Lower Levels of Occasional Blood Glucose in Patients with Billroth I Reconstruction After Not Vagus Nerve-spared Laparoscoy-Assisted Distal Gastrectomy.
(1) objective of this studyPrevious reports have suggested that patients with early gastric cancer have a favorable prognosis after laparoscopic surgery. Vagus nerve-sparing laroscopically assisted distal gastrectomy (LADG) is a good indication for early gastric cancer concerning function preserved surgery as well as dissecting proper lymph node levels. However, the functional outcome remains unclear. We… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Lung Transplant Candidates May Benefit From Anti-reflux Surgery; Demonstraton of Gastroesophageal Reflux (gerd), Esophageal Motility Disorders and Anatomic Abnormalities in This Population
HYPOTHESIS: Lung transplant candidates are prone to GERD as well as anatomic and motility disorders of their esophagus. GERD and aspiration may contribute to the development of bronchiolitis obliterans, resulting in accelerated graft deterioration following lung transplantation. However, it is not well known whether Lung transplant candidates have functional and/or anatomic abnormalities of their esophagus… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Lymph Node Harvest in Minimally Invasive Esophagectomy for Esophageal Cancer
Background: Minimally invasive surgery is still considered controversial by many in terms of oncological clearance. This may be true due to the long learning curve in minimally access surgery. We postulate that minimally invasive esophagectomy is equally effective, if not better, in terms of radicality and oncological clearance at hands of a well experienced minimally… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Mediastinoscopic Transhiatal Esophagectomy for an Aged Person with Type 4 Thoracic Esophageal Cancer: Report of a Case
A 83-year-old man complaining of disphagia was referred to our hospital for further examination and treatment of esophageal cancer. An upper gastrointestinal endoscopy showed the circumferential stenosis of the esophagus at 33~38cm from the incision teeth. The mucosa of the stenotic part was almost intact with slight erosion and the biopsy specimen from the erosive… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Esophagectomy for Clinical Early Stage Esophageal Squamous Cell Carcinoma: Thoracoscopy Compared with Mediastinoscopy Assisted
Objective:Minimally invasive esophagectomy has been applied wildly for esophageal carcinoma treatment. Thoracoscope-assisted transthoracic esophagectomy(TATTE) and mediastinoscope-assisted transhiatal esophagectomy(MATHE) were two kind of MIE, the objective of this study was to compare these two methods with respect to surgical feasibility and safety. Methods: Single institute experience with MATHE and TATTE was analyzed to assess morbidity, adequacy… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Esophagectomy for Esophageal Cancer Versus Open Thoracoabdominal Esophagectomy
INTRODUCTION: Esophagectomy for esophageal cancer with thoracoabdominal approach is associated with a high rate of morbidity and mortality. Minimally invasive esophagectomy (MIE) using laparoscopic or thoracoscopic surgery has been proposed to decrease these complications. This retrospective study aimed to compare the surgical outcomes between MIE (group A) and conventional open thoracoabdominal approach (group B). METHODS:… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Esophagectomy in a Patient with Portal Hypertension.
Minimally invasive esophagectomy in a patient with portal hypertension. Scott J. Keckler MD, Colleen S. Hupp DO, Amit K. Taggar MD, Mazin F. Al-kasspooles MD, Niazy M. Selim MD, MBChB, PhD. University of Kansas Medical Center, Department of Surgery. Kansas City, KS USA. Introduction: Open surgical resection for esophageal cancer has a high morbidity. As… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Esophago- Gastrectomy (ivor-lewis) a Series of 13 Patients
Introduction: Commonest type of Gastro esophageal junction growth in our region is type III with involvement of the cardia. After resection with adequate margin, the length of the stomach tube might not reach the neck. In such situations Ivor-Lewis Esophago- Gastrectomy with intra thoracic anastamosis is a good alternative. Methods: A retrospective analysis of 13… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Oesophagectomy in England: Trends of Utilisation
Aims: The aim of this study was to describe the trends in uptake of minimally invasive oesophagectomy in England over last 12 years (1996-2008). Methods: The Hospital Episodes Statistics (HES) database is a record based system that since 1986 has collected patient-level data from all English NHS trusts. We examined HES data between April 1996… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Obesity Does Not Increase Operative Morbidity for Esophageal Resection
Objective: To compare operative and postoperative outcomes in patients undergoing esophageal resection by patient Body Mass Index (BMI) Methods: All patients undergoing esophageal resection are entered into a prospectively maintained database. After approval from Institutional Review Board the database was queried to extract data on patients who underwent esophagectomy for malignant disease [squamous cell carcinoma… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Oncological \’holy Plane\’ in Chest for Oesophageal Cancer Resection
Aims Oesophageal carcinoma is an aggressive disease and not all patients are suitable for surgery. In those selected patients who are considered fit for a surgical procedure, the aim is to perform a radical operation to achieve clearance of both the primary tumour and involved lymph nodes. The surgery is technically challenging and we are… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Outcomes After Repair of the Intra-thoracic Stomach: Objective Follow-up Up to 5 Years
IntroductionLaparoscopic surgery is a viable treatment option for intra-thoracic stomach (ITS); however doubts have been raised regarding its efficacy. Routine use of mesh has been advocated. The aim of this study is to look at long term objective and symptomatic outcomes after repair of ITS with selective use of mesh and fundoplication. MethodsA retrospective review… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Outcomes Following Laparoscopic Vs. Robotic Heller Myotomy
Introduction:Achalasia is a rare esophageal motility disorder that is usually treated with endoscopic interventions and/or surgical myotomy. The goal during surgical myotomy is to relieve the esophageal outflow obstruction by dividing all muscle fibers from 2-3 cm distal to the gastroesophageal junction and onto the esophagus 4-6 cm proximally. An incomplete myotomy can lead to… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Outcomes of Laparoscopic Surgery for Esophageal Achalasia in 200 Patients
Introduction: The laparoscopic Heller-Dor (LHD) surgery has become the procedure of choice for the treatment of achalasia. However, the incidence of achalasia is extremely low, and reports on the outcome of surgical treatment are limited. In this study, outcomes of LHD for achalasia in 200 patients at a single institution were evaluated.Methods: Two-hundred consecutive patients… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Overcoming Barriers to Development of a Minimally Invasive Esophagectomy Program
Background: Minimally invasive esophagectomy (MIE) is a technically demanding procedure that requires expertise in advanced laparoscopy and esophageal surgery. Widespread implementation has been hindered by high complication rates and the inability to rapidly demonstrate improved outcomes. We hypothesized that safe and effective development of such a program could be performed without the need for additional… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery