Laparoscopic Take-down of Dor Plication with redo of Heller Myotomy
Maria C Fonseca, MD, Cristian A Milla Matute, MD, Joel S Frieder, MD, David Romero Funes, MD, Armando Rosales, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MDPhD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Clevelan Clinic FloridaRecurrent achalasia occurs in 10-20 % of the cases after surgical myotomy. Therapeutic options entail endoscopic dilatation,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic surgery for mechanical small bowel obstruction due to appendicitis
Andrew Mueller, MD1, Carl Tadaki, MD2. 1University of Hawaii, 2Straub Medical CenterA 53 year old male with no prior history of abdominal surgery presented to the emergency department with a two day history of abdominal pain, nausea and vomiting, and absent flatus and bowel movements. During the initial physical exam the patient was found to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
LAPAROSCOPIC PARAESOPHAGEAL HERNIA REPAIR, TOUPET FUNDOPLICATION, CHOLECYSTECTOMY, AND COMMON BILE DUCT EXPLORATION IN A PATIENT WITH SYMPTOMATIC CHOLEDOCHOLITHIASIS
Ryan J Campagna, MD, Amy L Holmstrom, MD, Ezra N Teitelbaum, MD, MEd. Northwestern University Feinberg School of MedicineWe present the case of an 82-year-old female who presented with symptomatic choledocholithiasis. A large type III paraesophageal hernia was discovered during an attempted endoscopic retrograde cholangiopancreatography, which was ultimately unsuccessful due to the hernia. Further questioning… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
THE MODIFIED TRANS-GASTRIC ENDOSCOPIC RENDEZVOUS TECHNIQUE: REMOVAL OF A NON-ADJUSTABLE GASTRIC BAND
Connal Robertson-More, MD1, Kieran Purich, MD2, Jerry T Dang, MD2, Aliyah Kanji, MD2, Shahzeer Karmali, MD, MPH2. 1University Hospitals Coventry and Warwickshire NHS Trust, 2University of AlbertaBackground: The non-adjustable gastric band was developed by Marcel Molina in 1980 for the treatment of severe obesity. Although demonstrating short term success, this gastric segmentation procedure has generally… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Robotic Transanal Excision of Early Rectal Neoplasm
Jarvis W Walters, DO, Ada Graham, MD, Vincent Obias, MD, FACS, FASCRS. George Washington University Medical CenterThe tortuous anatomy of the rectum and distal colon presents challenges in transanal surgery. This video depicts a transanal excision of an early rectal neoplasm using a flexible endoluminal robotic surgical system.Presented at the SAGES 2017 Annual Meeting in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Robotics
Robotic Heller Myotomy with Dor or Toupet Fundoplication
Sarah Samreen, MD, Crystal M Krause, PhD, Dmitry Oleynikov, MD. University of Nebraska Medical CenterThis is a presentation of a robotic Heller Myotomy, showing both a partial anterior (Dor) and a posterior (Toupet) fundoplication. The first case is a 44 year old female who presents with dysphagia and regurgitation. Manometry shows evidence of type I… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparosopic Resection of Candy Cane after Roux-En-Y Gastric Bypass
Michelle Estrada, MD, Theophilus Pham, MBA, Adel Alhaj Saleh, MD, MRCS, Amir Aryaie, MD, FACS. Texas Tech University Health Sciences CenterCase Background 49-year-old female with 1-year history of worsening epigastricpain Pain characterized as constant, dull and squeezing, worsened by oral intake, especially of meat and leafy vegetables Associated nausea, vomiting, choking that is worse at night… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
RETROPERITONEAL TUMOR SURGICAL TREATMENT BY MINIMALLY INVASIVE APPROACH
Aurelio Francisco Aranzana Gomez, Jara Hernandez Gutierrez, Beatriz Muñoz Jimenez, Juan S Malo Corral. CH ToledoIntroduction: Retroperitoneal primary tumors comprise a great variety of neoplasm with different histological typologies, with insidious clinical symptoms and little specificity in most cases. Its diagnosis is established through imaging tests and anatomopathological study is needed so complete surgical resection is… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Laparoendoscopic Transgastric Resection of 2 masses of 8.5cm
Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Richard A Perugini, MD. University of MassachusettsGastrointestinal stromal tumors (GISTs) are rare and the only opportunity for cure is total surgical resection with gross negative margins. National Comprehensive Cancer Network (NCCN) guidelines from 2010 recommend laparoscopic resection for tumors up to 5cm but recommend open surgery for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Jejunojejunostomy Intussusception after Laparoscopic Roux-en-Y Gastric Bypass
Andrew M Martin, MD, Brandon M Smith, MD, John G Zografakis, MD. Summa Health System/NEOMEDThis video presentation demonstrates the work up, diagnosis, and treatment of a patient with history of Laparoscopic Roux-En-Y gastric bypass who presents with a retrograde jejunal intussusception of the common channel. This particular patient had LRYGB with jejunojejunal anastomosis created using… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
A rare cause of post-operative small bowel obstruction following laparoscopic Roux-En-Y Gastric Bypass surgery
Alph Emmanuel, MD, S. Julie-Ann Lloyd, MD, PhD, Bestoun H Ahmed, MD, FACS, FASMBS. University of Pittsburgh Medical Center, PASmall bowel obstruction following laparoscopic Roux-en-Y gastric bypass surgery is an uncommon complication with reported incidence of 1.5 to 5 %. The most common causes are internal hernia, roux limb stricture and adhesions causing 89% of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Treatment of Refractory GERD: Conversion of Sleeve Gastrectomy and Dor Fundoplication to Gastric Bypass
Crystal Alvarez, DO, Maher Musleh, MD, FACS, Juan Carlos Quispe, MD, Esther Wu, MD, Panicha Kittipha, MSN, RN, Daniel Srikureja, MD, Jeffrey Quigley, DO, Marcos Michelotti, MD, FACS, Keith Scharf, DO, FACS, FASMBS, Aarthy Kannappan, MD. Loma Linda University Medical CenterOur patient is a 50 year old female with a complicated bariatric surgery history who… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic treatment of choledochal cyst with stapled hepaticojejunostomy
Sarfaraz Baig, MS, FRCS. Belle Vue ClinicLaparoscopic treatment of choledochal cyst is technically challenging. Leak stays the major cause of morbidity. With time, we have changed our technique of hepaticojejunostomy to include the use of staplers. With this technique, we are able to reduce the tension on the anastomosis as well as have makes the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic Morgagni Hernia Repair
Robin B Osofsky, MD, Cyril Kamya, MD, Louis Melendez, Rodrigo Rodriguez, MD, Edward Auyang, MD. University of New Mexico, Department of SurgeryMorgagni-Larrey Hernia is an anteromedial type of congenital diaphragmatic hernia (CDH). They were first described by Morgagni in 1760 and later characterized by Larrey in 1829. It is the least common type of CDH… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
LAPAROSCOPIC REVERSAL OF ROUX-EN-Y GASTRIC BYPASS: ROUX TO REMNANT NEO-GASTROJEJUNOSTOMY
Maria C Fonseca, MD, Coney Bae, MD, Camila Ortiz-Gomez, MD, Joel S Frieder, MD, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaA 52-year-old active smoker with a history of Roux-en-Y gastric bypass (RYGB) 15 years prior presents with recalcitrant diarrhea, weight loss… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity