroplasty
Wayne S Lee, MD, Daniel Shouhed, MD, Miguel Burch, MD, FACS. Cedars Sinai Medical CenterIntroduction: Vertical banded gastroplasty (VBG) was initially described in 1982 by Mason as a substitute to the gastric bypass. Over time, chronic complications became apparent – one of which is gastric outflow obstruction leading to dilation of the pouch, gastroesophageal reflux… Continue Reading
- Topic:
- Case Presentations
Successful Laparoscopic Management of Chylous Ascites After Bariatric Surgery
Alexandra Argiroff, MD, Chaya Schwaartz, MD, Melissa Chang Tang, MD, Brian Jacob, MD, FACS, Mark A Reiner, MD, FACS, Tony Vine, MD, FACS, L. Brian Katz, MD, FACS. Mount Sinai Medical CenterWe present a case of successful laparoscopic management of chylous ascites following bariatric surgery. Chylous ascites is an exceedingly rare and potentially devastating complication… Continue Reading
- Topic:
- Case Presentations
Endoscopic Assisted Laparoscopic Truncal Vagotomy and Distal Gastrectomy with Gastrojejunal Anastomosis.
Nathan LaFayette, MD, Katelyn Levene, MD, Bradley Needleman, MD, Sabrina Noria, MD, PhD. The Ohio State UniversityHere we present a case of a 35 year old male who underwent an endoscopically assisted laparoscopic truncal vagotomy and distal gastrectomy with gastrojejunal anastomosis (BII). The utilization of the endoscope in this case ensured that there was no… Continue Reading
- Topic:
- Case Presentations
Pre-Duodenal Portal Vein in Lap Cholecystectomy a Potential Disaster .
Kanwarjit Dhillon, Rohit Bansal, Assistant, Consultant. Max Superspeciality Hospital Mohali India Our case showcases a very rare congenital anomaly of a preduodenal vein encountered during routine Laparoscopic Cholecystectomy which was completed laparoscopially . This dangerous anomaly of preduodenal Portal vein ought to be included in teaching curriculum of Safe laparoscopic cholecystectomy surgery. The Video shows… Continue Reading
- Topic:
- Case Presentations
Laparoscopic extended cholecystectomy for T3 gallbladder cancer
Ho-Seong Han, Jai Young Cho, YoungRok Choi, Seong Uk Kwon, Jae Seong Jang, Sungho Kim. Seoul National University Bundang HospitalBackground: Laparoscopic surgery for gallbladder cancer (GBC) has been contraindicated for a long time. Recently there have been a few reports on laparoscopic extended cholecystectomy for GBC, but most of indications are early GBC confined to… Continue Reading
- Topic:
- Case Presentations
Video Case Report: Laparoscopic Common Bile Duct Exploration, Placement of a Trans-choledochal Biliary Stent, and Cholecystectomy
Benjamin J Foreman, DO, MS, B Fernando Santos, MD. Dartmouth HitchcockThe following is a video case report from our institution from May 2016. Our patient is an 82-year-old male who was admitted to the hospital with worsening confusion. He subsequently developed fever, a leukocytosis, and increasing abdominal discomfort. His workup revealed increasing total bilirubin to… Continue Reading
- Topic:
- Case Presentations
Laparoscopic removal of retroperitoneal tumor with hanging inferior vena cava
Ho-Seong Han, Sungho Kim, Yoo-Seok Yoon, Jai Young Cho, YoungRok Choi, Seong Uk Kwon. Seoul National University Bounding HospitalBackground: Laparoscopic resection of retroperitoneal mass is challenging because of its location behind a big vessel and a limited range of laparoscopic instruments. We report a case of a hugh retroperitoneal paraganglioma that was successfully excised laparoscopically… Continue Reading
- Topic:
- Case Presentations
Laparoscopic External Iliac Lymph Node Excisional Biopsy in Castleman’s Disease
Vy Nguyen, MD, Dennis Klassen. Dalhousie UniversityUnifocal Castleman's Disease is a rare lymphoproliferative disorder affecting a single lymph node resulting in lymphoid hyperplasia. The etiology and pathogenesis of the disease is poorly understood. Unifocal lymphadenopathy is often an incidental finding, however mass effects or constitutional symptoms may result. Complete resection of the affected lymph node… Continue Reading
- Topic:
- Case Presentations
Vertical Banded Gastroplasty Converted to Sleeve Gastrectomy Secondary to Mesh Erosion.
Lisa Renee Hilton, MD, Geoffrey Nadzam, MD, FACS, FASMBS, Matthew Hubbard, MD, Saber Ghiassi, MD, FACS, FASMBS, Kurt Roberts, MD, FACS, FASMBS, Andrew J Duffy, MD, FACS, FASMBS. Yale UniversityThe patient is a 49 year old female who presented to the emergency department with forty eight hours of abdominal pain, nausea, vomiting, and leukocytosis. She… Continue Reading
- Topic:
- Case Presentations
Laparoscopic Assisted Retroperitoneal Necrosectomy
Gillian Alex, MD, Sameer Gupta, MD, Benjamin Veenstra. Rush University Medical CenterNecrotizing pancreatitis with superimposed infection is associated with high rates of complication and mortality. Traditional surgical management has been open necrosectomy which is associated with a high morbidity, death rate of 11-39% and a long term risk of pancreatic insufficiency. Since 2010 a step-up… Continue Reading
- Topic:
- Case Presentations
Laparoscopic Splenopexy for Wandering Spleen
Sheridan A Morgan, MD1, Ian C Glenn, MD2, Oliver S Soldes, MD2. 1Summa Health System (Akron, OH), 2Akron Children's Hospital (Akron, OH)Wandering spleen is a congenital anomaly characterized by the absence of the splenic ligaments, which predisposes to torsion of the spleen and splenic infarction. Splenopexy is preferable to splenectomy when infarction of the spleen… Continue Reading
- Topic:
- Case Presentations