Intra-corporeal Instruments in Laparoscopic Surgery: A clue to better performance
Ashraf Bakr, PhD. Faculty of Medicine, University of CairoIntroduction Laparoscopic surgery constituted a revolution in the field of conventional surgical practice. The minimally invasive approach rapidly dominated many the domains of conventional surgery and became the gold standard for many surgical procedures. The next step was to "minimize" minimally invasive surgery, by reduction or elimination… Continue Reading
Intra-operative Complications in Patients Undergoing First Redo vs Repeat Redo Anti-reflux Surgery
Harit Kapoor, MBBS, Pradeep Pallati, MD, Shunsuke Akimoto, MD, Kalyana Nandipatti, MD, Tommy H Lee, MD, Sumeet K Mittal, MD. Creighton UniversityBackground: A subset of patients with anti-reflux surgery require re-operative intervention. Re-operative intervention is associated with higher intra-operative complications when compared to primary fundoplication. Some patients may have recurrent failure and may require re-intervention… Continue Reading
Intracorporeal esophagojejunostomy by hand-sewn suture under view of laparoscopy during total laparoscopic total gastrectomy: primary result of 34 cases
Yiping Mou, MD, FACS, Xiaowu Xu, MD, Ke Chen, Yu Pan, Yucheng Zhou, Di Wu. Sir Run Run Shaw Hospital, Zhejiang UniversityBackground: Although laparoscopic surgery is more and more frequently performed for the treatment of gastric cancer, total laparoscopic total gastrectomy (TLTG) is not widely performed because of its technical dif?culty in intracorporeal esophagojejunostomy. Most… Continue Reading
INTRAOPERATIVE ASSESSMENT OF ESOPHAGOGASTRIC JUNCTION DISTENSIBILITY DURING HELLER MYOTOMY WITH ENDOLUMINAL FUNCTIONAL LUMEN IMAGING PROBE DEVICE (EndoFLIP)
Reece K DeHaan, BA, Matthew J Frelich, MS, Matthew I Goldblatt, MD, Andrew S Kastenmeier, MD, Jon C Gould, MD. Medical College of WisconsinBACKGROUND: We sought to characterize the changes in EGJ distensibility at various intervals during Heller Myotomy with Dor fundoplication for the treatment of Achalasia. Intraoperative measurements were correlated with postoperative outcomes. Achalasia… Continue Reading
Intraoperative Assessment of Esophagogastric Junction Distensibility During Laparoscopic Fundoplication with Endoluminal Functional Lumen Imaging Probe Device (EndoFLIP)
Elizabeth A Schoenfeldt1, Matthew J Frelich, MS2, Reece K DeHaan, BA2, Jon C Gould, MD2. 1UW-Madison, 2Medical College of WisconsinBackground: The goal in antireflux surgery is to re-establish a competent barrier to prevent excessive reflux of gastric contents into the esophagus. We sought to characterize the changes in esophagogastric junction distensibility that occurs in patients… Continue Reading
Intraoperative finding of liver cirrhosis in bariatric surgery, the role of sleeve gastrectomy: A report of two consecutive cases
Miguel A Zapata Martinez, MD, Julio C Gallardo Baez, MD, Ulises Caballero-de la Pena, MD, Marco A Juarez-Parra, MD, David J Orozco-Agüet, MD, Jeronimo Monterrubio-Rodriguez, MD. Hospital Christus Muguerza Sur - Universidad de MonterreyIntroduction: Obesity is a reported risk factor for non-alcoholic steatohepatitis (NASH), which is a common cause of cirrhosis. The estimated prevalence of… Continue Reading
Intraoperative Leak Testing Has No Correlation With Leak After Laparoscopic Sleeve Gastrectomy
Monica Sethi, MD, Jonathan Zagzag, MD, Karan Patel, BA, Melissa Magrath, BA, Manish S Parikh, MD, John K Saunders, MD, Akuezunkpa O Ude-Welcome, MD, Bradley F Schwack, MD, Marina S Kurian, MD, George A Fielding, MD, Christine J Ren-Fielding, MD. New York University School of MedicineIntroduction: Staple line leak is the most feared complication after… Continue Reading
Intraoperative, real-time fluorescent microscopic imaging in an animal model using robotic surgery
Hans F Fuchs, MD, PhD, Ryan C Broderick, MD, Cristina R Harnsberger, MD, Mark A Valasek, MD, PhD, Santiago Horgan, MD, Kaitlyn J Kelly, MD. University of California San DiegoIntroduction: Probe-based Confocal Laser Endomicroscopy (pCLE) is a new imaging technology, enabling in vivo microscopic evaluation in real-time. The aim of this study was to demonstrate… Continue Reading
Introduction of the LINX(r) Reflux Management System in a Community Heartburn Center
Meghan Woody, MPH1, Kaitlin Willems, BS1, Hannah Vassaur, PAC2, Caleb J Wheeless, BS2, F. Paul Buckley, III, MD, FACS2. 1Texas A&M Health Science Center, 2Scott & White HealthcareIntroduction: The LINX® Reflux Management System was FDA approved for use in patients with objectively proven gastro-esophageal reflux disease (GERD) and who continue to suffer despite maximum medical… Continue Reading
Intussusception from a Shelled Peanut Phytobezoar
Aela P Vely, MD, Harry L Anderson, III, MD, Luke O Pesonen, MD, Emily K Wilczak, Mary-Anne Purtill, MD, Theodore John, MD, Andrew T Catanzaro, MD, Stevany L Peters, MD. St. Joseph Mercy Ann ArborAlthough common in children, intussusception in adults is rare. It accounts for approximately 5% of the total incidence of intussusception and… Continue Reading
Is ERCP aided by trans-cystic wire during laparoscopic cholecystectomy safer and faster than if performed separately?
Wesley B Jones, MDMS, Mathew T Epps, MDMS. Greenville Health System In a previous study we showed that diagnostic ERCP performed either before or after laparoscopic cholecystectomy (LC) had a significant rate of pancreatitis and unnecessary procedures. Therefore, we have begun using intra-operative ERCP in the event of positive cholangiography to limit the use of… Continue Reading
Is Fundoplication Necessary Following Heller Myotomy?
Reece K DeHaan, BA, Matthew J Frelich, MS, Matthew I Goldblatt, MD, Andrew S Kastenmeier, MD, Jon C Gould, MD. Medical College of WisconsinBACKGROUND: We sought to determine the impact of selective fundoplication following Heller myotomy on symptomatic outcomes and side effects of Heller myotomy for achalasia. Previous studies have demonstrated that partial fundoplication following… Continue Reading
Is Helicobacter Pylori associated with a higher risk complication rate in sleeve gastrectomy?
Raquel Gonzalez-Heredia, MD, PhD, Veronica Tirado, MD, Neil Patel, BS, Mario Masrur, MD, Melissa Murphey, DNP, NP-C, Enrique F Elli, MD, FACS. UICIntroduction: Few studies have reported the prevalence and consequences of infection with Helicobacter Pylori (H. pylori) among obese patients undergoing sleeve gastrectomy. It is important to determine if H. pylori infection could increase… Continue Reading
Is Laparoscopic Appendectomy Safe in Appendicular Mass
Abdul Razqque Shaikh. liaquat University of Medcial Health & Sciences Jamshoro PakistanObjectives : to evaluate the safety and efficacy of laparoscopic treatment of appendicular mass Materials & Methods : a prospective study was conducted at Liaquat University of Medical Health & Sciences Jamshoro Pakistan and a private hospital from January 2011 to December 2013 on… Continue Reading
Is laparoscopic colectomy for cancer really beneficial in octogenarians?
Leonardo de Castro Duraes, PhD, MD1, Luca Stocchi, MD1, Meagan Costedio, MD1, David Dietz, MD1, Emre Gorgun, MD1, Matthew F Kalady, MD1, Herman Kessler, MD1, Xiaobo Liu2, Feza Remzi, MD1. 1Colorectal Surgery Department - Digestive Disease Institute - Cleveland Clinic Foundation, Ohio, 2Quantitative Health Sciences - Lerner Research Institute - Cleveland Clinic Foundation, OhioBackground: Laparoscopic… Continue Reading