Objective: Paraesophageal hernia occurs due to weakness in the physiologic sphincter of the diaphragmatic crura. Laparoscopic surgical repair is universally accepted as the standard of care for treatment. Technique and fixation approach remain controversial with both primary tissue repairs and buttressed mesh repairs currently utilized. High rates of anatomic recurrence have been reported; however symptomatic recurrence is less common. Recurrence rates for primary repair range from 20% to 42%,
INTRODUCTION: Redo fundoplication following failed anti-reflux surgery has been shown to improve patient symptoms; however, its impact on patient quality of life remains unclear. We hypothesized that laparoscopic redo fundoplication improves disease-specific and global quality of life in patients with recurrent symptoms following failed laparoscopic or open fundoplication.
METHODS AND PROCEDURES: A retrospective review of a prospective database was conducted for patients undergoing redo fundopl
INTRODUCTION
Stomach cancer is the third leading cause of cancer death worldwide. The five year observed survival rate of metastatic gastric cancer is around 4% . The role of surgery for metastatic gastric cancer is still controversial. Our objective is to investigate the outcomes of the metastatic gastric cancer patients who underwent gastrectomies.
METHODS
A retrospective review of patients who underwent gastrectomies for metastatic stomach cancer in Seoul National University Bundang Hosp
Aims: We previously reported that laparoscopic gastrectomy for advanced gastric cancer could be feasible with some difficult situation such in cases with D2 lymph node dissection for metastasis. Thus we introduced laparoscopic surgery after chemotherapy for unresectable gastric cancer as conversion surgery. It is expected that our technique could be useful for treating these cases.
Methods: From April of 2010 to March of 2014, 79 consecutive patients with advanced gastric cancer diagnosed as cS
Background Gastroesophageal reflux disease (GERD) is an extremely common condition. Laparoscopic fundoplication, for medically refractory cases is widely underutilized – partly due to concerns about potential side effects such as bloating, belching, and dysphagia. The severity of these side effects may vary depending on preoperative variables, namely the integrity of the gastroesophageal junction (GEJ). This study seeks to determine if patients with a normal lower esophageal sphincter (normal LE