Laparoscopic Gastrectomy with D2 Lymphadectomy for Gastric Cancer: Is It Still Time-consuming?
Introduction: Although laparoscopic technique provided a minimally invasive approach for gastric cancer in the past ten years, most surgeons still thought that laparoscopic gastrectomy with D2 lymphadectomy was time-consuming. The purpose of this study was to compare laparoscopic and open gastrectomy with D2 lymphadectomy for gastric cancer before and after learning curve.Methods: A case-matched study… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastrojejunostomy for Malignant Gastric Outlet Obstruction.
Background: Gastric outlet obstruction (GOO) from abdominal malignancies reduces the quality of life of the patients and needs gastrojejunostomy or endoscopic stenting (ES). Patients who are indicated to this kind of management tend to have advanced diseases. Therefore, safe and less invasive treatment with early recovery should be considered. Laparoscopic gastrojejunostomy (LGJ) is currently feasible… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Management of Gastric Gist
BACKGROUND: Gastric gastrointestinal stromal tumors (GISTs) are rare neoplasms that require excision for cure. Although the feasibility of minimally invasive resection of gastric GIST has been established, the long-term safety and efficacy of these techniques are unclear. Hereby we present our experience of laparoscopic management of gastric GIST. METHODS: All patients who were managed for… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Management of Gastrointestinal Stromal Tumours At a Canadian Institution
INTRODUCTION: The purpose of this study is to review the laparoscopic management of Gastrointestinal Stromal Tumors (GISTS). Gastrointestinal stromal tumours are rare gastrointestinal cancers (0.1-3.0%). Complete resection of the tumour is the definitive management. In most institutions, traditional open resection of GISTs is the gold standard based on currently available evidence-based medicine. In several case… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Nissen Fundoplication: It\’s Role in the Treatment of a Failed Esophyx Procedure
This is a 52 year old male, 9/11 responder who developed GERD and respiratory related issues from 9/11. He had a NDO plicator in 2006 with no effect, and an Esophex in November, 2008. This was complicated by abdominal pain, free air, and mediastinal air. He was treated conservatively and eventually responded over one week… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Paraesophageal Hernia Repair with Biosynthetic Mesh and Collis Gastroplasty
Surgical treatment of paraesophageal hernias has changed significantly in the last decade. Laparoscopy has decrease the risk associated with open surgery and today a larger number of high risk cases are being performed. The minimally invasive surgeon is faced with many challenges and controversies during these procedures. One of the major issues is recognition of… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Paraesophageal Hernia Repair with Human Acellular Dermal Matrix Cruroplasty
INTRODUCTION: Laparoscopic paraesophageal hernia repair (LPEHR) has been shown to be both safe and efficacious. Compulsory operative steps include reduction of the stomach from the mediastinum, resection of the mediastinal hernia sac, ensuring an appropriate intra-abdominal esophageal length, and crural closure. The use of mesh materials in the repair of hiatal hernias remains controversial. Synthetic… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Repair of Acutely Incarcerated Paraesophageal Hernia
This is an 80 year old male who presented with acute incarceration of a known paraesophageal hernia. He was reduced by emergency endoscopy. The past history is significant for hypothyroidism and GERD, long standing. The video demostrates the amount of stomach that can necrose if this emergent condition is not operated quickly. The edema in… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Repair of Large Hiatal Hernias – Impact on Pulmonary Function
Introduction: This study is to examine the impact of laparoscopic repair of large hiatal hernia on patient's respiratory function and quality of life. Methods: From 2004 to 2008, 30 consecutive patients with large paraesophageal hernia defined as >50% of stomach in the intrathoracic cavity with a minimum follow-up of 2 years were included in this… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Repair of Recurrent Paraesophageal Hernia: a Rare But Safe Procedure
Background: Laparoscopic repair of paraesophageal hernias (PEH) has been extensively studied, as has primary and redo fundoplications. However, very little data are published regarding laparoscopic management of recurrent PEH. We sought to evaluate our institution’s experience with laparoscopic repair of recurrent PEH. Methods: We performed a retrospective review of the Johns Hopkins Medical Institutions’ administrative… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Revisional Fundoplication with Primary Sutured Closure and Prosthetic Reinforcement: A Retrospective Study
Background: Despite the good results reported after laparoscopic fundoplication, failure is still a major problem. Hiatal disruption is one of the common patterns of anatomicalfailure, after primary open or laparoscopic antireflux surgery. To prevent hiatal hernia recurrence some authors recommend the use of prosthetic meshes for reinforcement of the hiatal crura. The aim of the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Sleeve Resection for Non-cancerous Gastric Tumors
Introduction: Feasibility of minimally invasive resection for gastric tumors such as gastrointestinal stromal tumors (GIST) has been established. However, the safety and efficacy in large tumors (>2.5 cm) is still controversial. Also, role of laparoscopic sleeve resection in unusual gastric tumors is undefined.Methods: Records of patients who underwent a laparoscopic sleeve resection for gastric tumors… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Transhiatal Approach for Squamous Cell Carcinoma of the Lower Third of the Esophagus
BACKGOUND: Esophageal squamous cell cancer located in the lower third of the esophagus often indicates surgery with left transthoracic approach. Surgery with left thoracotomy is less invasive than right thoracotomy, but thoracotomy itself is associated with morbidity and delayed recovery in cancer patients who are typically older and malnourished and often have pulmonary or cardiovascular… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Transhiatal Resection of Esophageal Diverticulum
Introduction: Mid-esophageal diverticulum is often associated with a concomitant esophageal motility disorder. The treatment consists of esophagomyotomy in addition to excision of the diverticulum. In patients with mid-esophageal diverticulum, the laparoscopic approach is less well accepted. Methods: We present a video of a 78 year old female with a long history of regurgitation, intermittent dysphagia… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Treatment of a Unique Case of Large Sliding Paraesophageal Hiatal Hernia with Intrathoracic Stomach and Achalasia
Purpose: We present a unique case of large sliding paraesophageal hiatal hernia, intrathoracic stomach and achalasia in a 54 year old male. Due to the concomitant paraesophageal hiatal hernia and intrathoracic stomach, and the need for surgical treatment, endoscopic management for achalasia was not attempted. The patient underwent laparoscopic paraesophageal hiatal hernia with reduction of… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery