Introduction:
Median arcuate ligament syndrome (MALS) was first described in 1963. Since then, MALS has remained somewhat ambiguous and difficult to definitively diagnose and treat. In large part, this is due to the limited data from large series of median arcuate ligament releases. This study presents a large series of patients with MALS and provides short-term clinical follow-up.
Methods:
A prospective database was established for patients undergoing laparoscopic median arcuate ligament rel
Background
Operative resection of gastroesophageal junction (GEJ) tumors can be performed via esophagectomy or total gastrectomy. These operations are fraught with significant perioperative morbidity and mortality. In patients with Siewert Type 2 and 3 GEJ tumors and significant medical comorbidities that place them at too high of risk to undergo esophagectomy or total gastrectomy, we perform laparoscopic esophagogastrectomy, a local resection of the distal esophagus, GEJ, and proximal stomach.
Laparoscopic repair of small epiphrenic diverticulae is described in the literature. We present a case of perforated epiphrenic diverticulum and demonstrate our method for laparoscopic repair which resulted in an excellent outcome.
This video shows an emergent laparoscopic repair of a type IV paraesophageal hernia, which acutely volvulized, that contained the antrum and duodenum. Initial attempt at endoscopic decompression and PEG gastropexy images, axial CT imaging, barium upper GI esophagram, and video of the laparoscopic repair for the paraesophageal hernia are all depicted. The repair includes a relaxing incision, absorbable mesh placement, and a Toupet fundoplication.
Despite their benign nature, the location of an esophageal leiomyoma, nearby vital structures in the mediastinum, can make surgical resection quite demanding. We present a video showing the thoracoscopic resection of an esophageal leiomyoma located in the middle third of the esophagus.
Under general anesthesia, right videothoracoscopy was performed in prone position. Azygous vein was divided and the esophagus and the tumor were dissected from the trachea, left bronchi and the aorta. Esophageal