Laparoscopic Total colectomy / TaTME and J Pouch With divertive Ileostomy
Alberto Gonzalez-Quezada, MD1, Matthew Albert, MD2, Grace Hwang, MD2, Arman Erkam, MD2, Alvaro Mendez-Pastor2. 1Hospital Universitario Dr. Jose Eleuterio Gonzalez Universidad Autonoma de Nuevo Leon, 2Florida Hospital26 year old male, history of Ulcerative Colitis refractory to medical management, since his diagnosis two years ago. He presents for the first part of two stages procedure wich… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Natural Orifice Transluminal Endoscopic Surgical Assisted Laparoscopic Management of Esophagojejunal Anastomotic Disruption
Samantha R Witte, MD, Eric M Pauli, MD, Niraj Gusani, MD, Ryan M Juza, MD, Vamsi Alli, MD. Penn State Milton S Hershey Medical CenterThis video demonstrates the effective use of NOTES technique to assist in the laparoscopic management of an esophagojejunal anastomotic disruption resulting in diffuse peritonitis. Without endoscopic assistance, the patient would have… Continue Reading
LAPAROSCOPIC TRANSGASTRIC RESECTION OF A MASS AT THE ESOPHAGOGASTRIC JUNCTION
Andrew T Strong, MD1, Carlos M Abril, MD2, Matthew Kroh, MD2. 1Cleveland Clinic, 2Cleveland Clinic Abu DhabiGastrointestinal stromal tumors of the stomach are submucosal masses often found incidentally during endoscopy or on cross sectional imaging. Resection is typically recommended due to the malignant potential, and is most commonly accomplished by wedge gastrectomy. This video describes… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
Laparoscopic Antrectomy and Partial Duodenectomy with Gastrojejunostomy for Duodenal Neuroendocrine Tumor
David J Berler, MD, Sheila Rustgi, MD, Nikhil Kumta, MD, MS, Anthony J Vine, MD, FACS. Icahn School of Medicine at Mount SinaiThis is the case of a 60-year-old man who presented with syncope and melena. He was found on EGD to have a 1cm lesion in the first portion of the duodenum. Biopsy was… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Foregut
ROBOTIC SINGLE ANASTOMOSIS GASTRIC BYPASS WITH TOTAL GASTRECTOMY OF THE REMNANT
Patricio Cal, MD, Luciano Deluca, MD, Tomas Jakob, MD, Diego Lonardi, MD, Ezequiel Fernandez, MD. Hospital Churruca38-year-old woman, BMI 45.2, with insulin dependent type 2 diabetes. Multiple hyperplastic polyps were diagnosed in the preop endoscopy. Decision was taken to perform a robotic single anastomosis gastric bypass with total gastrectomy of the remnant. After setup of… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Metabolic / Obesity
Laparoscopic resection of a large enteric duplication cyst
Wanda C Lam, MD, Katherine B Kelly, MD. Louis Stokes Cleveland VA Medical CenterGastric duplication cyst is a rare condition typically seen in children. They comprise 9% of all gastrointestinal duplications. The etiology is not clearly understood. In adults, gastric duplication cysts are especially rare and typically asymptomatic. They are most often incidental findings. … Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations
HEPATIC ARTERY THROMBOSIS DUE TO SURGICAL ENERGY IN MINIMALLY INVASIVE PANCREATICODUODENECTOMY
Brij B Agarwal, MS, Neeraj Dhamija, DNB, Kiran B Mule, MBBS, Nayan Agarwal, MBBS. Sir Ganga Ram Hospital & GRIPMER, IndiaHepatic ischemia due to Hepatic Artery Thrombosis (HAT) is a dreaded and potentially fatal complication of Pancreaticoduodenectomy. Early detectio by acute and severe rise of aminotransferases and timely revascularisation is the key to management. We… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Liver and Pancreas
Laparoscopic Ischiorectal Hernia Repair
Erin Thompson, MD, Erica Kane, MD, MPH, John Romanelli, MD. Baystate Medical CenterPrimary perineal hernia is a rare problem, with fewer than 100 cases reported in the literature, and there is no consensus on the optimal technique for repair. There are several case reports describing laparoscopic repair, with and without the use of mesh. We… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations
