LAPAROSCOPIC MANAGEMENT OF DUODENAL PERFORATION DURING CONCOMITANT PER-ORAL PYLOROPLASTY AND LAPAROSCOPIC IMPLANTATION OF GASTRIC ELECTRIC STIMULATOR
Rene Aleman, MD, Maria C Fonseca, MD, Joel S Frieder, MD, Kandace Kichler, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the most effective surgical approach for gastroparesis (GP). The combination of implantable gastric stimulator… Continue Reading
- Topic:
- Foregut
Laparoscopic Longitudinal Pancreaticojejunostomy (Puestow) on a patient with a history of a RY gastric bypass and a pancreaticoduodenectomy (Whipple)
Ariel Shuchleib, Pearl Ma, Ikemefuna I Akusoba, Aaron Sabbota, Daniel Swatrz, Keith B Boone, Kelvin D Higa. UCSF FresnoThis is a case from a 45 y/o F with a history of a laparoscopic RY gastric bypass on 2005 who developed a highly differentiated pancreatic neuroendocrine tumor that was resected with a laparoscopic pancreaticoduodenectomy (Whipple procedure)… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC IMPLANTATION OF GASTRIC STIMULATOR AND ENDOSCOPIC PYLOROMYOTOMY
Maria Fonseca, MD, Cristian Milla Matute, MD, Rene Aleman, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the ideal surgical treatment for medically refractory gastroparesis (GS). More evidence however exists on the benefits of… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC HEPATICO-DUODENOSTOMY FOR CHOLEDOCHAL CYSTS IN ADULTS
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS1, Ravindra Ramadwar, MS, MCH, DNB, FRCS, Paed, surgery2, Nidhisha Sadhwani, MBBS1, Shivang D Shukla, MBBS3, Amol Wagh, MS, FAIS, FMAS, FBMS, FALS, FIAGES, FICS1, Eham Arora, MSDNB1, Shekhar Jadhav, MS, FMAS1, Amarjeet Tandur, MS1. 1Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai,… Continue Reading
- Topic:
- Biliary
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
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 DEROOFING OF HYDATID CYST OF LIVER USING A 150MM, 12MM XCEL® TROCAR
Aditya Kumar, Hemanga K Bhattacharjee, Manjunath Bale, Suhani Suhani, Rajinder Parshad. All India Institute of Medical SciencesIntroduction: Hydatid disease is a rare zoonotic disease, still prevalent in some parts of the world including India. Open surgery is still common worldwide, but minimal access techniques are gaining momentum. Several techniques have been described in literature and… Continue Reading
- Topic:
- Biliary
LAPAROSCOPIC CHOLEDOCHAL CYST EXCISION IN A PATIENT WHO UNDERWENT A PRIOR CHOLEDOCHODUDENOSTOMY
Srikanth Gadiyaram, Dr, Gaurav Singh, Dr, Yashas H Ramegowda, Dr. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaBackground: Laparoscopic excision of the extrahepatic biliary apparatus with bilio-enteric reconstruction has become standard of care for type 1 choledochal cyst in many centres world wide. Revisional surgery done laparoscopically for excising a choledochal cyst following a… Continue Reading
- Topic:
- Biliary
Laparoscopic cholecystectomy for Mirizzi syndrome
Mitchell R Price, MD1, Dimitar S Ranev, MD2. 1Staten Island University Hospital, 2Lenox Hill HospitalThe surgical video shows a challenging laparoscopic cholecystectomy in a 17 year old female patient with Type 1 Mirizzi syndrome. It shows how the operative approach has to be adapted to the altered anatomy - the common hepatic duct and cystic… Continue Reading
- Topic:
- Biliary
Intra-operative Diagnosis and Debridement of Pancreatic Pseudocyst at Robotic Assisted Cholecystectomy
Kirpal Singh, MD, Rima Ahmad, MD, Cory J Banaschak, DO, Jordan Wilkerson, MD, Amelie Leuders, MD. St. Vincent General Surgery ResidencyThis video demonstrates the diagnosis and debridement of a pancreatic pseudocyst at the time of a robotic assisted cholecystectomy for gallstone pancreatitis. The patient had been treated for severe gallstone pancreatitis two months prior. When… Continue Reading
- Topic:
- Robotics
ICG Guided Dissection In Laparoscopic Esophagectomy: Preserving Gastric Conduit Blood Supply
Ryan C Broderick, MD, Arielle Lee, MD, Rebeca Dominguez, MD, Kai Neki, MD, Joslin Cheverie, Garth R Jacobsen, Bryan J Sandler, Michael Bouvet, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. University of California San DiegoPresented is a case of laparoscopic and robotic esophagectomy with a modification in technique by using continuous ICG mode during dissection… Continue Reading
- Topic:
- Robotics
Growing Teratoma Syndrome: A Case Report of Robotic Mediastinal Resection
Richard Zheng, MD, Thomas O'malley, MD, Francesco Palazzo, MD, FACS, Nathaniel Evans, MD, FACS, FCCP. Thomas Jefferson University HospitalGrowing Teratoma Syndrome is a rare clinical entity in which patients with metastatic non-seminomatous germ cell tumors who were treated with systemic chemotherapy later develop progressively enlarging, benign teratomas in various sites throughout the body. We discuss… Continue Reading
- Topic:
- Robotics
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
Endoscopic Mucosal Dissection for a Submucosal Gastric Mass
Kais A Rona, MD, Jamie Kaplan, Sarah Merkel, Christopher Ducoin, MD. Tulane University School of MedicineEndscopic mucosal dissection is an advanced endoscopic technique used in various subspecialties within surgery to perform endoscopic en-bloc resection of a mass lesion. This is a video presentation demonstrating the use of endoscopic submucosal dissection to resect a submucosal gastric… 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