LAPAROSCOPIC MANAGEMENT OF COLONIC LIPOMA CAUSING SIGMOID INTUSSUSCEPTION
Yvette Farran, MS, Jorge A Miranda, MS, Benjamin Clapp, MD, Elizabeth De la Rosa, MD. Texas Tech University Health Sciences CenterIntroduction: Sigmoid colon intussusception is rarely encountered and given its vague symptomatology diagnosis and management can be difficult. The treatment of an intussusception in adults is different than in children. Lipomas as the causative etiology… Continue Reading
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- Case Presentations
LAPAROSCOPIC PARAESOPHAGEAL HIATAL HERNIA REPAIR IN A 13 MONTH OLD INFANT
Amanda B Sosulski, MD1, Sathyaprasad Burjonrappa, MD, FACS2, Charles V Coren, MD, FACS1, Collin Brathwaite, MD, FACS2. 1NYU Winthrop, Stony Brook Medicine, 2NYU WinthropINTRODUCTION: Paraesophageal hiatal hernia (PHH), is an uncommon entity in infants with variable clinical presentation and symptomatology. Patients can be completely asymptomatic or more commonly have feeding difficulties or respiratory issues, rarely… Continue Reading
Laparoscopic repair of acute sleeve herniation into the mediastinum
Patrick Neshiwat, Matthew Dong, MD, MPH, Daniel Herron, MD, Gustavo Fernandez-Ranvier, MD, PhD. Garlock Division of General, Endocrine & Metabolic SurgeryLaparoscopic sleeve gastrectomy (SG) is the most common and effective weight loss procedure worldwide. However, with the increase in the number of cases done, several unexpected complications have been noted. There is limited literature on… Continue Reading
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Laparoscopic Repair of Anterograde Jejunojejunostomy Intussusception after Roux-en-Y Gastrojejunostomy
Natalia S Kubicki, MD, Mark D Kligman, MD. University of Maryland Medical CenterWe present an interesting case of an anterograde jejunojejunostomy intussusception occurring 7 years after Roux-en-Y gastrojejunostomy for a peptic ulcer related gastric outlet obstruction. The patient presented with left upper quadrant abdominal pain and intermittent nausea and emesis. The point of intermittent intussusception… Continue Reading
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Laparoscopic repair of paraduodenal hernia presenting as small bowel obstruction
Savni Satoskar, MD, Manthan Makadia, MD, Abdul Badr, MD, Sarang Kashyap, MD, Avian Chang, MD, Monzur Haque, MD, Harjeet Kohli, MD. Easton HospitalINTRODUCTION: 300,000 surgeries are done annually in the US for small bowel obstruction, which is most commonly caused by intraabdominal adhesions, malignancy, and hernias. 0.2 to 5.8% of small bowel obstructions are due… Continue Reading
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Laparoscopic Resection of a Hypoglycemia- Inducing Retroperitoneal Fibrosarcoma
Hany G Fahmy, FRCS, FACS, Mohamed A Abdelwahab, Alaa Taha. Royal Commission Medical Center, Yanbu Industrial, K.S.AINTRODUCTION: Retroperitoneal sarcoma represents approximately 12-15% of all sarcomas and less than 0.5% of all neoplasia. Radiotherapy and chemotherapy still do not represent valid therapeutic alternatives; therefore complete surgical resection is the only potential curative treatment modality for retroperitoneal… Continue Reading
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Laparoscopic resection of a large enteric duplication cyst
Wanda C Lam, MD, Katherine B Kelly, MD. Louis Stokes Cleveland VA Medical CenterGastric duplication cyst is a rare condition typically seen in children. They comprise 9% of all gastrointestinal duplications. The etiology is not clearly understood. In adults, gastric duplication cysts are especially rare and typically asymptomatic. They are most often incidental findings. … Continue Reading
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- Video Loop Presentations
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Laparoscopic Resection of an Appendiceal Mucocele
Judi Anne B Ramiscal, MD, Yuen-Jing A Chen, MD, Carl J Tadaki, MD. University of Hawaii - Department of SurgeryIn selected patients, appendiceal mucocele can be removed laparoscopically. This patient presented with symptoms of abdominal pain and anorexia; imaging revealed a 13 x 6.5 cm structure consistent with an appendiceal mucocele and overlying appendicitis. The… Continue Reading
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Laparoscopic Resection of Atypical Locations of Gastrointestinal Stromal Tumors of the Stomach
Jordan D Bowling, MD, Peter H Liu, MD, PhD, Scott Nguyen, MD. Mount Sinai HospitalGastrointestinal stromal tumors (GISTs) account for less than 1% of GI tumors. There are approximately 5000 new cases annually within the united states. Approximately 50-70% of GISTs originate in the stomach. Of these tumors, 70% in the body, 15% occur in… Continue Reading
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Laparoscopic resection of giant pseudo diverticulum of appendix: a very rare disease
Hiromitsu Ito1, Naoto Nhisi1, Haruhiko Aoyagi1, Katsumi Higuchi1, Keita Koseki1, Ichiro Watanabe1, Masashi Ito1, Marius Calin, MD2, Baongoc Nasri, MD3. 1Toujun Hospital, 2Virtua Hospital New Jersey, 3Saint Vincent Hospital IndianapolisDiverticulosis of the appendix is a rare disease found in 0.004% to 2.1% of appendectomies, first described in 1893. The clinical presentation may be acute inflammatory… Continue Reading
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Laparoscopic Roux-En-Y Gastric Bypass with Pyloroplasty and Excision of Duodenal Mass
John A Primomo, MD1, Garth Davis, MD1, Ping Pan, MD2, Victoria Chang, MD3. 1University of Texas Health Science Center at Houston - Memorial Hermann Memorial City, The Davis Clinic, 2University of Texas Health Science Center at Houston - Houston Northwest Medical Center, 3University of Texas Health Science Center at HoustonPreoperative workup for revisional bariatric surgery… Continue Reading
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Laparoscopic Sleeve Gastrectomy in a Patient with Situs Inversus
Hillary B Prince, MD, MS, Scott Nguyen, MD. Icahn School of Medicine at Mount SinaiINTRODUCTION: Situs inversus is a rare condition involving complete transposition of the abdominal organs, essentially a mirror image of normal anatomy. Its incidence is estimated to be approximately 1 in 10,000 to 1 in 20,000 people.[1] We present a case in… Continue Reading
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- Video Loop Presentations
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Laparoscopic small bowel resection for jejunal diverticular disease
Joseph M Drosdeck, MD, MS, Jennifer Pasko, MD, Brett Sheppard, MD. Oregon Health & Science UniversitySmall bowel diverticula arise most commonly in the duodenum, but occur in the jejunum with an incidence of up to 1.3% in autopsy studies. Although most patients are asymptomatic, a variety of complications can arise that warrant surgical intervention. This… Continue Reading
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Laparoscopic Spenulectomy: An Interesting Case Report
Riva Das, MD1, Daniel A Ringold, MD2, Thai Q Vu, MD2. 1Orlando Health, 2Abington Jefferson HealthIntroduction: Spenules, or accessory spleens, are a rare disease entity. Most often, they are asymptomatic, and found incidentally during radiographic workup for an unrelated problem. Torsion can cause a splenule to not only become symptomatic, but also confound the results of usual… Continue Reading
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LARGE TRAUMATIC SPLENIC CYST TREATED WITH LAPAROSCOPIC PARTIAL SPLENECTOMY
Jenny Lam, MD, Carlos T Maeda, MD, Toshiaki Suzuki, MD, David Bernstein, MD, Thach Pham, MD, Garth R Jacobsen, MD, Santiago Horgan, MD, Bryan J Sandler, MD. University Of California - San DiegoThis is a case report of a large traumatic splenic cyst removed via laparoscopic partial splenectomy. The patient presented with left upper quadrant… Continue Reading
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