Laparoscopic repair of a newly diagnosed Morgagni hernia in a patient with prior paraesophageal hernia repair
Julietta H Chang, MD, Ozanan Meireles, MD, David W Rattner, MD. Massachusetts General HospitalAnterior diaphragmatic hernias were first described by Morgagni in 1769. Unlike Bochdalek hernias, these tend to be smaller and clinically less significant on pulmonary function in the neonatal period. However, they can become symptomatic as they enlarge in adulthood. Our patient is… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic repair of perforated peptic ulcer with barbed knotless suture: A novel approach
Amanda C Pysher, MD1, Lilly Meredith, BA1, C. Steeve David, MD2, C. Francisco Espinel, MD2, J. R Salameh, MD2. 1MedStar Georgetown University Hospital, 2Virginia Hospital CenterBackground: In the past decade, the benefits of laparoscopic repair of perforated peptic ulcers (PPU) have been clearly established. The main drawbacks to laparoscopic repair are prolonged operative time and… Continue Reading
Laparoscopic Repair of Recurrent Paraesophageal Hernia is Safe and Effective
Ahmed M Zihni, MD, MPH, Christy M Dunst, MD, Walaa F Abdelmoaty, MD, MBA, Filippo Filicori, MD, Rosen Ilchev, BS, Daniel Davila-Bradley, MD, Kevin Reavis, MD, Lee Swanstrom, MD, Steven R DeMeester, MD. The Oregon ClinicIntroduction: Paraesophageal hernia repairs are increasing in prevalence, and unfortunately carry a high recurrence rate. Consequently, reoperation is expected to… Continue Reading
LAPAROSCOPIC RESECTIONS FOR GASTRIC AND DUODENAL GISTS: EXPERIENCE ON 72 PATIENTS. TECHNICAL ASPECTS OF DIFFERENT TYPES OF RESECTIONS.
Seda Dzhantukhanova, Yury Starkov, Mikhail Vybornyi. Vishnevsky Institute of SurgeryBackground: Gastrointestinal stromal tumor (GIST) is the neoplasm with malignant potential, which have determined active surgical tactics requiring complete resection for cure. Objective: To develop and demonstrate different surgical techniques for laparoscopic resection of gastric and duodenal GISTs in different clinical cases depending on the size… Continue Reading
Laparoscopic Revision of Billroth I Gastro-Duodenostomy to Roux-en-Y Gastro-Jejunostomy
Luis F Zorrilla-Nunez, MD, Raul J Rosenthal, MD, Federico Serrot, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaThis video demonstrates feasibility of complex revisional foregut surgery in a patient with BMI of 21 and severe peptic ulcer disease (PUD). This is a laparoscopic revision of Billroth I gastro-jejunostomy to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic subtotal gastrectomy with D2 lymph node dissection for gastric cancer: Step by Step
Wipusit Taesombat, MD, Methee Sutherasan, MD, Bunthoon Nonthasoot, MD, Supanit Nivatvongs, MD, Boonchoo Sirichindakul, MD. Department of Surgery, King Chulalongkorn memorial hospital, Chulalongkorn university, ThailandIntroduction: Laparoscopic surgery for gastric cancer is challenging and technically demanding procedure especially combining lymph node dissection. We presented a 72 year-old female with gastric cancer at antrum underwent totally laparoscopic… Continue Reading
- Topic:
- Foregut
Laparoscopic total gastrectomy, take down of prior duodenojejunostomy and Roux-en-Y esophagojejunostomy
Tariq Almerey, MD, Javier Arreaza, MD, Horacio J Asbun, MD. Mayo Clinic FloridaIntroduction: Familiar adenomatous polyposis (FAP) is the most common inherited adenomatous polyposis syndrome and is caused by a germline mutation of the APC tumor suppressor gene. The average age of onset of polyposis in FAP is 16 years and is primarily characterized by… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC TRANSGASTRIC RESECTION OF A MASS AT THE ESOPHAGOGASTRIC JUNCTION
