This video illustrates the preferred technique for minimally invasive esophagectomy at the University of Pittsburgh. Previously, our described technique included mobilization of the esophagus via thoracoscopy, laparoscopic creation of the gastric tube and construction of a cervical esophagogastric anastomosis. Although we have reported excellent outcomes with this technique, we have since modified the procedure to […]
INTRODUCTIONSevere nausea and vomiting, recurrent dehydration, and malnutrition occur infrequently after gastric bypass. A small number of patients, though, will present with refractory symptoms requiring multiple hospitalizations and intravenous or enteral nutrition. Enteral access routes have previously included either a nasojejunal feeding tube or gastrostomy tube placement in the gastric remnant. We present our experience […]
Background: Long term result of surgical treatment for malignancy is the most important thing even in the minimum invasive surgery. Laparoscopic gastric cancer surgery was performed widely, but its long term reults are still umknown.Method: We performed 262 cases of laparoscopy-assisted gastrectomy (LAG) for gastric cancer since 1996, while its indication was gradually expanded. We […]
INTRODUCTION: The benefits of the laparoscopic approach in inguinal hernia surgery are most evident when performed for bilateral cases. A single surgery to address bilateral pathologies would be practical and cost efficient. MATERIALS & METHODS: Our single centre series involves a retrospective review of 74 consecutive patients who underwent endoscopic totally extraperitoneal (TEP) repair for […]
BackgroundNatural orifice translumenal endoscopic surgery (NOTES) is a newly developing technology in the surgical field. Methods of gastrotomy closure are still far from satisfactory and pose a major hindrance to the development of NOTES. A new concept of transvaginal and transgastric peritoneoscopy followed by a two-layer endoclip closure of gastrotomy wound is presented.MethodsFour pigs were […]