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Monthly publications

#January 2010
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Laparoscopic transhiatal esophagectomy for adenocarcinoma of the lower esophagus
Conventional esophagectomy requires either a laparotomy with a transhiatal dissection or a laparotomy combined with thoracotomy and it is associated with significant morbidity and mortality. In the attempt to decrease morbidity, some surgeons have reported the application of minimally invasive technique of resection of the esophagus. De Paula was the first to report a large series of 48 patients undergoing a total laparoscopic transhiatal esophagectomy (LTH). LTH may be used to treat patients with either benign or malignant esophageal disease because the reconstructive result cervical esophagogastric anastomosis yields good functional outcomes. Here we show the case of a LTH for adenocarcinoma of the lower esophagus.
Bernard Dallemagne, Silvana Perretta, Jacques Marescaux
Surgical intervention
9 years ago
5594 views
161 likes
1 comment
21:14
Laparoscopic transhiatal esophagectomy for adenocarcinoma of the lower esophagus
Conventional esophagectomy requires either a laparotomy with a transhiatal dissection or a laparotomy combined with thoracotomy and it is associated with significant morbidity and mortality. In the attempt to decrease morbidity, some surgeons have reported the application of minimally invasive technique of resection of the esophagus. De Paula was the first to report a large series of 48 patients undergoing a total laparoscopic transhiatal esophagectomy (LTH). LTH may be used to treat patients with either benign or malignant esophageal disease because the reconstructive result cervical esophagogastric anastomosis yields good functional outcomes. Here we show the case of a LTH for adenocarcinoma of the lower esophagus.
Internal hernia after laparoscopic Roux-en-Y gastric bypass
Internal hernia following laparoscopic RYGBP is a rare but potentially fatal complication. This is the case of a 40-year-old patient who benefited of a gastric bypass for morbid obesity. She had a BMI of 50. She presented with post-prandial pain associated with vomiting. The gastroscopy showed no abnormality. The contrast swallow and follow-through examination showed a stenosis 30cm from the gastrojejunal anastomosis with an almost complete obstruction. This finding was corroborated by the CT-scan, which identified an internal passage at the level of the alimentary loop. The laparoscopic repair of this internal hernia is presented.
Federico Costantino, Jacques Marescaux
Surgical intervention
9 years ago
3419 views
16 likes
0 comments
07:17
Internal hernia after laparoscopic Roux-en-Y gastric bypass
Internal hernia following laparoscopic RYGBP is a rare but potentially fatal complication. This is the case of a 40-year-old patient who benefited of a gastric bypass for morbid obesity. She had a BMI of 50. She presented with post-prandial pain associated with vomiting. The gastroscopy showed no abnormality. The contrast swallow and follow-through examination showed a stenosis 30cm from the gastrojejunal anastomosis with an almost complete obstruction. This finding was corroborated by the CT-scan, which identified an internal passage at the level of the alimentary loop. The laparoscopic repair of this internal hernia is presented.
Collis Nissen for slipped fundoplication with recurrent GERD symptoms
Hiatal hernia recurrence is a dreaded postoperative complication after surgery for gastroesophageal reflux. This video presents a live surgery performed in a patient presenting with recurrent symptoms and dysphagia after a previous Nissen fundoplication that was performed 5 years ago. All the preoperative work-up demonstrates the recurrent reflux, mixed ascites, and alkaline reflux associated with an intrathoracic migration of the proximal stomach, and probably a slippage of the valve on the upper part of the stomach. This patient has a manometry, which confirmed the weakness of the lower esophageal sphincter (LES) associated with some dysmotility disorders in the lower esophagus.
Bernard Dallemagne, Jacques Marescaux
Surgical intervention
9 years ago
1889 views
15 likes
0 comments
17:24
Collis Nissen for slipped fundoplication with recurrent GERD symptoms
Hiatal hernia recurrence is a dreaded postoperative complication after surgery for gastroesophageal reflux. This video presents a live surgery performed in a patient presenting with recurrent symptoms and dysphagia after a previous Nissen fundoplication that was performed 5 years ago. All the preoperative work-up demonstrates the recurrent reflux, mixed ascites, and alkaline reflux associated with an intrathoracic migration of the proximal stomach, and probably a slippage of the valve on the upper part of the stomach. This patient has a manometry, which confirmed the weakness of the lower esophageal sphincter (LES) associated with some dysmotility disorders in the lower esophagus.