Totally Laparoscopic Proctocolectomy with Intracorporeal Ileal Pouch -Anal Anastomosis Followed By ‘natural Orifice Specimen Extraction’ (n.o.s.e)
Introduction:Totally laparoscopic proctocolectomy with intracorporeal pouch-anal anastomosis has been rarely reported. In this video, we present a totally laparoscopic proctocolectomy with pouch-anal anastomosis and a novel method of specimen extraction. Methods: We retrospectively studied 7 female patients from 2004-2007. A totally laparoscopic proctocolectomy with ileal pouch-anal anastomosis was successfully performed for all cases. The operating… Continue Reading
- Topic:
- Colorectal
Laparoscopic Assisted Ileocolic Resection for Crohn’s Disease with Psoas Abscess
This is Video is about a 32 year old male with a relatively short history of Crohn's disease manifested by an ileo-psoas abscess, partial intestinal obstruction, and an undiagnosed ileo-transverse colon fistula. The technical aspects of performing an ileocolic resection in complicated Crohn's is demonstrated, including intracorporeal division of the fistula and drainage of the… Continue Reading
- Topic:
- Colorectal
Laparoscopic Ladd’s procedure for treatment of adult presentation of congenital intestinal malrotation
Laparoscopic Ladd’s procedure for treatment of adult presentation of congenital intestinal malrotation. Authors: G. Arena, G. Sroka, H. Flageol, G. Fried Intestinal malrotation is a rare cause of abdominal pain among adults with an incidence estimated around 0.2%This condition presents with a combination of symptoms such as acute or chronic abdominal pain, nausea and postprandial… Continue Reading
- Topic:
- Colorectal
Laparoscopic resection of a duodenal polyp
Introduction: Duodenal polyps are rare lesions traditionally excised using endoscopic or open techniques. Laparoscopic resection is a useful approach for large lesions or in patients not suitable for laparotomy. Methods: A 56 year-old morbidly obese female (BMI = 60) with anemia was found to have a 3 cm sessile polyp at the junction of the… Continue Reading
- Topic:
- Colorectal
Laparoscopic intramesorectal proctectomy and ileal pouch-Anal anastomosis for ulcerative colitis
We present a case of intramesorectal laparoscopic completion proctectomy and ileal pouch-anal anastomosis in a 34 y/o female who had undergone previous subtotal colectomy, Brooke ileostomy and preservation of rectosigmoid stump for severe ulcerative colitis. She had completed her family and was not concerned about fertility.Intramesorectal dissection has been proposed in open surgery as a… Continue Reading
- Topic:
- Colorectal
Lap-assisted restorative proctocolectomy with IPAA
Open restorative proctocolectomy with ileal pouch-anal anastomosis was first Described in 1978 and since that time has gained popularity in the surgical management of patients with ulcerative colitis and familial polyposis. A laparoscopic proctocolectomy with ileal pouch-anal anastomosis represents the latest development in the evolution of surgical treatment of these conditions. This approach aims to… Continue Reading
- Topic:
- Colorectal
NOTES Transvaginal Hernia Repair with Alloderm Mesh
Introduction: Natural Orifice Translumenal Endoscopic Surgery (NOTES) is a new technique for completing operations by using the body’s natural orifices. Patients with abdominal wall hernias are one subset of patients that may benefit from NOTES therapy as standard surgical techniques may create more hernias for these patients. Methods: Two 35 kg pigs underwent a ventral… Continue Reading
- Topic:
- Endolumenal / NOTES
Gastric Pouch and Stoma Reduction Using a Novel Endoscopic Device: The Endosurgical Operating System (eos)
GASTRIC POUCH AND STOMA REDUCTION USING A NOVEL ENDOSCOPIC DEVICE: THE ENDOSURGICAL OPERATING SYSTEM (EOS) DK Mullady1, D Herron2, D Lautz1, D Birkett3, and CC Thompson11Division of GastroenterologyBrigham and Women’s Hospital, Boston, MA2Mount Sinai Hospital, New York, NY3Lahey Clinic, Burlington, MA Introduction: Roux-en-Y gastric bypass is an effective treatment for severe obesity. However, many patients… Continue Reading
- Topic:
- Endolumenal / NOTES
Combined thoracoscopic and laparoscopic esophagectomy
.Minimally invasive esophagectomy for cancer is increasingly adopted by dedicated centers in the world, but the method is highly variable. A video presentation of combined thoracoscopic and laparoscopic esophagectomy in a 54-year old man suffering from a squamous cell cancer of the mid-esophagus is presented. Thoracoscopic esophageal mobilization with mediastinal nodal dissection was carried out… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic D2 Lymph Node Dissection with Total Gastrectomy and Jejunal Pouch Reconstruction for Early Gastric Cancer
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 anastomosis.Methods: We have performed this procedure in 82 patients from 2002-2007. The dissection was… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Ivor Lewis Esophagectomy
This video illustrates the preferred technique for minimally invasive esophagectomy at the University of Pittsburgh. Previously, our described technique included mobilization of the esophagus via thoracoscopy, laparoscopic creation of the gastric tube and construction of a cervical esophagogastric anastomosis. Although we have reported excellent outcomes with this technique, we have since modified the procedure to… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Laparoscopic Resection of Challenging Gastric Tumors
Noninvasive gastric tumors may have malignant potential and should be managed with resection. Large margins are not needed and many can be managed with laparoscopic wedge resection. Tumors along the fundus, anterior wall, and greater curvature of the stomach are approached relatively easily using endoscopic staplers. Tumors near the gastric cardia, lesser curvature and pylorus… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Tracheo-esophageal Fistula Treated by Esophageal Stent and Ultrasound-Guided Suture Fixation
Background: Current option for patients with a tracheo-esophageal fistula are limited. Because of stent migration, newer stents have been developed to prevent movement, but stents placed high in the esophagus continue to migrate.Methods: This video describes the procedure of placing an esophageal stent with two different fixation techniques. The first technique involves the use of… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Management of Anastamotic Leak after Esophagectomy with Endoscopic Esophageal Stent
INTRODUCTION: A 59 year old male with a long history of barrett's esophagus and previous nissen fundoplication underwent a laparoscopic, thoracoscopic Ivor Lewis Esophagectomy for esophageal carcinoma. Upper GI on POD # 9 showed a contained mediastinal leak measuring 3 x 4 cm.METHODS: Endoscopy confirmed an anastamotic disruption. A pig tail drain was endoscopically placed… Continue Reading
- Topic:
- Esophageal / Gastric Surgery
Minimally Invasive Resection Techniques for Gastroesophageal Junction Gist Tumors
Introduction: Gastrointestinal Stromal Tumors (GIST) are relatively rare neoplasms of mesenchymal origin with uncertain malignant potential. Complete gross resection without a need for microscopically negative margins or lymph nodes is oncologically adequate. Minimally invasive resection techniques such as laparoscopic wedge gastectomy are feasible and safe. Unfortunately, GIST lesions located near the gastroesophageal junction can be… Continue Reading
- Topic:
- Esophageal / Gastric Surgery