Laparoscopic-Assisted ERCP: Accessing the Gastric Remnant
Tarin C Worrest, MD, Abhishek Parmar, MD, Erin W Gilbert, MD. Oregon Health and Sciences UniversityWe present a straightforward and reproducible technique for laparoscopic-assisted endoscopic retrograde cholangiopancreatography, or ERCP. This video focuses on a stepwise description of the procedure while highlighting the anatomy and technical aspects of the dissection.Presented at the SAGES 2017 Annual Meeting… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Iatrogenic Diaphragmatic Hernia after Splenectomy for a Symptomatic Calcified Hematoma
Laura M Adams, MD, Sharon L Bachman, MD. INOVA Fairfax HospitalThis video reports on the unusual case of the development of an iatrogenic diaphragmatic hernia after a hand-assisted splenectomy for a symptomatic calcified splenic hematoma, which measured 9x10cm. A 2cm diaphragmatic defect occurred during the initial operation at the dense cyst adhesions to the diaphragm and… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Case Presentations
Robotic common bile duct exploration in a patient with gastric bypass surgery
Rana N Ahmad, MD. Columbia Surgical SpecialistsRobotic assisted common bile duct exploration in a patient with previous roux-en-y gastric bypass surgery 11 years ago for wight reduction and laparoscopic cholecystectomy 4 months ago for cholecystitis. Now presenting with obstructive jaundice and CBD stones.Presented at the SAGES 2017 Annual Meeting in Houston, TX.Abstract ID: 88625Program Number: V242Presentation… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Robotics
Robotic Complete Mesocolic Excision with High Vascular Tie and Intracorporeal Side-to-Side Anastomosis with Omental Pedicle Flap
Turgut Bora Cengiz, MD, Erman Aytac, MD, Cigdem Benlice, MD, Emre Gorgun, MD, FASCRS, FACS. Cleveland ClinicIn this video, we present technical details of a robotic complete mesocolic excision with a high vascular tie and intracorporeal side to side anastomosis with omental pedicle flap. This was a 74-year-old male with ascending colon cancer with no distant… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Colorectal
Novel Approach to a Quick and Effective Trans-peritoneal Transversus Abdominis Plane Block (TP-TAP Block) Confirmed with Ultrasound
Sepehr Lalezari, MD, Hien T Nguyen, Gina L Adrales, Jean-Pierre Ouanes, MD, Michael A Schweitzer. Johns HopkinsINTRODUCTION: Enhanced recovery pathways are an area of increasing interest for minimally invasive surgeons. The transversus abdominis plane (TAP) block has been adopted by many as a way to improve post-operative pain control. We present our modified version of… Continue Reading
Post Esophagectomy Hiatal Hernia Repair: Laparoscopic Approach
Hussam Alamri, MD, Lorenzo Ferri, MD, PhD, Carmen Mueller, MD, MEd. Mcgill UniversityIntroduction: Herniation of abdominal contents through the hiatus in post esophagectomy patients is a rare but serious complication. Laparoscopic approach to this repair provides several advantages, here we present two cases of laparoscopic post esophagectomy hiatal hernia repair. Case reports: Our first patient… Continue Reading
- Type:
- Video Loop Presentations
- Topic:
- Minimally Invasive Other
Combined Endoscopic Duodenal Full Thickness Resection and Laparoscopic Reconstruction Optimizes Operative Efficacy, Efficiency and Safety
Ahmed Zihni, MD, MPH, Walaa F Abdelmoaty, MD, MBA, Filippo Filicori, MD, Andreas Schneider, MD, Ronald Wolf, MD, Kevin Reavis, MD. The Oregon ClinicMasses in the distal duodenum pose a challenging clinical problem. Endoscopy is an attractive option for benign or indeterminate lesions, as it spares patients a large, potentially morbid resection. Distal lesions, however,… Continue Reading