Paraesophageal Hiatal Hernia Repair Using Gore™ Bio-A™ Tissue Reinforcement, One Year Follow Up Data
Objective: We recently reported a novel technique for repairing paraesophageal hiatal hernias greater than 5cm, using primary non-pledgeted crural repair with onlay fixation of GORE™ BIO-A™ Tissue Reinforcement. The purpose of this report is to present one-year follow up data.Methods: Patients were evaluated at routine clinic follow up visits. Patients with recurrent symptoms of GERD… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Perioperative Outcomes of Surgical Procedures for Recurrent Gerd Following Nissen Fundoplication
Introduction: Anatomic failure and recurrent gastroesophageal reflux (GERD) following fundoplication is a well described occurrence. Occasionally, reoperative surgery is required. The morbidity of revisional GERD surgery can be quite high, and the clinical outcomes may not be as good as is observed following primary antireflux operations. Methods: Data was obtained from a prospectively maintained foregut… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Posterior Vagus Nerve Within or Outside Nissen Fundoplication: Does It Matter?
Background: Laparoscopic Nissen surgery is the gold standard surgical treatment for gastro-esophageal reflux disease. Either one or both vagus nerves can be within or outside the fundoplication. The aim of this study was to determine if placing the posterior vagus nerve within or outside the fundoplication had any effect on patient symptom relief. Materials and… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Recurrent Paraesophageal Hernia with Gastrobronchial Fistula: Laparoscopic Repair
Introduction: The optimal method to manage a second recurrence of a paraesophageal hernia and a simultaneous gastrobronchial fistula is debatable. This video demonstrates a laparoscopic approach to this complex revisional operation performed on a 62 year old female who presented to our office with this diagnosis.History: This patient’s surgical history began with a laparoscopic paraesophageal… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Reoperative Antireflux Surgery for Dysphagia
Background: Little is known regarding the predictors of favorable outcomes following re-do Anti-reflux surgery (Re-ARS). The aims of this study were: (1) to analyze the efficacy of Re-ARS in resolving dysphagia; and (2) to identify risk factors for persistent or new-onset dysphagia after Re-ARS. Methods: After IRB-approval, a prospectively maintained database was retrospectively reviewed to… Continue Reading
- Type:
- Podium Presentations
- 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
Safety of Laparoscopic Paraesophageal Hernia Repair in Octogenarians
BACKGROUNDParaesophageal hernias (PEH) most commonly afflict the elderly, carrying a 10-30% risk of complications including gastrointestinal hemorrhage, gastric volvulus and strangulation. Ninety percent of all PEH hernias in the United States are still being performed via open approach. As a result, due to their frequent accompanying comorbidities and resultant fears of perioperative morbidity, many elderly… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery
Single Port Access Partial Gastrectomy for Gastric Gist.
Introduction: Laparoscopic partial gastrectomy is widely accepted for gastric GIST, because wide resections and excessive lymphadenectomy are usually not required. On the other hand, single port access (SPA) surgery became popular with its cosmetic and less pain benefit for the patients. Therefore, we started SPA partial gastrectomy for gastric GIST.Patients and Operative technique: From July… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Standardization of Video-Assisted Esophagectomy: Hand-Assisted Thoracoscopic Surgery As a Safety Procedure
Introduction: Hand-assisted laparoscopic surgery has been recognized as a safe laparoscopic operative procedure for gastrointestinal malignancies. Although laparoscopic procedure has recently been applied for esophageal cancer, open surgery still remains the standard operative procedure. To overcome the technical difficulty of video-assisted esophagectomy, we applied hand-assisted surgery in VATS esophagectomy. The aim of this study is… 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
Techniques of Roux-en Y Reconstruction Using Reversed Rho-shaped Side-to-side Esophago-jejunostomy in Laparoscopy-Assisted Total Gastrectomy (latg)
Recently, laparoscopy-assisted total gastrectomy (LATG) has been performed for the treatment of early proximal cancer. In LATG, there are technical difficulties of performing laparoscopic reconstruction, especially esophago-jejunostomy. On the purpose of decreasing the incidence of the anastomotic troubles, we have developed the Roux-en Y reconstruction using reversed rho-shaped side-to-side esophago-jejunostomy.Techniques Under laparoscopic techniques, the mobilization… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Impacft of Obesity and Hiatal Hernia on the Long Term Result of Laparoscopic Heller Myotomy
Introduction: To identify pre-operative, intra-operative, and post-operative variables that impact the long term results of laparoscopic Heller myotomy in patients with Achalasia. Methods and Procedures: A retrospective record review and telephone interview with a standardized questionnaire was conducted on 122 consecutive patients who underwent a laparoscopic Heller myotomy from 1995 to 2008. A partial fundoplication… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The M,anagement of Gastroesophageal Reflux Disease-related Pulmonary Symptoms By Laparoscopic Fundoplication
Background: Gastroesophageal Reflux Disease (GERD) is frequently associated with pulmonary symptoms. Symptoms such as asthma, cough and wheezing may be severe and occasionally life threatening. Unfortunately they are not necessarily recognized as caused by reflux. Therapy can exacerbate the symptoms by causing worsening reflux. Laparoscopic Fundoplication has proven to be very effective in controlling reflux… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Risk of Combined Organ Resection in Radical Gastrectomy
Background: Combined organ resection was not rare operation in gastric cancer surgery. Cholecystectomy and splenectomy were most frequently operated in gastrectomy. Additionally, the development of the laparoscopic surgery offers more chance to operate with them. We investigated the risk of the combined organ resection in gastric cancer surgery. Materials and Methods: The clinical data on… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Risk of Recurrence in Laparoscopy-Assisted Radical Gastrectomy
Background: We investigated the risk of recurrence in laparoscopy-assisted radical gastrectomy.Materials and Methods: The clinical data on 398 consecutive patients were retrospectively reviewed, who underwent radical gastrectomy with D2-level lymph node dissection for gastric cancer at Gyeongsang National University Hospital between January 2005 and December 2007, were analyzed. Results: Of the 398 patients with gastric… Continue Reading
- Type:
- Podium Presentations
- Topic:
- Esophageal / Gastric Surgery