INNOVATIVE APPROACH FOR THE REMOVAL OF A GIANT GASTRIC LIPOMA
Jenny Lam, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, David Bernstein, MD, Thach Pham, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, FACS, Santiago Horgan, MD, FACS. University Of California - San DiegoCase report of a 50 year old obese female presenting with epigastric pain and UGI bleeding found to have a large… Continue Reading
Intraluminal Zenker’s Diverticulectomy
Jessica Ardila-Gatas, MD, Matthew Allemang, MD, James Villamere, MD, Matthew Kroh, John Rodriguez, Jeffrey Ponsky. Cleveland ClinicIntroduction: Zenker's diverticulum is a false diverticulum in the upper esophagus. Symptoms include dysphagia, regurgitation of food and foul breath. Diagnosis is made with a barium swallowing exam and treatment is surgical. Open and endoscopic techniques have been described.… Continue Reading
Laparoscopic complete bursectomy with total gastrectomy for advanced gastric cancer at the posterior wall of stomach
Wei Wang, MD, Wenjun Xiong, MD, Lijie Luo, Yansheng Zheng, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineThe primary results of JCOG1001 had shown that bursectomy can be safely performed without increasing morbidity and mortality, but bursectomy can not improve 3-years survival for patients with advanced gastric cancer. However, the significance of bursectomy for advanced… Continue Reading
Laparoscopic Conversion of a Vertical Banded Gastroplasty to Sleeve Gastrectomy in a Morbidly Obese Patient with a Complicated Medical History
Cigdem Benlice, MD, Heath J Antoine, MD, Philip R Schauer, MD. Cleveland Clinic FoundationOur patient is a 58-year-old female with morbid obesity and a BMI of 41. Her past medical history was significant for hypertension, diabetes, and obstructive sleep apnea. She had initially undergone an open vertical banded gastroplasty and cholecystectomy in 2002 followed by… Continue Reading
- Topic:
- Foregut
Laparoscopic Heller myotomy for achalasia in a patient with cirrhosis and intra-abdominal varices as well as prior bowel resections for Crohn’s, what it is like to be in a mine-field.
Adrian Dobrowolsky, MD, Nikolai Bildzukewicz, MD. USC KeckWe Present to you a 55y M with h/o Crohn's disease who has undergone multiple bowel resections and Hepatitis C for 25 years and cirrhosis for 6 years and now esophageal varices who complains of worsening dysphagia over the last 6 months. Upper GI and manometry confirmed achalasia… Continue Reading
- Topic:
- Foregut
Laparoscopic Heller Myotomy for Pseudoachalasia after Failed Paraesophageal Hernia Repair
Julietta Chang, MD1, Ivy N Haskins, MD2, Arielle J Perez, MD3, Ajita S Prabhu, MD4, David M Krpata, MD4, Michael J Rosen, MD4. 1Massachusetts General Hospital, 2George Washington University, 3University of North Carolina, 4Cleveland Clinic FoundationAchalasia is a rare disease characterized by aperistalsis of the esophagus and incomplete relaxation of the lower esophageal sphincter due… Continue Reading
- Topic:
- Foregut
Laparoscopic Heller Myotomy with Dor Fundoplication and Type III Hiatal Hernia Repair Can Be Performed Successfully in the Same Day Surgery Setting
Margaret Jackson, MD1, Farzaneh Banki2. 1McGovern Medical School at the University of Texas Health Science Center at Houston (UTHealth), 2McGovern Medical School at the University of Texas Health Science Center at Houston (UT Health). Memorial Hermann Southeast Esophageal Disease Center.Introduction: The reported length of stay after Heller myotomy is 1-4 days. The aim was to… Continue Reading
LAPAROSCOPIC LEFT HEPATECTOMY WITH DIRECT GLISSONIAN APPROACH IN A PATIENT WITH A PARTIALLY RUPTURED ADENOMA
Jose Julio R Monteiro Filho, MD, Paulo Jose M Macedo, MD. Private PracticeLaparoscopic hepatectomy is a new procedure with several technical options. We present a video showing our technique as we are doing it since 2007. In this case it's a 36 years old patient that presented with a subacute case of abdominal pain due… Continue Reading
LAPAROSCOPIC PARAESOPHAGEAL HIATAL HERNIA REPAIR IN A 13 MONTH OLD INFANT
Amanda B Sosulski, MD1, Sathyaprasad Burjonrappa, MD, FACS2, Charles V Coren, MD, FACS1, Collin Brathwaite, MD, FACS2. 1NYU Winthrop, Stony Brook Medicine, 2NYU WinthropINTRODUCTION: Paraesophageal hiatal hernia (PHH), is an uncommon entity in infants with variable clinical presentation and symptomatology. Patients can be completely asymptomatic or more commonly have feeding difficulties or respiratory issues, rarely… Continue Reading
Laparoscopic Reduction and Repair of Left Paraduodenal Hernia
Herbert M Hedberg, MD1, Baddr Shakhsheer, MD2, Stephen Haggerty, MD3. 1University of Chicago Medical Center, 2St. Louis Children's Hospital, 3NorthShore University HealthSystemParaduodenal hernia accounts for 50% congenital internal hernias. These hernia defects are formed by anomalous rotation and fusion of the mesentery and peritoneum during embryological development. They are located near the root of the… Continue Reading
Laparoscopic Removal of a Vagal Blocking Device
Tarin C Worrest, MD1, Samer Mattar, MD2, Bruce Wolfe, MD1, Erin W Gilbert, MD1. 1Oregon Health and Sciences University, 2Swedish Medical CenterAn implantable vagal blocking device has been approved by the Food and Drug Administration for the treatment of moderate obesity. However, to date, there has been no report on the technique for the laparoscopic… Continue Reading
Laparoscopic repair of diaphragmatic hernia secondary to iatrogenic injury
Sunder Balasubramaniam, Dr1, Kheng Tian Lim, Dr2. 1National Healthcare Group, 2Khoo Teck Puat HospitalA 59 year old Chinese man presented to the Emergency Department of our institution with 1 day history of an acute right sided crampy abdominal pain and distension associated with 4 days history of constipation. He gave a history of blunt thoracoabdominal trauma more than 30 years… Continue Reading
Laparoscopic Repair of Morgagni Type Hernia with IVC Involvement
Sara Martin Del Campo, MD1, David Renton, MD2. 1Swedish Medical Center, 2The Ohio State Medical CenterOur patient is a 37 year old physically active male who presented to his primary MD with the complaints of chest pain while running. Workup revealed a large diaphragmatic hernia with liver herniated to the right of the heart. The… Continue Reading
Laparoscopic Revision of Gastrojejunal Anastomosis with Reconstruction
Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, Kandace Kichler, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaThis is the case of a 43 year old female with a history of an antecolic antegastric Roux en Y Gastric Bypass performed laparoscopically at an outside facility approximately 16 years prior. Postoperatively,… Continue Reading
Laparoscopic Roun-en-Y Gastric Bypass and Paraesophageal Hernia Repair with Posterior Reinforcement using Remnant Gastropexy
Jessica Ardila-Gatas, MD, Linden Karas, MD, Ali Aminian, MD. Cleveland ClinicIntroduction: In patients with morbidly obesity and gastroesophageal reflux disease (GERD), a Roux-en-Y gastric bypass (LRYGB) is the procedure of choice, since it solves both problems. Repair of paraesophageal hernias remains a challenge for the general surgeons. Complete reduction of the hernia sac, adequate intra-abdominal… Continue Reading