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 right colectomy with co-axial port setting
Takeshi Naitoh, MD, Shinobu Ohnuma, MD, Hideaki Karasawa, MD, Atsushi Kohyama, MD, Kazuhiro Watanabe, MD, Hideyuki Suzuki, MD, Fuyuhiko Motoi, MD, Takashi Kamei, MD, Takanori Ishida, MD, Michiaki Unno, MD. Dept of Surg, Tohoku University Graduate School of MedicineDuring laparoscopic surgery, in order to recognize the 3-D positional relationship of the surgeons instruments and to… Continue Reading
- Topic:
- Colorectal
Complex Polypectomy in The Sigmoid Colon May Be Expedited Using a Novel Double Balloon Overtube (Dilumen)
Talal Alzghari, MD, Kota Momose, MD, PhD, Yohei Kono, MD, PhD, Parul Shukla, MD, Kelly Garrett, MD, FACS. Weill Cornell Medicine/NewYork Presbyterian HospitalINTRODUCTION: Challenging endoluminal large bowel therapies may be due to intrinsic lesion factors such as size, anatomical location or whether on a fold or around a bend. Regarding sigmoid colon lesions, these may be… Continue Reading
- Topic:
- Colorectal
Laparoscopic right hemicolectomy with D3 lymph node dissection and natural orifice specimen extraction surgery (NOSES)
Zheng Liu, Xishan Wang. National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical CollegeNatural orifice specimen extraction surgery has been developed to further reduce incision-related morbidity. We describe the technique with transvaginal specimen extraction and D3 lymph node dissectionin laparoscopic right hemicolectomy by this video. We performed intracorporeal anastomosis… Continue Reading
- Topic:
- Colorectal
pure taTME procedure for rectal cancer
Liang Kang. the sixth affiliated hospital of Sun Yat-sen UniversityThis is an operation video of puretaTME completed in 2014. The patient was a middle-aged woman and diagnosed as low rectal cancer. We made purse-bag suture from the lower edge of the tumor about 1 cm, then followed by free perirectal mesenteric space, until the peritoneal… Continue Reading
- Topic:
- Colorectal
Laparoscopic Colovaginoplasty (Gender Affirmation) Using Right Colon
Yosef Nasseri, MD1, Ruoyan Zhu, BS2, Christine Sutanto, BS2. 1Cedars-Sinai Medical Center, 2Surgery Group of Los AngelesThis is a video of a novel approach to gender-affirming surgery, laparoscopic colovaginoplasty through the harvest of the right colon to function as the neo-vaginal graft. Gender-affirming surgery offers major psychological and quality of life improvements for transgender patients.… Continue Reading
- Topic:
- Colorectal
A Transanal Endoscopic Surgery (TES) Approach to the Management of a Colorectal Anastomotic Stricture
Allison J Pang, MSc, MD, FRCSC, Julio Faria, MD, FRCSC, Nancy Morin, MD, FRCSC, Gabriela Ghitulescu, MD, FRCSC, Carol-Ann Vasilevsky, MD, FRCSC, Marylise Boutros, MD, FRCSC. McGill UniversityAnastomotic strictures are complications of colorectal surgery with an incidence of 3-30% depending on the circumstance of the surgery. The underlying pathophysiology of anastomotic strictures are numerous, and… Continue Reading
- Topic:
- Colorectal
Laparoscopic Assisted Transanal Total Mesorectal Excision (taTME) with Left Lateral Pelvic Lymph Node Dissection
Anthony P D'andrea, MD, MPH, Jordan M Cuevas, BS, Deepika Bhasin, MPH, Antoinette Bonaccorso, MD, Daniel A Popowich, MD, Patricia Sylla, MD. Division of Colorectal Surgery, Department of Surgery, Icahn School of Medicine at Mount SinaiBackground: Lateral pelvic lymph node dissection (LPLND) is routinely performed in Japan during total mesorectal excision for rectal cancer, but… Continue Reading
- Topic:
- Colorectal
