Laparoscopic Omentoplasty for Bronchial Stump Reinforcement in Pneumonectomy Patient.
Bronchopleural fistula represents one of the most serious complications after pneumonectomy with an incidence of 1% to 12%. Viable tissue reinforcement, which are pleura, intercostals muscle, pericardium, omentum etc., reduces this complication. Among these tissues pedicled omental flaps have been widely used because of better results due to abundance of viable tissue and excellent vascularization.… Continue Reading
- Type:
- Posters
- Topic:
- Minimally Invasive Other
Laparoscopic Pancreatic Surgery
Background: Laparoscopic pancreatic surgery for pancreatic disorders includes enucleation, distal pancreatectomy, pancreatoduodenectomy, and cystgastrostomy. However, these procedures are still uncommon, with limited indications. If postoperative complications such as a pancreatic leakage occur, they can be potentially serious. Methods: During recent ten years, we experienced six consecutive laparoscopic pancreatic surgeries. Preoperative diagnoses are islet cell tumors… Continue Reading
Laparoscopic Paraduodenal Hernia Repair
Paraduodenal hernias are the commonest type of internal hernia, affecting 2-3% of the population. Paraduodenal hernias arise from a deficiency in midgut rotation. However, unlike malrotation, the duodenum crosses the midline and the cecum is located in the right lower quadrant. 75% of paraduodenal hernias are left sided. The peritoneum-lined sac, known as Landzert’s fossa,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Paraesophageal Hernia Repair with Biosynthetic Mesh and Collis Gastroplasty
Surgical treatment of paraesophageal hernias has changed significantly in the last decade. Laparoscopy has decrease the risk associated with open surgery and today a larger number of high risk cases are being performed. The minimally invasive surgeon is faced with many challenges and controversies during these procedures. One of the major issues is recognition of… Continue Reading
- 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
Laparoscopic Plication of a Gastrojejunostomy with Endoscopic Guidance in the Porcine Model
Objectives:The purpose of this study is to determine if laparoscopic plication of a gastrojejunostomy with endoscopic guidanceis a feasible surgical option for the gastric bypass patient who has regained weight due to a dilated gastric stoma. Methods and Procedures:After obtaining IACUC approval, a porcine model was used to simulate a gastric bypass with an enlarged… Continue Reading
- Type:
- Posters
- Topic:
- Metabolic / Obesity
Laparoscopic primary common duct repair: Management of an unusual complication of ERCP
Biliary leaks following laparoscopic cholecystectomy (LC) have been reported in up to 1.1% of patients. After diagnosis, the typical management consists of endoscopic retrograde cholangiopancreatography (ERCP) and stent placement. Bile duct perforation by the stent is an even more rare complication and its true incidence is elusive in the literature. Case summary:A 30 year old female… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Laparoscopic Primary Repair of Colonoscopic Perforations
Introduction: Iatrogenic colonic perforation during colonoscopy is a rare but potentially lethal complication. It can occur during diagnostic and therapeutic endoscopy and can be related to various mechanisms. The management of such perforations is usually surgical but there is debate as to the appropriate approach. We present our experience with laparoscopic colorraphy without resection or… Continue Reading
- Type:
- Posters
- Topic:
- Colorectal
Laparoscopic Radical Cholecystectomy and Roux-en-Y Choledochojejunostomy for Gallbladder Cancer
Introduction: The majority of early gallbladder cancers are diagnosed upon final pathology after laparoscopic cholecystectomy, however, controversy exists as to what procedure should be done when gallbladder cancer is suspected preoperatively. Some authors recommend laparoscopic cholecystectomy with intra-operative frozen section analysis followed by conversion to an open approach if gallbladder cancer is confirmed. Alternatively, some… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Laparoscopic Redo Hepatico-jejunostomy for Biliary Stricture After Open Hepaticojejunostomy for Cbd Injury
Introduction:This video illustrates the key aspects of laparoscopic redo hepatico-jejunostomy (HJ) for anastomotic biliary stricture. We present the case of a 43 year-old female who was referred to us after an open HJ for a CBD injury during laparoscopic cholecystectomy. The patient was found to have a biliary stricture and developed multiple episodes of cholangitis.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Laparoscopic Removal of an Intraabdominal Intrauterine Device: Case and Systematic Review
Introduction: Perforation of the uterus by an intrauterine device (IUD) is a rare but serious complication. We report a case of a perforated copper IUD adherent to the sigmoid colon which was successfully removed laparoscopically using a harmonic scalpel. The use of a harmonic scalpel allowed dissection of the IUD in close proximity to the… Continue Reading
- Type:
- Posters
- Topic:
- Outcomes and Quality
Laparoscopic Removal of Inguinal Plug and Patch Mesh for Chronic Groin Pain
Background: Many surgeons disagree on the optimal method of repair for an inguinal hernia. Some surgeons believe that the plug and patch method of repair is a superior alternative to a straight Lichtenstein repair. A recent literature review however describes numerous complications from this method of repair including chronic pain, plug migration and enterocutaneous fistula… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Laparoscopic Repair of a Common Bile Duct Injury
In this video, we present a laparoscopic repair of an inadvertent common bile duct injury during laparoscopic cholecystectomy in a 16 year old female. This patient had chronic cholecystits. She was brought to the operating room for a laparoscopic cholecystectomy. During dissection, the common bile duct was mistaken for the cystic duct and was ligated.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- HPB
Laparoscopic Repair of a Duodenal Atresia and Ladd\’s Procedure in a Neonate
Purpose: To demonstrate current refinements of technique in performing a duodenal anastomosis in a neonate with duodenal atresia. Methods: A 33 week premature infant with a prenatal diagnosis of Duodenal atresia was explored laparoscopically on day two of life for repair. The patients weight was 2 Kg. Two 3mm ports and one 4mm port were… Continue Reading
- Topic:
- Minimally Invasive Other
Laparoscopic Repair of Abdominal Wall Hernias Using Fetal Bovine Dermal Tissue (surgimend).
Laparoscopic repair of abdominal wall hernias using non-absorbable permanent prosthetic materials is a well-recognized alternative to open surgery. The popularity of these techniques has increased over the years and in some institutions is performed more frequently than the open techniques. The use of these materials in the abdominal cavity in apposition to bowel has necessitated… Continue Reading
- Type:
- Posters
- Topic:
- Abdominal Wall Hernias