Laparoscopic Expertise Increases Hospital Volume of Surgical Therapy for Achalasia
Laparoscopic Heller myotomy is the preferred approach for the treatment of achalasia. The purpose of our study was to evaluate the number of laparoscopic Heller myotomies performed before and after the implementation of a minimally invasive gastrointestinal surgical program (MIP) in 1998.A retrospective chart review was conducted on all patients who underwent laparoscopic Heller myotomy… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastric Bypass At a Major Military Medical Center: Safe, Effective, and More Cost Efficient
Introduction: Morbid obesity is a major healthcare problem in the United States. Morbid obesity affects military dependents and retirees as well. Laparoscopic bariatric surgery has been performed at Wright Patterson Medical Center (WPMC) for two years. We hypothesize that laparoscopic RNY gastric bypass (LRNY) can be performed at a military medical center with equivalent outcomes… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic Grynfeltt Hernia Repair
BACKGROUNDLumbar hernias are rare. Laparoscopic lumbar hernia repair was first described in 1996 by Burick and Parascandola. In 2005, the first publication comparing open versus laparoscopic lumbar hernia repair was published by Moreno-Egea of Spain. Various techniques have been described during this time period. Given their posterior nature and relationship to critical vascular, neurological and… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Hepatectomy
Backgrounds and Purposes ; Recently, the laparoscopic resection on solid organs is performed in standard operation style with the improvement of the laparoscopic instrument and the developing operation technique. Still, it is not easy to perform liver exploration by using the laparoscope. Because there are still other problems, such as the styptic matter against bleeding,… Continue Reading
Laparoscopic Hepatectomy Results in Decreased Vegf Expression in Residual Hepatoma Cells When Compared to Open Resection
INTRODUCTION: Vascular endothelial growth factor (VEGF) is upregulated in hepatocellular carcinoma (HCC), and its level of expression in these tumors has been shown to impact tumor growth. We hypothesized that when compared to open liver resection, laparoscopic hepatectomy would result in decreased local angiogenic response in residual tumor cells.MATERIALS AND METHODS: Right and left lobe… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Hepatic Resection for Patients with Hepatocellular Carcinoma: Comparative Analysis of Short-term Results
Background/Aims: Recently, laparoscopic hepatectomy (LH) has been a feasible option for hepatic tumors such as hepatocellular carcinoma (HCC) and intrahepatic cholangioma (Surg Endosc. 2001) (Surg Endosc. 2002). Herein, we evaluate the benefits of LH versus open hepatectomy (OH) for HCC patients.Methods: From 2005, 9 consecutive patients with HCC who underwent LH were compared in a… Continue Reading
Laparoscopic Incisional Hernia Repair in Orthotopic Liver Transplant Patients
Laparoscopic incisional hernia repair in orthotopic liver transplant patientsJanine N. Pettiford, MD, John Sweeney, MD, Behnoud Berakhim, and Vadim Sherman, MD. Background: The incidence of incisional hernias in orthotopic liver transplant (OLT) patients is approximately 5-17%. Treatment options are often complicated by the patients’ co-morbidities and immunosuppression. The purpose of this study was to assess… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Inguinal Hernia Repair for Occult (non-palpable) Groin Hernias in Women with Chronic Pelvic Pain
Objective: For many women with chronic pelvic pain (CPP), non-palpable groin hernias represent a common potentially treatable cause. Despite history and physical exam findings which are suggestive of hernia, the lack of a palpable impulse may cause the diagnosis to be missed. Laparoscopic techniques provide a minimally invasive means for evaluating and treating occult hernias… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Intervention for Massive, Rapidly Progressive Pancreatic Pseudocyst Disease with Endocrine and Exocrine Dysfunction
Introduction: Therapeutic interventions for pancreatic pseudocyst disease are most often based on symptoms, lesion size, and in particular duration of the lesion. Conventional wisdom typically avoids early surgical therapy for “immature” pseudocysts, citing concerns of cyst wall thickness, durability, and ability to hold suture material for a secure anastomosis. We present a case of a… Continue Reading
- Topic:
- HPB
Laparoscopic Intragastric Resection of Gastric Mesenchymal Tumor Located Close to the Esophago-gastric Junction
Introduction: Local resection with adequate margins has been an effective treatment for a gastrointestinal mesenchymal tumor (GIMT). However, the treatment strategy for a GIMT that is located close to the esophago-gastric junction (EGJ) remains controversial. We evaluate the surgical techniques and clinical outcomes of laparoscopic intragastric resection (LIR) for GIMT located close to the esophago-gastric… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Intraoperative Hyperthermic Chemoperfusion Following Radical Total Gastrectomy: A Novel Technique
Objective of technique: Several neo-adjuvant and adjuvant techniques has been described for advanced gastric cancer, including intraoperative hyperthermic chemoperfusion (IOHC). Laparoscopic radical gastrectomy (LRG) for gastric cancer has also been described, however, concurrent laparoscopic radical gastrectomy followed by IOHC remains unreported. We are reporting laparoscopic IOHC technique for advanced gastric cancer following a LRG. Technique:… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic Irrigation and Drainage in the Treatment of Complicated Acute Diverticulitis: Initial Experience
INTRODUCTION: While most mild episodes of acute diverticulitis respond well to medical therapy, surgical treatment is indicated in the complicated forms of the disease with abscess and/or peritonitis. We evaluate our initial results of treatment of complicated acute diverticulitis by laparoscopic irrigation and drainage only with no colon resection.METHODS AND PROCEDURES : Three patients with… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Left Colonic Resection for Peritonitis Caused By Diverticulitis
PURPOSE: Purulent or fecal peritonitis is one of the most serious complications of acute diverticulitis. Up to one fourth of patients hospitalized for acute diverticulitis require an emergent operation for a complication including abscess, peritonitis, or stenosis. Open Hartmann’s procedure has been the operation of choice for these patients. The advantages of laparoscopy could be… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Linear Stapler Latero-lateral Esophagojejunostomy After Total Gastrectomy for Hereditary Diffuse Gastric Cancer Syndrome
Hereditary diffuse gastric cancer syndrome is an autosomal dominant condition manifesting as a diffuse infiltrating poorly differentiated adenocarcinoma. Seen usually in young adults and results from a mutation in the tumor suppressor gene Spell please (CDH-1) that normally encodes for E-Cadherin. This condition is managed by meticulous regular surveillance for early detection and treatment of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic Liver Resection and the Use of Torsional Ultrasound Dissectors for Parenchymal Liver Dissection
Background:Recent advances in laparoscopic surgical equipment is one of the most significant factors in the expansion of laparoscopic liver resections (LLR) by increasing its feasibility, safety and efficiency.Ultrasonic dissectors are the main instrument used for the parenchymal dissection part of a laparoscopic liver resection. Most of the commercially available brands of ultrasonic dissectors use a… Continue Reading