Factors influencing operation time of laparoscopy-Assisted distal subtotal gastrectomy: A large-scale Korean multicenter study
Purpose: There is little information on patient selection criteria for laparoscopy-assisted distal gastrectomy (LADG) that would facilitate a successful initial experience for a surgeon new to the procedure. The aims of this multicenter study were to assess the effect between operation time and frequency of LADG and determine patient selection criteria that will allow increased… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A Novel Method of Mesh Placement in Laparoscopic Repair of Giant Paraesophageal (gph) Hernias
Objective of the Technique: To introduce a novel technique for mesh placement during laparoscopic GPH repair. Recent data support the use of prosthetic mesh in the repair of large (>5cm) paraesophageal hernias, with decreased recurrence rates compared to primary repair. There is no consensus, however, as to the optimal type and shape of mesh, or… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The ratio of metastic lymph nodes to total number of nodes resected is prognostic for survival after en bloc lymphadenectomy in oesophageal carcinoma
Introduction: The extent of lymphadenectomy in oesophageal cancer surgery may affect prognosis, and the role of the number of nodes affected by tumour is of interest. We assess predictors of survival with oesophagectomy and systematic 2-field lymphadenectomy for oesophageal and gastro-oesophageal junction malignancyMethods: Prospective data was collected for 178 consecutive patients with oesophageal malignancy undergoing… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Natural History following laparoscopic repair of Massive Hiatus Hernia
Introduction: Laparoscopic repair of massive hiatus hernia (MHH) is a feasible and effective technique. However, the natural history after repair is not well documented, and there have been concerns regarding possible high recurrence ratesMethods: Prospective review of patients operated on for massive hiatus hernia between April 1992 and December 2006 in a tertiary referral unit.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Comparison of oncological outcomes after laparoscopic transhiatal esophagectomy and open esophagectomy for pT1 esophageal adenocarcinoma
INTRODUCTION: This study compared pathological characteristics and patterns of disease recurrence for patients with pT1 esophageal adenocarcinoma treated with either laparoscopic transhiatal esophagectomy or open esophagectomy (Ivor Lewis or transhiatal).METHODS: Case notes were reviewed for consecutive patients, who had esophagectomy with pT1 adenocarcinoma at final pathological staging, during January 2000-December 2006. No patient had neo-adjuvant… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
A General Surgeon\’s early experience using prone thoracoscopy for minimally invasive esophageal procedures
With the realized benefits of decreased post-operative pain, a shorter hospital stay, and a faster recovery time when compared to open surgery, enthusiasm for minimally invasive esophagectomy has increased worldwide. Several groups use lateral decubitus positioning for thoracoscopic mobilization of the esophagus, while some have suggested that prone positioning may minimize the number of technical… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Tracheo-esophageal Fistula Treated by Esophageal Stent and Ultrasound-Guided Suture Fixation
Background: Current option for patients with a tracheo-esophageal fistula are limited. Because of stent migration, newer stents have been developed to prevent movement, but stents placed high in the esophagus continue to migrate.Methods: This video describes the procedure of placing an esophageal stent with two different fixation techniques. The first technique involves the use of… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastrectomy for Advanced Gastric Cancer～Attempt and Short-term Result of Neoadjuvant Chemotherapy
yPurposezIt is considered that the laparoscopic lymph node dissection for gastric cancer after chemotherapy (neo-adjuvant chemotherapy; NAC) is a little difficult in technique. We attempt to laparoscopic D2 lymph node dissection after NAC, from the experience of over than 500 cases of laparoscopic gastrectomy for gastric cancer in our department. We report on the short-term… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic management of acute paraesophageal hernia
Objective: Acute paraesophageal hernia is a surgical emergency presenting with chest pain, abdominal pain, dysphagia, nausea and vomiting, retching or significant anemia. This can be due to gastric volvulus, incarceration, strangulation, severe bleeding or perforation. Traditionally this is treated with an open surgery. The purpose of this study is to evaluate the outcome of laparoscopic… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Verification of the Effectiveness of Nissen Fundoplication Without Myotomy in the Treatment of Nutcracker Esophagus – a Study of 11 Patients.
BACKGROUND: Nutcracker esophagus (NE) is a primary motor disorder characterized by esophageal peristaltic contractions of high amplitude. There is a relationship between gastroesophageal reflux disease (GERD) and NE. However, in spite of this, there is no consensus regarding the use of surgery for these diseases.AIM: To evaluate the treatment of nutcracker esophagus (NE) using laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Combined thoracoscopic and laparoscopic esophagectomy
.Minimally invasive esophagectomy for cancer is increasingly adopted by dedicated centers in the world, but the method is highly variable. A video presentation of combined thoracoscopic and laparoscopic esophagectomy in a 54-year old man suffering from a squamous cell cancer of the mid-esophagus is presented. Thoracoscopic esophageal mobilization with mediastinal nodal dissection was carried out… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Long-term quality of life after laparoscopy-Assisted distal gastrectomy
Background : Laparoscopy-assisted distal gastrectomy (LADG) needs longer@operation time, but brings lesser pain, invasiveness after operation compared with open distal gastrectomy (ODG). Patients undergone LADG can recover earlier than ODG. However comparative study of long-term quality after LADG and ODG is not performed.Patients and Method : From August 2007 to July 2006, 197 patients with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Endo-Laparoscopic Intragastric Tumor Excision (ELITE) of Intragastric GIST – Combined Endoscopic and Laparoscopic Technique
Introduction: Gastric GIST is a mesenchymal neoplasm of gastrointestinal tract with uncertain malignant potential. Complete surgical excision is usually recommended . However, local excision is difficult for GIST located at cardia or prepyloric region and partial gastrectomy may be necessary. Method: For small intragastric GIST ( Session: Podium Presentation Program Number: V028 Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
The Utility of Preoperative Evaluation Using 3D-CT and Standardization of Laparoscopy-Assisted Gastrectomy for Gastric Cancer
Introduction) Laparoscopy-assisted gastrectomy including lymph nodes dissection consists of complicated procedures. The aim of this study is to clarify the utility of preoperative evaluation using 3D-CT and standardization of the procedures.Patients and methods) The 50 patients with gastric cancer (Stage I: 40, Stage II: 4, StageIIIA: 3, Stage IV: 3 Japanese Classification of Gastric Carcinoma)… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Ladg for Early Gastric Cancer in Obese Patients
Objective: Laparoscopy-assisted distal gastrectomy (LADG) has become a popular mode of treatment for patients with gastric cancer. Less operative blood loss, less pain, early recovery of bowel activity, early restart of oral intake, and a shorter hospital stay with LADG compared with the conventional open method has been well documented. There is, however, little information… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery