The Role of Endoscopic Ultrasound in Assessing Tumor Response and Staging Post Neoadjuvant Chemotherapy in Esophageal Cancer
OBJECTIVE – Although the role of endoscopic ultrasound (EUS) in the initial staging of esophageal cancer is well established, its role in assessing tumor response and staging of esophageal cancers post neoadjuvant chemotherapy (NAC) is controversial and is the focus of this study. METHODS AND PROCEDURES – A series of 77 patients with esophageal cancer… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Single Port Access Partial Gastrectomy for Gastric Gist.
Introduction: Laparoscopic partial gastrectomy is widely accepted for gastric GIST, because wide resections and excessive lymphadenectomy are usually not required. On the other hand, single port access (SPA) surgery became popular with its cosmetic and less pain benefit for the patients. Therefore, we started SPA partial gastrectomy for gastric GIST.Patients and Operative technique: From July… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Esophageal Reconstruction Using Biological Scaffolds in a Clinical Setting.
Introduction: Extracellular matrix (ECM) scaffolds have been shown to be effective for reconstruction of esophageal tissue in pre-clinical models. The remodeled tissue showed mature epithelialization, a distinct submucosal layer characterized by dense, organized collagenous tissue, and an organized, appropriately oriented skeletal muscle layer that was integrated into the adjacent normal muscle tissue. Herein, we describe… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Esd-Assisted Laparoscopic Partial Gastrectomy for Gastric Submucosal Tumor
Introduction: Laparoscopic partial gastrectomy is frequently performed for the treatment of gastric submucosal tumor, especially less than 5cm. Resection with an automatic suture instrument is associated with excessive removal of gastric mucosa for intraluminal growing tumors, which may result in postoperative stenosis or distortion. A laporoscopic partial gastrectomy assisted by ESD to prevent excessive removal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Paraesophageal Hiatal Hernia Repair Using Gore™ Bio-A™ Tissue Reinforcement, One Year Follow Up Data
Objective: We recently reported a novel technique for repairing paraesophageal hiatal hernias greater than 5cm, using primary non-pledgeted crural repair with onlay fixation of GORE™ BIO-A™ Tissue Reinforcement. The purpose of this report is to present one-year follow up data.Methods: Patients were evaluated at routine clinic follow up visits. Patients with recurrent symptoms of GERD… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Paraesophageal Hernia Repair with Human Acellular Dermal Matrix Cruroplasty
INTRODUCTION: Laparoscopic paraesophageal hernia repair (LPEHR) has been shown to be both safe and efficacious. Compulsory operative steps include reduction of the stomach from the mediastinum, resection of the mediastinal hernia sac, ensuring an appropriate intra-abdominal esophageal length, and crural closure. The use of mesh materials in the repair of hiatal hernias remains controversial. Synthetic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparo-endoscopic Single Site (less) Toupet Fundoplication with Reduction of a Giant Hiatal Hernia
Introduction: The journey from conventional laparoscopic operations to truly “minimally invasive” operations naturally includes progression from operations involving multiple trocars and multiple incisions to operations involving access through the umbilicus alone. Laparo-Endoscopic Single Site (LESS) surgery promises improved cosmesis by reducing the number of access incisions to a single incision hidden in the umbilicus, which… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastrojejunostomy for Malignant Gastric Outlet Obstruction.
Background: Gastric outlet obstruction (GOO) from abdominal malignancies reduces the quality of life of the patients and needs gastrojejunostomy or endoscopic stenting (ES). Patients who are indicated to this kind of management tend to have advanced diseases. Therefore, safe and less invasive treatment with early recovery should be considered. Laparoscopic gastrojejunostomy (LGJ) is currently feasible… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Standardization of Video-Assisted Esophagectomy: Hand-Assisted Thoracoscopic Surgery As a Safety Procedure
Introduction: Hand-assisted laparoscopic surgery has been recognized as a safe laparoscopic operative procedure for gastrointestinal malignancies. Although laparoscopic procedure has recently been applied for esophageal cancer, open surgery still remains the standard operative procedure. To overcome the technical difficulty of video-assisted esophagectomy, we applied hand-assisted surgery in VATS esophagectomy. The aim of this study is… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Mediastinoscopic Transhiatal Esophagectomy for an Aged Person with Type 4 Thoracic Esophageal Cancer: Report of a Case
A 83-year-old man complaining of disphagia was referred to our hospital for further examination and treatment of esophageal cancer. An upper gastrointestinal endoscopy showed the circumferential stenosis of the esophagus at 33~38cm from the incision teeth. The mucosa of the stenotic part was almost intact with slight erosion and the biopsy specimen from the erosive… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Comparation Between Laparoscopy Assisted Gastrectomy D2 Lymhp Node Dissection and Open Procedure for Gastric Cancer in Colombia
INTRODUCTION: To evaluate the morbidity and mortality of laparoscopy assisted gastrectomy and D2 lymph node disecction and compare with the open surgery in a period of 3 years in patients with advanced gastric cancer in a one institucion in colombia.The gastric cancer is the second most common cancer worldwide in our country is the first… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Safety of Laparoscopic Paraesophageal Hernia Repair in Octogenarians
BACKGROUNDParaesophageal hernias (PEH) most commonly afflict the elderly, carrying a 10-30% risk of complications including gastrointestinal hemorrhage, gastric volvulus and strangulation. Ninety percent of all PEH hernias in the United States are still being performed via open approach. As a result, due to their frequent accompanying comorbidities and resultant fears of perioperative morbidity, many elderly… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Tranasvaginal Specimen Extraction After Totally Laparoscopic Subtotal Gastrectomy in Early Gastric Cancer
Introduction: In 1993, Delvaux et al reported that he could remove the GB and a large GB stone through transvaginal route after laparoscopic cholecystectomy in female patients. Recently, natural orifice extraction (NOE) has been extensively performed after totally laparoscopic nephrectomy and totally laparoscopic colon resection. However, there have been no report of NOE after subtotal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Transhiatal Resection of Esophageal Diverticulum
Introduction: Mid-esophageal diverticulum is often associated with a concomitant esophageal motility disorder. The treatment consists of esophagomyotomy in addition to excision of the diverticulum. In patients with mid-esophageal diverticulum, the laparoscopic approach is less well accepted. Methods: We present a video of a 78 year old female with a long history of regurgitation, intermittent dysphagia… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Esophageal / Gastric Surgery
The Safety of Biologic Mesh for Laparoscopic Repair of Large, Complicated Hiatal Hernia
Objective: Laparoscopic repair of large, complicated hiatal hernias is associated with a high risk of recurrence. Biologic mesh decreases recurrence and prevents complications associated with synthetic mesh; but its safety profile has not yet been fully determined. To answer this question we analyzed the outcomes of biologic mesh used to repair these “high risk” hiatal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery