Laparoscopic Low Anterior Resection with Total Mesorectal Excision, 17 Years Experience with 590 Patients
IntroductionLaparoscopic surgery has been established as the procedure of choice for much intra-abdominal disease process. However laparoscopic colon surgery has been the focus of much criticism and debate, while surgical procedure per se has gained acceptance, the indications for surgery has been the center of controversy, primarily regarding the safety and efficacy of these minimally… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Colorectal
Laparoscopic Management of a Dislodged Peg Tube
Percutaneous endoscopic gastrostomy (PEG) tubes have revolutionized patient care. The procedure has relatively few complications and can provide an incredible benefit for patients. However, complications may arise and cause severe morbidity and sometimes mortality. We present a case of a 39 year old male who came to our institute after suffering severe head trauma from… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Management of Achalasia: Medium-term Outcomes After Heller Myotomy and Fundoplication
INTRODUCTION– Achalasia is an uncommon disease of unknown origin. Management is challenging. Laparoscopic esophageal myotomy is the best treatment option, having variable results. We report the medium-term outcomes on 16 patients after Laparoscopic Heller myotomy and partial fundoplication.METHODS AND PROCEDURES– This is a descriptive, retrospective study evaluating the clinical outcomes of all patients undergoing laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Management of Enterovesicle Fistulas in Crohn’s Disease
Introduction:In the past decade laparoscopic surgery for uncomplicated Crohn's disease (CD) was shown to be safe and feasible. Laparoscopic management of CD complicated by enteric fistulas is more controversial, with a higher reported conversion rate and postoperative complications. Methods:We retrospectively reviewed all patients who underwent elective laparoscopic surgery for CD complicated by enterovesicle fistula in… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Management of Gastrogastric Fistulas Resulting From Open Undivided Gastric Bypass
Introduction: Before the era of laparoscopic gastric bypass, many bariatric surgeons performed open undivided gastric bypasses(OUGB). The inherent issue with not dividing the stomach is that these patients are prone to staple line failure and gastrogastric fistula formation. Gastrogastric fistulas can lead to reflux, pain, marginal ulceration of the gastrojejunostomy, and weight regain. Any of… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Laparoscopic Management of Large Adrenal Tumors
Background: Laparoscopic Adrenalectomy (LA) is the gold standard approach for small sized adrenal tumors.Tumors larger than 6 cm harbor an increased risk of malignancy, and the oncological adequacy of the LA in these cases was not proven.In addition, the technical challenge, and hence the safety of the LA in large adrenal masses is questionable.Hypothesis: LA… Continue Reading
- Type:
- Posters
- Topic:
- Solid Organ and Endocrine
Laparoscopic Management of Patients with Early Forms of Gallbladder Cancer
INTRODUCTION: Laparoscopy can represent an useful tool in the management of patients undergoing reoperation for gallbladder cancer detected after the study of the cholecystectomy specimen. The aim of this study is to evaluate the feasibility and outcome of a series of patients undergoing initial laparoscopic management . METHODS AND PROCEDURES : According a prospective protocol,… Continue Reading
Laparoscopic Management of Spigelian Hernias
Spigelian Hernias were first described by Josef Klinkosch in 1764 and named after Adriaan von Spieghel the Flemish anatomist who was the first to describe the linea semilunaris. Spigelian Hernias are the most common of the lateral ventral hernias but only account for 1%-2% of all hernias. These hernias most commonly present between the 4th… Continue Reading
- Topic:
- Abdominal Wall Hernias
Laparoscopic Management of Type Vi Choledochal Cysts
Introduction: Choledochal cysts are rare cystic dilatations of the biliary tree. Though their etiology is uncertain, these cysts are usually referred for surgical resection because of their association with developing malignancy. Traditionally, choledochal cysts have been classified under five main types. Not included in this classification are cysts of the cystic duct (“Type VI”), a… Continue Reading
Laparoscopic Managment of Iliac Vein Injury
Laparoscopic Management of Iliac Vein InjuryHellinger M, Gagner M, Jorge I, Rekkas S, Tangir J Major vascular injuries during laparoscopy is uncommon. Most cases are reported while obtaining access into the peritoneal cavity. We report a case of an iliac vein injury during a laparoscopic abdomino-perineal resection with hysterectomy. A 1 cm longitudinal laceration was… Continue Reading
- Topic:
- Outcomes and Quality
Laparoscopic Near Infrared Fluorescence Imaging of Biliary Tree Anatomy
Objective of the study: The primary goal of this study was the successful intraoperative near infrared fluorescence (NIRF) imaging of extra and intra hepatic bile ducts using the SPY and laparoscopic SPY2 scope systems (Novadaq Technologies Inc.) after parenteral administration of Indocyanine Green (ICG). Optimal NIRF imaging of biliary anatomy occurs when sufficient amount of… Continue Reading
- Type:
- Podium Presentations
- Topic:
- HPB
Laparoscopic Nissen Fundoplication with Highly Selective Vagotomy. A Pilot Approach for the Management of Gastroesophageal Reflux Disease.
Introduction: Laparoscopic Nissen fundoplication became the standard of care for the surgical treatment of gastroesophageal reflux disease. Its longevity has been under scrutiny lately as the wrap gets looser by time. The hypothesis of adding highly selective vagotomy (HSV), which will reduce gastric acid secretion by 60% and improve the transient lower esophageal relaxations, could… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Pancreatoduodenectomy:safety and Efficacy of Radical Resection
Aim: To prove that radical laparoscopic pancreatoduodenectomy for malignancy can be safely performed, adhering to sound oncological principles. Methods: From March 1998 to January 2008, we retrospectively reviewed 52 patients undergoing laparoscopic pancreatoduodenectomy with nodal clearance for malignancy, and present a step-by-step video demonstration. Results: Mean age was 62 years and the types were ampullary,… Continue Reading
- Topic:
- HPB
Laparoscopic Paraesophageal Hernia Repair: An Eight Year Experience
Introduction: Mandatory repair of paraesophageal hernias is no longer standard of care with a reported risk of strangulation of 1% per year. Methods of repair vary with regard to surgical approach and technique. We report our experience with laparoscopic paraesophageal hernia repair, using a variety of techniques for repair based on patient comorbidities, age, crural… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias
Laparoscopic Proctectomy for Lower Rectal Cancer
Purpose: Laparoscopic proctectomy is still controversial, especially for lower rectal cancer. This study assessed laparoscopic proctectomy for extraperitoneal rectal cancer.Patients: Thirty four consecutive laparoscopic proctectomy for extraperitoneal rectal cancer were enrolled since 2002 to 2008. Mean age was 64.4 year-old, they were 21 males and 13 females. Procedures were; low anterior resection (LAR) with stapling… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal