LAPAROSCOPIC INTRAGASTRIC RESECTION VIA COMBINED LAPAROENDOSCOPIC TECHNIQUE WITH MUCOSAL CLOSURE
Alexandra W Elias, MD, Timothy A Woodward, MD, Steven P Bowers, MD. Mayo Clinic FLThis video demonstrates laparoscopic intragastric resection via combined laparoendoscopic technique with mucosal closure. A 43-year-old female underwent an upper endoscopy for chronic nausea, and a submucosal tumor was revealed in the gastric cardia, just distal to the gastroesophageal junction. Endoscopic ultrasound… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic D2 gastrectomy with therapeutic para-aortic lymph node dissection for advanced gastric cancer
Wei Wang. Guangdong Provincial Hospital of Chinese MedicinePatients with advanced gastric cancer and locally enlarged para-aortic lymph nodes were selected for this study. They were all received a neoadjuvant chemotherapy. If the curative effect was at least partial response, then the patient would underwent laparoscopic D2 gastrectomy with para-aortic lymph node dissection. After a standard… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Repair of Recurrent Type II Hiatal Hernia in Patient with Prior Whipple
Courtney L Devin, MD, Andrew M Brown, MD, Jessica A Latona, MD, Michael J Pucci, Francesco Palazzo. Thomas Jefferson UniversityThe video shows the steps undertaken for a laparoscopic repair of recurrent type II hiatal hernia in a patient with a prior Whipple procedure. Redo laparoscopic paraesophageal hernia repairs can be performed safely in experienced centers.Presented at… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Heller Myotomy in a Patient with Situs Inversus of Liver
Syed Abbas, MD, Ziad T Awad, MD, FACS, Ruchir Puri, MD, FACS. UFlorida - JacksonvilleAchalasia is a rare esophageal motility disorder that has an incidence of 1 in 100,000 Americans. The predominant symptom is dysphagia. Three distinct subtypes are described based on high resolution manometry. A surgical or endoscopic myotomy is the treatment of choice.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Per-Oral Endoscopic Myotomy (POEM) of Posterior Wall after Multiple Failed Foregut Operations
Armando Rosales, MD, Tymothy A Woodward, MD, Steven P Bowers, MD. Mayo Clinic FloridaIntroduction: Recurrent or persistent symptoms after Heller myotomy occur in approximately 10-20% of patients. Per-Oral Endoscopy Myotomy (POEM) is a possible treatment modality available to avoid a reoperation at the gastroesophageal junction in patients with failed Heller myotomy (HM). POEM can be… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
single-port thoracic-assisted laparoscopic proximal esophagogastrectomy for Siewert type 2 adenocarcinoma of esophagogastric junction
Wei Wang. Guangdong Provincial Hospital of Chinese MedicineThe first 12-mm trocar was inserted at the level of the umbilicus for the laparoscope. Then two trocars were inserted on the left side for the operating surgeon and two trocars were placed on the right side for the assistant surgeon. After completly abdominal procedure with No.1, 2,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Take-down of Dor Plication with redo of Heller Myotomy
Maria C Fonseca, MD, Cristian A Milla Matute, MD, Joel S Frieder, MD, David Romero Funes, MD, Armando Rosales, MD, Samuel Szomstein, MD, FACS, FASMBS, Emanuele Lo Menzo, MDPhD, FACS, FASMBS, Raul Rosenthal, MD, FACS, FASMBS. Clevelan Clinic FloridaRecurrent achalasia occurs in 10-20 % of the cases after surgical myotomy. Therapeutic options entail endoscopic dilatation,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
LAPAROSCOPIC PARAESOPHAGEAL HERNIA REPAIR, TOUPET FUNDOPLICATION, CHOLECYSTECTOMY, AND COMMON BILE DUCT EXPLORATION IN A PATIENT WITH SYMPTOMATIC CHOLEDOCHOLITHIASIS
Ryan J Campagna, MD, Amy L Holmstrom, MD, Ezra N Teitelbaum, MD, MEd. Northwestern University Feinberg School of MedicineWe present the case of an 82-year-old female who presented with symptomatic choledocholithiasis. A large type III paraesophageal hernia was discovered during an attempted endoscopic retrograde cholangiopancreatography, which was ultimately unsuccessful due to the hernia. Further questioning… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Robotic Heller Myotomy with Dor or Toupet Fundoplication
Sarah Samreen, MD, Crystal M Krause, PhD, Dmitry Oleynikov, MD. University of Nebraska Medical CenterThis is a presentation of a robotic Heller Myotomy, showing both a partial anterior (Dor) and a posterior (Toupet) fundoplication. The first case is a 44 year old female who presents with dysphagia and regurgitation. Manometry shows evidence of type I… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoendoscopic Transgastric Resection of 2 masses of 8.5cm
Ann D Smith, MD, MPH, Jaroslav Zivny, MD, Richard A Perugini, MD. University of MassachusettsGastrointestinal stromal tumors (GISTs) are rare and the only opportunity for cure is total surgical resection with gross negative margins. National Comprehensive Cancer Network (NCCN) guidelines from 2010 recommend laparoscopic resection for tumors up to 5cm but recommend open surgery for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
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 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
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
Laparoscopic right hemicolectomy with CME: a caudal-to-cranial approach guided by duodenum
Wenjun Xiong, Wei Wang, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineIn 2016, we first describe a caudal-to-cranial approach for laparoscopic right hemicolectomy. This approach was a safe alternative to the conventional medial-to-lateral approach, especially for inexperienced surgeons. As we all know, the duodenum is an organ passing through the retroperitoneum. Thus, we report a… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
MCKEOWN ESOPHAGECTOMY. HOW WE PERFORM THORACOSCOPIC TIME
Aurelio Francisco Aranzana Gomez, Jara Hernandez Gutierrez, Juan Malo Corral, Soledad Buitrago Sivianes, Rafael Lopez Pardo, Beatriz Muñoz Jimenez. Hospital Virgen De La Salud, ToledoObjectives: We present a video that shows the thoracoscopic time of esophagectomy in three fields. To demonstrate the safety and efficacy of the minimally invasive approach in patients with malignant oesophageal… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut