Robot-Assisted Laparoscopic Repair of Hepatic Duct Stricture
Subhashini Ayloo, MD, MPH, Jacob Schwartzman, MD. Rutgers, New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of minimally invasive robot-assisted repair of an indeterminate hepatic duct stricture. Materials and Methods: A 57 year old woman presents with abdominal pain, obstructive jaundice, and elevated LFTs. Diagnostic imaging showed cholelithiasis, choledocholithiasis and a CHD stricture. … Continue Reading
- Topic:
- Biliary
Laparoscopic cholecystectomy for Mirizzi syndrome
Mitchell R Price, MD1, Dimitar S Ranev, MD2. 1Staten Island University Hospital, 2Lenox Hill HospitalThe surgical video shows a challenging laparoscopic cholecystectomy in a 17 year old female patient with Type 1 Mirizzi syndrome. It shows how the operative approach has to be adapted to the altered anatomy - the common hepatic duct and cystic… Continue Reading
- Topic:
- Biliary
LAPAROSCOPIC CHOLEDOCHAL CYST EXCISION IN A PATIENT WHO UNDERWENT A PRIOR CHOLEDOCHODUDENOSTOMY
Srikanth Gadiyaram, Dr, Gaurav Singh, Dr, Yashas H Ramegowda, Dr. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaBackground: Laparoscopic excision of the extrahepatic biliary apparatus with bilio-enteric reconstruction has become standard of care for type 1 choledochal cyst in many centres world wide. Revisional surgery done laparoscopically for excising a choledochal cyst following a… Continue Reading
- Topic:
- Biliary
Laparoscopic management of Splenic cyst: A Spleen preserving effort
Ajay H Bhandarwar, MS, FMAS, FIAGES, FAIS, FICS, FBMS, FLCS1, Priyanka Saha, MBBS1, Amol N Wagh, MS, FMAS, FIAGES, FAIS, FICS, FBMS1, Hridaynath Desai, MS1, Ruchira R Bhattacharya, MBBS2, Amarjeet E Tandur, MS1, Khushboo Kadakia, MBBS1. 1Grant Government Medical College & Sir J.J. Group of Hospitals, Mumbai, India, 2Grant Govt. Medical College & Sir J.J.Group… Continue Reading
CASE REPORT OF INTERNAL HERNIA AFTER ENDOSCOPIC REDUCTION OF GASTRIC VOLVULUS AND DUAL PEG
Katelin A Mirkin, MD, Samantha R Witte, MD, Vamsi V Alli, MD. Penn State Health Milton S. Hershey Medical CenterGastric volvulus in adults is a rare and potentially fatal condition. The use of dual percutaneous endoscopic gastrostomy has been described in the management of gastric volvulus. This technique involves endoscopic de-rotation of the stomach, and… Continue Reading
PURE LAPAROSCOPIC LEFT LATERAL SECTIONECTOMY FOR GIANT HEMANGIOMA OF LEFT LATERAL SEGMENT OF LIVER
Srikanth Gadiyaram, Dr, Kumar Parth, Dr, Gaurav Singh, Dr, Yashas H Ramegowda, Dr. Sahasra Hospitals, Centre of Excellence for Gastroenterology, Bangalore, IndiaBackground: Laparoscopic resection has become standard of care for left lateral sectionectomy (LLS), however, there could be technical challenges in laparoscopic resection while dealing with giant tumors. In a medline search we did not… Continue Reading
LAPAROSCOPIC DEROOFING OF HYDATID CYST OF LIVER USING A 150MM, 12MM XCEL® TROCAR
Aditya Kumar, Hemanga K Bhattacharjee, Manjunath Bale, Suhani Suhani, Rajinder Parshad. All India Institute of Medical SciencesIntroduction: Hydatid disease is a rare zoonotic disease, still prevalent in some parts of the world including India. Open surgery is still common worldwide, but minimal access techniques are gaining momentum. Several techniques have been described in literature and… Continue Reading
- Topic:
- Biliary
ENDOSCOPIC T-TUBE PLACEMENT FOR THE MANAGEMENT OF STAPLE LINE LEAK AFTER LAPAROSCOPIC SLEEVE GASTRECTOMY
Andrew R Luhrs, MD, A. Daniel Guerron, MD, Dana Portenier, MD. Duke University Health SystemBackground: Laparoscopic sleeve gastrectomy (LSG) is the most commonly performed bariatric procedure world-wide, consisting of nearly 50% of all procedures performed1. Despite increased adoption and utilization of LSG, staple line leak (SLL) remains a troublesome complication with significant morbidity and mortality. SLL… Continue Reading
Laparoscopic Sleeve Gastrectomy using the Standard Clamp Technique
Arianne T Train, DO, MPH, Steven D Schwaitzberg, MD, MA, Aaron B Hoffman, MD. The State University of New York at Buffalo, Jacobs School of Medicine and Biomedical SciencesIntroduction: Sleeve gastrectomy recently surpassed gastric bypass as the most commonly performed bariatric procedure worldwide, however there remains potential for a large degree of variation in technique and… Continue Reading
Revisional Bariatric Surgery for Weight Regain and Eroded Mesh Following Previous Open Roux-en-Y Gastric Bypass
Julie A Stortz, MD, Russell B Hawkins, MD, Alexander L Ayzengart, MD, MPH, Jeffrey E Friedman, MD. University of FloridaBackground: Revisional bariatric surgery has become increasingly prevalent due to the rising number of bariatric procedures to treat morbid obesity. Here we describe a case in which a patient required reoperation following Roux-en-Y gastric bypass (RYGB)… Continue Reading
REVISIONAL RYGB: REMNANT GASTRECTOMY, RE-DO GASTROJEJUNOSTOMY, AND CLOSURE OF GASTRO-GASTRIC FISTULA
Rene Aleman, MD, Mauricio Sarmiento-Cobos, MD, Kandace Kichler, MD, Matthew Lange, MD, Federico Serrot, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaRevisional surgery after primary RYGB in the presence of a gastro-gastric fistulae requires surgical repair with or without remnant gastrectomy.… Continue Reading
LAPAROSCOPIC IMPLANTATION OF GASTRIC STIMULATOR AND ENDOSCOPIC PYLOROMYOTOMY
Maria Fonseca, MD, Cristian Milla Matute, MD, Rene Aleman, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the ideal surgical treatment for medically refractory gastroparesis (GS). More evidence however exists on the benefits of… Continue Reading
- Topic:
- Foregut
Robotic Heller Myotomy and Roux-en-y Gastric Bypass
Zeyad Loubnan, MD, Elissa Davila-Shiau, BA, Manish Parikh, MD, Akuezunkpa Ude Welcome, MD. NYU School of MedicineThis is a video of a 31 year old male with achalasia and severe obesity (Body Mass Index = 41). The patient reported a history of endoscopic balloon dilation 20 years prior and was having recurrent dysphagia. Manometry confirmed… Continue Reading
LAPAROSCOPIC MANAGEMENT OF DUODENAL PERFORATION DURING CONCOMITANT PER-ORAL PYLOROPLASTY AND LAPAROSCOPIC IMPLANTATION OF GASTRIC ELECTRIC STIMULATOR
Rene Aleman, MD, Maria C Fonseca, MD, Joel S Frieder, MD, Kandace Kichler, MD, Tolga Erim, DO, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Samuel Szomstein, MD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaThere is no consensus on the most effective surgical approach for gastroparesis (GP). The combination of implantable gastric stimulator… Continue Reading
- Topic:
- Foregut
Laparoscopic Transgastric GIST Resection
Colette S Inaba, MD, Michael Tran, MD, Brian R Smith, MD. University of California IrvineThis video demonstrates a transgastric resection of a gastrointestinal stromal tumor. Cuffed trocars are used to gain laparoscopic entry into the lumen of the stomach. The tumor is dissected using an energy device and the resulting gastric defect is repaired using… Continue Reading
- Topic:
- Foregut