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
Laparoscopic Reversal of Single Anastomosis Gastric Bypass (Mini-Gastric Bypass / Omega Loop Gastric Bypass) to Sleeve Gastrectomy
Usah Khrucharoen, Ian T Macqueen, Yijun Chen, Erik Dutson. UCLAIn this video, we demonstrated laparoscopic reversal of Single Anastomosis Gastric Bypass (Mini-Gastric Bypass / Omega Loop Gastric Bypass) to sleeve gastrectomy in patient who was TPN dependent due to severe malnutrition and dysphagia. Patient had a history of undergoing sleeve gastrectomy followed by revisional procedure to single anastomosis… Continue Reading
- Topic:
- Metabolic / Obesity
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
Conversion of endoscopic sleeve gastroplasty to laparoscopic Roux-en-Y gastric bypass
Melissa M Beitner, MBBS, Jinlin Lin, MBBS, FRCS, George H Hopkins, MBBS, FRACS. Royal Brisbane and Women's Hospital, AustraliaThis video shows a conversion to laparoscopic Roux-en-Y gastric bypass with handsewn gastrojejunostomy and on table endoscopy in a patient with failed weight loss after endoscopic sleeve gastroplasty.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic revision of RYGB complicated by large symptomatic gastrogastric fistula.
Matthew D Burstein, MD, PhD, Essa M Aleassa, MBBS, MSc, Philip R Schauer, MD. Cleveland Clinic FoundationA 32 YO F with prior LRYGB complicated by large symptomatic gastrogastric fistula, who underwent laparoscopic revision of her GJ anastomosis with GGF takedown.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 95603Program Number: V147Presentation Session: Revisional Bariatrics/Foregut… Continue Reading
- Topic:
- Metabolic / Obesity
Single Port Laparoscopic Trans-gastric Removal of Eroded Gastric Band
Amanda Roberts, MD, Abdelrahman Nimeri, MD, FACS, FASMBS, Keith Gersin, MD, FACS, FASMBS, Timothy Kuwada, MD, FACS, FASMBS. Carolinas Weight ManagementLap bands gained popularity and were very commonly used in the treatment of morbid obesity in the early 2000s. While it has been found to be a very safe procedure, the lap band has unique risks,… 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
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
Laparoscopic Pyloroplasty and Sleeve Gastrectomy for Gastroparesis, after failed Per Oral endoscopic Pyloromyotomy (POP).
Michel Gagner, MD, FRCSC, FACS, FASMBS, Maxime Lapointe-Gagner. Clinique Michel Gagner MD, Inc.Gastroparesis, defined as a delay in gastric empting without clear obstruction, is increasing in incidence mainly due to a recent diabetes epidemic. The use of laparoscopic sleeve gastrectomy alone to treat gastroparesis is still controversial, as results have been inconsistent. This video is… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC RESECTION OF ESOPHAGEAL LEIOMYOMA
Tripurari Mishra, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEsophageal leiomyoma are benign tumors that arise from smooth muscles. It is present in the distal third of the esophagus 60% of the time, 30% in the middle and 10% in the upper esophagus. Barium swallow shows a smooth a filling defect within… Continue Reading
- Topic:
- Foregut
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
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
Robotic Repair of Posteromedial Incarcerated Bochdalek Hernia with Transabdominal Approach
Jillian Angelo, MD, Kelsey Gray, MD, Ashkan Moazzez, MD, Ahmad Abbass, MD, Eric Simms, MD. Harbor UCLA Medical CenterThis video abstract highlights a robotic repair of a Bochdalek hernia via the intra-abdominal approach in a 52 year old patient with ten years of chronic abdominal pain and CT scan showing left sided fat-containing posterior diaphragmatic… Continue Reading
- Topic:
- Robotics
INVERTING THE Y-AXIS: THE FUTURE OF ABDOMINAL WALL RECONSTRUCTION IS UPSIDE DOWN
Noah B Zuker, MD, FACS, Michael R Oakley, MD. Claxton-Hepburn Medical CenterMinimally invasive abdominal wall reconstruction continues to evolve with technological advancement. This video describes a useful method for modified robotic retrorectus hernia repair with improved visualization and surgeon ergonomics. The use of an inverted camera image is demonstrated with reassignment of the surgical instruments… Continue Reading
- Topic:
- Abdominal Wall Hernias