Laparoscopic subtotal colectomy with complete mesocolic excision for colonic adenocarcinoma in the setting of Chronic Ulcerative Colitis
David M Schwartzberg, MD1, Hermann Kessler, MD, PhD2. 1New York University Langone Health, 2Cleveland Clinic Foundation, OhioUlcerative colitis (UC) is a chronic mucosal inflammatory bowel disease of the colon and rectum. After 10 years of having the disease, there is a significant risk of dysplasia or cancer in the affected colorectum, and because of the… Continue Reading
- Topic:
- Colorectal
Laparoscopic Spleen Preserving Pancreatectomy: A Cognitive Task Analysis Approach to Teaching Technique, Tips and Tricks
Shanley B Deal, MD, George Baison, MD, Adnan A Alseidi, MD, EdM. Virginia Mason Medical CenterThis video presentation will review a laparoscopic spleen preserving distal pancreatectomy via a unique approach. We present the video using cognitive task analysis to break down the complex procedure into 9 specific modular components in order to simplify each task.… Continue Reading
- Topic:
- Education / Simulation
Gastric Per Oral Pyloromyotomy for Post-Vagotomy Induced Gastroparesis Following Esophagectomy
Megan Sippey, MD, Mark Anderson, MD, Jeffrey Marks, MD, FASC, FASGE. Case Western Reserve UniversityIntroduction: Delayed gastric emptying occurs in approximately 15-30% of patients following thoracoabdominal esophagectomy. This is predominantly due to inherent vagotomy. Patients have a decreased quality of life secondary to persistent nausea and intolerance of oral intake. Management options include dietary modifications,… Continue Reading
The Endoscopic Management of a Chronic Gastric Leak: Surprising Fluoroscopic Findings
Samantha R Witte, MD, Amanda Lee, MD, Matthew Dixon, MD, Eric M Pauli, MD. Penn State HealthThis is a case presentation of the complex endoscopic management of a chronic gastric fistula. The real-time interpretation of fluoroscopic images directly impacted intraoperative decision making in this case, highlighting the importance of liberal use of fluoroscopy during these… Continue Reading
ENDOSCOPIC MANAGEMENT OF RECURRENT ANASTOMOTIC LEAK FOLLOWING CHEMOTHERAPY AFTER COLORECTAL SURGERY
David J Morrell, MD, Kevin J Mckenna, MD, Evangelos Messaris, MD, PhD, Eric M Pauli, MD. Penn State Health Milton S. Hershey Medical CenterIntroduction: The standard therapy for free intraperitoneal anastomotic leaks consists of surgical revision, diversion, and drainage. We present a patient managed endoscopically utilizing the same surgical techniques of source control and drainage. Methods: Patient… Continue Reading
Endoscopic rescue of diverse surgical gastro-intestinal complications using the over-the-scope Padlock clip
Alfonso Lapergola, MD, Bernard Dallemagne, MD, Antonio D'urso, MD, Ludovica Guerriero, Didier Mutter, MD, PhD, FACS, Jacques Marescaux, MD, FACS, HonFRCS, HonFJSES, Silvana Perretta, MD, PhD. Department of Digestive and Endocrine Surgery, Nouvel Hôpital Civil, Strasbourg University Hospital; Institut de Recherche contre les Cancers de l’Appareil Digestif (IRCAD) - IHU, Institute of Image-Guided SurgeryIn recent… Continue Reading
Endoscopic Diverticulopexy for Recurrent Dysphagia After Myotomy
Stephanie Novak, MS, Zachary Callahan, MD, Michael Ujiki, MD, FACS. NorthShore University Health SystemWe present a video of two cases in which the patients undergo endoscopic intervention for recurrent diverticulum. The first patient is a 49-year-old male with a history of transoral endoscopic Zenker's diverticulostomy. He re-presented with dysphagia and was found to have a… Continue Reading