Laparoscopic antireflux procedures with hepatic shoulder technique for the surgical management of large para-esophageal hernias and gastroesophageal reflux disease: A follow-up study.
Philippe J Quilici, MD, Alexander Tovar, MD. Providence Saint Joseph Medical CenterBACKGROUND: Numerous techniques have been historically proposed in the management of gastro-esophageal reflux and para-esophageal hernias [PEH]. A follow-up study to a novel laparoscopic approach introduced in 2009 and performed in 49 patients is presented. METHODS: All procedures were performed via laparoscopy. Thirty-two patients… Continue Reading
Laparoscopic approach to Incarcerated paraesophageal hernia and Endoscopic Per-oral Pyloromyotomy after Open Ivor-Lewis Esophagectomy
Maria C Fonseca, MD, Cristian A Milla Matute, MD, Fernando Sarmiento-Cobos, MD, Armando Rosales, Tolga Erim, DO, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaOpen Esophagectomy is a complex procedure with potential morbidity. Among its complications are Hiatal hernias and anastomotic stricture. The… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC ASSISTED EXCISION OF GASTROESOPHAGEAL INFLAMMATORY FIBROTIC POLYP
Linda I Yala, MD1, Rami Lutfi, MD, FACS, FASMBS2, Lindsey Klingbeil, MD2. 1UIC-MGH General Surgery Residency, 2Mercy Hospital, Chicago, ILINTRODUCTION: Gastric polyps include a wide spectrum of lesions with different histology, neoplastic potential, and management. 6% of upper gastrointestinal endoscopies will reveal a lesion. Typically, they are asymptomatic but their presence will warrant biopsy, guiding the next… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
laparoscopic-assisted percutaneous endoscopic gastrostomy, A single center case-series.
Nir Hus Md., Phd., Daud Lodin, MD, Anupam K Gupta. FAUIntroduction: Gastroscopic assisted percutaneous endoscopic gastrostomy (PEG) is an easy means to provide enteral access in patient unable to intake nutrition via oral route. However, in many patients with unfavorable body habitus secondary to prior abdominal surgery, interpositioning of the colon between the stomach and anterior… Continue Reading
Laparoscopic D2 gastrectomy with therapeutic para-aortic lymph node dissection for advanced gastric cancer
Wei Wang. Guangdong Provincial Hospital of Chinese MedicinePatients with advanced gastric cancer and locally enlarged para-aortic lymph nodes were selected for this study. They were all received a neoadjuvant chemotherapy. If the curative effect was at least partial response, then the patient would underwent laparoscopic D2 gastrectomy with para-aortic lymph node dissection. After a standard… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic D2 radical distal gastrectomy with complete mesogastrium excision for advanced gastric cancer
Wei Wang, Wenjun Xiong, Jin Wan, Xiaofeng Zhu. Guangdong Provincial Hospital of Chinese MedicineLaparoscopic distal gastrectomy for advanced gastric cancer is widely perform in East Asia. Herein, we introduce the technique of laparoscopic D2 radical distal gastrectomy with complete mesogastrium excision. First step was dissecting the gastrocolic omentum from left to right. The superior border… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic distal pancreatectomy for giant pancreatic cystic neoplasms -Is the effort worthwhile?
Srikanth Gadiyaram, Dr, Yashas H Ramegowda, Dr, Gaurav Singh, Dr. Sahasra Hospitals, Center of Excellence for GastroenterologyBackground: Laparoscopic distal pancreatectomy with (LDPS) or without splenectomy for cystic tumors in the body and tail has become the standard of care. We herein report three patients with giant pancreatic cystic neoplasms (GPCN) who underwent a distal pancreatectomy… Continue Reading
Laparoscopic double-flap technique after proximal gastrectomy for gastrointestinal stromal tumor in the esophagogastric junction
Wei Wang. Guangdong Provincial Hospital of Chinese MedicineLaparoscopic surgery for gastric gastrointestinal stromal tumors (GISTs) is now widely performed. However, laparoscopic resection of GIST in the esophagogastric junction (EGJ) is technically difficult and rarely reported. When the tumor invaded the esophagogastric line or if the cardia integrity could not be maintained during local resection, laparoscopic… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Duodenojejunostomy for SMA Syndrome
Andrew M Brown, MD, Courtney L Devin, MD, Lauren Rosenblum, BS, Francesco Palazzo, MD, Michael J Pucci, MD, Ernest L Rosato, MD. Thomas Jefferson UniversityThe video shows the steps undertaken for a laparoscopic duodenojejunostomy for the treatment of SMA syndrome. Laparoscopic duodenojejunostomy appears to be a safe and effective treatment for SMA syndrome.Presented at the SAGES… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Esophageal Diverticulectomy
Elizabeth H Bruenderman, MD, Farid J Kehdy, MD. University of LouisvilleBackground: This video reviews a laparoscopic esophageal diverticulectomy. The patient is an 80-year old lady who presented as an outpatient with dysphagia, pain with swallowing, chest pain, mild dyspepsia, hoarseness, and regurgitation of undigested food. She underwent a diagnostic esophagogram, which revealed an outpouching in the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Esophageal Diverticulectomy with Heller Myotomy and Toupet Fundoplication
Benedict Hui, MD, Geoffrey Chow, MD. University of Oklahoma - TulsaWe are presenting a laparoscopic esophageal diverticulectomy with Heller myotomy and Toupet fundoplication. The patient is a 51 year old male with 10 year history of achalasia previously treated with endoscopic dilation. He presented with worsening dysphagia, chest pain, and regurgitation of undigested food. We… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Esophageal Diverticulectomy with Heller’s cardiomyotomy
Venkatarami Reddy Vutukuru, Associate Professor. Sri Venkateswara Institute of Medical SciencesA 68 yr lady, presented with complaints of retrosternal discomfort, dyspepsia and regurgitation of swallowed food of 6 months duration. Known hypothyroid on oral thyroxine supplements. On evaluation with barium study and endoscopy, there was a large diverticulum in the lower esophagus about 2cms proximal… Continue Reading
LAPAROSCOPIC EXCISION OF EPIPHRENIC DIVERTICULUM WITH HELLER MYOTOMY IN AN OCTAGENARIAN.
Maria C Fonseca, MD, Cristian Milla, MD, Carlos Rivera, MD, Joel S Frieder, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaEpiphrenic esophageal diverticulum is considered a false diverticulum as only compromises de mucosa and submucosa. Clinical manifestations appear when it achieves approximately… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic excision of intra abdominal esophageal duplication cyst- A rarity
Girish D Bakhshi, MS, MRCS, DNB, FCPS, MNAMS, FMAS, FIAGES, Jai Rathore, MBBS, Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, Amol N Wagh, FMAS, FIAGES, FAIS, FICS, FBMS, Shraddha D Gangawane, MS, Ruchira Bhattacharya, MBBS. Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, IndiaEsophageal duplication cysts ( EDC) are congenital… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic gastrectomy for gastric cancer: a single center 12 year experience and learning curve
Carlo Marino, MD, Cristián Jarry, MD, Vanessa Ahumada, Fernando Crovari, MD, Rodrigo Muñoz, Nicolás Quezada, Enrique Norero, Julián Varas, Pablo Achurra. Pontificia Universidad Católica de ChileBackground: Laparoscopic gastrectomy has shown to be a feasible approach for gastric cancer but involves long learning curves. As a learning curve progress, operating time, complications and conversion rates commonly… Continue Reading