Laparoscopic Take-down of Dor Plication with redo of Heller Myotomy
Maria C Fonseca, MD, Cristian A Milla Matute, MD, Joel S Frieder, MD, David Romero Funes, MD, Armando Rosales, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MDPhD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Clevelan Clinic FloridaRecurrent achalasia occurs in 10-20 % of the cases after surgical myotomy. Therapeutic options entail endoscopic dilatation,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC PARAESOPHAGEAL HERNIA REPAIR, TOUPET FUNDOPLICATION, CHOLECYSTECTOMY, AND COMMON BILE DUCT EXPLORATION IN A PATIENT WITH SYMPTOMATIC CHOLEDOCHOLITHIASIS
Ryan J Campagna, MD, Amy L Holmstrom, MD, Ezra N Teitelbaum, MD, MEd. Northwestern University Feinberg School of MedicineWe present the case of an 82-year-old female who presented with symptomatic choledocholithiasis. A large type III paraesophageal hernia was discovered during an attempted endoscopic retrograde cholangiopancreatography, which was ultimately unsuccessful due to the hernia. Further questioning… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Robotic Heller Myotomy with Dor or Toupet Fundoplication
Sarah Samreen, MD, Crystal M Krause, PhD, Dmitry Oleynikov, MD. University of Nebraska Medical CenterThis is a presentation of a robotic Heller Myotomy, showing both a partial anterior (Dor) and a posterior (Toupet) fundoplication. The first case is a 44 year old female who presents with dysphagia and regurgitation. Manometry shows evidence of type I… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoendoscopic Transgastric Resection of 2 masses of 8.5cm
Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Richard A Perugini, MD. University of MassachusettsGastrointestinal stromal tumors (GISTs) are rare and the only opportunity for cure is total surgical resection with gross negative margins. National Comprehensive Cancer Network (NCCN) guidelines from 2010 recommend laparoscopic resection for tumors up to 5cm but recommend open surgery for… 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 Witzel: A Better Jejunostomy Tube
Ciara R Huntington, MD1, Ryan C Pickens, MD2, Thomas R Huntington, MD1. 1Huntington Laparoscopy, 2Atrium Health / Carolina Medical CenterFeeding jejunostomy tubes are a critical means of enteral nutritional support for patients who have foregut pathology. All surgeons should feel comfortable with placement of feeding jejunostomy tube – yet, many surgeons resort to an open… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Robotic Transhiatal Esophageal Leiomyoma Resection
James Kurtz, DO, Edward Cho, MD, Houssam Osman, MD, Rohan Jeyarajah, MD. Methodist Richardson Medical CenterIntroduction: Esophageal leiomyomas are rare benign tumors that can be adequately treated with limited resection or enucleation. Case: We present a video case of a large, symptomatic distal esophageal leiomyoma requiring enucleation. We performed a robotic transhiatal approach to remove… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic right hemicolectomy with CME: a caudal-to-cranial approach guided by duodenum
Wenjun Xiong, Wei Wang, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineIn 2016, we first describe a caudal-to-cranial approach for laparoscopic right hemicolectomy. This approach was a safe alternative to the conventional medial-to-lateral approach, especially for inexperienced surgeons. As we all know, the duodenum is an organ passing through the retroperitoneum. Thus, we report a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
MCKEOWN ESOPHAGECTOMY. HOW WE PERFORM THORACOSCOPIC TIME
Aurelio Francisco Aranzana Gomez, Jara Hernandez Gutierrez, Juan Malo Corral, Soledad Buitrago Sivianes, Rafael Lopez Pardo, Beatriz Muñoz Jimenez. Hospital Virgen De La Salud, ToledoObjectives: We present a video that shows the thoracoscopic time of esophagectomy in three fields. To demonstrate the safety and efficacy of the minimally invasive approach in patients with malignant oesophageal… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Robotic-Assisted Laparoscopic Redo Hiatal Hernia Repair with Redo Nissen Fundoplication
Usah Khrucharoen, Ian T Macqueen, Yijun Chen, Erik P Dutson. UCLAMinimally-invasive techniques have been implemented in the repair of giant hiatal hernias with successful outcomes; however, recurrence rates have also been reported up to 30 to 40%. In this video, we demonstrated robotic-assisted laparoscopic redo hiatal hernia repair with redo Nissen fundoplication performed at our… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Revision of a Paraesophageal Hernia
Alisan Fathalizadeh, MD, MPH, Joshua Landreneau, MD, John Rodriguez, MD, Kevin El-Hayek, MD. Cleveland Clinic FoundationA hiatal hernia involves the herniation of the stomach above the diaphragm. Preoperative work-up generally invoves the use of upper endoscopy and an upper GI study. Emergent repair is generally indicated when volvulus, bleeding, obstruction, strangulation, or perforation are encountered.… 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
Hiatal Hernia Repair After Esophagectomy
Sean R Maloney1, Christy M Dunst2, Walaa Abdelmoaty2, Paul D Colavita1. 1Carolinas Medical Center, 2The Oregon ClinicHere we present two cases of hiatal hernia repair after esophagectomy. One shows the less complex anterior dissection and closure while the other required dissection in the posterior aspect, in proximity of the gastric conduit blood supply, for sufficient… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Large Paraesophageal Hernia with Gastric Volvulus
Consandre P Romain, MD, Benjamin R Biteman, MD. Mercy Health Youngstown78 yo female presents to the ED with nausea, vomiting and abdominal pain for 2 days. CT scan in the ED reveals large type IV paraesophageal hernia with gastric volvulus. General surgery takes the patient to the OR for laparoscopic paraesophageal hernia repair.Presented at the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
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