Patient is a 77year old female who presented to the Surgery clinic with chronic cough and dysphagia. The work-up included an EGD, manometry and upper GI study. The patient’s manometry study results were consistent with achalasia. Interestingly, the EGD and Upper GI demonstrated a massive epiphrenic diverticulum. Surgical management utilized a multi-modal approach using endoscopy, laparoscopy and robotics.
Laparoscopic excision of para-aortic mass in a 67 year old male with history of neurofibromatosis. Imaging showed that the mass was closely abutting aorta and inferior mesenteric artery. Complete resection was performed laparoscopically with preservation of the inferior mesenteric artery.
Laparoscopic energy sealing devices have become more advanced in recent years to allow optimum tissue sealing with minimal thermal spread during division. These developments have re-kindled the discussion on trans-oral division of Zenker’s Diverticulum using energy based devices. We present two cases in this video to demonstrate the technique of using a commercial bipolar energy sealer for endoscopic assisted division of Zenker’s Diverticulum.
Idiopathic thrombocytopenic purpura (ITP) occurs at a rate of 3.3 adults per 100,000. The incidence of accessory spleen is reported at anywhere from 5 to 44%, depending on the method of detection, with laparoscopic evaluation being more accurate than preoperative CT imaging. Approximately 18% of patients treated with splenectomy for ITP will redevelop clinical ITP due to the presence of residual splenic tissue. We present a case of a female patient who remotely underwent laparoscopic splenectomy
Several studies proposed an oncologic benefit with a more radical lymphadenectomy in colon cancer surgery. However, while the technique was more widely adopted in left colon surgery, right sided extended lymphadenectomy did not gain much popularity. A possible explanation is the more complex vascular anatomy of the right colon mesentery. Thus, initial focus has been on open methods.
This video aims to demonstrate a laparoscopic approach for right hemicolectomy with extended lymphadectomy. The v