Purpose: This video presents a concept of the Extramesorectal Excision (EME), which involves rectal resection performed in the wider plane than the traditional mesorectal excision. This is particularly important in the patients with threatened radial margins.
Methods: A robotic platform was used to perform TME and EME in the difficult male pelvis with a large tumor encroaching on the radial margin of resection. Special attention was given to identify the necessary reference points while venturi
Menetrier’s Disease is a rare hypertrophic gastropathy disorder. This disorder may be misdiagnosed for other disease processes; therefore the treatment may be delayed. The disorder is progressively morbid, which can lead to gastric malignancy. When medical therapy fails, surgical resection is recommended. The purpose of this presentation is to educate and demonstrate the technical challenges. Moreover, illustrating post-operative course and clinical outcomes to surgeons about this surgically cur
We show our experience using a combined laparoscopic and transanal approach to re-establish the intestinal continuity in an attempt to improve the surgical technique in patients with Hartmann procedure.
We present a 72 year old women with past medical history of a Hartmann procedure due to diverticulitis Hinchey IV. Six months after that, she was proposed to restoration of bowel continuity. Two teams worked simultaneously with single port devices, abdominally through the colostomy wound and tra
A laparoscopic approach to the Ladd’s procedure for adults with malrotation has been described in the literature with limited case series. Surgeons may hesitate to approach this problem with a minimally invasive technique due to concern regarding disorientation in the setting of aberrant anatomy. Our institutional experience has demonstrated laparoscopic Ladd’s procedure to be safe and effective. In this video we will present a case of truly aberrant anatomy; a patient with malrotation and situ
This case is a 62 yo female who underwent VBG in the 1980s and subsequently underwent laparoscopic adjustable gastric banding in 2007. In 2014 she underwent laparoscopic converted to open removal of gastric band for chronic nausea. She presented to our institution with chronic nausea, maladaptive eating and epigastric discomfort. Esophageal motility and gastric emptying studies were normal and UGI showed VBG stricture and epiphrenic diverticulum. She elected to proceed with revision of VBG t