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
ROBOTIC PANCREATICODUODENECTOMY AND CHOLECYSTECTOMY
Alexander S Rosemurgy, MD, Timothy Bourdeau, BS, Danielle K Craigg, MD, Sharona B Ross, MD, Jack Wecowski, MD, Iswanto Sucandy, MD. Digestive Health Institute Florida Hospital TampaThis video is of a robotic pancreaticoduodenectomy undertaken in a 61-year-old women who presented with a diagnosis of pancreatic adenocarcinoma treated with neoadjuvant therapy. Preoperative workup included a contrast… Continue Reading
- Topic:
- Biliary
Robotic Living Donor Hepatectomy
Jaekeun Kim, MD, PhD, Yee Lee Cheah, MD, Caroline J Simon, MD, Mohamed E Akoad, MD. Lahey Hospital & Medical CenterRobotic living donor right hepatectomy is a technically challenging operation. Accepted benefits of minimally invasive surgery include less postoperative pain, enhanced postoperative recovery with faster return to pre-donation status, and reduced morbidity. Our tertiary academic transplant center performed… Continue Reading
- Topic:
- Robotics
Robotic enblock Right Hepatectomy + Right Nephrectomy + Right Adrenalectomy + Diaphragm Resection with mesh reconstruction for Retroperitoneal Sarcoma
Ali Ahmad, MD, FACS. University of Kansas School of Medicine-WichitaWe present a case of a 57 year old male with a right retroperitoneal myxofibrosarcoma involving the right liver, right kidney and the diaphragm. Post neoadjuvant chemoradiation, the patient was deemed an appropriate surgical candidate after a multidisciplinary tumor board discussion. Due to the complex nature… Continue Reading
- Topic:
- Robotics
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
Robotic-Assisted Laparoscopic Reversal of Silastic Ring Gastric Bypass (Fobi pouch)
Usah Khrucharoen, Yen-Yi Juo, Andrew Scott, Yijun Chen, Erik Dutson. UCLAStenosis of the gastrojejunal anastomosis is a rare complication of Silastic ring-reinforced gastric bypass, a highly effective weight-loss procedure with a low morbidity profile. The stenosis may be partly attributable to chronic inflammation of the non-expandable Silastic ring, which seeks to partly restore physiologic functions… Continue Reading
- Topic:
- Metabolic / Obesity
RoboTAR Made Easy: Distilling the Key Steps
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Santiago Horgan, MD, Garth R Jacobsen, MD. UC San DiegoIncreasingly large numbers of patients have large and complex abdominal wall defects, often from multiple prior abdominal… Continue Reading
- Topic:
- Abdominal Wall Hernias
REVISIONAL GASTRIC BYPASS
Ricardo Nascimento, MD, Darlan M Kestering Medeiros, MD, Jaime Cesar M Gelosa Souza, MD, Luiz Henrique M Locks Corrêa, MD, Matheus M Pacheco Dos Reis, MD. HNSCIt is now generally accepted that bariatric surgery is the most effective therapy for morbid obesity. During the last decade, there has been an accelerated growth in the number… Continue Reading
- Topic:
- Metabolic / Obesity
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
RECURRENT EPIPHRENIC DIVERTICULUM
Michael C Morell, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEpiphrenic diverticula are pulsion diverticula most commonly occurring on the right side, in the distal 10cm of the esophagus. Epiphrenic diverticula and their recurrence after surgical intervention is a rare esophageal pathology that occurs in the setting of increased intraluminal esophageal pressure.… Continue Reading
- Topic:
- Foregut
pure taTME procedure for rectal cancer
Liang Kang. the sixth affiliated hospital of Sun Yat-sen UniversityThis is an operation video of puretaTME completed in 2014. The patient was a middle-aged woman and diagnosed as low rectal cancer. We made purse-bag suture from the lower edge of the tumor about 1 cm, then followed by free perirectal mesenteric space, until the peritoneal… Continue Reading
- Topic:
- Colorectal
POEM complications with delayed Laparoscopic Heller Myotomy
Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Christopher A Marshall, MD, John J Kelly, MD. University of MassachusettsTwo major treatment modalities are available for patients with achalasia: a Heller Myotomy or a Per Oral Endoscopic Myotomy (POEM). The POEM was first discussed in the literature in 2009 and the steps for performing it were… Continue Reading
Paraoesophageal Hernia Repair After Laparoscopic Sleeve Gastrectomy
Charlotte Horne, MD, Alisan Fathalizadeh, MD, John Rodriguez, MD, Kevin El-Hayek, MD, Jeffrey Ponsky, MD. Cleveland ClinicThis case presentation involves a 52-year-old female that underwent a laparoscopic sleeve gastrectomy in 2011. At this time, she was also noted to have a hiatal hernia but this was not repaired. Her medical comorbidities include diabetes mellitus, pulmonary… Continue Reading
- Topic:
- Foregut
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
Neurectomy with Hybrid Laparoscopic-Robotic Device for Chronic Groin Pain After Open Inguinal Hernia Repair
Kelly Haisley, MD, Michael Antiporda, MD, Richard Jamison, MD, Christy Dunst, MD, Lee Swanstrom, MD. Providence Portland Medical CenterIntroduction: In this video, we review a case of a minimally invasive neurectomy using a hybrid laparoscopic/robotic device for the treatment of chronic groin pain after open inguinal hernia repair. Background: The patient is a 38 year old… Continue Reading
- Topic:
- Abdominal Wall Hernias