Laparoscopic Total Gastrectomy with Roux-en-Y Esophagojejunostomy and Jejunal Pouch for Diffuse Gastric Polyposis
Hedberg M Hedberg, MD1, Michael B Ujiki, MD2. 1University of Chicago Medical Center, 2NorthShore University HealthSystemDiffuse gastric polyposis is a rare disease characterized by a carpet of polyps arising from the gastric mucosa. Only a few case reports exist in the literature, but in all cases resection of all visible polyps was the treatment choice,… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Laparoscopic removal of infected right lower quadrant mesh
Emanuele Lo Menzo, MD, PhD, Rama Ganga, MD, Samuel Szomstein, MD, Raul Rosenthal, MD. Cleveland Clinic FloridaThis video demonstrates the laparoscopic removal of an infected biologic mesh. The patient is a 44-year-old female that presented to the ED with abdominal pain, paucity of stools and flatus. Nausea vomits and chills. History of trocar site repair… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Abdominal Wall Hernias
When EMR Won’t Do: Hybrid ESD for a Large Ascending Colon Polyp
Jennifer Hrabe, MD, Ipek Sapci, MD, Cigdem Benlice, MD, Emre Gorgun, MD. Cleveland Clinic FoundationEndoscopic Mucosal Resection (EMR) and Endoscopic Submucosal Dissection (ESD) are advanced techniques that can be used for large polyps on difficult locations. ESD provides a specimen involving the submucosa and allows pathological evaluation for submucosa invasion. A 79 year old female… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
INCIDENTALLY DISCOVERED INTESTINAL NON-ROTATION AT TIME OF BARIATRIC SURGERY: WHICH OPERATION TO PERFORM?
Gary Ko, MD, Boris Zevin, MD, PhD. Queen's UniversityIntestinal non-rotation is a rare congenital anomaly that may be discovered at time of bariatric surgery. This incidental finding poses two dilemmas to the surgeon 1) which bariatric procedure should be performed and 2) should an appendectomy be performed concurrently. In this video case report, we discuss… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
ROBOTIC EXCISION OF RETROPERITONEAL LYMPHANGIOMA
Jonathan M Stem, MD, Guillaume S Chevrollier, MD, Michael J Pucci, MD, Caitlyn M Costanzo, MD, Francesco Palazzo, MD. Thomas Jefferson University HospitalIntroduction: Lymphangiomas are rare cystic mesodermal tumors derived from lymphatic vessels that may present in various areas of the body. Retroperitoneal lymphangiomas are extremely rare, accounting for only 1% of these lesions with… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Robotics
Robot-assisted Highly Selective Vagotomy in Refractory Peptic Ulcer Disease
Melissa L DeSouza, MD1, Laura E Fischer, MD, MS2, James P Dolan, MD, MCR1. 1Oregon Health and Science University, 2Oklahoma University MedicineHighly selective vagotomy was first described by Griffiths and Harkin in 1957 as a more physiologic ulcer operation than standard truncal vagotomy by denervating parietal cell mass while maintaining pyloric integrity. While advances in… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic small bowel resection for jejunal diverticular disease
Joseph M Drosdeck, MD, MS, Jennifer Pasko, MD, Brett Sheppard, MD. Oregon Health & Science UniversitySmall bowel diverticula arise most commonly in the duodenum, but occur in the jejunum with an incidence of up to 1.3% in autopsy studies. Although most patients are asymptomatic, a variety of complications can arise that warrant surgical intervention. This… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations
Paraganglioma in renal hilar region and its successful laparoscopic management
Raj Gajbhiye, MS, Vikrant Akulwar, MS, FNB, Deepa Jahagirdar, MS, Arati Kirange, MS, Ram Khare, MBBS. GMC NagpurParagangliomas arise from cluster of neuroendocrine cells associated with the sympathetic and parasympathetic nervous system. Paragangliomas at renal hilar region are rare. We present a case of 31 years old female patient, who presented to us with left… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Solid Organ and Endocrine
MAGNETIC SINGLE INCISION LAPAROSCOPIC SLEEVE GASTRECTOMY
Camila B Ortega, MD, Alfredo D Guerron, MD, Dana Portenier. Duke University Health System. Department of Surgery. Division of Metabolic and Weight Loss SurgeryThe evolution of Minimally Invasive Surgery has led to the development of innovative surgical tehcniques. The purpose of this video is to demonstrate a Sleeve Gastrectomy procedure completed through a Single Inicision approach… Continue Reading
Novel Use of Keyhole Mesh for Robotic Repair of a Large Paraesophageal Hernia
Katherine D Gray, MD, Patrick Dolan, MD, Rasa Zarnegar, MD. New York-Presbyterian-CornellPatient Presentation: The patient is 58-year-old female who was referred for evaluation of a large paraesophageal hernia after undergoing esophagogastroduodenoscopy for an unrelated complaint. She reported symptoms of heartburn, regurgitation, and occasional post-prandial chest pain. Manometry showed intact esophageal motility and a hypotonic lower… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Endoscopic Removal of Eroded Adjustable Gastric Band
Matthew T Allemang, MD, Andrew Strong, MD, Jeffrey L Ponsky, MD, Matthew Kroh, MD, Philip Schauer, MD, John Rodriguez, MD. Cleveland Clinic FoundationThe following is a presentation of 2 cases of eroded adjustable gastric bands for bariatric surgery. These were removed using a novel endoscopic only technique that is described and shown in the following… Continue Reading
How to protect more remnant stomach volume for intraluminal gastric gastrointestinal stromal tumors: laparoscopic wedge resection with seromyotomy
Wenjun Xiong, Wei Wang, Jin Wan. Guangdong Provincial Hospital of Chinese MedicineLaparoscopic wedge resection is now widely performed for extraluminal gastric gastrointestinal stromal tumors (gGIST). However, this method for intraluminal gGIST may cause inadvertent resection of gastric tissue and lead to gastric cavity deformation. Herein, we introduce a technique of laparoscopic wedge resection with seromyotomy… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Excision of a Large Mesenteric Cyst
Ping Pan, MD, Seeyuen J Lee, MD, MPH, Philip L Leggett, MD. Houston Northwest Medical CenterWith the increasing use and recent advances of minimally invasive surgery, procedures that were traditionally performed via laparotomy can now be completed via laparoscopy. In our video, we demonstrate successful excision of a large intraabdominal cyst and concurrent distal pancreatectomy… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations
Robotic Low Anterior Resection with Trans-rectal extraction of specimen
Sushil Pandey, MD, FACS, FASCRS. Banner Boswell HospitalDuring Robotic Low Anterior Resection and Sigmoid Colon Resecton, specimen can be removed transrectally without making bigger incision in abdominal wall. It is feasible in selected group of patients like with diverticulitis, benign polyp and rectal prolapse. In our series of 10 patients, who underwent robotic low anterior… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Laparoscopic treatment of a small bowel obstruction-perforation due to an internal hernia, six months following a roux-en-Y gastric bypass for weight loss.
Harsh R Sheth, MD, Nimisha Kantharia, MD, Mufazzal Lakdawala, MD. Digestive Health Institute and Saifee Hospital, MumbaiA 53 year old female, presented with a colicky peri-umbilical pain, 6 months after a bariatric surgery (roux-en-Y gastric bypass) was performed. The pain was particularly severe following a routine endoscopic examination, which revealed no abnormality. She was distended… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other