ENDOSCOPIC T-TUBE PLACEMENT FOR THE MANAGEMENT OF STAPLE LINE LEAK AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY
Andrew R Luhrs, MD, A. Daniel Guerron, MD, Dana Portenier, MD. Duke University Health SystemBackground: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure world-wide, consisting of nearly 50% of all procedures performed1. Despite increased adoption and utilization of LSG, staple line leak (SLL) remains a troublesome complication with significant morbidity and mortality. SLL… Continue Reading
Laparoscopic Sleeve Gastrectomy using the Standard Clamp Technique
Arianne T Train, DO, MPH, Steven D Schwaitzberg, MD, MA, Aaron B Hoffman, MD. The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical SciencesIntroduction: Sleeve gastrectomy recently surpassed gastric bypass as the most commonly performed bariatric procedure worldwide, however there remains potential for a large degree of variation in technique and… Continue Reading
Revisional Bariatric Surgery for Weight Regain and Eroded Mesh Following Previous Open Roux-en-Y Gastric Bypass
Julie A Stortz, MD, Russell B Hawkins, MD, Alexander L Ayzengart, MD, MPH, Jeffrey E Friedman, MD. University of FloridaBackground: Revisional bariatric surgery has become increasingly prevalent due to the rising number of bariatric procedures to treat morbid obesity. Here we describe a case in which a patient required reoperation following Roux-en-Y gastric bypass (RYGB)… Continue Reading
REVISIONAL RYGB: REMNANT GASTRECTOMY, RE-DO GASTROJEJUNOSTOMY, AND CLOSURE OF GASTRO-GASTRIC FISTULA
Rene Aleman, MD, Mauricio Sarmiento-Cobos, MD, Kandace Kichler, MD, Matthew Lange, MD, Federico Serrot, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaRevisional surgery after primary RYGB in the presence of a gastro-gastric fistulae requires surgical repair with or without remnant gastrectomy.… Continue Reading
LAPAROSCOPIC ESOPHAGOJEJUNAL ANASTOMOTIC STRICTUROPLASTY AFTER PROXIMAL GASTRECTOMY FOR CHRONIC SLEEVE LEAK
Rene Aleman, MD, Maria C Fonseca, MD, Cristian A Milla Matute, MD, Joel S Frieder, MD, Federico Serrot, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaStenosis is an important postoperative complication with an incidence rate of 0.7-4%. We present the case… Continue Reading
Robotic Heller Myotomy and Roux-en-y Gastric Bypass
Zeyad Loubnan, MD, Elissa Davila-Shiau, BA, Manish Parikh, MD, Akuezunkpa Ude Welcome, MD. NYU School of MedicineThis is a video of a 31 year old male with achalasia and severe obesity (Body Mass Index = 41). The patient reported a history of endoscopic balloon dilation 20 years prior and was having recurrent dysphagia. Manometry confirmed… Continue Reading
Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis
Christopher L Kalmar, MD, MBA, Tananchai A Lucktong, MD, FACS. Virginia Tech CarilionRoux-en-Y gastric bypass is the most commonly performed bariatric procedure in the world. Jejunojenual intussusception after RYGB at the enteroenterostomy is a rare but potentially serious complication requiring timely radiographic diagnosis. For presentations without necrosis, surgical therapy with laparoscopic enteropexy of all limbs… Continue Reading
Laparoscopic Redo Gastric Bypass for Chronic Marginal Ulcer: You Never Know What You’re Going to Get
Ryan Broderick, MD, Arielle Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaka, MD, Kai Neki, MD, Joslin Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. University of California San DiegoThe case presented is the surgical management of a chronic marginal ulcer. The patient had a previously untreated marginal… Continue Reading
Laparoscopic Resection of Large Retroperitoneal Mass of Unknown Origin
Loic Tchokouani, MD, Michael Fastiggi, MD, Edward Chin, MD. Mount Sinai Medical CenterThis is a 34-year old woman with no past medical or surgical history who presented with chronic right upper quadrant pain. A right upper quadrant ultrasound was initially obtained revealing a 5-cm mass in the left upper quadrant. Subsequent CT scan and MRI… Continue Reading
Laparoscopic Splenectomy for Management of Refractory ITP After Previous Open Splenectomy
Michael T Fastiggi, MD, L Katz, MD, Philip George, MD. Mount Sinai Medical CenterIntroduction: Splenectomy is usually an effective treatment for medically refractory idiopathic thrombocytopenic purpura. However, some patients develop recurrent thrombocytopenia. At least one third of these cases are attributable to an accessory spleen. Discussion: In recurrent thrombocytopenia after splenectomy, an accessory spleen should… Continue Reading
A novel technique for laparoscopic gastric feeding tube with omental patch as an alternative to Stamm or Wetzel in a immobile and shortened stomach
Daanish Kazi, Leena Khaitan. UH Cleveland medical tenderWhen percutaneous methods for feeding tube placement are not available, laparoscocpic feeding tube placement is considered a minimal risk surgery with less morbidity as compared to open feeding tube. Similar to open, laparoscopic methods use either a Stamm or Witzel technique. They both are make of minimize gastric… Continue Reading
PURE LAPAROSCOPIC LEFT LATERAL SECTIONECTOMY FOR GIANT HEMANGIOMA OF LEFT LATERAL SEGMENT OF LIVER
Srikanth Gadiyaram, Dr, Kumar Parth, Dr, Gaurav Singh, Dr, Yashas H Ramegowda, Dr. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaBackground: Laparoscopic resection has become standard of care for left lateral sectionectomy (LLS), however, there could be technical challenges in laparoscopic resection while dealing with giant tumors. In a medline search we did not… Continue Reading
Laparoscopic management of Splenic cyst: A Spleen preserving effort
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS1, Priyanka Saha, MBBS1, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS1, Hridaynath Desai, MS1, Ruchira R Bhattacharya, MBBS2, Amarjeet E Tandur, MS1, Khushboo Kadakia, MBBS1. 1Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, India, 2Grant Govt. Medical College & Sir J.J.Group… Continue Reading
Endoscopic Management of Retroperitoneal Hydatid Cyst
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Priyanka Saha, MBBS, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Eham L Arora, MS, DNB, Amarjeet E Tandur, MS, Khushboo Kadakia, MBBS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaiaRetroperitoneal isolated psoas and iliacus hydatid cyst are rare entities and… Continue Reading
Minimally Invasive Robot-Assisted Left Lateral Segmentectomy for Recurrent Intrahepatic Lithiasis
Subhashini Ayloo, MD, MPH, Jacob Schwartzman, MD. Rutgers, New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of robot-assisted left lateral segmentectomy for recurrent cholangitis due to recurrent intrahepatic lithiasis in a previously Roux-en-Y hepaticojejunostomy patient. A 46 year old man with previous hepaticojejunostomy for common bile duct stones and intrahepatic ductal stones presents with… Continue Reading
- Topic:
- Robotics