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
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
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 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
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
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
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
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
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
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
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