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Julio R TORRES BERMÚDEZ

Hospital Rafael Méndez
Murcia, Spain
MD, PhD
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Laparoscopic resection of an esophageal leiomyoma
Leiomyomas represent a hyperproliferation of interlacing bundles of smooth muscle cells that are well demarcated by adjacent tissue or by a smooth connective tissue capsule. They usually arise as intramural growths and rarely cause symptoms when they are smaller than 5cm in diameter. In the distal esophagus, they may reach large proportions and may encroach on the cardia of the stomach. The majority of leiomyomas have been discovered during evaluation for dysphagia.
The traditional open thoracotomy for the enucleation of larger symptomatic esophageal leiomyomas has been gradually replaced by thoracoscopic or laparoscopic approaches. The video demonstrates the laparoscopic resection of a leiomyoma in a 50-year-old woman with a history of reflux esophagitis presenting with dysphagia.
Surgical intervention
6 years ago
1235 views
8 likes
0 comments
09:13
Laparoscopic resection of an esophageal leiomyoma
Leiomyomas represent a hyperproliferation of interlacing bundles of smooth muscle cells that are well demarcated by adjacent tissue or by a smooth connective tissue capsule. They usually arise as intramural growths and rarely cause symptoms when they are smaller than 5cm in diameter. In the distal esophagus, they may reach large proportions and may encroach on the cardia of the stomach. The majority of leiomyomas have been discovered during evaluation for dysphagia.
The traditional open thoracotomy for the enucleation of larger symptomatic esophageal leiomyomas has been gradually replaced by thoracoscopic or laparoscopic approaches. The video demonstrates the laparoscopic resection of a leiomyoma in a 50-year-old woman with a history of reflux esophagitis presenting with dysphagia.
Laparoscopic splenopancreatectomy for a solid pseudopapillary pancreatic tumor
The solid pseudopapillary tumor of the pancreas, also known as Frantz’s tumor, is an uncommon occurrence usually seen in younger women. It is usually of low grade malignity and most patients have no recurrence after successful surgical resection.
In the last few years, laparoscopic approach to resection procedures for benign pathologies or low-grade malignancies of the pancreas has been increasingly used. The traditional surgical approach to the distal pancreas requires large abdominal incisions because of the deep position of the gland, and entails possible postoperative complications such as wound infections and incisional hernia.
In this video, we present a laparoscopic distal pancreatectomy with splenectomy for a localized tumor of the tail of the pancreas. It shows some steps, which could simplify the technique and prevent some complications as bleeding or postoperative fistula.
Surgical intervention
8 years ago
7244 views
112 likes
0 comments
14:01
Laparoscopic splenopancreatectomy for a solid pseudopapillary pancreatic tumor
The solid pseudopapillary tumor of the pancreas, also known as Frantz’s tumor, is an uncommon occurrence usually seen in younger women. It is usually of low grade malignity and most patients have no recurrence after successful surgical resection.
In the last few years, laparoscopic approach to resection procedures for benign pathologies or low-grade malignancies of the pancreas has been increasingly used. The traditional surgical approach to the distal pancreas requires large abdominal incisions because of the deep position of the gland, and entails possible postoperative complications such as wound infections and incisional hernia.
In this video, we present a laparoscopic distal pancreatectomy with splenectomy for a localized tumor of the tail of the pancreas. It shows some steps, which could simplify the technique and prevent some complications as bleeding or postoperative fistula.
Laparoscopic Tanner’s gastropexy for acute gastric volvulus
Acute gastric volvulus is a rare clinical entity defined as an abnormal rotation of the stomach of more than 180 degrees, creating a closed loop obstruction that can result in incarceration and/or strangulation. The most common causes of gastric volvulus in adults are diaphragmatic defects such as paraesophageal hernias. Historically, mortality rates of 30-50% have been reported for acute volvulus, with the major cause of death being strangulation, which can lead to necrosis and perforation. Emergent surgical intervention is indicated for acute gastric volvulus. The laparoscopic treatment requires considerable experience but it has the potential to decrease the morbidity associated with open procedures. In February 2009, a case of an organo-axial gastric volvulus with a giant hiatal hernia was published in WeBSurg. We would like to take advantage of this to present a case with a mesentero-axial type marking the difference of the pathophysiology.
Surgical intervention
9 years ago
3811 views
41 likes
0 comments
12:27
Laparoscopic Tanner’s gastropexy for acute gastric volvulus
Acute gastric volvulus is a rare clinical entity defined as an abnormal rotation of the stomach of more than 180 degrees, creating a closed loop obstruction that can result in incarceration and/or strangulation. The most common causes of gastric volvulus in adults are diaphragmatic defects such as paraesophageal hernias. Historically, mortality rates of 30-50% have been reported for acute volvulus, with the major cause of death being strangulation, which can lead to necrosis and perforation. Emergent surgical intervention is indicated for acute gastric volvulus. The laparoscopic treatment requires considerable experience but it has the potential to decrease the morbidity associated with open procedures. In February 2009, a case of an organo-axial gastric volvulus with a giant hiatal hernia was published in WeBSurg. We would like to take advantage of this to present a case with a mesentero-axial type marking the difference of the pathophysiology.