Minimally Invasive Ivor Lewis Esophagectomy
This video illustrates the preferred technique for minimally invasive esophagectomy at the University of Pittsburgh. Previously, our described technique included mobilization of the esophagus via thoracoscopy, laparoscopic creation of the gastric tube and construction of a cervical esophagogastric anastomosis. Although we have reported excellent outcomes with this technique, we have since modified the procedure to… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Long term result of Laparoscopy assisted gastrectomy for early gastric cancer
Background: Long term result of surgical treatment for malignancy is the most important thing even in the minimum invasive surgery. Laparoscopic gastric cancer surgery was performed widely, but its long term reults are still umknown.Method: We performed 262 cases of laparoscopy-assisted gastrectomy (LAG) for gastric cancer since 1996, while its indication was gradually expanded. We… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Combined Prone Thoracoscopy and Supine Laparoscopy for treatment of an Epiphrenic Diverticulum
The laparoscopic treatment of epiphrenic diverticula via a totally abdominal approach has been well described. One of the challenges of the laparoscopic approach to the treatment of large epiphrenic diverticula has been safe and adequate proximal dissection. Thoracoscopy provides another means of accessing the mid to distal esophagus, while addition of this modality allows for… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Laparoscopy-Assisted Combined Resection for Synchronous Gastric and Colorectal Cancer
The incidence of synchronous cancer in gastric cancer patients has been reported to vary from 0.7% to 3.5%. Among them, colorectal cancer represents a most common synchronous cancer. We report here our minimally invasive laparoscopic treatment of synchronous gastric and colorectal cancer.Case 1: A 72-year-old male with colon polyp underwent upper GI endoscopy that revealed… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Resection of Challenging Gastric Tumors
Noninvasive gastric tumors may have malignant potential and should be managed with resection. Large margins are not needed and many can be managed with laparoscopic wedge resection. Tumors along the fundus, anterior wall, and greater curvature of the stomach are approached relatively easily using endoscopic staplers. Tumors near the gastric cardia, lesser curvature and pylorus… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Clinical Outcome of Thoracoscopic Esophagectomy for Patients with Esophageal Cancer: Our 2-year Experience
Introduction: Esophagectomy with extended lymphadenectomy is the principal modality for the cure of esophageal cancer in case the curative resection is possible, and less invasive or minimally invasive surgery has been required to offer less morbidity and favorable prognosis. We have incorporated thoracoscopic esophagectomy into esophageal resection since August 2005. We addressed our procedure which… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Endoscopic-pathologic Correlation in Patients Undergoing Prophylactic Gastrectomy for Hereditary Diffuse Gastric Cancer (hdgc).
INTRODUCTION: We performed a study of endoscopic-pathologic correlation in patients who have undergone prophylactic gastrectomy for hereditary diffuse gastric cancer (HDGC). HDGC is an autosomal-dominant condition associated with a mutation of the e-cadherin/CDH1 gene and carries about an 80% risk of developing diffuse gastric cancer.METHODS: We reviewed a case series of 16 gene-positive patients who… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The effects of obesity by the learning curve for Laparoscopy Assisted Distal Gastrectomy in patient with early gastric cancer
Background. Laparoscopy-assisted distal gastrectomy(LADG) has become a viable alternative treatment for patients suffering with early gastric cancer. Surgeons have long thought that obesity might increase the rate of intraoperative or postoperative complications. We set out to clarify the effect that obesity has on performing LADG for the treatment of early gastric cancer.Methods. We retrospectively reviewed… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopy assisted proximal gastrectomy for upper gastric cancer
Since 1993, we applied laparoscopy assisted gastrectomy for gastric cancer and 195 patients were treated until@August, 2007. Laparoscopy assisted distal gastrectomy (LADG) was performed in 150 cases, total gastrectomy in 12 cases, partial gastrectomy in 14 cases and proximal gastrectomy (LAPG) in 19 cases. The indication of LAPG was limited early gastric cancer in upper… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Analysis of 1,543 Gastric Carcinoid Patients for Proposed Staging System
Background: Gastric carcinoid tumors are rare and little is known about the long term prognosis of these tumors, since no staging system currently exists. The aim of this study was to create a predictive staging system to accurately estimate prognosis. Methods: A retrospective review of 15,983 carcinoid patients from the SEER database identified 1,543 patients… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Management of Anastamotic Leak after Esophagectomy with Endoscopic Esophageal Stent
INTRODUCTION: A 59 year old male with a long history of barrett's esophagus and previous nissen fundoplication underwent a laparoscopic, thoracoscopic Ivor Lewis Esophagectomy for esophageal carcinoma. Upper GI on POD # 9 showed a contained mediastinal leak measuring 3 x 4 cm.METHODS: Endoscopy confirmed an anastamotic disruption. A pig tail drain was endoscopically placed… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Carbon Dioxide Insufflating Intraoperative Upper Gastrointestinal Endoscopy Minimizes Distension of Downstream Bowel During Laparoscopic Surgery: A Historical Comparison Study
INTRODUCTION: Intraoperative endoscopy (IOE) has gained wider clinical acceptance as a useful adjunct in advanced laparoscopic surgery. One known drawback of IOE, however, is prolonged distension of downstream bowel which compromises the subsequent surgical exposure/procedure, resulted in open conversion in worst case scenario. The use of rapid absorptive carbon dioxide (CO2) instead of air, has… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Ivor-Lewis Esophagogastrectomy for Gastric Cardia Cancer
Introduction: Gastric cardia cancer with involvement of the esophagus may require an esophagogastrectomy to obtain negative tumor margins. We have shown that minimally invasive esophagectomy is a safe approach for the treatment of esophageal cancer. We describe the technique of a minimally invasive Ivor Lewis esophagectomy in a patient with a large gastric cardia tumor.Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Resection Techniques for Gastroesophageal Junction Gist Tumors
Introduction: Gastrointestinal Stromal Tumors (GIST) are relatively rare neoplasms of mesenchymal origin with uncertain malignant potential. Complete gross resection without a need for microscopically negative margins or lymph nodes is oncologically adequate. Minimally invasive resection techniques such as laparoscopic wedge gastectomy are feasible and safe. Unfortunately, GIST lesions located near the gastroesophageal junction can be… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
The Diagnosis of Gastroesophageal Reflux: Which is Correct; Multichannel Intraluminal Impedance or pH Monitoring?
Background: Accurate identification of gastroesophageal reflux episodes is fundamental to the objective diagnosis of GERD. The diagnosis of GERD by multichannel intraluminal impedance (MII) is based on the detection of retrograde bolus propagation, irrespective of its pH. It is suggested that both the number and duration of acidic reflux episodes varies depending on the method… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery