OVER-THE-SCOPE CLIP-ASSISTED ENDOSCOPIC FULL-THICKNESS RESECTION OF DUODENAL BULB NEUROENDOCRINE TUMOR
Cheyenne C Sonntag, MD, Ryan M Juza, MD, Eric M Pauli, MD. Penn State Milton S Hershey Medical CenterEndoscopic full-thickness resection (EFTR) of GI tract lesions permits accurate diagnosis and definitive management while avoiding more complex surgical procedures. Traditionally the full-thickness resection is performed first, followed by closure of the defect with clips or endoscopic suture. More recently over-the-scope… Continue Reading
Optimizing Sleeve Gastrectomy Technique Using Near Infrared Camera and Lighted Bougie
David Kelly, MD, Salim Abunnaja, MD, Lawrence Tabone, MD, David Borgstrom, MD, Nova Szoka, MD. West Virginia UniversityThis video demonstrates how laparoscopic sleeve gastrectomy technique can be improved with the use of a near infrared camera and a lighted bougie. This is a novel technique, as the near infrared camera is used without concurrent indocyanine… Continue Reading
Novel Combination technic of laparoscopic and left thoracoscopic for gastroesophageal junction cancer
Yo Kurashima, MD, PhD. Hokkaido UniversityIntroduction: The number of Gastroesophageal junction cancer has been increasing in recent years, however the consensus has not yet been reached on the range of optimal lymph node dissection. In addition, the approach to lower mediastinal lymph node dissection and reconstruction has some options as laparoscopic and thoracoscopic surgery for… 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
LAPAROSCOPIC TRANSGASTRIC SUBMUCOSAL DISSECTION
Walaa F Abdelmoaty, MD, MBA1, Christy M Dunst, MD, FACS2, Filippo Filicori, MD1, Ahmed M Zihni, MD, MPH1, Daniel Davila Bradley, MD2, Kevin M Reavis, MD, FACS2, Steven R DeMeester, MD, FACS2, Lee L Swanstrom, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon ClinicA case of a 68-yeay-old male with history of familial adenomatous polyposis… Continue Reading
Laparoscopic Transgastric ERCP: Double Wire Technique to Ease Biliary Cannulation
Gabriel Arevalo, MD, Jeffrey Marks, MDFACSFAGS. UH Cleveland Medical CenterOne of the known reasons for difficult biliary cannulation during ERCP is altered anatomy such as in RYGBP. One of the approaches to access the papilla in this group of patients is laparoscopic transgastric ERCP. Although a reliable and highly successful technique, there are several factors… Continue Reading
Laparoscopic total gastrectomy, take down of prior duodenojejunostomy and Roux-en-Y esophagojejunostomy
Tariq Almerey, MD, Javier Arreaza, MD, Horacio J Asbun, MD. Mayo Clinic FloridaIntroduction: Familiar adenomatous polyposis (FAP) is the most common inherited adenomatous polyposis syndrome and is caused by a germline mutation of the APC tumor suppressor gene. The average age of onset of polyposis in FAP is 16 years and is primarily characterized by… Continue Reading
- Topic:
- Foregut
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 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
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 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 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 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 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 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