This is a video of a laparoscopic implantation of a gastric electrical stimulator in a 13 year old girl with severe gastroparesis and functional dyspepsia. She had a temporary trial performed the week before that was successful in improving her symptoms, and therefore we proceeded with a permanent implantation. She has done well and has been able to eat food again after over a year of just liquids and has not been admitted to the hospital since surgery.
School: University of Florida
Spleen Preserving Laparoscopic Distal Pancreatectomy for a Solid Pseudopapillary Tumor
Contributors: Bestoun Ahmed
Spleen preservation is advisable if feasible during distal pancreatectomy for benign pancreatic tumors. A 31 year old patient had a blunt abdominal injury. Computed Tomography (CT) scan showed an incidental tumor in the body of the pancreas. EUS-guided cytology revealed a solid pseudopapillary tumor with benign features.This video demonstrates the technical details during a minimally invasive excision of a rare tumor of the pancreas in a male patient. Very few cases have been reported in males.
Editor Recruited By: Jeffrey B. Matthews, MD
DOI: http://dx.doi.org/10.17797/cc7ot3ymd8
Laparoscopic Transgastric Pancreatic Necrosectomy and Cystgastrostomy
Contributors: Michael Nussbaum
Pancreatic necrosectomy is a necessary operation for necrotizing pancreatitis. The traditional open approach has been associated with difficult access and significant negative outcomes including wound complications, pancreatic fistula and prolonged hospital stay. A 57-y-old female patient presented with mild abdominal pain and epigastric fullness.She had a history of multiple episodes of acute pancreatitis and pseudocyst formation. Abdominal computed tomography (CT )scan showed a large pseudocyst of 12×15 cm size compressing the posterior wall of the stomach. Following cystgastrostomy, a large amount of necrotic pancreatic tissue is found and so necrosectomty step was added to the operation.This video demonstrates the technical details during a minimally invasive necrosectomy of the pancreas with an expedited recovery.
DOI: http://dx.doi.org/10.17797/1ms9xzjz24
Editor Recruited By: Jeffrey B. Matthews, MD
Laparoscopic Choledochoduodenostomy for the Management of Post Gastric Bypass Biliary Stricture
Contributors: Jessica Cioffi
Laparoscopic hepatoduodenostomy is an excellent option for post-gastric-bypass patients with benign biliary tract disease as an indication for biliary bypass. It involves minimal dissection, but does require complex intracorporial suturing.
DOI: http://dx.doi.org/10.17797/5aizaeub3p
Editor Recruited By: Jeffrey B. Matthews, MD
Laparoscopic Adjustable Gastric Band Removal and Conversion to Sleeve Gastrectomy
Contributors: Melissa Beitner and Christine Ren-Fielding
This video shows the one-stage conversion of an adjustable gastric band to a sleeve gastrectomy.
DOI: http://dx.doi.org/10.17797/ygruogodll