Introduction: Symptomatic gastrointestinal stromal tumors of the esophagus present a technical challenge with regards to their safe removal. Located within the muscularis propria, these tumors are not typically amenable to endoscopic resection. We describe the technique of thoracoscopic enucleation in a patient with a 3 cm esophageal gastrointestinal stromal tumor located in the middle esophagus. […]
Introduction: The surgical team is a dynamic system with constant change in tasks and team composition. This study reviewed operation records retrospectively to describe the surgical team composition, and examine the impact of surgical size on performance. We aim to improve the OR efficiency by constructing optimal surgical teams.Methods: Cases preformed by an expert laparoscopic […]
Introduction: The American Joint Committee for Cancer recommends harvest of at least 15 lymph nodes from gastrectomy for adenocarcinoma for accurate staging. Up to one-quarter of open gastrectomies (OG) have resections margins microscopically positive for malignant cells (R1). We examined the lymph node yield and R status for entirely laparoscopic gastrectomy (LG).Patients & Methods: All […]
Reverse alignment (mirror image) visualization is a disconcerting situation occasionally faced during laparoscopic operations. This occurs when the camera faces back at the surgeon in the opposite direction from which the surgeon’s body and instruments are facing. Most surgeons will attempt to optimize trocar and camera placement to avoid this situation, however, this is not […]
Purpose: To conduct a systematic review to explore the role of laparoscopy for the management of gastric cancer. Methods: Randomized controlled trials were assessed when laparoscopy was utilized as an intervention. When utilized as a diagnostic test, trials were included if staging laparoscopy was compared to a predefined gold standard in addition to conventional staging […]