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
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
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 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 sleeve gastrectomy with concurrent splenectomy for massive splenomegaly
Pearl Ma, MD, Salim Abunnaja, MD, Ike Akusoba, MD, Ariel Shuchleib, MD, Daniel Swartz, MD, Keith Boone, MD, Kelvin Higa, MD. University of California-San Francisco FresnoSimultaneous laparoscopic sleeve gastrectomy with concurrent splenectomy presents a technical challenge to minimally invasive surgeons. We present a case of a 63 year old female who had a history of… 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
Laparoscopic Sleeve Gastrectomy in a Patient with Complete Situs Inversus
Luis F Zorrilla-Nunez, MD, Raul J Rosenthal, MD, Federico Serrot, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaSitus inversus is a rare condition with an estimate incidence of 1 in 10000 people. This video demonstrates the feasibility of performing a longitudinal sleeve gastrectomy on a patient with situs inversus.… 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
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
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
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
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
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
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