Andrew T Strong, MD1, Carlos M Abril, MD2, Matthew Kroh, MD2. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiGastrointestinal stromal tumors of the stomach are submucosal masses often found incidentally during endoscopy or on cross sectional imaging. Resection is typically recommended due to the malignant potential, and is most commonly accomplished by wedge gastrectomy. This video describes… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Transgastric Resection of Gastric Cardia Mass
MacKenzie Landin, MD, Kristine Makiewicz, MD, Benjamin R Veenstra, MD. Rush University Medical CenterWe present a case of laparoscopic transgastric resection of a gastric cardia mass in a patient with atypical symptomatic gastric reflux. The patient had a large leiomyoma negatively impacting his quality of life and a combined laparoscopic and endoscopic procedure was performed… Continue Reading
- Topic:
- Foregut
Laparoscopic transhiatal approach for treatment of esophagogastric junction cancer
Yoontaek Lee, MD, Sa-Hong Min, MD, Young Suk Park, MD, Sang-Hoon Ahn, MD, Do Joong Park, MD, PhD. Seoul National University Bundang HospitalPurpose: Laparoscopic transhiatal approach(LA) for esophagogastric junction cancer has advantage in point of providing better view comparing with open approach(OA). In the present study, we focus on the surgical outcomes comparing LA with… Continue Reading
Laparoscopic transhiatal resection of Siewert type II cancer
Takahiro Kinoshita, MD, FACS, Masanori Tokunaga, MD, Akio Kaito, MD, Masahiro Watanabe, MD, Shizuki Sugita, MD. National Cancer Center Hospital East, JapanObjective: The optimal surgical approach for Siwert type II cancer is still controversial due to the anatomical complexity of the region. Potential advantages of laparoscopic transhiatal approach have not been fully investigated. Methods and… Continue Reading
LaparoThoracoscopic Esophagectomy, The Ivor Lewis Procedure
Luis F Zorrilla-Nunez, MD, Raul Rosenthal, MD, Matthew Lange, MD, Ramarao Ganga, MD, Samuel Szomstein, MD, Emanuele Lo Menzo, MD. Cleveland Clinic FloridaWe present the case of a 57 year old man with PMH significant for progressive dysphagia (initially to solids and progressed to liquids) and esophagitis with esophageal stricture that was not amendable to… Continue Reading
- Topic:
- Foregut
Large Morgagni Hernia Requiring Pericardotomy and Mesh Closure
Chetan V Aher, Assistant Professor of Surgery, Michael D Holzman, Professor of Surgery. Vanderbilt University Medical CenterIt is my pleasure to present a case of a large Morgagni hernia requiring pericardotomy and mesh closure The patient is a 33-year-old man who initially presented with chest pain and new onset hypertension. His chest x-ray shown here… Continue Reading
- Topic:
- Foregut
LINX DEVICE AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY: A CAUTIONARY TALE
Russell B Hawkins, MD, Camille G Dessaigne, MD, Alexander L Ayzengart, MD, MPH, FACS. University of Florida HealthBackground: The obesity epidemic continues to worsen. Bariatric surgery remains the most effective way to achieve weight loss and resolution of comorbidities. Laparoscopic sleeve gastrectomy has become the most common bariatric operation due to excellent efficacy and low… Continue Reading
LINX® Implant and Explant in a Patient with Morbid Obesity and Refractory GERD
Ryan J Campagna, MD, Jeffrey S Fronza, MD, FACS. Department of Surgery, Northwestern University Feinberg School of MedicineWe submit the case of a 68-year-old female with a history of a sleeve gastrectomy and refractory GERD who underwent LINX® implantation and hiatal hernia repair. Three months post-operatively, the patient developed worsening reflux and dysphagia. She was… Continue Reading
- Topic:
- Foregut