LAPAROSCOPIC LEFT HEPATECTOMY WITH DIRECT GLISSONIAN APPROACH IN A PATIENT WITH A PARTIALLY RUPTURED ADENOMA
Jose Julio R Monteiro Filho, MD, Paulo Jose M Macedo, MD. Private PracticeLaparoscopic hepatectomy is a new procedure with several technical options. We present a video showing our technique as we are doing it since 2007. In this case it's a 36 years old patient that presented with a subacute case of abdominal pain due… Continue Reading
Purely Laparoscopic Extended Right Hemihepatectomy for Hepatocellular carcinoma with Bile Duct Tumor Thrombus
Kil Hwan Kim, MD, YoungRok Choi, MD, Ho-Seong Han, MD, PhD, Yoo-Seok Yoon, MD, PhD, Jai Young Cho, MD, PhD. Seoul National University Bundang Hospital, KoreaBackground: Laparoscopic liver resection was first introduced in the 1990s and has been performed throughout the world. Since then, surgical techniques & instruments related with laparoscopic surgery have greatly advanced.… Continue Reading
AVOIDING HEART TRANSPLANTATION WITH A MIRRORED SLEEVE GASTRECTOMY IN A CASE OF SITUS INVERSUS
Jenny Lam, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, David Bernstein, MD, Thach Pham, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, FACS, Santiago Horgan, MD, FACS. University Of California - San DiegoCase report of a 22 year old obese female with situs inversus, congenital heart disease, pulmonary hypertension and multiple obesity related… Continue Reading
Laparoscopic Sleeve Gastrectomy in a Patient with Complete Situs Inversus
Luis F Zorrilla-Nunez, MD, Raul J Rosenthal, MD, Federico Serrot, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaSitus inversus is a rare condition with an estimate incidence of 1 in 10000 people. This video demonstrates the feasibility of performing a longitudinal sleeve gastrectomy on a patient with situs inversus.… Continue Reading
Laparoscopic sleeve gastrectomy with concurrent splenectomy for massive splenomegaly
Pearl Ma, MD, Salim Abunnaja, MD, Ike Akusoba, MD, Ariel Shuchleib, MD, Daniel Swartz, MD, Keith Boone, MD, Kelvin Higa, MD. University of California-San Francisco FresnoSimultaneous laparoscopic sleeve gastrectomy with concurrent splenectomy presents a technical challenge to minimally invasive surgeons. We present a case of a 63 year old female who had a history of… Continue Reading
Laparoscopic Roun-en-Y Gastric Bypass and Paraesophageal Hernia Repair with Posterior Reinforcement using Remnant Gastropexy
Jessica Ardila-Gatas, MD, Linden Karas, MD, Ali Aminian, MD. Cleveland ClinicIntroduction: In patients with morbidly obesity and gastroesophageal reflux disease (GERD), a Roux-en-Y gastric bypass (LRYGB) is the procedure of choice, since it solves both problems. Repair of paraesophageal hernias remains a challenge for the general surgeons. Complete reduction of the hernia sac, adequate intra-abdominal… Continue Reading
Laparoscopic Revision of Gastrojejunal Anastomosis with Reconstruction
Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, Kandace Kichler, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaThis is the case of a 43 year old female with a history of an antecolic antegastric Roux en Y Gastric Bypass performed laparoscopically at an outside facility approximately 16 years prior. Postoperatively,… Continue Reading
Laparoscopic Removal of a Vagal Blocking Device
Tarin C Worrest, MD1, Samer Mattar, MD2, Bruce Wolfe, MD1, Erin W Gilbert, MD1. 1Oregon Health and Sciences University, 2Swedish Medical CenterAn implantable vagal blocking device has been approved by the Food and Drug Administration for the treatment of moderate obesity. However, to date, there has been no report on the technique for the laparoscopic… Continue Reading
Refractory Reflux and Weight Regain after Sleeve Gastrectomy: What Happens When Patient Does Not Want Conversion to Bypass?
Jeffrey E Quigley, DO, Manuel Garcia, MD, Esther Wu, MD, Stephanie Keeth, DNP, Aarthy Kannappan, MD, Daniel Srikureja, MD, Keith R Scharf, DO, FACS, FASMBS, Marcos Michelotti, MD, FACS. Loma Linda University HealthWe present the case of a 49-year-old female who is status post sleeve gastrectomy presenting 2 years ago, now presented with de novo… Continue Reading
INNOVATIVE APPROACH FOR THE REMOVAL OF A GIANT GASTRIC LIPOMA
Jenny Lam, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, David Bernstein, MD, Thach Pham, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, FACS, Santiago Horgan, MD, FACS. University Of California - San DiegoCase report of a 50 year old obese female presenting with epigastric pain and UGI bleeding found to have a large… Continue Reading
Optimizing Sleeve Gastrectomy Technique Using Near Infrared Camera and Lighted Bougie
David Kelly, MD, Salim Abunnaja, MD, Lawrence Tabone, MD, David Borgstrom, MD, Nova Szoka, MD. West Virginia UniversityThis video demonstrates how laparoscopic sleeve gastrectomy technique can be improved with the use of a near infrared camera and a lighted bougie. This is a novel technique, as the near infrared camera is used without concurrent indocyanine… Continue Reading
Laparoscopic repair of diaphragmatic hernia secondary to iatrogenic injury
Sunder Balasubramaniam, Dr1, Kheng Tian Lim, Dr2. 1National Healthcare Group, 2Khoo Teck Puat HospitalA 59 year old Chinese man presented to the Emergency Department of our institution with 1 day history of an acute right sided crampy abdominal pain and distension associated with 4 days history of constipation. He gave a history of blunt thoracoabdominal trauma more than 30 years… Continue Reading
Endoscopic Management of Pulmonary Hydatidosis: A New Standard of Surgical Care
Ajay Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS, Shubham Gupta, MS, Amol Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Saurabh Gandhi, MS, FMAS, FALS, Chintan Patel, MS, FMAS, FBMS, Eham Arora, MS, Jasmine Agarwal, Gagandeep Talwar. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaCystic Echinococcosis is a common affliction in… Continue Reading
Ex Vivo Bovine Model : A Diagnostic and Therapeutic Endoscopy Training Model
Jaspreet Sandhu, MD1, Carl Winkler, MD2, Xiaohong Yan, PhD2, Chandana Herath Mudiyanselage, PhD2, Vesna Cekic, RN2, Nipa Gandhi, MD2, Richard Whelan, MD2. 1Brookdale University Hospital Medical Center, 2Mount Sinai West HospitalIntroduction: Flexible endoscopy is an integral part of General and Colorectal Surgery. The American Board of Surgery (ABS) now mandates endoscopy training and successful completion… Continue Reading
Laparoscopic Repair of Morgagni Type Hernia with IVC Involvement
Sara Martin Del Campo, MD1, David Renton, MD2. 1Swedish Medical Center, 2The Ohio State Medical CenterOur patient is a 37 year old physically active male who presented to his primary MD with the complaints of chest pain while running. Workup revealed a large diaphragmatic hernia with liver herniated to the right of the heart. The… Continue Reading