Laparoscopic tailored Nissen fundoplication
(Back ground) Laparoscopic Nissen fundoplication (LNF) is a choice of surgeries for the treatment of gastroesophageal reflux disease (GERD). To minimize post-surgical dysphagia and achieve a sufficient antireflux efffect, it is ideal that the gastric fundus is lifted straight up toward the cranial side without a twist. However, it is not always easy to determine… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic versus open gastrectomy for adenocarcinoma : A proscpective comparative analysis
BACKGROUND: The role of laparoscopic gastrectomy in the treatment of gastric adenocarcinoma.AIM: To compare open and laparoscopic gastrectomy for adenocarcinoma.METHODS : Between january 2000 and december 2006, we prospectively enrolled all patients operated for gastric adenocarcinoma. Datas were later analyzed according to the type of procedure (open versus laparoscopic). Parameters included : operative incidents, conversion,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopy-Assisted Combined Resection for Synchronous Gastric and Colorectal Cancer
The incidence of synchronous cancer in gastric cancer patients has been reported to vary from 0.7% to 3.5%. Among them, colorectal cancer represents a most common synchronous cancer. We report here our minimally invasive laparoscopic treatment of synchronous gastric and colorectal cancer.Case 1: A 72-year-old male with colon polyp underwent upper GI endoscopy that revealed… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopy assisted proximal gastrectomy for upper gastric cancer
Since 1993, we applied laparoscopy assisted gastrectomy for gastric cancer and 195 patients were treated until@August, 2007. Laparoscopy assisted distal gastrectomy (LADG) was performed in 150 cases, total gastrectomy in 12 cases, partial gastrectomy in 14 cases and proximal gastrectomy (LAPG) in 19 cases. The indication of LAPG was limited early gastric cancer in upper… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopy for the management of gastric cancer
Purpose: To conduct a systematic review to explore the role of laparoscopy for the management of gastric cancer. Methods: Randomized controlled trials were assessed when laparoscopy was utilized as an intervention. When utilized as a diagnostic test, trials were included if staging laparoscopy was compared to a predefined gold standard in addition to conventional staging… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Long and Floppy Nissen Fundoplication
POSTER ABSTRACT OBJECTIVES: To improve patient’s satisfaction, reduction of post operative dysphagia, and the possibility of using this technique modification in all cases, despite alterations in esophageal motility.METHODS: Fundoplication was performed with the following features: a) 360º, b) Symmetrical: sutured to the right side of the esophagus, c) Longer: 4 to 5 cm., d) Floppy:… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Long-term quality of life after laparoscopy-Assisted distal gastrectomy
Background : Laparoscopy-assisted distal gastrectomy (LADG) needs longer@operation time, but brings lesser pain, invasiveness after operation compared with open distal gastrectomy (ODG). Patients undergone LADG can recover earlier than ODG. However comparative study of long-term quality after LADG and ODG is not performed.Patients and Method : From August 2007 to July 2006, 197 patients with… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Long term result of Laparoscopy assisted gastrectomy for early gastric cancer
Background: Long term result of surgical treatment for malignancy is the most important thing even in the minimum invasive surgery. Laparoscopic gastric cancer surgery was performed widely, but its long term reults are still umknown.Method: We performed 262 cases of laparoscopy-assisted gastrectomy (LAG) for gastric cancer since 1996, while its indication was gradually expanded. We… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Management of Anastamotic Leak after Esophagectomy with Endoscopic Esophageal Stent
INTRODUCTION: A 59 year old male with a long history of barrett's esophagus and previous nissen fundoplication underwent a laparoscopic, thoracoscopic Ivor Lewis Esophagectomy for esophageal carcinoma. Upper GI on POD # 9 showed a contained mediastinal leak measuring 3 x 4 cm.METHODS: Endoscopy confirmed an anastamotic disruption. A pig tail drain was endoscopically placed… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Manometric profile after Laparoscopic Nissen Fundoplication and Endoluminal Fundoplication: A comparative study.
Introduction:Laparoscopic Nissen Fundoplication (LNF) is considered the gold standard of surgical treatment of GERD. An emerging endoscopic technology, the EsophyX (EsophyX™, EndoGastric Solutions Inc.) Endo Luminal Fundoplication (ELF), aims at reproducing the effect of the fundoplication by creating an intragastric valve with fasteners applied at the Gastro-Esophageal Junction (GEJ). Both techniques increase resting pressure and… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Ivor Lewis Esophagectomy
This video illustrates the preferred technique for minimally invasive esophagectomy at the University of Pittsburgh. Previously, our described technique included mobilization of the esophagus via thoracoscopy, laparoscopic creation of the gastric tube and construction of a cervical esophagogastric anastomosis. Although we have reported excellent outcomes with this technique, we have since modified the procedure to… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Ivor-Lewis Esophagogastrectomy for Gastric Cardia Cancer
Introduction: Gastric cardia cancer with involvement of the esophagus may require an esophagogastrectomy to obtain negative tumor margins. We have shown that minimally invasive esophagectomy is a safe approach for the treatment of esophageal cancer. We describe the technique of a minimally invasive Ivor Lewis esophagectomy in a patient with a large gastric cardia tumor.Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Resection Techniques for Gastroesophageal Junction Gist Tumors
Introduction: Gastrointestinal Stromal Tumors (GIST) are relatively rare neoplasms of mesenchymal origin with uncertain malignant potential. Complete gross resection without a need for microscopically negative margins or lymph nodes is oncologically adequate. Minimally invasive resection techniques such as laparoscopic wedge gastectomy are feasible and safe. Unfortunately, GIST lesions located near the gastroesophageal junction can be… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Natural History following laparoscopic repair of Massive Hiatus Hernia
Introduction: Laparoscopic repair of massive hiatus hernia (MHH) is a feasible and effective technique. However, the natural history after repair is not well documented, and there have been concerns regarding possible high recurrence ratesMethods: Prospective review of patients operated on for massive hiatus hernia between April 1992 and December 2006 in a tertiary referral unit.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Nineteen consecutive Laparoscopic Esophagectomies without Gastric Conditioning: Zero Leak, Necrosis, or Mortality
Introduction: Esophagogastric anastomosis ischemic events have a reported incidence of 3.2% resulting in leaks and necrosis. Gastric Conditioning (GC) has been proposed to reduce such morbidity. Unfortunately this exposes a debilitated patient to 2 operative procedures and is carried out 2-3 weeks prior to esophagectomy. We propose that with meticulous laparoscopic dissection, GC is not… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery