Laparoscopic Repair of Perforated Type V Gastric Ulcer in a Patient with Recurrent Paraesophageal Hernia
Georgios Orthopoulos, MD, PhD, Parth Sharma, MD, Mazen Al-Mansour, MD. Baystate Medical Center/University of Massachusetts Medical SchoolThis is a case of a 76 year old female with multiple medical comorbidities, abuse of Non-Steroidal Anti-Inflammatory Drugs due to chronic knee pain and remote history of laparoscopic paraesophageal hernia repair who presented with peritonitic signs and pneumoperitoneum.… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Laparoscopic surgery for mechanical small bowel obstruction due to appendicitis
Andrew Mueller, MD1, Carl Tadaki, MD2. 1University of Hawaii, 2Straub Medical CenterA 53 year old male with no prior history of abdominal surgery presented to the emergency department with a two day history of abdominal pain, nausea and vomiting, and absent flatus and bowel movements. During the initial physical exam the patient was found to… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Laparoscopic Small Bowel Resection
Marcoandrea Giorgi, MD, Todd Stafford, MD. Brown University - Rhode Island HospitalVideo illustration of laparoscopic small bowel resection with anastomosis. Patient is a 33 years old female with history of malrotation and sleeve gastrectomy who presented with acute onset epigastric pain and was found to have closed loop obstruction on CT scan, She was taken… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Jejunal Perforation by a Wire Grill-Cleaning Brush Bristle
Erin M Thompson, MD, John Romanelli, MD. Baystate Medical CenterInjuries from unintentional ingestion of wire grill-cleaning brush bristles have been increasingly reported in the literature over the past decade. Although a special report was published by the CDC in 2012 warning of this pattern of injury, case reports continue to appear in both the medical… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Acute Care Surgery
Unexpected Finding of Gallbladder Torsion Resulting in Ischemia: A Rare Diagnosis
Jordan Wilkerson, MD, Cory Banaschak, DO, Amelie Lueders, MD, Viney Mathavan, MD. St. Vincent HospitalThis video abstract submission demonstrates an unexpected intra-operative finding of gallbladder torsion resulting in ischemia which was identified at the time of laparoscopic cholecystectomy. The patient presented is a 91 year-old male who presented with concern for acute cholecystitis based on… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic laparoscopic assisted cystic duct ligation for persistent postoperative bile leak in Roux-en-Y gastric bypass patient
Baongoc Nasri, MD, PhD1, Jordan Wilkerson, MD1, Jamie Schutle, MD1, Marius Calin2, Timothy Glass, MD1. 1St VincentHospital, 2Virtua HospitalIntroduction: Cystic duct leak is an uncommon complication following cholecystectomy. Endoscopy is considered safe and effective therapy. However, ERCP in post gastric bypass can be technical challenges. Robotic assisted cystic duct exploration can be an option for… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic Completion Cholecystectomy Following Unsuccessful Operative Intervention For Severe Acute Cholecystitis
Jordan A Wilkerson, MD, Cory Banaschak, DO, Jessica Belchos, MD, Bianca Kenyon, MD, Kyle Suedeal, MD, Kirpal Singh, MD. St. Vincent HospitalThis is a video abstract submission detailing a robotic completion cholecystectomy in a 56 year-old female that was performed for recurrent subhepatic abscesses and chronic symptoms following unsuccessful operative intervention for initial severe acute… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
RE- LAPAROSCOPY IN LOW INSERTION REMNANT CYSTIC DUCT CALCULI WITH TYPE 1 MIRRIZZI SYNDROME
Manoj K Choudhury, MS, FMAS, Hrishikesh Deka, MS. Nemcare Superspeciality HospitalObjective: Re-laparoscopy in gall bladder or cystic duct remnant with calculous disease is a technically difficult approach. It carries increased conversion and biliary complications. But the morbidity is significantly reduced if performed successfully. Our objective is to reduce the morbidity of the patient. Method &… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic Cholecystectomy and CBD Exploration using Choledocotomy and Primary Closure following failed ERCP: A novel 3-port Technique
Daniel Gomez, MD, FACS1, Luis F Cabrera, General Surgeon2, Andres Mendoza, General Surgeon2, Ricardo Villarreal2, Mauricio Pedraza2, Jean Pulido2, Eric E Vinck2, Sebastian Sanchez2. 1CPO, 2Bosque UniversityIntroduction: Laparoscopy has many known advantages, including shorter hospital stay and less risk of surgical site infection, however, when applied to Mirizzi Syndrome, due to the technical challenges, the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic hepatic cyst fenestration with biliary leak repair
Usah Khrucharoen, Yen-Yi Juo, Andrew Scott, Erik Dutson. UCLAIn this video, we present a patient with progressive polycystic liver disease undergoing laparoscopic hepatic cyst fenestration. The patient had previously undergone 4 prior laparoscopic hepatic cyst fenestration, yet her abdominal pain and distension recurred due to disease progression. The aim of this operation is to reduce the total… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic treatment of choledochal cyst with stapled hepaticojejunostomy
Sarfaraz Baig, MS, FRCS. Belle Vue ClinicLaparoscopic treatment of choledochal cyst is technically challenging. Leak stays the major cause of morbidity. With time, we have changed our technique of hepaticojejunostomy to include the use of staplers. With this technique, we are able to reduce the tension on the anastomosis as well as have makes the… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robotic Parenchyma Sparing Central Pancreatectomy for a Mucinous Lesion of the Head and Neck of the Pancreas
Roberto Bustos, MD, Valentina Valle, MD, Alberto Mangano, MD, Sam Papasotiriou, Pier C Giulianotti, MD, FACS. University of Illinois at ChicagoIntroduction: Central pancreatectomy is among the techniques available for the treatment of pancreatic neck tumors. It is indicated for benign or low-grade malignant neoplasms. This pancreas-sparing technique was developed to avoid exocrine and/or endocrine insufficiency that… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Robot-Assisted Laparoscopic Subtotal Cholecystectomy and Common Bile Duct Exploration
Subhashini Ayloo, MD, MPH, Jacob Schwartzman, MD. Rutgers, New Jersey Medical SchoolObjective: To demonstrate the safety and feasibility of minimally invasive robot-assisted bile duct exploration and subtotal cholecystectomy for Mirizzi syndrome. Materials and Methods: A 42 year old woman presented with abdominal pain, cholangitis, and elevated LFT’s. Ultrasound confirmed cholelithiasis/choledocholithiasis. Two attempts of ERCP with… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Minimal invasive drainage of a large a large pancreatic pseudocyst
Ionut Bogdan I Diaconescu, Matei Razvan Bratu, Dragos Ene, Mircea Beuran. Carol Davila University of Medicine and PharmacyIntroduction: Laparoscopic cystogastrostomy is an suitable procedure for the drainage of pancreatic pseudocysts if the cysts is present in the lesser sac (retro-gastric). Methods: We present 2 consecutive cases where transmural drainage was tried, but for two cases… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary
Laparoscopic Bile Duct Excision
Ammiel Arra, Dr, N Bascombe, Dr, M Bartholomew, Dr, D Dan, Prof. San Fernando General HospitalObjective: Due to the risk of malignancy, the established management of choledochal cysts mandates bile duct excision and biliary reconstruction. While the reconstructive procedure of choice for most surgeons has traditionally been hepatico-jejunostomy, this may not be feasible in selected… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Biliary