Ex Vivo Bovine Model : A Diagnostic and Therapeutic Endoscopy Training Model
Jaspreet Sandhu, MD1, Carl Winkler, MD2, Xiaohong Yan, PhD2, Chandana Herath Mudiyanselage, PhD2, Vesna Cekic, RN2, Nipa Gandhi, MD2, Richard Whelan, MD2. 1Brookdale University Hospital Medical Center, 2Mount Sinai West HospitalIntroduction: Flexible endoscopy is an integral part of General and Colorectal Surgery. The American Board of Surgery (ABS) now mandates endoscopy training and successful completion… Continue Reading
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
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
SINGLE-INCISION LAPAROSCOPIC RESECTION OF A DEEP LOCATED HEPATOCELLULAR CARCINOMA ON A CIRRHOTIC PATIENT: THREE-DIMENSIONAL RECONSTRUCTION BASED ON COMPUTED TOMOGRAPHY
Shu-Hung Chuang, MD, PhD, Dev-Aur Chou, MD, Shih-Wei Huang, MD, Min-Chang Hung, MD, Jimmy Chunmin Su, MD, Hurng-Sheng Wu, MD. 1. Division of General Surgery, Department of Surgery, Show Chwan Memorial Hospital, Changhua, Taiwan 2. IRCAD-AITS Show Chwan Health Care System, Changhua, TaiwanINTRODUCTION: Single-incision laparoscopic surgery or laparoendoscopic single-site surgery is an alternative to conventional… Continue Reading
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
Transluminal Endoscopic Drain Repositioning for Postoperative Gastrointestinal Leaks: A Practical NOTES Application
Ryan M Juza, MD, Karima Fitzgerald, MD, Eric M Pauli, MD. Penn State Hershey Medical CenterBackground: Gastrointestinal leak is a serious complication following abdominal surgery. Consequences of persistent leak may necessitate formal surgical intervention in a hostile abdomen. In select situations, we have utilized natural orifice transluminal endoscopic surgery (NOTES) methods to enter the abdominal… 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
Robotic Repair of Incarcerated Morgagni Hernia in an Adult on the Acute Care Surgery Service
Manuel Garcia, MD, Esther Wu, MD, Robert F Cubas, MD, Daniel P Srikureja, MD, Kaushik Mukherjee, MD, MSCI, FACS. Loma Linda University Medical CenterIntroduction: Morgagni hernia is a relatively uncommon anterior diaphragmatic hernia, particularly in adults. Open, laparoscopic, and thoracoscopic approaches have been described in both adults and children. Only three cases have been reported… Continue Reading
- Topic:
- Robotics
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
Endoscopic Sleeve Gastroplasty
Herbert M Hedberg, MD1, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemEndoscopic sleeve gastrectomy (ESG) utilizes an endoscopic suturing device to plicate the greater curve of the stomach. This results in a residual tube-like stomach that resembles the anatomy of a laparoscopic sleeve gastrectomy. The procedure begins by marking lines on… Continue Reading
Clinical application of indocyanine green (ICG) -fluorescence imaging during robot assisted laparoscopic right hepatectomy
Tadahiro Uemura, MD, PhD, Molly Vincent, PAC, Lorenzo Machado, MD, Kiumars Tabar, MD, Ngoc Thai, MD, PhD. Allegheny General HospitalBackground: Robot-assisted surgery is rapidly expanding in many surgical fields. However, robotic liver resections are still performed only in specialized centers. By utilizing advanced robotic technology, liver surgery can become safer and more effective than with… Continue Reading
AVOIDING HEART TRANSPLANTATION WITH A MIRRORED SLEEVE GASTRECTOMY IN A CASE OF SITUS INVERSUS
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 22 year old obese female with situs inversus, congenital heart disease, pulmonary hypertension and multiple obesity related… Continue Reading
Endoscopic Resection of an Esophageal Submucosal Leiomyoma
Patrick B Schwartz, MD, Jacob A Greenberg, MD, EdM, Amber L Shada, MD. University of Wisconsin Hospitals and ClinicsThis is a case of a 62-year-old female with dysphagia and regurgitation for 3 years, referred from gastroenterology with endoscopic and radiographic imaging findings concerning for a submucosal esophageal leiomyoma versus gastrointestinal stromal tumor. Endoscopic ultrasound with… Continue Reading
Cervicothoracic esophageal leiomyoma at the thoracic inlet: dual cavity minimally invasive resection
Andrew Tang, Eric Lamarre, MD, Siva Raja, MD. Cleveland Clinic FoundationEsophageal leiomyomas are the most common benign esophageal lesions. Based on our institutional experience, these most often occur in the distal esophagus and cause dysphagia. We present a case of an esophageal leiomyoma occuring at the thoracic inlet requiring a combined approach with ENT and… Continue Reading