Laparoscopic Treatment of Bilateral Esophageal Epiphrenic Diverticula
Introduction:Epiphrenic diverticula are rare and usually incidentally found. When symptomatic they tend to present with chest pain, regurgitation and dysphagia.We report a case of large bilateral epiphrenic diverticula presented with upper gastrointestinal bleeding treated laparoscopically.Methods:A 67 year-old woman with a known history of systemic lupus erythematosus steroid dependent and mild dysphagia, presented to the emergency… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Esophagectomy: Initial Experience
Objective: Since 2006 we have incorporated minimally invasive (MIE) esophageal resection in our operative armamentarium in the surgical treatment of esophageal cancer. The aim of this study is to examine trends in operative technique, extent of resection including lymphatic dissection and post-operative outcomes with increasing surgeon experience. Methods: All patients undergoing esophageal resection are entered… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
One Year Symptom Scores After Laparoscopic Anti-reflux Surgery: Is There a Learning Curve?
Introduction: Laparoscopic anti-reflux surgery is the gold standard for surgical treatment of GERD and a well defined learning curve for the procedure has been described. Aim of this study is to assess if the surgeons experience has an effect on one year symptom scores and patient satisfaction.Methods: All patients undergoing anti-reflux surgery are entered into… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Thoracolaparoscopic Ivor Lewis Esophagogastrectomy with a Handsewn Anastomosis in Prone Position
Background: With increasing enthusiasm for minimally invasive esophagectomy, a laparoscopic and thoracoscopic Ivor Lewis esophagogastrectomy with intrathoracic anastomosis is performed when at all possible. Circular stapler is usually used in order to create the intrathoracic anastomosis. We report a completely thoracoscopic handsewn double-layer esophagogastrostomy, realized with the patient in prone position, during a thoracolaparoscopic Ivor… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Our Pouch Roux-y Reconstruction Technique After Laparoscopically Assisted Total Gastrectomy
[Introduction] In laparoscopically assisted total gastrectomy (LATG), Roux-Y (RY) reconstruction has been performed. We have performed pouch with Roux-en-Y (PRY) reconstruction in LATG on eight cases since 2007. We demonstrated the techniques in the surgical procedure by photos and compared them with those used in the RY method.[Point of the procedure] Under the laparoscope, the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Intra-operative Oesophageal Manometry As a Predictor of Post-operative Dysphagia
Intra-operative oesophageal manometry as a predictor of post-operative dysphagiaAuthors: Khan M, Elghellal K, Smythe A, Globe J, Ackroyd RInstitution:Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, U.K.AbstractBackground:Many trials have undertaken Intra-oesophageal manometry (IEM) as a measurement of adequacy of fundoplication. The aim of this pilot study was to assess the value of IEM in predicting… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Expertise Increases Hospital Volume of Surgical Therapy for Achalasia
Laparoscopic Heller myotomy is the preferred approach for the treatment of achalasia. The purpose of our study was to evaluate the number of laparoscopic Heller myotomies performed before and after the implementation of a minimally invasive gastrointestinal surgical program (MIP) in 1998.A retrospective chart review was conducted on all patients who underwent laparoscopic Heller myotomy… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Collis-nissen Fundoplication in a Patient with Tracheoesophageal Fistula Repair with Recurrent Hiatal Hernia and Gastroesophageal Reflux
INTRODUCTION: A 6 year old with a history of a tracheosophageal fistula presents with a history problematic for recurrent hiatal hernias and severe gastroesophageal reflux. He underwent a laparoscopic Nissen fundoplication at 3 months of age. He had continued reflux and strictures and underwent a revision Nissen fundoplication with repair of a hiatal hernia at… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Total Gastrectomy for Cardia Cancer with Esophageal Invasion
BACKGROUND: Total gastrectomy is the standard therapy for resectable gastric cancer, including cardia cancer. A number of cardia cancers are invasive to esophagus, which requires extensive resection of esophagus. In some cases, division of esophagus should be placed in thorax so as to secure margin of tumor. Division of esophagus and esophago-jejunostomy in Roux-en-Y anastomosis… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Posterior Partial Fundoplication Provides Good Control of Reflux with a Low Incidence of Mechanical Complications: A Prospective Review.
Introduction: Laparoscopic Nissens fundoplication is the most common surgical procedure performed for gastroesophageal reflux disease (GERD). It is however associated with a number of mechanical complications with as many as one in three patients experiencing troublesome dysphagia or gas bloat . Partial fundoplication, either posterior or anterior, has been advocated in an attempt to reduce… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoendoscopic Single Site Heller Myotomy and Anterior Fundoplication
Laparoendoscopic Single Site (LESS) surgery continues the evolutionary arc from “open” to laparoscopic to “minimal scar” surgery, facilitating improved patient recovery and improved cosmesis. Promises of patient acceptance of LESS surgery are high and will drive investment of resources to promptly develop safe and effective LESS surgery procedures for clinical application. This video demonstrates LESS… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Robot-Assisted Thoracoscopic Heller Myotomy for Achalasia
Objectives: The surgical treatment of achalasia remains controversial. Controversies include open vs. videoscopic approach, laparoscopic vs. thoracoscopic approach, and the need for an antireflux procedure. Laparoscopic Heller myotomy is hampered by the requirement of an added antireflux procedure. If the hiatus is not opened, thoracoscopic Heller myotomy does not require an antireflux procedure, but is… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Ischaemic Conditioning Influence Fate of the Gastric Conduit and Quality of Life Outcomes Following Minimally Invasive Oesophagectomy
INTRODUCTION Minimally Invasive Oesophagectomy (MIO) is now established as a valid alternative to open surgery for the management of oesophago-gastric cancers. However, a high incidence of ischaemia related gastric conduit failure (ICF) is observed which is detrimental to any potential benefits of this approach. METHODS AND PROCEDURES MIO has been the procedure of choice for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Limited Resection for Early Adenocarcinoma of the Esophago-gastric Junction
Introduction: There is still a debate how to treat early carcinoma of the esophago-gastric junction. The spectrum ranges from endoscopic procedures to esophageal or gastric resections. Less invasive but with appropiate radicality is the limited resesction as described here.Methods: 134 patients with early carcinomas of the esophago-gastric junction underwent a limited resection of the distal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Usefulness of Balloon Push-out Method During Thoracoscopic Enucleation of Leiomyoma of the Esophagus
Thoracoscopic enucleation of leiomyoma of the esophagus was successfully performed in 5 cases. This paper mainly describes a 51-year-old man who was referred to our hospital in April 2008 for further examination and treatment, because submucosal tumor of the esophagus was increased in size in 3 years. Esophagoscopy showed a mass beneath normal mucosa located… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery