4th Time Laparoscopic Anti-Reflux Surgery for Remediation of Multi-Fundoplication Failure
Michael A Antiporda, MD, Steven P Bowers, MD. Mayo Clinic FloridaRemediation of multi-fundoplication failure is one of the most challenging tasks faced by foregut surgeons in terms of selecting the most appropriate operation as well as the technical difficulty of dissecting out a scarred-in hiatus. This video depicts the case of a young patient who… Continue Reading
- Topic:
- Foregut
PARAESOPHAGEAL HERNIA ASSOCIATED WITH POSTERIOR SLIPPAGE OF GASTRIC BAND
William R Shepard, DO1, Emily Speer, MD2, Valerie Halpin, MD1, Christy M Dunst, MD2, Lee L Swanstrom, MD2, Kevin M Reavis, MD2. 1Legacy Good Samaritan, 2Oregon ClinicThis video presents a 71 year old female with a history of laparoscopic adjustable gastric band several years prior, who presented with symptoms of intermittent obstruction and reflux due… 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
Robotic Assisted Removal of Magnetic Esophageal Sphincter with Fundoplication
Michael P Meara, MD, MBA, FACS, Colleen Alexander, MD, Cole Rodman, David B Renton, MD, FACS, Jennifer Schwartz, MD. The Ohio State University Wexner Medical CenterBACKGROUND: Magnetic esophageal sphincter augmentation is a relatively new technique for management for reflux beyond traditional medications. The long-term outcomes of this device and concerns for potential failure or erosion… Continue Reading
- Topic:
- Foregut
HYBRID LAPARO-ENDOSCOPIC REMOVAL OF A MAGNETIC SPHINCTER AUGMENTATION DEVICE
Andrew T Strong, MD1, Michael Musso, DO2, Jonathon Wanta, BA3, Kevin El-Hayek, MD1. 1Cleveland Clinic, 2OhioHealth Affinity Medical Center, 3Case Western Reserve University School of MedicineThis video describes a hybrid endoscopic and transgastric laparoscopic technique to remove a magnetic sphincter augmentation device discovered to be eroded into the lumen of the gastrointestinal tract at the… Continue Reading
- Topic:
- Foregut
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
LaparoThoracoscopic Esophagectomy, The Ivor Lewis Procedure
Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, Matthew Lange, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaWe present the case of a 57 year old man with PMH significant for progressive dysphagia (initially to solids and progressed to liquids) and esophagitis with esophageal stricture that was not amendable to… Continue Reading
- Topic:
- Foregut
HIATAL HERNIA CAUSING FAILURE TO THRIVE AFTER A SLEEVE GASTRECTOMY
Riley D Stewart, MD, MSc, FRCSC, James Ellsmere, MD, MSc, FRCSC. Dalhousie University Division of General SurgeryThe repair of small hiatal hernias at the time of laparoscopic sleeve gastrectomy is controversial. Proponents of routine hiatal hernia repair do so to reduce the risk of gastroesophageal reflux disease in the post-operative period. We present a video… Continue Reading
- Topic:
- Foregut
Robotic- Assisted Redo Heller Myotomy; Improved Visions with Fluorescence
Aarthy Kannappan, MD, Manuel Garcia, MD, Esther Wu, Jeffrey Quigley, MD, Stephanie Keeth, DNP, Marcos Michelotti, MD, FACS, Keith Scharf, Crystal Alvarez, DO. Loma Linda UniversityPresented is a video case report of a 44-year-old male who presented with persistent difficulty swallowing liquids and solids approximately 7 months after a laparoscopic Heller myotomy at an outside… Continue Reading
Complex Rectal ESD: Double Balloon with Traction Technique
Takahiro Hiratsuka, MD, Kota Momose, MD, Jeffrey Milsom, MD, Sam Sharma. Weil Cornell MedicineIntroduction: Rectal ESD of lesions on folds or valves is technically difficult, and has an increased perforation risk and en-bloc resection failure. There are limited reports of the use of add-on devices to assist in such techniques. To meet this need we… Continue Reading
COMBINATION OF LAPAROSCOPIC CAUDATE LOBE RESECTION AND LOW ANTERIOR RESECTION IN SYNCHRONUS CAUDATE LOBE METASTASIS IN RECTAL CANCER: APPLICATION AND BENEFIT OF FLORESCENCE ENHANCE IMAGING
Siripong Cheewatanakornkul, MD, Nan-ak Wiboonkwan, MD. Prince Of Songkla UniversityICG has been verified for its long clinical use since the late 50s.It has very few side effects (allergic reaction 1/300,000). The clinician uses it for the study of the anatomy of retinal vessels, measuring liver functional reserve before major hepatic resection and assessment perfusion of… Continue Reading
Three-Trocar-Port Laparoscopic Distal Pancreatectomy with Spleen Preservation
Andres Guevara, MD, Francisco Berrospi, MD. Instituto Nacional De Enfermedades Neoplasicas - Lima PeruThe three port laparoscopic distal pancreatectomy with spleen preservation is a reduced port techinque in laparoscopy. This techinque has the advantage that is less traumatic than the fourth port standard techinque for pancreatic surgery and in spite of being a complex surgery… 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
Purely Laparoscopic Extended Right Hemihepatectomy for Hepatocellular carcinoma with Bile Duct Tumor Thrombus
Kil Hwan Kim, MD, YoungRok Choi, MD, Ho-Seong Han, MD, PhD, Yoo-Seok Yoon, MD, PhD, Jai Young Cho, MD, PhD. Seoul National University Bundang Hospital, KoreaBackground: Laparoscopic liver resection was first introduced in the 1990s and has been performed throughout the world. Since then, surgical techniques & instruments related with laparoscopic surgery have greatly advanced.… Continue Reading