Total Laparoscopic Pancreaticoduodenectomy
Narong Boonyagard, MD. BMA General HospitalTotal laparoscopic pancreaticoduodenectomy(TLPD) is one of the most advance abdominal operation due to the anatomical location and the surrounding major vasculature. Although laparoscopic surgery for oncology is rapidly growing in worldwide, laparoscopic surgery for pancreaticoduodenectomy has been slower than with other abdominal procedures because of the complexity and longer operative… Continue Reading
- Topic:
- Biliary
Laparoscopic right colectomy following an ileal orthotopic neo-bladder
Krystle Lange, DO1, Shankar Raman, MD2. 1SwedishAmerican Hospital a Division of UW Health, Rockford, IL, 2Mercy Medical Center, Des Moines, IAWe present a video of a laparoscopic right colectomy following an ileal orthotopic bladder substitute constructed close to 20 years ago. The challenges associated with performing a right colectomy after a Studor pouch include lysing… Continue Reading
- Topic:
- Colorectal
Laparoscopic radical rectosigmoid cancer resection with left lateral pelvic lymph nodes dissection in a en-bloc resection manner
Wei Wang, Wenjun Xiong, Xiaofeng Zhu, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineThis was a patient diagnosed with advanced rectosigmoid adenocarcinoma and was identified with enlarged lateral pelvic lymph node by computed tomography and magnetic resonance examination. The clinical TNM stage was T3N2M0 (with left lateral pelvic lymph nodes metastasis) according to the AJCC… Continue Reading
- Topic:
- Colorectal
Rectopexy with Magnet Retraction
Estefania Roldan, Leonard K Welsh, MD, Gerardo Davalos, MD, Ramon Diaz, MD, Dana Portenier, MD, Daniel Guerron, MD, Billy Lan, MD. Duke University Medical CenterLaparoscopic rectopexy for rectal prolapse is often complicated by the narrow working space of the pelvis as the sigmoid colon and uterus often obstruct visualization. Many approaches for effective retraction have… Continue Reading
- Topic:
- Colorectal
Minimally Invasive Surgery: Colonoscopic Assisted Transanal Endoscopic Microsurgery for Local Resection of a Large Sigmoid Polyp
Kevin M Izquierdo, MD, Beverly Ng, MD, John H Marks, MD. Lankenau Medical CenterThis video demonstrates a novel approach to perform endoluminal surgery for a 3cm polyp in the distal sigmoid colon using a combined rigid and flexible endoscopic approach. The patient is a 56-year-old male who presented with symptoms of intermittent rectal bleeding for… Continue Reading
Endoscopic Mucosal Dissection for a Submucosal Gastric Mass
Kais A Rona, MD, Jamie Kaplan, Sarah Merkel, Christopher Ducoin, MD. Tulane University School of MedicineEndscopic mucosal dissection is an advanced endoscopic technique used in various subspecialties within surgery to perform endoscopic en-bloc resection of a mass lesion. This is a video presentation demonstrating the use of endoscopic submucosal dissection to resect a submucosal gastric… Continue Reading
Laparoscopic Repair of A Large Morgagni Hernia
Walaa F Abdelmoaty, MD, MBA1, Daniel Davila Bradley, MD2, Michael Antiporda, MD1, Kelly Haisly, MD1, Kevin M Reavis, MD, FACS2, Christy M Dunst, MD, FACS2, Lee L Swanstrom, MD, FACS, FASGE, FRCSEng2, Steven R Demeester, MD, FACS2. 1Providence Portland Medical Center, 2The Oregon ClinicMorgagni hernia is a rare congenital diaphragmatic defect that can present symptomatically… Continue Reading
- Topic:
- Foregut
Median Arcuate Ligament Syndrome, Case Series and Review of the Literature
Jesse Conner, MD, Joshua Gierman, MD, Laura Fischer, MD. Oklahoma University Health Science CenterIntroduction: Median arcuate ligament syndrome is a rare cause of abdominal pain. Symptoms include vague epigastric pain, post prandial pain, nausea, vomiting, and weight loss. The pathophysiology has been thought to be secondary to compression of the celiac artery by a thick… Continue Reading
- Topic:
- Foregut
Robotic Median Arcuate Ligament Release
Desmond T Huynh, MD, Miguel Burch, MD, Kevin Shamash, Richard Van Allan, Daniel Shouhed, MD. Cedars-Sinai Medical CenterMedian Arcuate Ligament Syndrome (MALs) is a rare vascular condition in which the median arcuate ligament compresses the celiac trunk which presents as a constellation of symptoms including nausea, vomiting, weight loss, and post-prandial epigastric pain. The treatment… Continue Reading
- Topic:
- Foregut
Robotic-assisted Conversion of Slipped Nissen Fundoplication to Toupet Fundoplication and Hiatal Hernia Repair
Joseph R Broucek, MD, Enrique Elli, MD, FACS. Mayo Clinic - FloridaFailure rates of laparoscopic Nissen fundoplication occur in the range of 2-17%. The most common recurrent symptoms include reflux and regurgitation. If the patient fails medical therapy, revisional surgery is known to be successful in more than 90% of cases. This is a case… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC IMPLANTATION OF GASTRIC STIMULATOR AND ENDOSCOPIC PYLOROMYOTOMY
Maria Fonseca, MD, Cristian Milla Matute, MD, Rene Aleman, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the ideal surgical treatment for medically refractory gastroparesis (GS). More evidence however exists on the benefits of… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC MANAGEMENT OF DUODENAL PERFORATION DURING CONCOMITANT PER-ORAL PYLOROPLASTY AND LAPAROSCOPIC IMPLANTATION OF GASTRIC ELECTRIC STIMULATOR
Rene Aleman, MD, Maria C Fonseca, MD, Joel S Frieder, MD, Kandace Kichler, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the most effective surgical approach for gastroparesis (GP). The combination of implantable gastric stimulator… Continue Reading
- Topic:
- Foregut
Laparoscopic Transgastric GIST Resection
Colette S Inaba, MD, Michael Tran, MD, Brian R Smith, MD. University of California IrvineThis video demonstrates a transgastric resection of a gastrointestinal stromal tumor. Cuffed trocars are used to gain laparoscopic entry into the lumen of the stomach. The tumor is dissected using an energy device and the resulting gastric defect is repaired using… Continue Reading
- Topic:
- Foregut
Laparoscopic Longitudinal Pancreaticojejunostomy (Puestow) on a patient with a history of a RY gastric bypass and a pancreaticoduodenectomy (Whipple)
Ariel Shuchleib, Pearl Ma, Ikemefuna I Akusoba, Aaron Sabbota, Daniel Swatrz, Keith B Boone, Kelvin D Higa. UCSF FresnoThis is a case from a 45 y/o F with a history of a laparoscopic RY gastric bypass on 2005 who developed a highly differentiated pancreatic neuroendocrine tumor that was resected with a laparoscopic pancreaticoduodenectomy (Whipple procedure)… Continue Reading
- Topic:
- Foregut
A Rare Finding During Sleeve Gastrectomy: Concurrent repair of diaphragmatic hernia during sleeve gastrectomy and hiatal hernia repair
Amlish B Gondal, MD, Matthew E Mobily, MD, MPH, Mahsaw Motlagh, BA, Iman Ghaderi, MD, MSc, MHPE. University of ArizonaIn this video, we present a case of concurrent repair of diaphragmatic hernia during sleeve gastrectomy and hiatal hernia repair. The patient is a 36-year-old male with morbid obesity (BMI 44.8 kg/m2, and weight of 316… Continue Reading