Evaluation of Intraoperative Strategies and Recurrences After Laparoscopic Paraesophageal Hernia Repair
Introduction:Patients undergoing paraesophageal hernia repair are known to have recurrence rates as high as 40 %. Preoperative findings on anatomic studies fail to determine intraoperative strategies to decrease this recurrence rate. Current operative techniques to reduce this rate include extensive mediastinal dissection to increase intra-abdominal esophageal length, closure of the hiatus with mesh, sac excision… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Preoperative Angulation of the Distal Esophagus and Outcome After Heller Myotomy and Anterior Fundoplication for Achalasia
Introduction: Achalasia is defined by esophageal dysmotility and obstruction. Over time, obstruction may result in esophageal elongation and angulation of the distal esophagus. The aim of this study was to determine if preoperative distal esophageal angulation correlates with symptom relief after laparoscopic Heller myotomy and anterior fundoplication. Methods: 63 patients undergoing laparoscopic Heller myotomy with… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Upper Gi Contrast Study As Preoperative Planning Tool in Fundoplication Patients
OBJECTIVE: To determine if esophageal manometry added information important for preoperative fundoplication planning compared to upper GI contrast studies (UGIS) METHODS: We retrospectively reviewed the records of 323 patients at a single institution who underwent a fundoplication (Nissen or Toupet) for GERD and/or paraesophageal hernia from 2003 to 2007. Of these, we excluded patients younger… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Assessment of Gastric Conduit Ischemia Following Esophagectomy: The Role of Ct-scan Vs. Early Endoscopy
Background: Ischemia of the gastric conduit is a rare but devastating complication of esophagectomy. Fear of iatrogenic injury to the anastomosis by early endoscopy has resulted in use of CT scan for diagnosis of this complication which may lead to delay in diagnosis. The aim of this study was to assess the role of CT… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
“y” Fundoplication for Gastroesophageal Reflux Disease: Evaluation of 80 Consecutive Cases
“Y” Fundoplication for Gastroesophageal Reflux Disease: EVALUATION OF 80 CONSECUTIVE CASESJorge Fernandez - Alvarez, M.D., Iker León, M.D., Gonzalo Vargas, M.D., Iker León, Alonso R. López, M.D. Abstract OBJECTIVE: Description of an hybrid laparoscopic fundoplication technique (Nissen plus Guarner) performed in patients with gastroesophageal reflux disease (GERD) in nine years of experience and the results… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Patient Satisfaction Best Determines the Management of Recurrent Dysphagia After Heller Myotomy for Achalasia
Heller myotomy (HM) is an effective treatment for achalasia, however failure to reliably achieve long-term palliation of dysphagia occurs in about 10%. It is unclear when and how best to manage these patients. We sought to characterize patients with recurrent dysphagia with particular focus on the management of this difficult patient population. METHODS: A prospectively… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Clinical Prognoses After Laparoscopic Assisted Gastrectomy for 76 Cases with Earlyl Gastric Cancer
(1) objective of this study Although Laparoscopic assisted gastrectomy (LAG) is has been accepted procedure for early stages of gastric cancer, the morbidity and modality are not clear compared to open gastrectomy (OG). We show our patientsf prognoses after LAG. This is a retrospective and single facility report.(2) methods and procedures We have performed 76… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Surgery for Achalasia; A Comparison of Heller-toupet and Heller-dor Procedures
Aims; Our aim of this study is to compare the short-term outcome of laparoscopic Heller-Toupet and Heller-Dor procedures for patients with achalasia from the symptomatic and functional points of view. Patients and Methods; Fifty-two patients with achalasia who complained dysphagia were enrolled into this study. All patients had laparoscopic Heller myotomy. The patients were divided… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Oesophagectomy with Two-field Lymphadenectomy
THORACOSCOPIC PHASE1. Thoracoscopic access and Ports2. Diaphragm retraction stitch3. Division of inferior pulmonary ligament up to inferior pulmonary vein4. Division of mediastinal pleura and development of pericardial plane5. Division of azygous vein6. Completion of oesophageal mobilisation Meso-esophageal vessels are ligated and vagal branches are clipped on the Oesophagus. Slings are applied7. Radical nodal resection. Lymph… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Management of Achalasia: Medium-term Outcomes After Heller Myotomy and Fundoplication
INTRODUCTION– Achalasia is an uncommon disease of unknown origin. Management is challenging. Laparoscopic esophageal myotomy is the best treatment option, having variable results. We report the medium-term outcomes on 16 patients after Laparoscopic Heller myotomy and partial fundoplication.METHODS AND PROCEDURES– This is a descriptive, retrospective study evaluating the clinical outcomes of all patients undergoing laparoscopic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Comprehensive Single Center Review of Impact of Body Mass Index on Symptomatic Results of Laparoscopic Nissen Fundoplication
INTRODUCTION: Laparoscopic Nissen fundoplication is accepted as a standard and effective therapy for refractory GERD; however, controversy exists regarding the eficacy of Nissen fundoplication in obese patients. We report on the results of symptomatic outcomes of a series of obese and non-obese patients with GERD receiving laparoscopic Nissen fundoplication. METHODS: A single center retrospective review… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Technique Sentinel Lymph Node Biopsy in Laparoscopy-Assisted Distal Gastrectomy and Assessment of Usefulness Compared to Open Surgery
Introduction: Recently some studies suggested that sentinel node biopsy (SNB) can be also applied to gastric cancer. We apply sentinel lymph node biopsy in laparoscopy-assisted distal gastrectomy (LADG) to perform it as safe limited surgery. Limited surgery is a procedure in which the extent of lesion resection and lymph node dissection is reduced. We demonstrate… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Roux-en-Y Reconstruction for Failed Fundoplication
.Objective: Post-fundoplication recurrence of symptoms occasionally requires surgical correction. Our objective is to review our initial experience with Roux-en-Y (RNY) reconstructions for failed anti-reflux surgery. Method: After Institutional Review Board approval, a retrospective review of data was performed on patients who had undergone RNY gastrojejunostomy or esophagojejunostomy, with or without gastric resection, after failure of… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Submucosal Tumors At the Gastroesophageal Junction: The Laparoscopic Approach
Introduction: The objective of this study is to determine the feasibility of laparoscopic management of gastric submucosal tumors located at the gastroesophageal junction.Methods and Procedures: A retrospective, longitudinal study was designed including 13 patients operated on in our department from November 1999 to December 2007. Fifty three percent of patients were males, mean patients´age was… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopy-Assisted Distal Gastrectomy for Gastric Cancer in Elderly Patients Aged 75 Years or Older
BackgroundThe average life expectancy of the Japanese is 79 years in males and 85 in females; accordingly Japan is among countries with the longest life expectancy. Malignant neoplasm is the most prevalent cause of deaths, while gastric cancer ranks high among malignant tumors. We encounter quite a few opportunities to operate on elderly patients for… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery