Focus on Minimally Invasive Esophago-Gastric Surgery | WebSurg, the online university of IRCAD

LIVE INTERACTIVE SURGERY: floppy Nissen fundoplication. Discussant: TR DeMeester, MD, FACS

In this live interactive surgery video, Dr. Silvana Perretta presents the clinical case of a patient with GERD. Dr. Bernard Dallemagne demonstrates the main principles of a Nissen fundoplication for GERD, covering all aspects of the surgical procedure including key steps. The Endolumenal Functional Lumen Imaging Probe Imaging System (EndoFLIP) is used for intelligent monitoring of anatomical structures. The fundoplication and valve construction are better visualized by means of intraoperative endoscopy.

B Dallemagne, S Perretta, TR DeMeester

Surgical intervention

LIVE INTERACTIVE SURGERY: floppy Nissen fundoplication. Discussant: TR DeMeester, MD, FACS

In this live interactive surgery video, Dr. Silvana Perretta presents the clinical case of a patient with GERD. Dr. Bernard Dallemagne demonstrates the main principles of a Nissen fundoplication for GERD, covering all aspects of the surgical procedure including key steps. The Endolumenal Functional Lumen Imaging Probe Imaging System (EndoFLIP) is used for intelligent monitoring of anatomical structures. The fundoplication and valve construction are better visualized by means of intraoperative endoscopy.

LIVE INTERACTIVE SURGERY: Collis Nissen fundoplication in a lung transplanted patient

This video demonstrates a laparoscopic fundoplication for hiatal hernia repair. Dr. Dallemagne briefly demonstrates the main principles of port placement, patient position, and anatomical landmarks. He outlines tips and tricks as well as key steps. The approach to dissection, fundoplication, and reduction of the esophagus into the abdomen are thoroughly demonstrated in this outstanding live interactive surgery.

B Dallemagne, S Perretta, HA Mercoli

Surgical intervention

LIVE INTERACTIVE SURGERY: Collis Nissen fundoplication in a lung transplanted patient

This video demonstrates a laparoscopic fundoplication for hiatal hernia repair. Dr. Dallemagne briefly demonstrates the main principles of port placement, patient position, and anatomical landmarks. He outlines tips and tricks as well as key steps. The approach to dissection, fundoplication, and reduction of the esophagus into the abdomen are thoroughly demonstrated in this outstanding live interactive surgery.

Ivor Lewis esophagectomy for large GIST of the distal esophagus

Gastrointestinal stromal tumors (GISTs) of the esophagus are rare, comprising only about 1% of reported GISTs. In this video, Dr. Dallemagne demonstrates the Ivor-Lewis esophagectomy in a 70-year-old patient with a large GIST of the distal esophagus. Esophagectomy is performed laparoscopically and thoracoscopically to restore the digestive continuity, achieved through an intrathoracic esophagogastric anastomosis once the stomach has been tubulized.

B Dallemagne, S Perretta

Surgical intervention

Ivor Lewis esophagectomy for large GIST of the distal esophagus

Gastrointestinal stromal tumors (GISTs) of the esophagus are rare, comprising only about 1% of reported GISTs. In this video, Dr. Dallemagne demonstrates the Ivor-Lewis esophagectomy in a 70-year-old patient with a large GIST of the distal esophagus. Esophagectomy is performed laparoscopically and thoracoscopically to restore the digestive continuity, achieved through an intrathoracic esophagogastric anastomosis once the stomach has been tubulized.

LIVE INTERACTIVE SURGERY: Transhiatal enucleation of a large horseshoe-shaped leiomyoma of the esophagus

In this live interactive surgery, Dr. Bernard Dallemagne demonstrates the laparoscopic resection of a horseshoe leiomyoma of the lower esophagus in a 45-year-old lady. Dr. Perretta presents the clinical case along with a preoperative 3D-reconstructed planning using the virtual patient software. Dr. Dallemagne briefly outlines the key steps and main principles of the procedure of this complex horseshoe esophageal leiomyoma attached to the diaphragm.

B Dallemagne, S Perretta, A D'Urso

Surgical intervention

LIVE INTERACTIVE SURGERY: Transhiatal enucleation of a large horseshoe-shaped leiomyoma of the esophagus

In this live interactive surgery, Dr. Bernard Dallemagne demonstrates the laparoscopic resection of a horseshoe leiomyoma of the lower esophagus in a 45-year-old lady. Dr. Perretta presents the clinical case along with a preoperative 3D-reconstructed planning using the virtual patient software. Dr. Dallemagne briefly outlines the key steps and main principles of the procedure of this complex horseshoe esophageal leiomyoma attached to the diaphragm.

LIVE INTERACTIVE SURGERY: how to characterize Barrett’s esophagus with conventional equipment

In this live interactive video, Dr. Haruhiro Inoue provides a short introduction of the anatomical landmarks of Barrett’s esophagus. He briefly describes the main principles to characterize Barrett’s esophagus according to dysplasia and its differentiation by means of simple enhancement endoscopy, NBI endoscopy with or without acetic acid in a live interactive session at IRCAD France.

H Inoue

Surgical intervention

LIVE INTERACTIVE SURGERY: how to characterize Barrett’s esophagus with conventional equipment

In this live interactive video, Dr. Haruhiro Inoue provides a short introduction of the anatomical landmarks of Barrett’s esophagus. He briefly describes the main principles to characterize Barrett’s esophagus according to dysplasia and its differentiation by means of simple enhancement endoscopy, NBI endoscopy with or without acetic acid in a live interactive session at IRCAD France.

Does fluorescence guidance change the quality of lymphadenectomy?

In this key lecture, Dr. Hyung discusses the impact of fluorescence guidance on the quality of lymphadenectomy. He provides a brief overview of the main benefits of clinical applications of NIR fluorescence imaging, e.g. better visualization of lymph nodes, seeing the invisible, assessment of LND quality and non-compliance of surgery, as well as potential oncological benefits. He also covers novel techniques and future applications of fluorescence-guided imaging where optical imaging can be used for functional imaging.

Does fluorescence guidance change the quality of lymphadenectomy?

In this key lecture, Dr. Hyung discusses the impact of fluorescence guidance on the quality of lymphadenectomy. He provides a brief overview of the main benefits of clinical applications of NIR fluorescence imaging, e.g. better visualization of lymph nodes, seeing the invisible, assessment of LND quality and non-compliance of surgery, as well as potential oncological benefits. He also covers novel techniques and future applications of fluorescence-guided imaging where optical imaging can be used for functional imaging.

How does gastroesophageal junction tumors differ from esophageal and gastric tumors? Staging and treatment

In this key lecture, Dr. van Hillengersberg presents the Seiwert classification of gastroesophageal junction (GEJ) tumors. He describes preoperative diagnostic staging, baseline characteristics, tumor localization, neoadjuvant therapy, and surgical strategy in relation to tumor localization, accuracy, and lymph node status.

R Van Hillegersberg

How does gastroesophageal junction tumors differ from esophageal and gastric tumors? Staging and treatment

In this key lecture, Dr. van Hillengersberg presents the Seiwert classification of gastroesophageal junction (GEJ) tumors. He describes preoperative diagnostic staging, baseline characteristics, tumor localization, neoadjuvant therapy, and surgical strategy in relation to tumor localization, accuracy, and lymph node status.

Type of reconstruction and techniques of anastomosis in laparoscopic partial and total gastrectomy for cancer

In this authoritative lecture, Dr. Hyung looks into the type of reconstruction and anastomotic techniques in laparoscopic partial and total gastrectomy for cancer. He provides a brief overview of the main differences in port placement in laparoscopic vs. robotic surgery. He outlines the main points of intracorporeal anastomosis along with tips and tricks about liver retraction, lesion localization, gastroduodenostomy, gastrojejunostomy, reconstruction after total gastrectomy, and proximal gastrectomy with double tract reconstruction.

Type of reconstruction and techniques of anastomosis in laparoscopic partial and total gastrectomy for cancer

In this authoritative lecture, Dr. Hyung looks into the type of reconstruction and anastomotic techniques in laparoscopic partial and total gastrectomy for cancer. He provides a brief overview of the main differences in port placement in laparoscopic vs. robotic surgery. He outlines the main points of intracorporeal anastomosis along with tips and tricks about liver retraction, lesion localization, gastroduodenostomy, gastrojejunostomy, reconstruction after total gastrectomy, and proximal gastrectomy with double tract reconstruction.

Seven key concepts in the pathophysiology and treatment of progressive GERD

In this key lecture, Dr. DeMeester briefly outlines the 7 key concepts in the pathophysiology and treatment of progressive GERD. He discusses PPI treatment in relation to disease progression and how surgery is correlated with these concepts. He stresses the role of the sphincter in the surgical treatment of GERD and how disease progression can be prevented using an appropriate surgery.

Seven key concepts in the pathophysiology and treatment of progressive GERD

In this key lecture, Dr. DeMeester briefly outlines the 7 key concepts in the pathophysiology and treatment of progressive GERD. He discusses PPI treatment in relation to disease progression and how surgery is correlated with these concepts. He stresses the role of the sphincter in the surgical treatment of GERD and how disease progression can be prevented using an appropriate surgery.

Side effects after laparoscopic fundoplication: prevention and treatment

In this key lecture, Dr. DeMeester looks into the prevention and treatment of the side effects following a laparoscopic fundoplication. He mainly covers dysphagia and gas bloat syndrome in post-Nissen fundoplications using different studies. He lays emphasis on LES physiology in pre- and post-Nissen fundoplication and provides treatment options for related symptoms.

Side effects after laparoscopic fundoplication: prevention and treatment

In this key lecture, Dr. DeMeester looks into the prevention and treatment of the side effects following a laparoscopic fundoplication. He mainly covers dysphagia and gas bloat syndrome in post-Nissen fundoplications using different studies. He lays emphasis on LES physiology in pre- and post-Nissen fundoplication and provides treatment options for related symptoms.

Esophageal conduit after esophagectomy: stomach…

In this key lecture, Dr. Law outlines the main etiological factors of the anastomotic leak. He introduces the main principles of the gastric conduit construction method, the reconstruction model, predictive factors of gastric ischemia, as well as technologies to assess the perfusion of the gastric conduit. He provides the main mechanism of ICG fluorescence angiography as well as the management and outcome of an ischemic conduit.

SYK Law

Esophageal conduit after esophagectomy: stomach…

In this key lecture, Dr. Law outlines the main etiological factors of the anastomotic leak. He introduces the main principles of the gastric conduit construction method, the reconstruction model, predictive factors of gastric ischemia, as well as technologies to assess the perfusion of the gastric conduit. He provides the main mechanism of ICG fluorescence angiography as well as the management and outcome of an ischemic conduit.

Endoscopic therapy of foregut neoplasia

In this authoritative lecture, Dr. Pech outlines the endoscopic treatment of foregut neoplasia. He summarizes risk factors for lymph node metastasis in relation to squamous cell carcinoma (SCC). He compares EMR with ESD, and looks into the postoperative management and indications of endoscopic management for Barrett’s cancer. He briefly describes the indications of endoscopic treatment according to the 2016 Japanese guidelines. He also summarizes LN risks and ESD criteria in early gastric cancer.

O Pech

Endoscopic therapy of foregut neoplasia

In this authoritative lecture, Dr. Pech outlines the endoscopic treatment of foregut neoplasia. He summarizes risk factors for lymph node metastasis in relation to squamous cell carcinoma (SCC). He compares EMR with ESD, and looks into the postoperative management and indications of endoscopic management for Barrett’s cancer. He briefly describes the indications of endoscopic treatment according to the 2016 Japanese guidelines. He also summarizes LN risks and ESD criteria in early gastric cancer.