Background: The use of Neo adjuvant chemotherapy followed by surgery is preferred by many centers dealing with locally advanced esophageal cancer. Minimally invasive surgery is also being evaluated in many centres for management of esophageal cancer. Aim: To compare technical feasibility and post operative outcome of minimally invasive esophagectomy in patients who received neoadjuvant chemotherapy […]
Background: Minimally invasive surgery is still considered controversial by many in terms of oncological clearance. This may be true due to the long learning curve in minimally access surgery. We postulate that minimally invasive esophagectomy is equally effective, if not better, in terms of radicality and oncological clearance at hands of a well experienced minimally […]
Introduction:D2 lymph node dissection for early gastric cancer was popularized by the Japanese, though it is still controversial. The adequacy of laparoscopic node harvest remains doubtful. In this video, we present a laparoscopic D2 dissection with total gastrectomy and jejunal pouch anastamosis. Methods: The patient is placed supine with legs apart so that the surgeon […]
Laparoscopic fundopliction(LF) has become the treatment of choice for patients who need surgery for gastroesophageal reflux disease(GERD). In this retrospective study, we outline our experience with laparoscopic fundoplication over a 10 year period.Materials and Methods: From 1999 to 2008, 62 patients underwent a LF for GERD. Pre-operative evaluation consisted of endoscopy, a barium swallow, esophageal […]
Objective: Surgical management for Gastroesophageal reflux disease (GERD) is indicated for reflux uncontrolled on medical therapy. Although laparoscopic fundoplication is considered to be the standard surgical procedure for GERD, very few studies have evaluated laparoscopic fundoplication in Indian population. The study was designed to evaluate Laparoscopic fundoplication in proven cases of GERD and to compare […]