Introduction: Achalasia, which was previously a disease of patients of low or normal weight, is now being diagnosed in patients who are morbidly obese. This poses challenges in surgical treatment as visualization of the esophageal hiatus can be compromised in such patients and the risk of postoperative hiatal hernia is greater. In addition, morbidly obese patients would be candidate for bariatric surgery and prior hiatal surgery may be compromised by a laparoscopic Heller myotomy with or without
Introduction
The traditional approach to epiphrenic diverticula is thoracotomy, diverticulectomy, and myotomy to address dysmotility with/without partial fundoplication. A laparoscopic approach has been advocated but access to higher diverticula is problematic. We hypothesized a thoracoscopic and/or laparoscopic approach may overcome these challenges and sought to review our results.
Methods and Procedures
A retrospective review from 2004 to 2013 identified 13 patients with an epiphrenic dive
Introduction: The emergence of robotic-assisted general surgical procedures continues to grow as literature on safety and feasibility becomes available. There is a little data comparing the safety and efficacy of robotic-assisted Nissen fundoplication (RN) versus conventional laparoscopic Nissen fundoplication (LN).
Objective: To compare the safety, efficacy, and feasibility RN versus LN.
Participants: A multi-surgeon, prospectively maintained database was used to identify 25 patients who un
Introduction
Weight loss and gain are due to an imbalance of energy consumption and utilization. The impact of RMR on weight loss following VSG is unknown. As a result we wanted to answer whether a morbidly obese cohort has higher or lower RMR, if VSG increases resting energy expenditure thus reducing the predicted reduction in RMR with weight loss and if those with a faster preoperative metabolic rate will loose more weight postoperatively.
Methods
Fifty patients who underwent a VSG had th
Introduction : TLDG (totally laparoscopic distal gastrectomy) has several advantages over LADG (laparoscopy assisted distal gastrectomy). However, one of critical issues about TLDG is intraoperative tumor localization. The aim of this study is to compare two methods for tumor localization during TLDG in the patients with gastric cancer.
Methods and Procedures: We retrospectively reviewed the medical records from a prospectively collected database of 36 patients who underwent TLDG from July, 201