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
Efficiency of LARS for the treatment of extraesophageal GERD symptoms
Introduction. Gastroesophageal reflux disease (GERD) is common pathology with typical and atypical clinical presentation. Currently, the efficiency of laparoscopic antireflux surgery (LARS) for the treatment of extraesophageal GERD symptoms have not been completely studied. The aim was to study the efficiency of LARS for the treatment of extraesophageal GERD symptoms.Methods and procedures. From 1994 till… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
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
Endoscopic Ultrasound Overstaging of N-status in Patients with Esophageal Adenocarcinoma
Introduction: Lymphatic metastases are a key determinate of prognosis with esophageal cancer. Endoscopic ultrasound (EUS) is the leading modality for local-regional staging of esophageal cancer, and patients thought to be node-positive are typically recommended to have neoadjuvant therapy prior to esophagectomy. The aim of this study was to asses the prevalence and characteristics of patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Nineteen consecutive Laparoscopic Esophagectomies without Gastric Conditioning: Zero Leak, Necrosis, or Mortality
Introduction: Esophagogastric anastomosis ischemic events have a reported incidence of 3.2% resulting in leaks and necrosis. Gastric Conditioning (GC) has been proposed to reduce such morbidity. Unfortunately this exposes a debilitated patient to 2 operative procedures and is carried out 2-3 weeks prior to esophagectomy. We propose that with meticulous laparoscopic dissection, GC is not… 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
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
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
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
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 simple and practical procedure in laparoscopy-Assisted distal gastrectomy
The procedure of laparoscopy-assisted distal gastrectomy iLADGj is usually complicated and needs specialized techniques for advanced laparoscopic surgery, more surgeons during the procedure and longer operation time. But we have recently developed simple and practical LADG procedure that needs only two surgeons and shorter operation time. OPERATIVE PROCEDURE -1. A 5 cm incision was made… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Short-term Outcome with Acellular Dermal Matrix Reinforcement of Cruroplasty for Laparoscopic Large Hiatal Hernia Repair in a Community Hospital
Objective: To determine the efficacy of acellular dermal matrix reinforcement of cruroplasty for large hiatal hernia (HH) repairs. Method and Procedure: Prospective study over a 1 year period enrolling ten patients with symptomatic large HH. Patients were included in the study if the HH contained more than one-third of the stomach (Type III or IV).… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic tailored Nissen fundoplication
(Back ground) Laparoscopic Nissen fundoplication (LNF) is a choice of surgeries for the treatment of gastroesophageal reflux disease (GERD). To minimize post-surgical dysphagia and achieve a sufficient antireflux efffect, it is ideal that the gastric fundus is lifted straight up toward the cranial side without a twist. However, it is not always easy to determine… Continue Reading
- Type:
- Posters
- 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 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