Percutaneous Endoscopic Gastrojejunostomy Tube Placement: A Technique Using a Tapered Dilator within a Peel-away Sheath
Jaclyn Clark, MD, Lindsay O'Meara, CRNP, Jose J Diaz, MD. University of MarylandIn patients with gastric dysfunction who require nutritional support, jejunal feeding is a safe method for providing enteral nutrition. There are several approaches to place gastrojejunostomy (GJ) tubes, including percutaneous, open, radiologically-guided, endoscopic and various combinations of the above. It can often be… Continue Reading
Laparoscopic plication for stomal prolapse
Richard A Perugini, MD, Nicole Cherng, MD, Justin Maykel, MD. UMass Memorial Health CareStomal prolapse is occurs in up to 26% of patients. It can result in pain, obstruction, ulceration, or poorly fitting appliances. Procedures involving resection are most commonly described. However, these procedures remove healthy intestine, and have a high recurrence rate. We present… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
LAPAROSCOPIC ASSISTED EXCISION OF GASTROESOPHAGEAL INFLAMMATORY FIBROTIC POLYP
Linda I Yala, MD1, Rami Lutfi, MD, FACS, FASMBS2, Lindsey Klingbeil, MD2. 1UIC-MGH General Surgery Residency, 2Mercy Hospital, Chicago, ILINTRODUCTION: Gastric polyps include a wide spectrum of lesions with different histology, neoplastic potential, and management. 6% of upper gastrointestinal endoscopies will reveal a lesion. Typically, they are asymptomatic but their presence will warrant biopsy, guiding the next… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Hepatectomy of the Middle Lobe
Yaojun Zhang, Yangxun Pan, Jinbin Chen, Li Xu, Dandan Hu. Sun Yat-Sen University Cancer CenterA 39-year-old female patient presented with a 55 x 40 mm liver mass in the middle lobe. She was clinically diagnosed to have primary liver cancer, with serum alpha fetoprotein (AFP) level 212.8 ng/ml. Surgical procedure are listed as below: 1)… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Robotics
HEMORRHAGE FROM THE INFERIOR VENA CAVA DURING RETROPERITONEOSCOPIC ADRENALECTOMY
Aurelio Francisco Aranzana Gomez, Jara Hernandez Gutierrez, Juan S Malo Corral, Beatriz Muñoz Jimenez. CH ToledoIntroduction: The posterior retroperitoneoscopic adrenalectomy (PRA), described in 1995 (Waltz), has proven to be a safe technique and effective for the surgical management of several adrenal pathologies. The advantages include direct access to the adrenal gland, without the need for visceral… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Robot Assisted difficult splenectomy due to splenomegaly with multiple abscesses & perisplenitis in a post-stem cell transplant patient
Gabriela M Aguiluz, MD, Roberto Bustos, MD, Valentina Valle, MD, Sam Papasotiriou, Pier C Giulianotti, MD, FACS. University of Illinois Hospital & Health Sciences SystemThis is a case of a patient on status post stem cell transplant and extensive infectious history, referred to surgery due to multiple splenic abscesses, splenic sequestration and pancytopenia that successfully… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Robotics
Laparoscopic Witzel: A Better Jejunostomy Tube
Ciara R Huntington, MD1, Ryan C Pickens, MD2, Thomas R Huntington, MD1. 1Huntington Laparoscopy, 2Atrium Health / Carolina Medical CenterFeeding jejunostomy tubes are a critical means of enteral nutritional support for patients who have foregut pathology. All surgeons should feel comfortable with placement of feeding jejunostomy tube – yet, many surgeons resort to an open… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Gastric remnant volvulus after conversion of Gastric Plication to RYGBP
Enrique Arias, MD, Luis Martinez, MD, Angel Henriquez, MD. INTERLAPCase Presentation: A 31-year-old female had a gastric plication for morbid obesity treatment 5 years ago in another institution, her initial BMI was 40 kg/m2. During a year she lost 30 kg and had a BMI of 28 kg/m2. 18 months after the surgery she started to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
GIANT HIATAL HERNIA ASSOCIATED TO ACALASIA, A LOT OF DANGER!
Jara Hernandez Gutierrez, Aurelio Aranzana, Beatriz Muñoz Jimenez, Juan S Malo Corral. CH ToledoIntroduction: Achalasia is a type of motor disorder of the esophagus due to degeneration of ganglion cells in the myenteric plexus, leading to failure of relaxation of the lower esophageal sphincter, accompanied by a loss of peristalsis in the distal esophagus. The association… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Robotic Parenchyma Sparing Central Pancreatectomy for a Mucinous Lesion of the Head and Neck of the Pancreas
Roberto Bustos, MD, Valentina Valle, MD, Alberto Mangano, MD, Sam Papasotiriou, Pier C Giulianotti, MD, FACS. University of Illinois at ChicagoIntroduction: Central pancreatectomy is among the techniques available for the treatment of pancreatic neck tumors. It is indicated for benign or low-grade malignant neoplasms. This pancreas-sparing technique was developed to avoid exocrine and/or endocrine insufficiency that… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic Transhiatal Esophageal Leiomyoma Resection
James Kurtz, DO, Edward Cho, MD, Houssam Osman, MD, Rohan Jeyarajah, MD. Methodist Richardson Medical CenterIntroduction: Esophageal leiomyomas are rare benign tumors that can be adequately treated with limited resection or enucleation. Case: We present a video case of a large, symptomatic distal esophageal leiomyoma requiring enucleation. We performed a robotic transhiatal approach to remove… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Robotic Duodenojejunostomy for Superior Mesenteric Artery Syndrome
Alexandra Leon Guerrero, Caitlin C Houghton, MD. University of Southern CaliforniaWe present a case of superior mesenteric artery syndrome treated surgically with a robotic duodenojejunostomy. This video demonstrates another application for the robot for an uncommonly performed foregut procedure. Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 95936Program Number: V244Presentation Session: Video Loop… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Robotics
Robotic Repair of Recurrent Right Inguinal Hernia in a Patient with Prior Radical Prostatectomy
Parth Sharma, MD, Georgios Orthopoulos, MD, PhD, Mazen Al-Mansour, MD. Baystate Medical CenterCase Presentation: A 67 year old male patient with a previous open right inguinal hernia repair, as well as previous robotic prostatectomy with pelvic lymph node dissection presented to the general surgery office with a painful right groin bulge, worsening over 2 years.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
Robotic-Assisted Excision of Retroperitoneal Mass
Alexander L Marinica, DO, Lindsay A Nelson, DO, Fazal Din Moghul, DO, Abubaker Ali, MD, FACS. Detroit Medical Center - Sinai Grace HospitalThis is a case presentation of the excision of a retroperitoneal mass using the robotic platform. The patient is a 61-year-old male who presented with left lower quadrant abdominal pain for two months,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Robotics
Laparoscopic right hemicolectomy for cecal adenocarcinoma using suspensory suture technique for intracorporeal anastomosis
Francisco Benavides, MD, Thushy Siva, MD, Avian Chang, MD, Savni Satoskar, MD, Joshua Ziehm, DO, Vinay Bajaj, MD, Anthony Dippolito, MD, MBA, FACS. Easton HospitalIn this video we demonstrate a technique for performing an intracorporeal anastomosis during a laparoscopic right hemicolectomy for a cecal adenocarcinoma. The patient is placed in a supine position and four… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal