Safety of Laparoscopic Paraesophageal Hernia Repair in Octogenarians
BACKGROUNDParaesophageal hernias (PEH) most commonly afflict the elderly, carrying a 10-30% risk of complications including gastrointestinal hemorrhage, gastric volvulus and strangulation. Ninety percent of all PEH hernias in the United States are still being performed via open approach. As a result, due to their frequent accompanying comorbidities and resultant fears of perioperative morbidity, many elderly… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Tranasvaginal Specimen Extraction After Totally Laparoscopic Subtotal Gastrectomy in Early Gastric Cancer
Introduction: In 1993, Delvaux et al reported that he could remove the GB and a large GB stone through transvaginal route after laparoscopic cholecystectomy in female patients. Recently, natural orifice extraction (NOE) has been extensively performed after totally laparoscopic nephrectomy and totally laparoscopic colon resection. However, there have been no report of NOE after subtotal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Transhiatal Resection of Esophageal Diverticulum
Introduction: Mid-esophageal diverticulum is often associated with a concomitant esophageal motility disorder. The treatment consists of esophagomyotomy in addition to excision of the diverticulum. In patients with mid-esophageal diverticulum, the laparoscopic approach is less well accepted. Methods: We present a video of a 78 year old female with a long history of regurgitation, intermittent dysphagia… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Esophageal / Gastric Surgery
The Safety of Biologic Mesh for Laparoscopic Repair of Large, Complicated Hiatal Hernia
Objective: Laparoscopic repair of large, complicated hiatal hernias is associated with a high risk of recurrence. Biologic mesh decreases recurrence and prevents complications associated with synthetic mesh; but its safety profile has not yet been fully determined. To answer this question we analyzed the outcomes of biologic mesh used to repair these “high risk” hiatal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Risk of Recurrence in Laparoscopy-Assisted Radical Gastrectomy
Background: We investigated the risk of recurrence in laparoscopy-assisted radical gastrectomy.Materials and Methods: The clinical data on 398 consecutive patients were retrospectively reviewed, who underwent radical gastrectomy with D2-level lymph node dissection for gastric cancer at Gyeongsang National University Hospital between January 2005 and December 2007, were analyzed. Results: Of the 398 patients with gastric… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
The Risk of Combined Organ Resection in Radical Gastrectomy
Background: Combined organ resection was not rare operation in gastric cancer surgery. Cholecystectomy and splenectomy were most frequently operated in gastrectomy. Additionally, the development of the laparoscopic surgery offers more chance to operate with them. We investigated the risk of the combined organ resection in gastric cancer surgery. Materials and Methods: The clinical data on… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Distal Gastrectomy with Laparoscopic Assistance for Non-overweight Patients with T1n0 Gastric Cancer
Background and Purpose: We began to perform distal gastrectomy via minilaparotomy with laparoscopic assistance in non-overweight patients with T1N0 gastric cancer as an alternative to the standard laparoscopic approach. This retrospective study was performed to evaluate our initial experiences treating cases by this procedure. Patients and Methods: The subjects were 16 patients with T1N0 gastric… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Factors of Increasing Blood Loss and Operation Time in Laparoscopic Assisted Distal Gastrectomy
Introduction: Laparoscopic Surgery has rapidly increased for treatment of gastric cancer in the world. Laparoscopic assisted distal gastrectomy (LADG) has been the standard procedure in case of early gastric cancer. Our impression is obesity can be one of the factors to increase of operating time and blood loss.Methods: Between October 2007 and May 2009, 48… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Totally Laparoscopic Total Gastrectomy with Esophagojejunostomy Using Liner Stapling Devices.
Introduction : Laparoscopic distal gastrectomy for early gastric carcinoma has been accepted widely because of its minimal invasiveness. However laparoscopic total gastrectomy is not still familiar depending on difficulty of esophagojejunomy. When performing open total gastrectomy, esopagojejunostomy with a circular stapling device has been generalized as a substitute for hand-suture. On the other hand, there… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Transhiatal Approach for Squamous Cell Carcinoma of the Lower Third of the Esophagus
BACKGOUND: Esophageal squamous cell cancer located in the lower third of the esophagus often indicates surgery with left transthoracic approach. Surgery with left thoracotomy is less invasive than right thoracotomy, but thoracotomy itself is associated with morbidity and delayed recovery in cancer patients who are typically older and malnourished and often have pulmonary or cardiovascular… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Techniques of Roux-en Y Reconstruction Using Reversed Rho-shaped Side-to-side Esophago-jejunostomy in Laparoscopy-Assisted Total Gastrectomy (latg)
Recently, laparoscopy-assisted total gastrectomy (LATG) has been performed for the treatment of early proximal cancer. In LATG, there are technical difficulties of performing laparoscopic reconstruction, especially esophago-jejunostomy. On the purpose of decreasing the incidence of the anastomotic troubles, we have developed the Roux-en Y reconstruction using reversed rho-shaped side-to-side esophago-jejunostomy.Techniques Under laparoscopic techniques, the mobilization… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Repair of Large Hiatal Hernias – Impact on Pulmonary Function
Introduction: This study is to examine the impact of laparoscopic repair of large hiatal hernia on patient's respiratory function and quality of life. Methods: From 2004 to 2008, 30 consecutive patients with large paraesophageal hernia defined as >50% of stomach in the intrathoracic cavity with a minimum follow-up of 2 years were included in this… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
The Total Number of Resected Lymph Nodes Has an Impact on Survival in Node-negative Esophageal Cancer
Introduction: While the identification of lymph node metastases is prognostic, there is considerable controversy regarding the extent of lymph node resection in the surgical management of esophageal cancer. In this single-institution study, we examine the significance of total number of lymph node counts on survival in patients with lymph node negative esophageal carcinoma (American Joint… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Improving Functional Esophageal Surgery with a “smart” Bougie: Endoflip®
Introduction: In order to improve the results of functional surgical procedures on the esophagus, the use of intraoperative esophageal manometry has been described to document the ablation of the lower esophageal sphincter (LES) high-pressure zone (HPZ) and to calibrate the pressure of the fundal wrap. An emerging physiology tool, the functional lumen imaging probe (Endoflip®,… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Fundoplication for Gerd; Experience From a Tertiary Care Hospital in India.
Objective: Surgical management for Gastroesophageal reflux disease (GERD) is indicated for reflux uncontrolled on medical therapy. Although laparoscopic fundoplication is considered to be the standard surgical procedure for GERD, very few studies have evaluated laparoscopic fundoplication in Indian population. The study was designed to evaluate Laparoscopic fundoplication in proven cases of GERD and to compare… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery