Laparoscopic sleeve gastrectomy has gained worldwide popularity in recent years. The most common postoperative complications of sleeve gastrectomy are fistulas, but bleeding on the stapling line or into the abdominal cavity is also commonly reported and difficult to manage.
Extraluminal hemorrhage often occurs dramatically, as a hypovolemic shock requiring immediate resuscitation.
A 49-year-old female patient with a previous history of obstructive sleep apnea, HBP, dyslipidemia and morbid obes
Background: Conventional open lateral pelvic lymph node dissection (LLND) has been performed along internal iliac vessels and their branches. But it was accompanied by increased bleeding and postoperative complications. We have developed laparoscopic autonomic preserving technique for LLND based on vesicohypogastric fascia (VF) and ureterohypogastric nerve fascia (UNF). VF includes the internal iliac vessels, the internal pudendal vessels and the superior and inferior vesical vessels. UNF includ
Introduction: Repair of Type IV paraesophageal hernias remains a technically challenging operation. Use of robot assistance in selected cases allows for easier use of intracorporeal suturing, which may allow for improved mesh fixation without the need for a laparotomy.
Results: The patient is a 60-year-old female with a retrosternal Type IV paraesophageal hernia repair, with symptoms of substeral chest pain and gastroesophageal reflux. She has significant medical comorbidities including alcohol
Choledocholithiasis complicates 3-11% of cases of cholelithiasis, and can be suggested based on preoperative labs or intraoperative cholangiogram. Endoscopic, percutaneous, and surgical bile duct clearance strategies are available. For smaller mobile stones, laparoscopic trans-cystic ductal clearance can be accomplished during cholecystectomy with balloon-tipped catheters, choledochoscopy and basket retrieval, or with flushing and the administration of medications to relax the Sphincter of Oddi.
Introduction: Pheochromocytoma is a rare but potentially devastating tumor. ALthpugh usually related to adrenal adenoma, extra-adrenal lesions can produce similar hormonal findings. Laparoscopic Adrenalectomy has been widely preferred for surgical removal of adrenal masses.This video demonstrates the laparoscopic dissection of Right Adrenal mass and total excision of Paracaval mass.
Methods: We present a case of a 76 year old female, BMI of 15.83 kg/m2, with new onset of hypertension, weight lo