Impact of a visiting preceptor on the institutional surgical results of LADG
Laparoscopy assisted distal gastrectomy (LADG) is widely accepted as a new standard surgical treatment for early gastric cancer. However, LADG is a difficult operation with long learning curve. A training program for LADG was still premature. A beginner surgeon made a great effort for starting this surgery at inexperienced institute. Lecture video or text book… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Improvement After Laparoscopic and Endoscopic Pyloroplasty for Gastroparesis
Objective: We hypothesize that minimally invasive pyloroplasty provides subjective and objective improvement in gastroparesis in patients without secondary GERD. Gastroparesis is a chronic digestive disorder leading to severe and life altering nausea, vomiting, bloating and abdominal pain. Improvements in gastric emptying scintigraphy (GES) times have previously been correlated with symptom improvement. Surgeons are increasingly asked… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Improving Functional Esophageal Surgery with a “smart” Bougie: Endoflip®
Introduction: In order to improve the results of functional surgical procedures on the esophagus, the use of intraoperative esophageal manometry has been described to document the ablation of the lower esophageal sphincter (LES) high-pressure zone (HPZ) and to calibrate the pressure of the fundal wrap. An emerging physiology tool, the functional lumen imaging probe (Endoflip®,… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Initial Experience with Sentinel Lymph Node Biopsy for Esophageal Cancer
Introduction: There is emerging evidence that isolated tumor cells and micrometastases in lymph nodes have prognostic value in esophageal cancer. To facilitate a detailed examination of a limited number of lymph nodes by the pathologist, we report our initial experience with sentinel lymph node biopsy in patients undergoing resection for invasive esophageal cancer. Methods: Ten… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Initial Outcome of Laparoscopic Nissen Fundoplication: Thailand Experience
Recently, the incidence of gastroesophageal reflux disease (GERD) in Thailand has been increasing. Less was known regarding the outcome of laparoscopic antireflux surgery in Asian.The aim of this study was to report our initial outcome of GERD patients who underwent laparoscopic Nissen fundoplication.Method: Twenty patients who underwent laparoscopic Nissen fundoplication were included. All patients had… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Interstitial Lung Disease and Gastroesophageal Reflux Disease: Key Role of Esophageal Function Tests in the Diagnosis and Treatment.
Background: The high prevalence of gastroesophageal reflux disease (GERD) in patients with respiratory disorders, from asthma to idiopathic pulmonary fibrosis, has led many to speculate that there might be more than a coincidental association between the two disease processes. There is still confusion about the diagnostic steps necessary, and about the effect of treatment.Objectives: To… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Is Surgery a Better Option As First Line Treatment for Achalasia?: A Comparison of Laparoscopic Esophagomyotomy with Fundoplication and Endoscopic Dilation
INTRODUCTION: Recent studies have shown laparoscopic esophagomyotomy with fundoplication (LM) to have superior long-term symptom relief and low rates of post-operative gastroesophageal reflux when compared to endoscopic dilation (ED). This study evaluates the morbidity, mortality and cost of treating achalasia with LM versus ED.METHODS: The University HealthSystem Consortium (UHC) is an alliance of more than… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Laparo-endoscopic Single Site (less) Heller Myotomy and Anterior Fundoplication for Achalasia
Introduction: Laparo-Endoscopic Single Site (LESS) surgery is beginning to include advanced laparoscopic operations, such as Heller myotomy with anterior fundoplication. However, the feasibility and efficacy of LESS Heller myotomy and anterior fundoplication has not been established. This study was undertaken to evaluate our initial experience with LESS Heller myotomy and anterior fundoplication for achalasia. Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparo-endoscopic Single Site (less) Toupet Fundoplication with Reduction of a Giant Hiatal Hernia
Introduction: The journey from conventional laparoscopic operations to truly “minimally invasive” operations naturally includes progression from operations involving multiple trocars and multiple incisions to operations involving access through the umbilicus alone. Laparo-Endoscopic Single Site (LESS) surgery promises improved cosmesis by reducing the number of access incisions to a single incision hidden in the umbilicus, which… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic and Thoracoscopic Ivor Lewis Esophagectomy
Minimally invasive (MIS) Ivor-Lewis Esophagectomy is a technically challenging procedure, but series from expert centers have described its feasibility and safety. The benefit in terms of long-term oncologic outcomes is being investigated. The extent of MIS techniques has ranged from a laparoscopic abdominal component with a thoracotomy, mini-thoracotomy, or thoracoscopic component. This video describes the… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Anti-reflux Surgery As a Definitive Treatment in Refractory Upper and Lower Respiratory Tract Diseases.
BackgroundLaparoscopic anti-reflux surgery (LARS) is now well established as an effective treatment in the management of gastro-oesophageal reflux disease (GORD). Some of the reflux can be severe enough to cause upper respiratory symptoms such as laryngitis, hoarseness, chronic cough. Reflux resulting in aspiration can result in lower respiratory tract illnesses such as asthma and pulmonary… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic D2 Lymph Node Dissection with Total Gastrectomy and Hunt Lawrenc Jejunal Pouch Reconstruction for Carcinoma Stomach
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 anastamosis. Methods: The patient is placed supine with legs apart so that the surgeon… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Fundoplication for Gastro-esophageal Reflux Disease: A 10 Year Experience
Laparoscopic fundopliction(LF) has become the treatment of choice for patients who need surgery for gastroesophageal reflux disease(GERD). In this retrospective study, we outline our experience with laparoscopic fundoplication over a 10 year period.Materials and Methods: From 1999 to 2008, 62 patients underwent a LF for GERD. Pre-operative evaluation consisted of endoscopy, a barium swallow, esophageal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Fundoplication for Gerd; Experience From a Tertiary Care Hospital in India.
Objective: Surgical management for Gastroesophageal reflux disease (GERD) is indicated for reflux uncontrolled on medical therapy. Although laparoscopic fundoplication is considered to be the standard surgical procedure for GERD, very few studies have evaluated laparoscopic fundoplication in Indian population. The study was designed to evaluate Laparoscopic fundoplication in proven cases of GERD and to compare… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastrectomy for Cancer
Background. Laparoscopic surgery has limited application in the surgical management of gastric neoplasms, worldwide. In our department the laparoscopic approach is used mainly for staging of gastric neoplasms, but also with curative intent in selected cases. Material and Methods During the last two years we performed: i) 10 laparoscopies for staging of gastric adenocarcinoma, ii)… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery