Transanal Endoscopic Surgery With Peritoneal Entry: A Word of Caution
George Molina, MD, Liliana Bordeianou, MD, Paul Shellito, MD, Patricia Sylla, MD. Massachusetts General HospitalINTRODUCTION: Peritoneal entry with loss of pneumoperitoneum during TEM can be safely managed with full-thickness suture closure in experienced hands. Early results with transanal minimally invasive surgery (TAMIS) demonstrated preliminary safety, but the overall experience with upper rectal tumors across multiple… Continue Reading
Transoral cricomyotomy using a flexible endoscope: technique and clinical outcomes
Radu Pescarus, MD1, Eran Shlomovitz, MD2, Maria Cassera, BSc3, Ahmed Sharata, MD3, Kevin M Reavis, MD3, Christy M Dunst, MD3, Lee L Swanstrom, MD3. 1Hopital Sacre-Coeur, Universite de Montreal, 2University Health Network, University of Toronto, 3The Oregon Clinic, Portland, Oregon INTRODUCTION Zenker’s diverticulum (ZD) is rare upper esophageal pathology that is most prevalent in the… Continue Reading
Transoral Incisionless Fundoplication and Laparoscopic Nissen Fundoplication Provide Similar Improvements in Reflux Disese-specific Quality of Life: A 1 Year Case Control Study
Matthew R Pittman1, Jennifer S Schwartz1, Sara E Martin del Campo1, W. Scott Melvin2, Kyle A Perry1. 1The Ohio State University Medical Center, 2Montefiore Medical CenterINTRODUCTION: Laparoscopic Nissen fundoplication (LNF) is the standard of care for surgical management of gastroesophageal reflux disease (GERD). Transoral incisionless fundoplication (TIF) offers an endoscopic alternative that enhances the gastroesophageal… Continue Reading
Transoral Incisionless Fundoplication for Refractory GERD: A community practice experience
Aliu Sanni, MD1, Ifeoma Oriala, BS2, Phillip Yun, BA3, Mateo Guarderas, BS4, Christian Cruz, MD1, Angel Farinas, MD1, Angelina Postoev, MD1, Christopher Ibikunle, MD, FACS1. 1Georgia Surgicare / University of Georgia, 2International American University, 3GRU/UGA Medical Partnership, 4Universidad San Francisco de QuitoIntroduction Adequate control of refractory regurgitation and esophageal manifestations experienced by chronic gastroesophageal reflux… Continue Reading
Transoral Incisionless Fundoplication with Laparoscopic Hiatal Hernia Repair Reinforced with Biologic Mesh: Outcomes And Clinical Experience
Craig G Chang, MD. General and Bariatric SurgeryOBJECTIVE: Our objective was to examine efficacy and safety outcomes for laparoscopic hiatal hernia repair (LHHR) with biologic mesh reinforcement [VERITAS Collagen Matrix, Baxter Healthcare], followed by transoral incisionless fundoplication (TIF) [EsophyX, EndoGastric Solutions] in patients with hiatal hernias > 2 cm. DESCRIPTION/METHOD OF APPLICATION: Gastroesophageal reflux disease… Continue Reading
Transumbilical single-incision laparoscopic deroofing for hepatic and splenic cysts
Takeshi Gocho, MD, Takeyuki Misawa, MD, PhD, Koichiro Haruki, MD, PhD, Ryota Saito, MD, PhD, Tadashi Akiba, MD, PhD, Katsuhiko Yanaga, MD, PhD. Jikei University School of MedicineBackground and Objective: Laparoscopic deroofing has become a standard approach for symptomatic hepatic and splenic cysts because of the low recurrence rate and minimal postoperative pain. Recent interest… Continue Reading
Traumatic Parahiatal Hernia Containing Remnant Stomach
Ruchir Puri, MD1, Steven P Bowers, MD2. 1Mayo Clinic Health System, 2Mayo Clinic, FloridaIntroduction Laparoscopic Roux en Y Gastric Bypass (LRYGB) is the commonest procedure performed for morbid obesity generally with good results. Some of the known surgical complications include anastomotic leaks, small bowel obstruction which includes internal hernias through the Petersen’s defect. We present… Continue Reading
Trends in Laparoscopy: Study of 1,999 Pregnant Patients
Tiffany C Cox, MD, Ciara R Huntington, MD, Laurel J Blair, MD, Tanushree Prasad, MA, Vedra A Augenstein, MD, FACS, B. Todd Heniford, MD, FACS. Carolinas Medical CenterIntroduction: When pregnant patients require surgery, whether to perform operations open or laparoscopic is often debated. We studied the impact of laparoscopy for common general surgical problems in… Continue Reading
True NOTES TME resection with splenic flexure release, high ligation of IMA, and end to side hand sewn coloanal anastomosis
Nicolas Lopez-Acevedo, MD, Grace A Montenegro, MD, Matthew N Johnson, BA, John H Marks, MD. Lankenau Medical CenterBackground: Natural Orifice Transluminal Endoscopic Surgery (NOTES) represents the ultimate expression of minimally invasive surgery. Unlike in other areas where a healthy organ is perforated in order to address the diseased organ, in rectal surgery a natural orifice… Continue Reading
Tumor Size Does Not Affect Survival in Stage 1 Colorectal Cancer Patients
Onur Kutlu, MD, Milad Mohammadi, MD, Steven Garcia, MD, Mark Williams, MD, Sharmila Dissanaike, MD. TTUHSC-LubbockBackground: The current standard for staging colorectal cancer includes tumor depth, nodal status and metastases. It is known that prognosis is highly affected by the latter two of the staging model. For many different cancers tumor size is important in… Continue Reading
Two cases of esophageal submucosal tumor treated by thoracoscopic enucleation
Yusuke Nakagawa, Katuhiro Tomofuji, Tomoyuki Nagaoka, Tomoaki Okada, Tatuo Yamauti, Naoki Isida, Yoshinori Imai, Taro Nakamura, Hidenori Kiyoti, Kennzou Okada, Sinsuke Kajiwara. uwajima city hospitalWe reported two cases of esophageal submucosal tumor treated by thoracoscopic enucleation. Case 1 is that of a 61-year-old woman who was refered to our hospital for examination of a posterior… Continue Reading
Two Port Laparoscopic Cholecystectomy Using 10 Mm Umblical Port and 5 Mm Epigastric Port With Standard Instruments
Dp Singh, MBBSMS, Ashwani Kumar. Government Medical College and Rajindra Hospital, Patiala. IndiaEver since the advent of Laparoscopic Cholecystectomy, where in, it has established itself as the Gold Standard in the management of Gall Bladder disease, the effort has been to decrease the size of the incisions and the number of the ports . This… Continue Reading
Two ports laparoscopic inguinal hernia repair in children.
Medhat Ibrahim, MD. RCMCIntroduction: Several laparoscopic treatment techniques have developed over the last two decades, designed for improving the outcome. The various techniques differ in their approach to the inguinal internal ring, suturing and knotting techniques, number of ports used in the procedures, endoscopic instruments used, and mode of dissection of the hernia sac, extracorporeal… Continue Reading
Two-stage laparoscopic approach for a bile duct injury with a two-week biliary peritonitis
Marcel Sanhueza, MD1, Rose Marie Mege, MD1, Eduardo Vinuela, MD1, Eduardo Briceno, MD1, Cristian Diaz, MD1, Constanza Godoy1, Gustavo Carvalho, MD, PhD2, Julian Varas, MD3, Nicolas Jarufe3, Alfonso Diaz, MD1. 1Complejo Asistencial Dr. Sotero del Rio de Chile, 2Faculty of Medical Sciences, University of Pernambuco, Recife, Brazil, 3Department of digestive surgery, Pontificia Universidad Catolica de… Continue Reading
Two Weird Intragastric Balloon Cases
Baris D Yildiz, MD. Ankara Numune Teaching HospitalIntroduction: The most widely studied of the minimally invasive endoscopic therapies for obesity is the gastric balloon (GB). Here we describe two cases of endoscopic balloon placement in which balloons did not inflate properly without causing any immediate or long term complications. Case 1: 36 years old female… Continue Reading