Laparoscopic Distal Pancreatectomy-Splenectomy for Insulinoma
This video illustrates our laparoscopic technique for removal of an insulinoma in the tail of the pancreas. Because of the distal location of the lesion in the tail of the pancreas, distal pancreatectomy with splenectomy was required. The video also shows how bleeding from a splenic vessel was controlled laparoscopically. A hand port was required… Continue Reading
- Topic:
- HPB
Laparoscopic Spleen Preserving Distal Pancreatectomy
Introduction:Minimally invasive distal pancreatectomy for cystic lesions located in the body and tail of the pancreas is usually achieved with splenectomy. We report a case of a laparoscopic distal pancreatectomy with spleen preservation .Materials:A 52 year old woman presented with a cystic lesion of the body of the pancreas. Preoperative workup including MRI , CT… Continue Reading
- Topic:
- HPB
A Totally Endoscopic Device for the Treatment of Morbid Obesity
Introduction: Morbid obesity is a major health concern for the United States affecting over 15 million people. Despite its associated comorbidities, less than 1% of patients seek surgical intervention. The need for less costly, minimally invasive procedures that reduce complication rates and result in faster recovery would be a valuable adjunct in the treatment of… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Revision of Omega Loop Bypass to Roux-en-Y Gastric Bypass
Bariatric surgeons who evaluate patients for possible revisional surgery should be aware of the potential of aberrant bypass anatomy. The “Omega loop gastric bypass” is a nondivided, antecolic loop gastric bypass with a Braun entero-enterostomy. The omega loop bypass is not a condoned weight loss procedure due to the lack of published evidence regarding risks… Continue Reading
- Topic:
- Metabolic / Obesity
Single Incision Laparoscopic Cholecystectomy
Since the introduction of laparoscopic cholecystectomy in 1987, several modifications have been described to reduce the number and size of transabdominal ports. Recently, natural orifice transluminal transorgan cholecystectomy using endoscopes have been performed in animal models and in humans with laparoscopic assistance. We present the operative video of a laparoscopic cholecystectomy performed via a single… Continue Reading
- Topic:
- Minimally Invasive Other
Dysphagia after using a Biological Mesh to Repair a Recurrent Hiatal Hernia
Introduction: It has been recently demonstrated in a controlled trial that reinforcement of the crura with a biological mesh decreases the incidence of recurrence of paraesophageal hernias after hiatal repair. This technique is therefore increasing in popularity. Complications from this type of mesh have not been reported, but an animal study has suggested that a… Continue Reading
- Topic:
- Outcomes and Quality
Robotic choledochojejunostomy with intracorporeal Roux-en-Y anastomosis
Biliary surgery can often be very complex with difficult access issues, small structures to be manipulated and sutured and close proximity to major vessels. Additionally, biliary surgery is often reoperative. All of these issues have the potential to be aided by the use of technology which provides three-dimensional vision, excellent illumination and access, with steady… Continue Reading
- Topic:
- Robotics
Laparoscopic Resection of a Giant Splenic Artery Aneurysm
INTRODUCTION: Splenic artery aneurysm affects 0.1% of population. They are often an incidental radiological finding. A spontaneous rupture may be fatal. Intervention is indicated when they reach 2 cm in diameter, are symptomatic, increasing in size, in pregnant patients or in women of child-bearing age. Small splenic artery aneurysm under 4 cm could be treated… Continue Reading
- Topic:
- Solid Organ and Endocrine
Laparoscopic left donor nephrectomy without mobilization of the spleen
Traditional descriptions of laparoscopic transperitoneal left adrenalectomy and nephrectomy include complete division of the splenorenal ligament. The spleen is reflected toward the midline with the tail of the pancreas to expose the origin of the renal pedicle and adrenal gland. Yet despite aggressive mobilization of the upper pole of the spleen as far cephalad as… Continue Reading
- Topic:
- Solid Organ and Endocrine
Laparoscopic Resection of Giant Adrenal Tumors
Traditionally, large adrenal tumors have been considered relative contraindications to laparoscopic adrenalectomy. However, with increasing experience with laparoscopic techniques, even giant tumors can be resected in a minimally invasive manner. We present two cases of laparoscopic adrenalectomy of giant adrenal tumors. The first case involves a 42 year old female with flank pain. Imaging revealed… Continue Reading
- Topic:
- Solid Organ and Endocrine
Thoracoscopic Enucleation of an Esophageal Gastrointestinal Stromal Tumor
Introduction: Symptomatic gastrointestinal stromal tumors of the esophagus present a technical challenge with regards to their safe removal. Located within the muscularis propria, these tumors are not typically amenable to endoscopic resection. We describe the technique of thoracoscopic enucleation in a patient with a 3 cm esophageal gastrointestinal stromal tumor located in the middle esophagus.… Continue Reading
- Topic:
- Thoracoscopy