Laparoscopic Total Gastrectomy for Cardia Cancer with Esophageal Invasion
BACKGROUND: Total gastrectomy is the standard therapy for resectable gastric cancer, including cardia cancer. A number of cardia cancers are invasive to esophagus, which requires extensive resection of esophagus. In some cases, division of esophagus should be placed in thorax so as to secure margin of tumor. Division of esophagus and esophago-jejunostomy in Roux-en-Y anastomosis… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Total Gastrectomy with Hand-sewn Esophago-jejunal Anastomosis and D2 Lymphadenectomy for Gastric Cancer
Introduction: This video will detail the relevant steps in laparoscopic total gastrectomy and D2 lymphadenectomy with a hand-sewn esophago-jejunal anastomosis.Method and Patient: A 53 year-old male presented with weight loss and significant familiar history for gastric cancer (Both parents and sister). An upper GI endoscopy revealed a 10 mm gastric ulcer between the body and… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Transluminal Excision of Gastroesophageal Junction Gist Tumors
Introduction: Laparoscopic excision of GIST tumors is safe and oncologically effective. GIST tumors at the gastroesophageal junction (GEJ) introduce special difficulties due to the complex accessibility of the proximal stomach by laparoscopy and concerns of narrowing the GEJ, while ensuring an oncologic resection. Herein, we examine the feasibility of laparoscopic transluminal excision (LTE) of GEJ… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Treatment of Bilateral Esophageal Epiphrenic Diverticula
Introduction:Epiphrenic diverticula are rare and usually incidentally found. When symptomatic they tend to present with chest pain, regurgitation and dysphagia.We report a case of large bilateral epiphrenic diverticula presented with upper gastrointestinal bleeding treated laparoscopically.Methods:A 67 year-old woman with a known history of systemic lupus erythematosus steroid dependent and mild dysphagia, presented to the emergency… Continue Reading
- 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
Laparoscopy-Assisted Pancreas- And Spleen-preserving Total Gastrectomy for Gastric Cancer As Compared with Open Total Gastrectomy
Background: Laparoscopy-assisted total gastrectomy (LATG) is not widely used for the treatment of gastric cancer located in the upper or middle third of the stomach. To assess the safety and usefulness of LATG, we compared the outcomes of LATG with those of open total gastrectomy (OTG).Methods: From July 2004 to July 2007, we performed pancreas-… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Limited Resection for Early Adenocarcinoma of the Esophago-gastric Junction
Introduction: There is still a debate how to treat early carcinoma of the esophago-gastric junction. The spectrum ranges from endoscopic procedures to esophageal or gastric resections. Less invasive but with appropiate radicality is the limited resesction as described here.Methods: 134 patients with early carcinomas of the esophago-gastric junction underwent a limited resection of the distal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Long-term Subjective and Objective Outcomes of Laparoscopic Nissen Fundoplication with Collis Gastroplasty for Shortened Esophagus. Initial Experience From a Single Rural Institution
Background: Laparoscopic Nissen Fundoplication (LNF) with Collis Gastroplasty has been adopted as the treatment of choice for advanced gastroesophageal reflux disease (GERD) with shortened esophagus. Only few studies have described subjective and objective outcomes of LNF with Collis gastroplasty for this particular condition. Therefore our study is aimed to investigate long-term subjective and objective outcomes… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Lower Esophageal Sphincter Pressure Correlates with Outcomes of Laparoscopic Heller Myotomy in Previously Treated Achalasia
Background: The purpose of this study was to define the distribution of preoperative resting lower esophageal sphincter pressures (LESP) in achalasia, and to correlate this with symptomatic outcomes following laparoscopic Heller myotomy (LHM). Methods: A single institution retrospective review of patients undergoing LHM for a primary diagnosis of achalasia between 1992-2005. Patients were divided into… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Lymph Node Dissection in Open Versus Laparoscopic Gastrectomy for Gastric Cancer
Background: The development of laparoscopic surgery has been allowed its incorporation in the surgical treatment of gastric cancer. The number of lymph node dissected is one of the tools used to evaluate the quality of lymph node dissection in gastric cancer. The aim of this study was to compare the quality of lymph node dissection… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Management of Esophageal Perforations
Background: Perforation of the esophagus remains a life threatening event, which requires rapid diagnosis and treatment. Possible therapeutic modalities are surgical repair, interventional endoscopic or conservative treatment.Objectives: We were interested to examine our experience on the management of esophageal perforations with the aim to find parameters for the recommendation of the best therapeutic modality.Methods: From… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Microscopic Fat Processing with Harvesting of Lymph Nodes in Gastric Cancer Improves Nodal Yield and Upstages N Status
MICROSCOPIC FAT PROCESSING WITH HARVESTING OF LYMPH NODES IN GASTRIC CANCER IMPROVES NODAL YIELD AND UPSTAGES N STATUSObjectives:The current UICC staging system for gastric cancer relies on number of positive nodes to give N stage, up to a maximum of 16 involved nodes. As most nodal harvesting is based on macroscopically detected nodes there is… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Esophagectomy: Initial Experience
Objective: Since 2006 we have incorporated minimally invasive (MIE) esophageal resection in our operative armamentarium in the surgical treatment of esophageal cancer. The aim of this study is to examine trends in operative technique, extent of resection including lymphatic dissection and post-operative outcomes with increasing surgeon experience. Methods: All patients undergoing esophageal resection are entered… 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
Most Likely Level of Impaired Bolus Transit Measured By Multichannel Intralumenal Impedance
Introduction: Although multiple esophageal motility disorders have been defined manometrically, the underlying esophageal pathology is not always clear. Esophageal function testing(EFT), which combines manometry and multichannel intraluminal impedance (MII), has been increasingly useful in assessment of the Esophageal Motility disorders. MII allows the assessment of bolus transit. Impairments in bolus transit remain poorly understood. This… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery