Laparoscopic Treatment of Subepithelial Gastric Lesions in an Enhanced Recovery Programme: A Prospective Study
Carmen L Mueller, MD BScH, Teodor P Grantcharov, MD PhD FRCSC FACS. St. Michael's Hospital, Toronto, Ontario, Canada INTRODUCTION:Gastric subepithelial lesions are frequent incidental findings on upper endoscopy, and potentially-malignant lesions warrant surgical resection. The laparoscopic approach to many surgical procedures is associated with less pain and organ dysfunction than open surgery. Similarly, enhanced peri-operative… Continue Reading
Laparoscopic Truncal Vagotomy, Antrectomy and Billroth II Reconstruction for Chronic Non-Healing Peptic Ulcer Disease: A Case Series and Review of Literature
Aaron M Hurd, MD MS, Mariah Alexander, MD, Matt Mancini, MD, Gregory Mancini, MD. University of Tennessee Graduate School of Medicine Background: Despite advances in medical and endoscopic management of peptic ulcer disease, chronic non-healing peptic ulcer disease remains the most common indication for well-described anti-ulcer surgical procedures. The severity of ulcer disease refractory to… Continue Reading
Laparoscopic Versus Open Distal Gastrectomy for Adenocarcinoma in a Non Academic Hospital: A Case-Control Study
Francesco Feroci, MD, Elisa Lenzi, MD, Maddalena Baraghini, MD, Stefano Cantafio, MD, Luca Moraldi, MD, Katrin C Kroning, MD, Marco Scatizzi, MD. General Surgery Department, Misericordia e Dolce Hospital, Prato, Italy. Background: In a non specialized setting, laparoscopic gastrectomy for advanced diseases remains controversial, particularly given to the technical demands of the learning curve required… Continue Reading
Laparoscopic Wedge Resection of Gastric Submucosal Tumors
Bac Nguyen Hoang, PhD MD, Long Vo Duy, MD. University Medical Center, Hochiminh city Viet Nam Background Surgery remains the only curative treatment for gastrointestinal stromal tumor (GIST). Resection needs to ensure tumour-free margins while lymphadenectomy is not required. Thus, gastric wedge resection is the treatment of choice for small gastric tumors. Laparoscopic resection of… Continue Reading
Laparoscopy-Assisted Distal Gastrectomy for Early Gastric Cancer and Laparoscopic Cholecystectomy for Gallstone with Complete Situs Inversus: A Case Report
Kyung Won Seo, MD, Ki Young Yoon, MD PhD. Deparment of Surgery, College of Medicine, Kosin University, Busan, South Korea We report our case of laparoscopy-assisted distal gastrectomy with standard D2 lymph node dissection for a patient with early gastric cancer and Laparoscopic cholecystectomy for Gallstone with situs inversus totalis. A superficial elevated lesion was… Continue Reading
Long-Term Outcomes After Laparoscopic Heller Myotomy and Dor Fundoplication for Diffuse Esophageal Spasm
Maha Shakir, MD, Jonathan Carter, MD, Lawrence Way, MD. General Surgery, UCSF Introduction: While outcomes of laparoscopic Heller myotomy and Dor fundoplication for achalasia are excellent, outcomes for diffuse esophageal spasm (DES) are less predictable. We hypothesized that when dysphagia is the predominant symptom, a laparoscopic myotomy and Dor fundoplication would provide relief. Methods: We… Continue Reading
Long-Term Outcomes of Laparoscopic Fundoplication for Gastroesophageal Reflux Disease in Japanese Patients
Fumiaki Yano, MD FACS, Nobuo Omura, MD, Kazuto Tsuboi, MD, Masato Hoshino, MD, Yoshio Ishibashi, MD, Katsunori Nishikawa, MD, Yuichiro Tanaka, MD, Hideyuki Kashiwagi, MD, Katsuhiko Yanaga, MD FACS. Department of Surgery, Jikei University School of Medicine, Tokyo, Japan Introduction: The laparoscopic fundoplication (LF) is an accepted surgical treatment for gastroesophageal reflux disease (GERD). However,… Continue Reading
Long Term Results of Laparoscopic Radical Gastrectomy with D2 Lymph Node Dissection in a Tertiary Centre
C Palanivelu, MCH FACS FRCS, P Senthilnathan, MS DNB, P S Rajan, MS FACS, V Vaithiswaran, MS MRCS, A Manoj, MS. GEM Hospital OBJECTIVE As the experience with advanced laparoscopy is increasing, its application in the management of carcinoma stomach is on the rise. In this study we tried to analyze the safety, oncological adequacy… Continue Reading
Management of Refractory Diabetic Gastroparesis: Too Pace Or Bypass?
J Roberto Ramirez, MD, Daniel A Guerron, MD, Bipand Chand, MD. Cleveland Clinic Foundation BACKGROUND Diabetic gastroparesis (DGP) affects up to 40% of patients with type 1 diabetes and up to 30% of patients with type II diabetes. DGP typically causes nausea, vomiting, early satiety, bloating, and postprandial fullness. The standard treatment of symptomatic DGP… Continue Reading
Mediastinoscopic Transhiatal Esophagectomy for Carcinoma of the Lower Third of the Esophagus Using On-The-Table Endoscopy
A Miura, MD PhD, Y Izumi, MD PhD, T Ryotokuji, MD, T Kato, MD, M Yoshida, MD PhD. Tokyo Metropolitan Cancer and Infectious Diseases Center, Komagome Hospital BACKGOUND: Minimally invasive esophagectomy without thoracotomy has the potential advantages of an easier recovery after operation and fewer pulmonary complications. We introduced mediastinocopic transhiatal esophagectomy for the patients… Continue Reading
Metastatic signet cell GC: An unusual presentation
Alexander Ramirez Valderrama, MD, Dan Ruiz, MD, Venkata R Kakarla, MD, Alexander Kraev, MD, Stephen Merola, MD FACS, Litong Du, MD FACS, James Turner, MD FACS. New York Hospital Queens Signet ring cell gastric carcinomas are characterized by poor prognosis and potential to infiltrate the gastric wall. Until 29% of patients with gastric cancer had… Continue Reading
Minimally Invasive Esophago- Gastrectomy with Intra Thoracic Anastomosis (ivor-Lewis)
C Palanivelu, MCH FACS FRCS, S Rajapandian, MS DNB, R Sathiyamurthy, MS, P Praveenraj, MS, R Parthasarathi, MS, V Vaithiswaran, MS. GEM Hospital Introduction:Commonest type of Gastro esophageal junction growth in our region is Siewert type III with involvement of the cardia. After resection with adequate margin, the length of the stomach tube might not… Continue Reading
- Topic:
- Foregut
Modified Laparoendoscopic Gastrostomy Tube (legt) Placement in Infants and Children: Outcomes of Our All in One Technique
Ashwin Pimpalwar, MD, Saif Hassan, MD. Michael E DeBakey department of surgery, division of Pediatric surgery, Baylor college of medicine, Texas Children's Hospital, Houston, Texas. Our modified LEGT technique has the cumulative advantage of all the other described techniques but does not share any of their complications. We report early results of our modified LEGT… Continue Reading
Nissen Fundoplication with Pure Single Incision Laparoscopy Technique
UMUT BARBAROS, MD, TUGRUL DEMIREL, MD, AZIZ SÜMER, AHMET DINÇÇAG, OSMAN GÖZKÜN, RIDVAN SEVEN, SELÇUK MERCAN. Istanbul university, Istanbul Faculty of Medicine, Department of General Surgery Aim: The repair of a hiatal hernia presenting with reflux disease and a standart fundoplication via single incision with out any assistance of any other port. Methods: A 29… Continue Reading
Novel Technique for Reduced Incision Laparoscopic Nissen Fundoplication Using a Single Incision Multiport Access Device with Flexible Instrumentation
John G Linn, MD, Kyle A Perry, MD, W. Scott Melvin, MD. The Ohio State University Medical Center INTRODUCTION: Reduced incision surgery has generated significant interest in recent years. Few reports of reduced incision gastroesophageal fundoplication have been described. We report our initial case of a novel technique for reduced incision laparoscopic fundoplication using a… Continue Reading
- Topic:
- Foregut