Recurrent Paraesophageal Hernia with Gastrobronchial Fistula: Laparoscopic Repair
Introduction: The optimal method to manage a second recurrence of a paraesophageal hernia and a simultaneous gastrobronchial fistula is debatable. This video demonstrates a laparoscopic approach to this complex revisional operation performed on a 62 year old female who presented to our office with this diagnosis.History: This patient’s surgical history began with a laparoscopic paraesophageal… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
The Training of Operating Surgeon in Laparoscopic Assisted Disatal Gastrectomy
?Background? We employed Laparoscopic Assisted Distal Gastrectomy (LADG) for gastric cancer treatment from 1997. LADG had been operated by only one surgeon (Surgeon A; specialized surgeon in laparoscopic surgery) in our institute. Because LADG procedure has been stylized, we planned to train the new operating surgeons (Surgeon B, C) from February 2007. ?Method? The training… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Feasibility of Laparoscopic Distal Gastrectomy for Non-curative Gastric Cancer Following Endoscopic Submucosal Dissection
Background: Endscopic mucosal resection (EMR) has been accepted as a treatment of early gastric cancer (EGC). The number of EMR procedures for EGC has been increasing because a patient’s quality of life after EMR is superior to that after surgical gastrectomy. The recently developed EMR procedure, endoscopic submucosal dissection (ESD), makes en-bloc resection possible for… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
A Comparison of Pre-operative Comorbidities and Post-operative Outcomes Among Patients Undergoing Laparoscopic Nissen Fundoplicaiton At High and Low Volume Centers
Objective: Peer reviewed data is often published by single centers that are affiliated with teaching institutions with a high volume of cases. As operations grow in popularity, they are performed at a wide variety of institutions with the potential to produce inconsistent results. The purpose of this study is to compare pre-operative comorbidities and post-operative… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Correlation Between Intraoperative and Postoperative Evaluation of the Gastric Tube Viablity in Esophagectomy
Background/Aim: Esophagectomy is a major operation with high mortality and morbidity, for which anastomotic leakage and necrosis of esophageal substitute are serious and potentially fatal complications. The aim of this study was to evaluate the viability of the gastric tube and esophagogastric anastomosis in esophagectomy. Methods: Of 39 patients who had undergone esophagectomy during the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastrectomy with D2 Lymphadectomy for Gastric Cancer: Is It Still Time-consuming?
Introduction: Although laparoscopic technique provided a minimally invasive approach for gastric cancer in the past ten years, most surgeons still thought that laparoscopic gastrectomy with D2 lymphadectomy was time-consuming. The purpose of this study was to compare laparoscopic and open gastrectomy with D2 lymphadectomy for gastric cancer before and after learning curve.Methods: A case-matched study… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The M,anagement of Gastroesophageal Reflux Disease-related Pulmonary Symptoms By Laparoscopic Fundoplication
Background: Gastroesophageal Reflux Disease (GERD) is frequently associated with pulmonary symptoms. Symptoms such as asthma, cough and wheezing may be severe and occasionally life threatening. Unfortunately they are not necessarily recognized as caused by reflux. Therapy can exacerbate the symptoms by causing worsening reflux. Laparoscopic Fundoplication has proven to be very effective in controlling reflux… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Lung Transplant Candidates May Benefit From Anti-reflux Surgery; Demonstraton of Gastroesophageal Reflux (gerd), Esophageal Motility Disorders and Anatomic Abnormalities in This Population
HYPOTHESIS: Lung transplant candidates are prone to GERD as well as anatomic and motility disorders of their esophagus. GERD and aspiration may contribute to the development of bronchiolitis obliterans, resulting in accelerated graft deterioration following lung transplantation. However, it is not well known whether Lung transplant candidates have functional and/or anatomic abnormalities of their esophagus… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Paraesophageal Hernia Repair with Biosynthetic Mesh and Collis Gastroplasty
Surgical treatment of paraesophageal hernias has changed significantly in the last decade. Laparoscopy has decrease the risk associated with open surgery and today a larger number of high risk cases are being performed. The minimally invasive surgeon is faced with many challenges and controversies during these procedures. One of the major issues is recognition of… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Overcoming Barriers to Development of a Minimally Invasive Esophagectomy Program
Background: Minimally invasive esophagectomy (MIE) is a technically demanding procedure that requires expertise in advanced laparoscopy and esophageal surgery. Widespread implementation has been hindered by high complication rates and the inability to rapidly demonstrate improved outcomes. We hypothesized that safe and effective development of such a program could be performed without the need for additional… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Outcomes After Repair of the Intra-thoracic Stomach: Objective Follow-up Up to 5 Years
IntroductionLaparoscopic surgery is a viable treatment option for intra-thoracic stomach (ITS); however doubts have been raised regarding its efficacy. Routine use of mesh has been advocated. The aim of this study is to look at long term objective and symptomatic outcomes after repair of ITS with selective use of mesh and fundoplication. MethodsA retrospective review… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Hybrid Esophagectomy for Esophageal Cancer: Combined Thoracoscopic and Mediastinoscopic Esophagectomy.
Background: Minimally invasive esophagectomy (MIE) can be expected to reduce postoperative mobidity, especially pulmonary complications, and motality. But further refinements are needed to realize the theoretical advantadges and improve survival.Aim: To assess our outcomes after minimally invasive esophagectomy and investigate the opitimum approach.Method: Between August 2000 and December 2007, we performed minimally invasive esophagectomy for… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Management of Gastrointestinal Stromal Tumours At a Canadian Institution
INTRODUCTION: The purpose of this study is to review the laparoscopic management of Gastrointestinal Stromal Tumors (GISTS). Gastrointestinal stromal tumours are rare gastrointestinal cancers (0.1-3.0%). Complete resection of the tumour is the definitive management. In most institutions, traditional open resection of GISTs is the gold standard based on currently available evidence-based medicine. In several case… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Lower Levels of Occasional Blood Glucose in Patients with Billroth I Reconstruction After Not Vagus Nerve-spared Laparoscoy-Assisted Distal Gastrectomy.
(1) objective of this studyPrevious reports have suggested that patients with early gastric cancer have a favorable prognosis after laparoscopic surgery. Vagus nerve-sparing laroscopically assisted distal gastrectomy (LADG) is a good indication for early gastric cancer concerning function preserved surgery as well as dissecting proper lymph node levels. However, the functional outcome remains unclear. We… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Effects of Early Oral Feeding on Surgical Outcomes and Recovery After Laparoscopy-Assisted Distal Gastrectomy for Early Gastric Cancer: A Nonrandomized Study.
INTRODUCTION:Introduction: Traditionally, patients after gastric surgery are started feeding when flatus or defecation has documented the return of bowel function. However, in recent years for patients after colorectal cancer resection, early postoperative oral feeding has some favorable effects and has come to be accepted as a safe and feasible approach to management. The aim of… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery