Laparoscopic D2 Lymph Node Dissection with Total Gastrectomy and Jejunal Pouch Reconstruction for Early Gastric Cancer
Introduction:D2 lymph node dissection for early gastric cancer was popularized by the Japanese, though it is still controversial. The adequacy of laparoscopic node harvest remains doubtful. In this video, we present a laparoscopic D2 dissection with total gastrectomy and jejunal pouch anastomosis.Methods: We have performed this procedure in 82 patients from 2002-2007. The dissection was… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastrectomy and Esophagectomy for Proximal and Distal Gastric Cancer
Objectives: Minimally invasive surgery for gastric cancer remains controversial. The aim of this study is to compare short term and medium term outcomes and adequacy of tumour resection, in open versus laparoscopic gastric resections.Methods: Clinical data on all patients undergoing open (n = 15) or laparoscopic (n = 52) gastric resection by a single surgeon… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic gastrectomy for adenocarcinoma: lymphadenectomy and resection margins
Introduction: The American Joint Committee for Cancer recommends harvest of at least 15 lymph nodes from gastrectomy for adenocarcinoma for accurate staging. Up to one-quarter of open gastrectomies (OG) have resections margins microscopically positive for malignant cells (R1). We examined the lymph node yield and R status for entirely laparoscopic gastrectomy (LG).Patients & Methods: All… Continue Reading
- Type:
- Posters
- 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 Gastric Surgery for Neoplasia: Are we going ahead?
INTRODUCTION: In Colorectal cancer, the increasing evidence in the literature shows improved outcome following laparoscopic surgery. However, the evidence and outcome on laparoscopic gastric surgery is limited. The purpose of this study was to assess our initial experience with laparoscopic gastric surgery for malignancy. METHODS AND PROCEDURES: Between Sept 2003 to Aug 2007 there were… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Heller procedure for the treatment of esophageal achalasia
Background. The need of fundoplication while the Heller procedure is still controversial. It was proved, that fundoplication reduces the rate of gastroesophageal reflux, but increases surgery time and may increase the recurrence rate. Thus, we hypothesized that fundoplication must have exact indications, such as achalasia, associated with hiatal hernia and preoperative gastroesophageal reflux. So, this… 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
Laparoscopic Nissen Fundoplication with Hepatic Shoulder Technique in the surgical management of large para-esophageal hernias
Large paraesophageal hernias are difficult to manage via laparoscopy and are associated with a significant recurrence rate. A novel laparoscopic approach was used to close the diaphragmatic defect in four patients diagnosed with large para-esophageal hernias and GERD symptomatology. Technique: All procedures were performed via laparoscopy. Three patients underwent a reduction of the para-esophageal hernia… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Re-fundoplication As a Treatment for Gastroesophageal Reflux Disease (gerd) – a Study of 42 Cases.
BACKGROUND: Antireflux surgery has a low rate of re-operation, varying from 2 to 10%. Nevertheless, when this is necessary, it is common to opt for open surgery under the belief that this is safer. However, various centers have observed the efficiency of re-operation using laparascopic antireflux surgery, with a low rate for complications and good… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic reduction and three-point gastropexy may be a preferred technique for management of acute gastric volvulus in high-risk patients.
Introduction: Laparoscopic repair of a large hiatal hernia with fundoplication is a procedure that may have significant morbidity in an old and high-risk patient. High recurrence rates after laparoscopic repair have been reported. Intra-thoracic stomach complicated by gastric volvulus consist a surgical emergency that, if untreated, will lead to mortality. We propose an alternative, minimally… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic repair of intra-thoracic stomach
Aim: Intra-thoracic stomach (ITS) represents the most extreme form of paraesophageal hernia (PEH). A high rate of recurrences after laparoscopic repair of PEH has prompted the widespread use of mesh for hiatal reinforcement. However mesh placement can have serious complications. We aim to show that mesh is not needed routinely as long as attention is… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Resection of Challenging Gastric Tumors
Noninvasive gastric tumors may have malignant potential and should be managed with resection. Large margins are not needed and many can be managed with laparoscopic wedge resection. Tumors along the fundus, anterior wall, and greater curvature of the stomach are approached relatively easily using endoscopic staplers. Tumors near the gastric cardia, lesser curvature and pylorus… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Resection of Gastrointestinal Stromal Tumors Located at the Gastroesophageal Junction
IntroductionGastrointestinal stromal tumors are the most common mesenchymal neoplasm of the GI tract, and 60% of GISTs occur in the stomach. The mainstay of treatment for GI stromal tumors is surgical resection with negative margins, with use of Gleevac reserved for metastatic or unresectable disease. Tumors located at the gastroesophageal junction have traditionally been problematic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Revision of Failed Fundoplication and Hiatal Herniorrhaphy
Objective: To evaluate the mechanisms of failure after laparoscopic fundoplication and the results of revision laparoscopic fundoplication. Background: Laparoscopic Nissen fundoplication has become the most commonly performed antireflux procedure for the treatment of gastroesophageal reflux disease with success rates from 90-95%. Persistent or new symptoms often warrant endoscopic and radiographic studies to find the cause… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic surgery for early gastric cancer in our institution
Back groundRecently, the laparoscopic operation to an early gastric cancer has established. This study was designed to review our initial experience with laparoscopic gastric surgical techniques to evaluate indications and surgical results.Study designWe undertook a retrospective analysis of 156 patients m(104 men and 52 women, mean age 62.4 years) who underwent laparoscopic gastric surgical procedures… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery