A 83-year-old man complaining of disphagia was referred to our hospital for further examination and treatment of esophageal cancer. An upper gastrointestinal endoscopy showed the circumferential stenosis of the esophagus at 33~38cm from the incision teeth. The mucosa of the stenotic part was almost intact with slight erosion and the biopsy specimen from the erosive […]
Introduction: Hand-assisted laparoscopic surgery has been recognized as a safe laparoscopic operative procedure for gastrointestinal malignancies. Although laparoscopic procedure has recently been applied for esophageal cancer, open surgery still remains the standard operative procedure. To overcome the technical difficulty of video-assisted esophagectomy, we applied hand-assisted surgery in VATS esophagectomy. The aim of this study is […]
Background: Gastric outlet obstruction (GOO) from abdominal malignancies reduces the quality of life of the patients and needs gastrojejunostomy or endoscopic stenting (ES). Patients who are indicated to this kind of management tend to have advanced diseases. Therefore, safe and less invasive treatment with early recovery should be considered. Laparoscopic gastrojejunostomy (LGJ) is currently feasible […]
Introduction: The journey from conventional laparoscopic operations to truly “minimally invasive” operations naturally includes progression from operations involving multiple trocars and multiple incisions to operations involving access through the umbilicus alone. Laparo-Endoscopic Single Site (LESS) surgery promises improved cosmesis by reducing the number of access incisions to a single incision hidden in the umbilicus, which […]
INTRODUCTION: Laparoscopic paraesophageal hernia repair (LPEHR) has been shown to be both safe and efficacious. Compulsory operative steps include reduction of the stomach from the mediastinum, resection of the mediastinal hernia sac, ensuring an appropriate intra-abdominal esophageal length, and crural closure. The use of mesh materials in the repair of hiatal hernias remains controversial. Synthetic […]