Laparoscopic Longitudinal Pancreaticojejunostomy (Puestow) on a patient with a history of a RY gastric bypass and a pancreaticoduodenectomy (Whipple)
Ariel Shuchleib, Pearl Ma, Ikemefuna I Akusoba, Aaron Sabbota, Daniel Swatrz, Keith B Boone, Kelvin D Higa. UCSF FresnoThis is a case from a 45 y/o F with a history of a laparoscopic RY gastric bypass on 2005 who developed a highly differentiated pancreatic neuroendocrine tumor that was resected with a laparoscopic pancreaticoduodenectomy (Whipple procedure)… Continue Reading
- Topic:
- Foregut
A Rare Finding During Sleeve Gastrectomy: Concurrent repair of diaphragmatic hernia during sleeve gastrectomy and hiatal hernia repair
Amlish B Gondal, MD, Matthew E Mobily, MD, MPH, Mahsaw Motlagh, BA, Iman Ghaderi, MD, MSc, MHPE. University of ArizonaIn this video, we present a case of concurrent repair of diaphragmatic hernia during sleeve gastrectomy and hiatal hernia repair. The patient is a 36-year-old male with morbid obesity (BMI 44.8 kg/m2, and weight of 316… Continue Reading
Laparoscopic Redo Gastric Bypass for Chronic Marginal Ulcer: You Never Know What You’re Going to Get
Ryan Broderick, MD, Arielle Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaka, MD, Kai Neki, MD, Joslin Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Karl-Hermann Fuchs, MD, Santiago Horgan, MD. University of California San DiegoThe case presented is the surgical management of a chronic marginal ulcer. The patient had a previously untreated marginal… Continue Reading
Robotic-assisted Conversion of Slipped Nissen Fundoplication to Toupet Fundoplication and Hiatal Hernia Repair
Joseph R Broucek, MD, Enrique Elli, MD, FACS. Mayo Clinic - FloridaFailure rates of laparoscopic Nissen fundoplication occur in the range of 2-17%. The most common recurrent symptoms include reflux and regurgitation. If the patient fails medical therapy, revisional surgery is known to be successful in more than 90% of cases. This is a case… Continue Reading
- Topic:
- Foregut
LAPAROSCOPIC ESOPHAGOJEJUNAL ANASTOMOTIC STRICTUROPLASTY AFTER PROXIMAL GASTRECTOMY FOR CHRONIC SLEEVE LEAK
Rene Aleman, MD, Maria C Fonseca, MD, Cristian A Milla Matute, MD, Joel S Frieder, MD, Federico Serrot, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MD, PhD, FACS, FASMBS, Raul J Rosenthal, MD, FACS, FASMBS. Cleveland Clinic FloridaStenosis is an important postoperative complication with an incidence rate of 0.7-4%. We present the case… Continue Reading
Robotic Median Arcuate Ligament Release
Desmond T Huynh, MD, Miguel Burch, MD, Kevin Shamash, Richard Van Allan, Daniel Shouhed, MD. Cedars-Sinai Medical CenterMedian Arcuate Ligament Syndrome (MALs) is a rare vascular condition in which the median arcuate ligament compresses the celiac trunk which presents as a constellation of symptoms including nausea, vomiting, weight loss, and post-prandial epigastric pain. The treatment… Continue Reading
- Topic:
- Foregut
Laparoscopic Enteropexy for Intussusception at Roux-en-Y Anastomosis
Christopher L Kalmar, MD, MBA, Tananchai A Lucktong, MD, FACS. Virginia Tech CarilionRoux-en-Y gastric bypass is the most commonly performed bariatric procedure in the world. Jejunojenual intussusception after RYGB at the enteroenterostomy is a rare but potentially serious complication requiring timely radiographic diagnosis. For presentations without necrosis, surgical therapy with laparoscopic enteropexy of all limbs… Continue Reading
Laparoscopic Splenectomy for Management of Refractory ITP After Previous Open Splenectomy
Michael T Fastiggi, MD, L Katz, MD, Philip George, MD. Mount Sinai Medical CenterIntroduction: Splenectomy is usually an effective treatment for medically refractory idiopathic thrombocytopenic purpura. However, some patients develop recurrent thrombocytopenia. At least one third of these cases are attributable to an accessory spleen. Discussion: In recurrent thrombocytopenia after splenectomy, an accessory spleen should… Continue Reading
A novel technique for laparoscopic gastric feeding tube with omental patch as an alternative to Stamm or Wetzel in a immobile and shortened stomach
Daanish Kazi, Leena Khaitan. UH Cleveland medical tenderWhen percutaneous methods for feeding tube placement are not available, laparoscocpic feeding tube placement is considered a minimal risk surgery with less morbidity as compared to open feeding tube. Similar to open, laparoscopic methods use either a Stamm or Witzel technique. They both are make of minimize gastric… Continue Reading
Endoscopic Mucosal Dissection for a Submucosal Gastric Mass
Kais A Rona, MD, Jamie Kaplan, Sarah Merkel, Christopher Ducoin, MD. Tulane University School of MedicineEndscopic mucosal dissection is an advanced endoscopic technique used in various subspecialties within surgery to perform endoscopic en-bloc resection of a mass lesion. This is a video presentation demonstrating the use of endoscopic submucosal dissection to resect a submucosal gastric… Continue Reading
Rectopexy with Magnet Retraction
Estefania Roldan, Leonard K Welsh, MD, Gerardo Davalos, MD, Ramon Diaz, MD, Dana Portenier, MD, Daniel Guerron, MD, Billy Lan, MD. Duke University Medical CenterLaparoscopic rectopexy for rectal prolapse is often complicated by the narrow working space of the pelvis as the sigmoid colon and uterus often obstruct visualization. Many approaches for effective retraction have… Continue Reading
- Topic:
- Colorectal
Median Arcuate Ligament Syndrome, Case Series and Review of the Literature
Jesse Conner, MD, Joshua Gierman, MD, Laura Fischer, MD. Oklahoma University Health Science CenterIntroduction: Median arcuate ligament syndrome is a rare cause of abdominal pain. Symptoms include vague epigastric pain, post prandial pain, nausea, vomiting, and weight loss. The pathophysiology has been thought to be secondary to compression of the celiac artery by a thick… Continue Reading
- Topic:
- Foregut
Minimally Invasive Surgery: Colonoscopic Assisted Transanal Endoscopic Microsurgery for Local Resection of a Large Sigmoid Polyp
Kevin M Izquierdo, MD, Beverly Ng, MD, John H Marks, MD. Lankenau Medical CenterThis video demonstrates a novel approach to perform endoluminal surgery for a 3cm polyp in the distal sigmoid colon using a combined rigid and flexible endoscopic approach. The patient is a 56-year-old male who presented with symptoms of intermittent rectal bleeding for… Continue Reading
Laparoscopic radical rectosigmoid cancer resection with left lateral pelvic lymph nodes dissection in a en-bloc resection manner
Wei Wang, Wenjun Xiong, Xiaofeng Zhu, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineThis was a patient diagnosed with advanced rectosigmoid adenocarcinoma and was identified with enlarged lateral pelvic lymph node by computed tomography and magnetic resonance examination. The clinical TNM stage was T3N2M0 (with left lateral pelvic lymph nodes metastasis) according to the AJCC… Continue Reading
- Topic:
- Colorectal
Laparoscopic right colectomy following an ileal orthotopic neo-bladder
Krystle Lange, DO1, Shankar Raman, MD2. 1SwedishAmerican Hospital a Division of UW Health, Rockford, IL, 2Mercy Medical Center, Des Moines, IAWe present a video of a laparoscopic right colectomy following an ileal orthotopic bladder substitute constructed close to 20 years ago. The challenges associated with performing a right colectomy after a Studor pouch include lysing… Continue Reading
- Topic:
- Colorectal