Outcomes of total and subtotal laparoscopic gastrectomy with D2 lymphadenectomy for advanced gastric cancer in a western setting
Luciana J El-Kadre, MD, PHD, FACS, Augusto C Tinoco, MD, PHD, FACS, Matheus R Netto, MD. Sao Jose do Avai HopsitalAlthough laparoscopic gastrectomy is becoming more popular as a curative option for gastric cancer, there are concerns about its oncological adequacy. We have compared the outcomes of laparoscopic total gastrectomy (LTG) and laparoscopic subtotal gastrectomy (LSG), both with D2 lymphadenectomies,… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Magnetic Lower Esophageal Sphincter Augmentation: A Viable Rescue Therapy for Symptomatic Reflux Following Bariatric Surgery
Ryan C Broderick, MD, Joslin N Cheverie, MD, Arielle M Lee, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. UC San DiegoIntroduction: Laparoscopic sleeve gastrectomy (LSG) and laparoscopic Roux-en-Y gastric bypass (LRYGB) are the two most commonly performed bariatric procedures for management of obesity. Gastroesophageal reflux disease (GERD) is highly prevalent in… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Comparison of 5-year oncological outcomes between robotic and laparoscopic gastrectomy for gastric cancer, propensity-score matched analysis
Masaya Nakauchi, Koichi Suda, Kenji Kikuchi, Shinichi Kadoya, Kazuki Inaba, Ichiro Uyama. Fujita Health UniversityBackground: More than 4000 da Vinci Surgical Systems (DVSS) have been installed worldwide. However, robotic gastrectomy (RG) reportedly has the disadvantages of longer operative time and higher cost compared with laparoscopic gastrectomy (LG). We previously examined 3-year outcomes of RG and… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Foregut
Laparoscopic Pyloroplasty and Sleeve Gastrectomy for Gastroparesis, after failed Per Oral endoscopic Pyloromyotomy (POP).
Michel Gagner, MD, FRCSC, FACS, FASMBS, Maxime Lapointe-Gagner. Clinique Michel Gagner MD, Inc.Gastroparesis, defined as a delay in gastric empting without clear obstruction, is increasing in incidence mainly due to a recent diabetes epidemic. The use of laparoscopic sleeve gastrectomy alone to treat gastroparesis is still controversial, as results have been inconsistent. This video is… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC RESECTION OF ESOPHAGEAL LEIOMYOMA
Tripurari Mishra, MD1, Shanu N Kothari, MD2. 1Gundersen Medical Foundation, 2Gundersen Health SystemEsophageal leiomyoma are benign tumors that arise from smooth muscles. It is present in the distal third of the esophagus 60% of the time, 30% in the middle and 10% in the upper esophagus. Barium swallow shows a smooth a filling defect within… Continue Reading
- Topic:
- Foregut
Intraoperative Endoflip: Real-time Assessment of Myotomy Adequacy
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, David C Kunkel, MD, Santiago Horgan, MD. UC San DiegoDysphagia following foregut surgery often presents a challenge in management.… Continue Reading
- Topic:
- Foregut
Paraoesophageal Hernia Repair After Laparoscopic Sleeve Gastrectomy
Charlotte Horne, MD, Alisan Fathalizadeh, MD, John Rodriguez, MD, Kevin El-Hayek, MD, Jeffrey Ponsky, MD. Cleveland ClinicThis case presentation involves a 52-year-old female that underwent a laparoscopic sleeve gastrectomy in 2011. At this time, she was also noted to have a hiatal hernia but this was not repaired. Her medical comorbidities include diabetes mellitus, pulmonary… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC IMPLANTATION OF GASTRIC STIMULATOR AND ENDOSCOPIC PYLOROMYOTOMY
Maria Fonseca, MD, Cristian Milla Matute, MD, Rene Aleman, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the ideal surgical treatment for medically refractory gastroparesis (GS). More evidence however exists on the benefits of… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC MANAGEMENT OF DUODENAL PERFORATION DURING CONCOMITANT PER-ORAL PYLOROPLASTY AND LAPAROSCOPIC IMPLANTATION OF GASTRIC ELECTRIC STIMULATOR
Rene Aleman, MD, Maria C Fonseca, MD, Joel S Frieder, MD, Kandace Kichler, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the most effective surgical approach for gastroparesis (GP). The combination of implantable gastric stimulator… Continue Reading
- Topic:
- Foregut
Laparoscopic Transgastric GIST Resection
Colette S Inaba, MD, Michael Tran, MD, Brian R Smith, MD. University of California IrvineThis video demonstrates a transgastric resection of a gastrointestinal stromal tumor. Cuffed trocars are used to gain laparoscopic entry into the lumen of the stomach. The tumor is dissected using an energy device and the resulting gastric defect is repaired using… Continue Reading
- Topic:
- Foregut
Laparoscopic Longitudinal Pancreaticojejunostomy (Puestow) on a patient with a history of a RY gastric bypass and a pancreaticoduodenectomy (Whipple)
Ariel Shuchleib, Pearl Ma, Ikemefuna I Akusoba, Aaron Sabbota, Daniel Swatrz, Keith B Boone, Kelvin D Higa. UCSF FresnoThis is a case from a 45 y/o F with a history of a laparoscopic RY gastric bypass on 2005 who developed a highly differentiated pancreatic neuroendocrine tumor that was resected with a laparoscopic pancreaticoduodenectomy (Whipple procedure)… Continue Reading
- Topic:
- Foregut
Robotic-assisted Conversion of Slipped Nissen Fundoplication to Toupet Fundoplication and Hiatal Hernia Repair
Joseph R Broucek, MD, Enrique Elli, MD, FACS. Mayo Clinic - FloridaFailure rates of laparoscopic Nissen fundoplication occur in the range of 2-17%. The most common recurrent symptoms include reflux and regurgitation. If the patient fails medical therapy, revisional surgery is known to be successful in more than 90% of cases. This is a case… Continue Reading
- Topic:
- Foregut
Robotic Median Arcuate Ligament Release
Desmond T Huynh, MD, Miguel Burch, MD, Kevin Shamash, Richard Van Allan, Daniel Shouhed, MD. Cedars-Sinai Medical CenterMedian Arcuate Ligament Syndrome (MALs) is a rare vascular condition in which the median arcuate ligament compresses the celiac trunk which presents as a constellation of symptoms including nausea, vomiting, weight loss, and post-prandial epigastric pain. The treatment… Continue Reading
- Topic:
- Foregut
Laparoscopic Redo Paraesophageal Hernia Repair, Takedown of Low Nissen Fundoplication with Conversion to Toupet, and Pyloroplasty
Amy L Holmstrom, MD, Ryan J Campagna, MD, Stephen F Chiu, MD, Ezra N Teitelbaum, MD, MEd. Northwestern Memorial HospitalThe patient is a 61 year old woman who had undergone a robotic converted to open paraesophageal hernia repair with Nissen fundoplication at an outside hospital in 2016. Following this surgery, she experienced severe epigastric pain,… Continue Reading
- Topic:
- Foregut
Crural Blowout Years After Laparoscopic Repair of Recurrent Paraesophageal Hernia
Michael A Antiporda, MD1, Kelly R Haisley, MD1, Walaa Abdelmoaty, MD1, Steven R Demeester, MD2, Christy M Dunst, MD2, Daniel Davila Bradley, MD2, Lee L Swanstrom, MD3, Kevin M Reavis, MD2. 1Providence Portland Medical Center, 2The Oregon Clinic, Portland, Oregon, 3Institute for Image Guided Surgery (IHU-Strasbourg), Strasbourg, FranceIntroduction: Paraesophageal hernia (PEH) repair is associated with… Continue Reading
- Topic:
- Foregut