The Role of Endoscopic Ultrasound in Assessing Tumor Response and Staging Post Neoadjuvant Chemotherapy in Esophageal Cancer
OBJECTIVE – Although the role of endoscopic ultrasound (EUS) in the initial staging of esophageal cancer is well established, its role in assessing tumor response and staging of esophageal cancers post neoadjuvant chemotherapy (NAC) is controversial and is the focus of this study. METHODS AND PROCEDURES – A series of 77 patients with esophageal cancer… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Safety of Biologic Mesh for Laparoscopic Repair of Large, Complicated Hiatal Hernia
Objective: Laparoscopic repair of large, complicated hiatal hernias is associated with a high risk of recurrence. Biologic mesh decreases recurrence and prevents complications associated with synthetic mesh; but its safety profile has not yet been fully determined. To answer this question we analyzed the outcomes of biologic mesh used to repair these “high risk” hiatal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Total Number of Resected Lymph Nodes Has an Impact on Survival in Node-negative Esophageal Cancer
Introduction: While the identification of lymph node metastases is prognostic, there is considerable controversy regarding the extent of lymph node resection in the surgical management of esophageal cancer. In this single-institution study, we examine the significance of total number of lymph node counts on survival in patients with lymph node negative esophageal carcinoma (American Joint… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
The Training of Operating Surgeon in Laparoscopic Assisted Disatal Gastrectomy
?Background? We employed Laparoscopic Assisted Distal Gastrectomy (LADG) for gastric cancer treatment from 1997. LADG had been operated by only one surgeon (Surgeon A; specialized surgeon in laparoscopic surgery) in our institute. Because LADG procedure has been stylized, we planned to train the new operating surgeons (Surgeon B, C) from February 2007. ?Method? The training… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Thoracoscopic Esophagectomy in Dorsolateral Position : An Innovative Approach – the Pawar Technique
Aims: To assess the feasibility of Thoracoscopic Esophagectomy in the Dorso-Lateral position with the intention of reducing the disadvantages and increasing the benefits of lateral approach and prone approach which are the two conventional approaches. Methods : Thoracoscopic Esophagectomy is routinely performed in two positions. The left lateral decubitus position is the most commonly used… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Thoracoscopic Total Oesophagectomy
THORACOSCOPIC TOTAL OESOPHAGECTOMY Introduction: Oesphagectomies have been performed by either a thoracoabdominal, transhiatal or thoracoscopic approach. These methods especially transthoracic procedure have known to have high intra and post operative morbidity. Principle of minimally invasive oesophagectomy is to perform the same operation through a smaller incision thus reducing the operating trauma without compromising the oncological… Continue Reading
- Type:
- Posters
- 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
Totally Laparoscopic Total Gastrectomy with Esophagojejunostomy Using Liner Stapling Devices.
Introduction : Laparoscopic distal gastrectomy for early gastric carcinoma has been accepted widely because of its minimal invasiveness. However laparoscopic total gastrectomy is not still familiar depending on difficulty of esophagojejunomy. When performing open total gastrectomy, esopagojejunostomy with a circular stapling device has been generalized as a substitute for hand-suture. On the other hand, there… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Totally Supine Laparoscopic/thoracoscopic Ivor Lewis Oesophagectomy – A Novel Technique
We would like to present this innovative technique that the author has developed at our centre. In Totally Supine Laparoscopic/Thoracoscopic oesophagectomy we position the patient in Lloyed Davies position and the right arm is elevated in flexion/abduction position. The abdominal phase is performed with standard five port laparoscopic technique followed by the right thoracoscopic mobilisation.… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Tranasvaginal Specimen Extraction After Totally Laparoscopic Subtotal Gastrectomy in Early Gastric Cancer
Introduction: In 1993, Delvaux et al reported that he could remove the GB and a large GB stone through transvaginal route after laparoscopic cholecystectomy in female patients. Recently, natural orifice extraction (NOE) has been extensively performed after totally laparoscopic nephrectomy and totally laparoscopic colon resection. However, there have been no report of NOE after subtotal… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Transcervical Videoscopic Esophageal Dissection in Minimally Invasive Esophagectomy
Introduction: Currently, minimally invasive esophagectomy (MIE) is being performed using Video-Assisted Thoracoscopic Surgery (VATS) for mediastinal esophageal dissection. The VATS approach is still associated with pulmonary and cardiovascular morbidity, as well as incisional pain. This study investigates the feasibility of MIE using a single-incision transcervical videoscopic esophageal dissection (TVED). A simultaneous laparoscopic and transcervical videoscopic… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Transoral Esophago-gastric Partial Fundoplication for the Treatment of Gastroesophageal Reflux Disease (gerd): Operative Findings and Safety
BACKGROUND: Attempts at transoral fundoplication to treat gastroesophageal reflux have until recently been limited to gastro-gastric plications. The EsophyX device (EndoGastric Solutions, Redmond, WA) provides the potential to perform a transoral esophago-gastric fundoplication. Polypropylene fasteners are placed between the esophageal lumen and the gastric cardia up to 4 cm above the Z-line to create a… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Transoral Incisionless Fundoplication Improves Reflux Symptoms in Long-time Ppi Users: A Retrospective Study in Livingston County, Kentucky
BACKGROUND: Gastroesophageal reflux disease (GERD) is a common condition in communities in the United States, but treatment options are limited for patients with inadequately controlled symptoms despite high doses of proton-pump inhibitors (PPIs) and who are afraid of surgery. AIM: To determine the outcomes of transoral incisionless fundoplication (TIF) using the EsophyX device in a… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery
Treatment Choices and Outcomes of Patients with Manometrically Diagnosed Achalasia
Purpose:This prospective population based study was designed to evaluate treatment choices in patients with manometrically diagnosed achalasia and their outcome.Methods: In this research ethics board approved study, consenting patients referred to esophageal function laboratory were enrolled after manometric diagnosis of achalasia. Patients completed an initial validated questionnaire on their symptom severity, duration, treatment pre-diagnosis and… Continue Reading
- Type:
- Posters
- Topic:
- Esophageal / Gastric Surgery