Pancreaticojejunostomy reconstruction for small pancreatic duct in totally laparoscopic pancreaticoduodenectomy
Hariruk Yodying, MD. Department of surgery, HRH Princess Maha Chakri Sirindhorn Medical Center (MSMC) Hospital, Srinakharinwirot UniversityBACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) is a complex procedure that has been cautiously regarded as feasible and safe for resection and reconstruction. Postoperative pancreatic fistula (POPF) remains the major complication after pancreaticoduodenectomy. Risk factors commonly reported to increase the risk of… Continue Reading
- Topic:
- Biliary
Laparoscopic Common Bile Duct Exploration with the Choledocoscope by the MIS Fellow
Majid Kianmajd, DO, Patrick R Reardon, MD, Lee Morris, MD. Houston MethodistThe treatment algorithm for patients presenting with common bile duct stones are varied and most patients will be referred to ERCP prior to cholecystectomy. Aside from ERCP, there are multiple other laparoscopic techniques described for choledocholithiasis with the advantage of removing the stones concurrently… Continue Reading
- Topic:
- Biliary
Approach to Safe Laparoscopic Cystic Duct Remnant Resection: More Than Just Careful Dissection
Essa M Aleassa, MD, MSc, Kevin M El-Hayek, MD. Section of Hepatopancreatobiliary Surgery, General Surgery, Cleveland Clinic FoundationIntroduction: Presentation of recurrent symptoms of calculous biliary disease after remote cholecystectomy should hint at the presence of a retained cystic duct remnant stone. While non-surgical options should be attempted first, they can be unsuccessful. This video demonstrates… Continue Reading
- Topic:
- Biliary
Tips for Single-Incision Laparoscopic Cholecystectomy
Eijiro Harada, MD, Yuki Suehiro, MD, Naruji Kugimiya, MD, Yoshihiro Takemoto, MD, Atsushi Suga, MD, Kimikazu Hamano, MD. Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, JapanSingle-incision laparoscopic cholecystectomy (SILS-C) has been developed as an alternative method to multi-port laparoscopic cholecystectomy. However, SILS-C has some difficulties due to limited triangulation and… Continue Reading
- Topic:
- Biliary
Robotic Repair of Choledocho- right hepatic arterial fistula
Adel Alhaj Saleh, MD, MRCS, Edwin Onkendi, MBChB. Texas Tech University Health Sciences CenterThe patient is a 53-year-old female who was transferred to us from another instituition. Two weeks ago, she presented with abdominal pain and work-up showed a large common bile duct stone. She was seen by a gastroenterologist locally who performed ERCP, but… Continue Reading
- Topic:
- Biliary
Remnant Cholecystectomy with ICG Infrared Cholangiography
Saeed Arefanian, MD, Margaret Frisella, RN, L. Michael Brunt, MD. Washington University in St. LouisBackground: subtotal cholecystectomy has been advocated for difficult operative situations for a long time in the surgery and different types of it have been described. Occasionally recurrence of symptomatic cholelithiasis and choledocholithiasis requieres the need for reoperation and completeion of the cholecystectomy. Presentation:… Continue Reading
- Topic:
- Biliary
Robotic Transduodenal Ampullectomy for Adenoma: Surgical Tips and Technique
Michael T Lecompte, MD1, Walaa Abedelmoaty, MBChb2, Chet Hammill, MD1. 1Washington Unniversity St. Louis, 2Providence Portland Medical CenterIn this video, we present a case of a 42 year old male with an incidentally discovered ampullary mass on EGD. The patient elected to undergo resection with a robotic trasnduodenal ampullectomy. In this video, we present our… Continue Reading
- Topic:
- Biliary
Laparoscopic Management of complicated liver hydatid cyst extending into thorax
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Soumya Chatnalkar, MBBS, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Eham L Arora, MS, DNB, Shekhar Jadhav, MS, Amarjeet E Tandur, MS, Priyanka Saha, MBBS, Nidhisha Sadhwani, MBBS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaHydatid disease is most common… Continue Reading
- Topic:
- Biliary
Robotic Choledochoduodenostomy for Refractory Benign Biliary Stricture
Michael P Meara, MD, MBA, FACS, Andrei Manilchuk, MD, Cole Rodman, Sophia Roberts. The Ohio State University Wexner Medical CenterCholedochoduodenostomy remains a treatment option for individuals with benign biliary stricture either acquired secondary to intrinsic damage, secondary to previous instrumentation, or anastomosis. Exclusion of malignant causes is imperative prior to operative biliary bypass. Our patient is… Continue Reading
- Topic:
- Biliary
Laparoscopic lateral pelvic node dissection after neoadjuvant chemo-radiation for locally advanced rectal cancer (Wang’s approach)
Zheng Liu, Xishan Wang. National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeWe demonstrate the technique for laparoscopic lateral pelvic node dissection (LLPND) for rectal cancer patients with suspicion of LLN metastases after neoadjuvant chemo-radiation. The principle of this approach is en bloc resection with… Continue Reading
- Topic:
- Colorectal
ICG image–guided laparoscopic complete mesocolic excision with central vascular ligation for transverse colon cancer using pincer manuever
Goutaro Katsuno, MD, PhD1, Yasuhiko Nakata, MD, PhD1, Nobuyuki Kubota, MD, PhD1, Teruo Kaiga, MD, PhD1, Takao Mamiya, MD1, Naoaki Shimamoto, MD1, Hidetaka Arima1, Shuichi Sakamoto, MD, PhD2. 1Mitsuwadai General Hospital, 2Sakamoto ClinicIntroduction: Laparoscopic (LAP) complete mesocolic excision (CME) with central vascular ligation (CVL) is technically difficult on transverse colon cancer. The main reason for… Continue Reading
- Topic:
- Colorectal
A creative solution to a difficult colorectal anastomosis during TaTME
Allison J Pang, MSc, MD, FRCSC, Sender Liberman, MD, FRCSC, Lawrence Lee, MD, PhD, FRCSC. McGill UniversityObtaining a negative circumferential resection margin (CRM) in rectal cancer is crucial to the control of local recurrence. The adoption of a total mesocolic excision (TME) has greatly impacted oncologic outcomes by significantly decreasing local recurrence rates. Despite neoadjuvant… Continue Reading
- Topic:
- Colorectal
Robotic Sigmoidectomy with Takedown of Colovesical Fistula and Natural Orifice Extraction
Elizabeth R Raskin, MD. Loma Linda UniversityThis abstract demonstrates the surgical management of a 57-year-old woman with a colovaginal fistula,resulting from complicated diverticulitis. da Vinci robotic technology was used to perform a sigmoid resection with colovaginal fistula takedown, utilizing natural orifice technique for intracorporeal anastomosis creation and specimen extraction. Presented at the SAGES 2017 Annual Meeting… Continue Reading
- Topic:
- Colorectal
ESD and TAMIS: An Adaptive Customized Approach
Ipek Sapci, Emre Gorgun. Cleveland ClinicIn this case we demonstrate the hybrid approach with endoscopic submucosal dissection and TAMIS of a 60 mm rectosigmoid polyp. Using ESD followed by TAMIS, the lesion was resected in an en bloc fashion and the patient was discharged home the same day with no complications.Intraoperative challenges with either technique, for… Continue Reading
- Topic:
- Colorectal
Laparoscopic Multivisceral Resection for Locally Advanced Splenic Flexure Cancer
Arman Erkan, MD, Alvaro Mendez, MD, Alberto Gonzalez, MD, Mercy Wagner, MD, Justin Kelly, MD, FRCS, John Rt Monson, MD, FACS, FRCS, FASCRS, Matthew R Albert, MD, FACS, FASCRS. AdventHealthLaparoscopic approach has become the standard for elective colorectal resection and is associated with reduced postoperative pain, faster gastrointestinal recovery, and shorter hospital stay compared with… Continue Reading
- Topic:
- Colorectal