Surgical Treatment Outcomes of Laparoscopic Gastrectomy for Advanced Gastric Cancer As Conversion Surgery
Yoshiyuki Kawakami, PhD, Hidenori Fujii, PhD, Yuki Hirose, PhD. Japanese Red Cross Fukui HospitalAims: We previously reported that laparoscopic gastrectomy for advanced gastric cancer could be feasible with some difficult situation such in cases with D2 lymph node dissection for metastasis. Thus we introduced laparoscopic surgery after chemotherapy for unresectable gastric cancer as conversion surgery.… Continue Reading
Suspension Of Biologic Time In Fatal Traumatic Injury: Preliminary Results From The Biochronicity Project
George E Black, MD, Kyle K Sokol, MD, Robert Shawhan, MD, Matthew J Eckert, MD, Matthew J Martin, MD. Madigan Army Medical CenterObjectives: Biologic time is the idea that energy production and consumption, and the biologic processes they control, are inherently linked to the life span of a cell or organism. Studies in small animals… Continue Reading
Suture Strength for Robotic Surgery
Ahmad Abiri, MS, Omeed Paydar, BS, Erik Dutson, MD, Bradley Genovese, MD, Usah Khrucharoen, MD, Warren Grundfest, MD. University of California, Los AngelesIntroduction. The goal of this work is to determine the force required to break sutures during robotic surgery. The growing popularity of robotic surgery as an option for gastrointestinal procedures has introduced a… Continue Reading
Sutureless Fixation of Onlay Ventral Hernia Repair: Review of 97 Patients
Charles P Shahan, MD, Nathaniel Stoikes, MD, David Webb, MD, Guy Voeller, MD. University of Tennessee Health Science CenterBackground Repair of large ventral hernias are a challenging problem. Often the disease process is accompanied by many associated comorbidities that can affect outcomes. Outside of recurrence, other factors such as wound complications and mesh infection create… Continue Reading
Symptomatic and Radiographic Outcomes After Biologic Mesh Repair for Paraesophageal Hernia Repair
Thomas Wade, MD, Mary Quasebarth, Sara Baalman, L. Michael Brunt, MD. Washington University in St LouisIntroduction. The use of biologic mesh repair during laparoscopic paraesophageal hernia (PEH) repair has been associated with lower recurrence rate at 6 months but an increased recurrence rate up to 5 years after surgery. Few studies have correlated symptomatic outcomes… Continue Reading
Symptomatic Outcomes and Side Effects Following Fundoplication According to Gastroesophageal Junction Integrity
Max Schumm, BS, Matt Frelich, MS, M Goldblatt, MD, J Wallace, MD, PhD, A Kastenmeier, MD, J Gould, MD. Medical College of WisconsinBackground Gastroesophageal reflux disease (GERD) is an extremely common condition. Laparoscopic fundoplication, for medically refractory cases is widely underutilized – partly due to concerns about potential side effects such as bloating, belching, and… Continue Reading
Symptomatic Reflux after Bariatric Surgery: What can we expect?
Abel E Bello, MD, Leena Khaitan, MD. University Hospitals Case Surgery INTRODUCTION: Restrictive bariatric procedures such as Sleeve Gastrectomy (SG), Adjustable Gastric Banding (LGB) and Vertical Band Gastroplasty (VBG) have been associated with worsening reflux symptoms in patients with and without pre-existing disease, but data is conflicting. Roux-En-Y Gastric Bypass (RYGB) has been the procedure… Continue Reading
Synchronous Presentation of Acute Cholecystitis and Acute Appendicitis Successful Treatment in One Step Laparoscopic Procedure With Alternative Technique. a Case Presentation and Literature Review
Federico L Gattorno, MD, MC, FACS1, Keisha Bonner, MD2, Antonio F Chua, MD1, Ricardo Siller, MD2. 1NYU School of Medicine-Woodhull Medical Center, 2Woodhull Medical CenterIntroduction Acute appendicitis is one of the most common causes of the acute abdomen and one of the most common indications for an emergent abdominal surgical procedure worldwide. Ten percent of… Continue Reading
Systematic approach to internal hernia identification and reduction in a patient with a Biliopancreatic Diversion with Duodenal Switch
Maria S Altieri, MD, MS, Aurora Pryor, MD, Pamela Kim, MD, Dana A Telem, MD. Stony Brook University HospitalThe need for exploration of a patient who has had a Biliopancreatic Diversion with Duodenal Switch (BPD-DS) may present a challenge to surgeons who are not familiar with the procedure. We present a systematic approach to identification… Continue Reading
Systematic Review and Meta-analysis of Totally Laparoscopic and Laparoscopic Assisted Distal Gastrectomy for Gastric Cancer
Ke Chen, Yucheng Zhou, Yiping Mou, MD, FACS, Xiaowu Xu, MD, Yu Pan, Di Wu, Renchao Zhang, MD. Department of General Surgery, Sir Run Run Shaw Hospital, Zhejiang UniversityObjective: To compare the safety and minimally invasive effect of totally laparoscopic distal gastrectomy (TLDG) and laparoscopic assisted distal gastrectomy (LADG) for gastric cancer by meta-analysis. Methods:… Continue Reading
TAMIS: Excision of Rectal Tumor With Delayed Post-Operative Bleeding
Michael E Dolberg, MD, Jeffrey P Snow, MD. Memorial Healthcare SystemTransanal Minimally Invasive Surgery, or TAMIS, is a technique that is used to excise benign rectal polyps and early stage rectal cancers. This video demonstrates the use of TAMIS technique in the excision of a low rectal tumor in a 78 year old male. After… Continue Reading
TAMIS-TME: A New Solution To An Old Problem
Yasmin Halwani, MD, Elena Vikis, MD, MEd, FRCSC. University of British ColumbiaTransanal minimally invasive surgery (TAMIS) is a novel technique developed as an alternative to transanal excision and transanal endoscopic microsurgery for local excision of well selected rectal neoplasms. This approach makes use of a disposable flexible transanal platform and conventional laparoscopic instruments. TAMIS application… Continue Reading
Taxonomy of Instructions Given To Residents in Laparoscopic Cholecystectomy
Yuanyuan Feng, MS1, Christopher Wong, MS1, Helena Mentis, PhD1, Adrian Park, MD2. 1University of Maryland, Baltimore County, 2Anne Arundel Medical CenterIntroduction Laparoscopic simulation-based training has been focused on surgical skills training. The purpose of this study was to identify and categorize the explicit directional instructions made by attending surgeons to their residents in the OR… Continue Reading
Teaching PerOral Endoscopic Myotomy (POEM) to practicing surgeons: An ‘into the fire’ pre-/post-test curriculum
Matthew A Zapf, BA1, Maria A Cassera, BS2, Lee L Swanstrom, MD2, Michael B Ujiki, MD3. 1Loyola Stritch School of Medicine, 2The Oregon Clinic, 3NorthShore University HealthSystemIntroduction: PerOral Endoscopic Myotomy (POEM) is growing due to efficacious results in achalasia and expanding indications. We evaluated a methodology for teaching a new procedure like POEM to experienced… Continue Reading
Technical Aspects of a Spleen Preserving Distal Pancreatectomy
Andrew R Brownlee, MD1, Paresh Shah, MD, FACS2. 1Lenox Hill Hospital, 2New York UniversityA spleen preserving distal pancreatectomy has a number of challanging techinical aspects that beg discussion. The isolation of the splenic vasculature from the pasterior aspect of the pancreas, the identification of site for transection of the pancreas and the mobilization of the… Continue Reading