Background: Laparoscopic Nissen Fundoplication (LNF) with Collis Gastroplasty has been adopted as the treatment of choice for advanced gastroesophageal reflux disease (GERD) with shortened esophagus. Only few studies have described subjective and objective outcomes of LNF with Collis gastroplasty for this particular condition. Therefore our study is aimed to investigate long-term subjective and objective outcomes […]
Background : Laparoscopic nissen fundoplication (LNF) is the gold standard for surgical treatment of gastroesophageal reflux disease (GERD) with majority of patients are younger adults. In recent era of aging population, many community surgeons are hesitant to perform this procedure in the elderly due to presumed higher morbidity and poorer surgical outcomes. Therefore this study […]
Introduction: Despite the success rate of laparoscopic fundoplication for gastroesophageal reflux disease (GERD) at around 90%, the patients who need maintenance therapy of proton pump inhibitor or re-do surgery for recurrence of esophagitis post-operatively are recognized. The aim of this study was to analyze the characteristics of recurrence cases investigating our experienced patients.Methods: Two hundred […]
MICROSCOPIC FAT PROCESSING WITH HARVESTING OF LYMPH NODES IN GASTRIC CANCER IMPROVES NODAL YIELD AND UPSTAGES N STATUSObjectives:The current UICC staging system for gastric cancer relies on number of positive nodes to give N stage, up to a maximum of 16 involved nodes. As most nodal harvesting is based on macroscopically detected nodes there is […]
Introduction: Airway stents have gained increasing popularity in the management of challenging tracheobronchial obstruction based on the simplicity of their placement and the lack of good alternative approaches. Careful and judicious stent placement has provided significant and life-saving airway improvement in many patients. We present our experience with the use of the ultraflex stents in […]