ROBOTIC RIGHT HEPATECTOMY WITH EXPOSURE OF VENA CAVA AND ANTEROGRADE SPLIT OF THE LIVER.
Valentina Valle, MD, Alberto Mangano, MD, Eduardo Fernandes, MD, PhD, FRCS, Luis F Gonzalez-Ciccarelli, MD, Pier Cristoforo Giulianotti, MD, FACS. University of Illinois at ChicagoIntroduction: This is the case 41 year-old male. Past Medical History: Rectal adenocarcinoma treated by neoadjuvant chemotherapy and low anterior resection. History of presenting illness: during adjuvant chemotherapy, the known right… Continue Reading
- Topic:
- Robotics
Pancreaticojejunostomy reconstruction for small pancreatic duct in totally laparoscopic pancreaticoduodenectomy
Hariruk Yodying, MD. Department of surgery, HRH Princess Maha Chakri Sirindhorn Medical Center (MSMC) Hospital, Srinakharinwirot UniversityBACKGROUND: Laparoscopic pancreaticoduodenectomy (LPD) is a complex procedure that has been cautiously regarded as feasible and safe for resection and reconstruction. Postoperative pancreatic fistula (POPF) remains the major complication after pancreaticoduodenectomy. Risk factors commonly reported to increase the risk of… Continue Reading
- Topic:
- Biliary
Approach to Safe Laparoscopic Cystic Duct Remnant Resection: More Than Just Careful Dissection
Essa M Aleassa, MD, MSc, Kevin M El-Hayek, MD. Section of Hepatopancreatobiliary Surgery, General Surgery, Cleveland Clinic FoundationIntroduction: Presentation of recurrent symptoms of calculous biliary disease after remote cholecystectomy should hint at the presence of a retained cystic duct remnant stone. While non-surgical options should be attempted first, they can be unsuccessful. This video demonstrates… Continue Reading
- Topic:
- Biliary
Tips for Single-Incision Laparoscopic Cholecystectomy
Eijiro Harada, MD, Yuki Suehiro, MD, Naruji Kugimiya, MD, Yoshihiro Takemoto, MD, Atsushi Suga, MD, Kimikazu Hamano, MD. Department of Surgery and Clinical Science, Yamaguchi University Graduate School of Medicine, JapanSingle-incision laparoscopic cholecystectomy (SILS-C) has been developed as an alternative method to multi-port laparoscopic cholecystectomy. However, SILS-C has some difficulties due to limited triangulation and… Continue Reading
- Topic:
- Biliary
Robotic Repair of Choledocho- right hepatic arterial fistula
Adel Alhaj Saleh, MD, MRCS, Edwin Onkendi, MBChB. Texas Tech University Health Sciences CenterThe patient is a 53-year-old female who was transferred to us from another instituition. Two weeks ago, she presented with abdominal pain and work-up showed a large common bile duct stone. She was seen by a gastroenterologist locally who performed ERCP, but… Continue Reading
- Topic:
- Biliary
Emergency Laparoscopic Remnant Gastrectomy with a Pouch Gastroplasty in a Gastric Bypass Patient with Acute Gastrogastric Fistula Bleeding
Jad M Abdelsattar, MD, David Kelly, MD, Lawrence Tabone, MD, Nova Szoka, MD, Salim Abunnaja, MD. West Virginia UniversityGastrogastric fistula (GGF) is a rare complication following laparoscopic Roux-en-Y gastric bypass (LRYGB). Patients can be asymptomatic, or present with abdominal pain, marginal ulceration (MU) or weight regain. To our knowledge, this is the first case in… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Repair of Strangulated Internal Hernia
Melissa L Desouza, MD1, Daniel Davila Bradley, MD2, Kevin M Reavis, MD, FACS2. 1Oregon Health and Science University, 2The Oregon Clinic, Division of Gastrointestinal and Minimally Invasive SurgeryBackground: Internal hernia is the most common cause of small bowel obstruction following Roux-en-Y gastric bypass and may result in devastating loss of bowel. Presented here is a… Continue Reading
- Topic:
- Metabolic / Obesity
Endoscopic Septotomy & Dilation of Chronic Sleeve Gastrectomy Leak
David C Kelly, MD, MHA, MS, Salim Abunnaja, MD, Lawrence Tabone, MD, John Nasr, MD, Nova Szoka, MD. West Virginia UniversityLeak following laparoscopic sleeve gastrectomy is a common complication with incidence rates of 0.5-2.2%. Most leaks resolve quickly with conservative measures but some may persist for weeks to months. Management of persistent and chronic leaks… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic Robotic-Assisted Resection of Gastric Fistula and Conversion to Roux-en-Y Gastric Bypass for Gastro-Bronchial Fistula
Sarah Pearlstein, MD, Dimitar Ranev, MD, Julio Teixeira, MD, Andrew Godwin, MD. Lenox HillThis is the case of a 35 year old female with history of morbid obesity who underwent vertical sleeve gastrectomy four years ago, followed by inadequate weight loss and subsequent repeat sleeve gastrectomy one year ago. Four months post-operatively she presented with… Continue Reading
- Topic:
- Robotics
Laparoscopic Approach to Intussusception After Roux-en-Y Gastric Bypass
Selwan D Barbat, MD, Abdelrahman A Nimeri, MD, FACS, FASMBS, Timothy S Kuwada, MD, FACS, FASMBS, Keith S Gersin, MD, FACS, FASMBS. Carolinas Weight Management & Wellness CenterBackground: Intussusception after Roux-en-Y gastric bypass is a rare, but critical event that has an incidence of 0.1 to 0.3%. There have been only a few case series… Continue Reading
- Topic:
- Metabolic / Obesity
Laparoscopic lateral pelvic node dissection after neoadjuvant chemo-radiation for locally advanced rectal cancer (Wang’s approach)
Zheng Liu, Xishan Wang. National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeWe demonstrate the technique for laparoscopic lateral pelvic node dissection (LLPND) for rectal cancer patients with suspicion of LLN metastases after neoadjuvant chemo-radiation. The principle of this approach is en bloc resection with… Continue Reading
- Topic:
- Colorectal
Laparoscopic Transverse Colectomy for Mid-Transverse Colon Cancer
Jeff Conner, MD, Andrew Schlussel, MD. Madigan Army Medical CenterIntroduction: Oncologic resections for transverse colon cancer have traditionally been approached via extended right and left colectomy. While laparoscopic techniques have been validated to be an acceptable approach for colon cancer, segmental transverse colectomy is not the traditional described technique for treating transverse colon cancer. If… Continue Reading
- Topic:
- Colorectal
Laparoscopic Multivisceral Resection for Locally Advanced Splenic Flexure Cancer
Arman Erkan, MD, Alvaro Mendez, MD, Alberto Gonzalez, MD, Mercy Wagner, MD, Justin Kelly, MD, FRCS, John Rt Monson, MD, FACS, FRCS, FASCRS, Matthew R Albert, MD, FACS, FASCRS. AdventHealthLaparoscopic approach has become the standard for elective colorectal resection and is associated with reduced postoperative pain, faster gastrointestinal recovery, and shorter hospital stay compared with… Continue Reading
- Topic:
- Colorectal
Conversion Of A Sleeve Gastrectomy To A Roux En Y Gastric Bypass In A Patient With Intestinal Non-Rotation
Nader Hanna, MD, Boris Zevin, MD, PhD. Queen's University, Kingston, OntarioIntestinal non-rotation is part of a wider spectrum of a malrotation congenital abnormality and its incidence is around 0.5%. It is usually discovered incidentally during investigation of unrelated pathology. We present a case of laparoscopic conversion from a sleeve gastrectomy to a Roux-en-Y gastric bypass… Continue Reading
- Topic:
- Metabolic / Obesity
Dual Strictures and Unexpected Mesh: The Challenges of Revision Bariatric Surgery
Arielle M Lee, MD, Rebeca Dominguez, MD, Tokio Matsuzaki, MD, PhD, Kai Neki, MD, Ryan C Broderick, MD, Robert Cubas, MD, Joslin N Cheverie, MD, Bryan J Sandler, MD, Garth R Jacobsen, MD, Santiago Horgan, MD. UC San DiegoIn patients with morbid obesity, management with bariatric surgery is the gold standard for sustained weight loss.… Continue Reading
- Topic:
- Metabolic / Obesity