Laparoscopic Fundoplication for Gastro-esophageal Reflux Disease: A 10 Year Experience
Laparoscopic fundopliction(LF) has become the treatment of choice for patients who need surgery for gastroesophageal reflux disease(GERD). In this retrospective study, we outline our experience with laparoscopic fundoplication over a 10 year period.Materials and Methods: From 1999 to 2008, 62 patients underwent a LF for GERD. Pre-operative evaluation consisted of endoscopy, a barium swallow, esophageal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic D2 Lymph Node Dissection with Total Gastrectomy and Hunt Lawrenc Jejunal Pouch Reconstruction for Carcinoma Stomach
Introduction:D2 lymph node dissection for early gastric cancer was popularized by the Japanese, though it is still controversial. The adequacy of laparoscopic node harvest remains doubtful. In this video, we present a laparoscopic D2 dissection with total gastrectomy and jejunal pouch anastamosis. Methods: The patient is placed supine with legs apart so that the surgeon… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Feasibility and Post Operative Outcome of Minimally Invasive Esophagectomy in Patients Who Received Neoadjuvant Chemotherapy for Locally Advanced Esophageal Cancer
Background: The use of Neo adjuvant chemotherapy followed by surgery is preferred by many centers dealing with locally advanced esophageal cancer. Minimally invasive surgery is also being evaluated in many centres for management of esophageal cancer. Aim: To compare technical feasibility and post operative outcome of minimally invasive esophagectomy in patients who received neoadjuvant chemotherapy… 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
A New Synthetic Bioabsorbable Prosthetic and Method of Fixation for Mesh Reinforcement of Crural Closure During Hiatal Hernia Repair
OBJECTIVE: It is well established by Level 1 data that mesh reinforcement of the crural closure for hiatal hernia repair decreases the risk of recurrence of the hernia. Most of the early studies used various synthetic meshes for repair of hiatal hernia and while they showed decreased recurrence rates, the fear of erosion of the… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Gastrectomy for Cancer
Background. Laparoscopic surgery has limited application in the surgical management of gastric neoplasms, worldwide. In our department the laparoscopic approach is used mainly for staging of gastric neoplasms, but also with curative intent in selected cases. Material and Methods During the last two years we performed: i) 10 laparoscopies for staging of gastric adenocarcinoma, ii)… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Gastroduodenal Intussusception Without Underlying Mass
Introduction: Gastroduodenal intussusception is a rare condition. Fewer than 80 cases have been reported in the literature. Usually, a gastric mass acts as a lead point of the intussuception. Both benign and malignant tumors have been implicated as potential lead points. Case Presentation: A 79 year-old female presented to the ER with dysphagia and epigastric… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Tailored Approach to Minimally Invasive Resection of Gastirc Gist
The goal of surgical resection of gastric gastrointestinal stromal tumor (GIST) is to achieve a negative pathologic surgical margin while limiting morbidity. In most cases, nonanatomic wedge resections are sufficient. Laparoscopic surgery is an acceptable option as long as standard oncologic principles are followed, with multiple case series demonstrating similar oncological outcomes as open resection.… Continue Reading
- 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
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
Is Surgery a Better Option As First Line Treatment for Achalasia?: A Comparison of Laparoscopic Esophagomyotomy with Fundoplication and Endoscopic Dilation
INTRODUCTION: Recent studies have shown laparoscopic esophagomyotomy with fundoplication (LM) to have superior long-term symptom relief and low rates of post-operative gastroesophageal reflux when compared to endoscopic dilation (ED). This study evaluates the morbidity, mortality and cost of treating achalasia with LM versus ED.METHODS: The University HealthSystem Consortium (UHC) is an alliance of more than… Continue Reading
- Type:
- Posters of Distinction
- Topic:
- Esophageal / Gastric Surgery
Reoperative Laparoscopic Paraesophageal Herniorraphy Can Produce Excellent Outcomes
Introduction: Patients undergoing laparoscopic paraesophageal herniorraphy, either initial or recurrent, present with a myriad of esophageal and extra-esophageal symptoms. Given an overall recurrence rate of approximately 8%, reoperative paraesophageal herniorraphy is necessary on a significant number of patients. The goal of this study is to determine whether patients proceeding with laparoscopic reoperative paraesophageal herniorraphy experienced… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Three \”5mm\” Ports Laparoscopic Nissen Fundoplication – the Least Invasive So Far.
Aims Laparoscopic surgery is well established for more than 20 years. Laparoscopic antireflux surgery is well accepted world wide and is prformed for many patients suffering from GERD. Some endoscopic treatments were tried in the past but the results have been less than satisfactory. Currently GERD is managed with operations performed laparoscopically with four or… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Laparo-endoscopic Single Site (less) Heller Myotomy and Anterior Fundoplication for Achalasia
Introduction: Laparo-Endoscopic Single Site (LESS) surgery is beginning to include advanced laparoscopic operations, such as Heller myotomy with anterior fundoplication. However, the feasibility and efficacy of LESS Heller myotomy and anterior fundoplication has not been established. This study was undertaken to evaluate our initial experience with LESS Heller myotomy and anterior fundoplication for achalasia. Methods:… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Impact of a visiting preceptor on the institutional surgical results of LADG
Laparoscopy assisted distal gastrectomy (LADG) is widely accepted as a new standard surgical treatment for early gastric cancer. However, LADG is a difficult operation with long learning curve. A training program for LADG was still premature. A beginner surgeon made a great effort for starting this surgery at inexperienced institute. Lecture video or text book… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery