Transvaginal Cholecystectomy Using Argon Plasma Coagulator
Takayuki Dotai, MD, Toshio Katagiri, MD, Abraham Mathew, MD, Saniea Majid, MD, Sheetal Nijhawan, MD, Michael Sedrak, MD, Garth Jacobsen, MD, Bryan Sandler, MD, Mark Talamini, MD, Santiago Horgan, MD. University Of California, San Diego This video presents transvaginal NOTES cholecystectomy using argon plasma coagulator (APC). APC proved to be an effective tool for NOTES… Continue Reading
- Topic:
- Endolumenal / NOTES
Laparoscopic Drainage of Periaortic Graft Abscess
Edgar Luis Galiñanes, MD, Scott Philipp, MD. University of Missouri-Columbia We describe a case in which a minimally invasive technique was successfully used to drain a right-sided periaortic abscess that had failed conservative therapy 6 months after endovascular abdominal aortic aneurysm repair. Failure of conservative therapy often results in surgery associated with high morbidity and… Continue Reading
Endoscopic Treatment for Bouveret Syndrome
Jin-cheng Zhao, MD, Ermilo Barrera, MD, Reza Salabat, MD, Woody Denham, MD, Dennis Leung, MS, Michael Ujiki, MD. NorthShore University HealthSystem, Chicago, IL. Introduction: Gallstone ileus is an uncommon cause for small bowel obstruction. Less than 3% of cases are due to a gallstone impacted in the duodenum or pylorus resulting in a gastric outlet… Continue Reading
- Topic:
- Endolumenal / NOTES
Single Incision Left Adrenalectomy
Angel M Caban, MD, Homero Rivas, MD FACS, Lauren Mashaud, MD, Fiemu E Nwariaku, MD FACS. UT Southwestern, University of Florida The minimally invasive approach has become the prefer method for removal of benign lesion of the adrenal gland. With the recent interest and popularity of single incision surgery, many procedures have been adapted to… Continue Reading
- Topic:
- SILS
ERCP in a Patient with Previous Esophagectomy and Billroth II Gastrojejunostomy
Melissa S Phillips, MD, Jeffrey M Marks, MD, Amitabh Chak, MD. University Hospitals, Case Medical Center, Cleveland, OH, USA Introduction: Endoscopic retrograde cholangiopancreatography (ERCP) can be quite challenging in patients without native anatomy. Being able to apply this "standard of care" treatment to a surgically altered patient group offers advantages of decreased morbidity and quicker… Continue Reading
- Topic:
- Endolumenal / NOTES
Laparoscopic Repair of Diaphragmatic Hernia After Cardiac Transplant and Lvad Explantation
Philip Bao, MD, Kevin Watkins, MD. Stony Brook University Medical Center Diaphragmatic hernia after cardiac transplantation and left ventricular assist device (LVAD) explantation is reported to occur at a rate of approximately 5-15%. This video describes the case of a 57 year old man approximately one year after transplant and LVAD removal who presented with… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Gastrectomy for Gastric Cancer Following Open Roux-En-Y Gastric Bypass
Ramin Roohipour, MD, Subhash Kini, MD FACS, Daniel Herron, MD FACS. Mount Sinai School of Medicine, New York, N.Y. Bariatric surgery is becoming increasingly common such that it is now the second most common abdominal procedure in the United States. Estimates suggest that about 220,000 patients underwent bariatric surgery in 2009. On the other hand… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Resection of a Pelvic Schwannoma with Intraoperative Electromyography Monitoring
I.Emre Gorgun, MD, Philip , Paty, MD, Mark Bilsky, MD. Memorial Sloan-Kettering Cancer Center Symptomatic neural tumors arising in the pelvis generally require large incisions and intraoperative electromyographic (EMG) monitoring for safe removal by laparotomy. Here we report laparoscopic removal of a 6cm schwannoma arising from the right S2 nerve root in a 40-year-old woman.… Continue Reading
- Topic:
- Colorectal
Laparoscopic Repair of Morgagni Hernia
Salman Al-Sabah, MD MBA FRCSC, LS Feldman, MD, MC Vassiliou, MD, LE Ferri, MD, GM Fried, MD. McGill University The laparoscopic approach for repair of Morgagni hernia avoids the morbidity of laparotomy. This video illustrates the case of a 72 years old woman with upper abdominal pain and a large Morgagni hernia was diagnosed on… Continue Reading
- Topic:
- Abdominal Wall Hernias
Techniques for Complete Total Mesorectal Excision in Laparoscopic Low Anterior Resection: the Importance of Identifying Visceral Pelvic Fascia and Neurovascular Bundle
Ziqiang wang, Ziqiang wang, YuanChuan Zhang, YuanChuan Zhang, Zhongguang Zhou, Zhongguang Zhou. department of gastrointestinal and colorectal surgery, West China hospital, Due to better local control and survival provided by total mesorectal excision (TME) for treatment of rectal cancer, TME has wildly been accepted as the gold standard for surgery of middle or low rectal… Continue Reading
- Topic:
- Colorectal
Laparoscopic Conversion of Sleeve Gastrectomy to Roux-En-Y Gastric Bypass As a Treatment Option for Chronic Staple Disruption After Sleeve Gastrectomy
A Bernsteyn, M Gianos, A Abdemur, S Szomstein, R J Rosenthal. Cleveland Clinic Florida Introduction: This video illustrates the use of laparoscopic techniques in the management of a sleeve gastrectomy complicated with a gastroperitoneal fistulous tract, with a conversion to a Roux-en-Y gastric bypass (RYGB) as final treatment. Discussion: The patient is a 43 year… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Fundoplication After Endolumenal Therapies for Gerd
Michael Edye, MD, John Harvey, MD, Anthony Starpoli, MD, Barry Salky, MD. Mount Sinai School of Medicine It is inevitable that a certain number of endolumenal GERD therapies will fail and some of those will come to surgical revision. As these modalities become more aggressive, the toll of unplanned effects will be greater. In this… Continue Reading
- Topic:
- Foregut
Laparoscopic Conversion of Billroth I to Roux–Y Gastrojejunostomy for Bile Reflux Gastritis and Chronic Gastric Outlet Obstruction
R J Rosenthal, I Fendrich, A Abdemur, S Szomstein. Cleveland Clinic Florida Introduction: Gastric outlet obstruction due to anastomotic stricture is a possible complication of partial gastrectomy with a Billroth I reconstruction. We present a case in which a stenotic BI anastomosis after open partial gastrectomy was converted to a Roux en Y utilizing a… Continue Reading
- Topic:
- Metabolic / Obesity
Laparo-Endoscopic Single Site (less) Giant Hiatal Hernia with Nissen Fundoplication
Sharona B Ross, MD, Harold Paul, BS, Natalie Donn, BS, Alxander S Rosemurgy, MD. University of South Florida & Tampa General Hospital LESS surgery represents a paradigm shift in minimally invasive surgery; it improves cosmesis, reduces pain and shortens recovery time. LESS surgery is applied to various laparoscopic operations including Nissen fundoplication for the treatment… Continue Reading
- Topic:
- Abdominal Wall Hernias
Single Incision Laparoscopic Total Proctocolectomy with Ileal Pouch Anal Anastomosis Reconstruction
Michael J Guzman, MD, Joshua A Waters, MD, Andrea L Jester, MD, Don J Selzer, MD, Bruce W Robb, MD, Virgilio V George, MD. Indiana University School of Medicine Our video demonstrates a single incision laparoscopic total proctocolectomy with ileal pouch anal anastomosis via the ileostomy site. It was performed using all standard laparoscopic instrumentation… Continue Reading
- Topic:
- Colorectal