General and digestive surgery

Please find here videos of surgical procedures, lectures, operative techniques, case reports and expert's interviews in general and digestive surgery.

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General and digestive surgery

Please find here videos of surgical procedures, lectures, operative techniques, case reports and expert's interviews in general and digestive surgery.
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  1. 1Anesthesia
  2. 33Appendix
  3. 381Colon
  4. 462Stomach and duodenum
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  7. 56Esophagus
  8. 42Pancreas
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  10. 60Spleen
  11. 229Rectum and anus
  12. 76Gallbladder
  13. 38Biliary tract
  14. 1Retroperitoneum
  15. 3Diaphragm
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  17. 1Peritoneum
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http://www.websurg.com/img/ws_logofacebook.png General and digestive surgery - WeBSurg, the e-surgical reference of Laparoscopic surgery http://www.websurg.com/ WeBSurg is a charge-free web-based educational resource in minimally invasive surgery. It provides the healthcare community a wide range of surgical procedures, videos, lectures, and case reports. en-fr-es-jp-tw Copyright WebSurg All rights reserved. Tue, 01 Jul 2014 00:00:00 +0100 http://backend.userland.com/rss Science, Surgical videos 30 General and digestive surgery - WeBSurg, the e-surgical reference of Laparoscopic surgery http://www.websurg.com/img/ws_logofacebook.png http://www.websurg.com/ Transanal abdominal transanal (TATA) proctosigmoidectomy for low rectal cancer Tue, 01 Jul 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4278.html http://www.websurg.com/doi-vd01en4278.html S Rua, H Capote, B Mourato
In 1984, the Transanal Transabdominal Transanal (TATA) surgical procedure has been described by Dr. Gerald J. Marks. It was initially developed in cadavers. This surgery is applied in humans to avoid a colostomy. John Marks, Dr. Marks’s son, has achieved abdominal timing using a laparoscopic ...
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Subtotal laparoscopic cholecystectomy for Mirizzi syndrome type IA Tue, 01 Jul 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4272.html http://www.websurg.com/doi-vd01en4272.html A Sazhin, S Mosin
This video shows a case of Mirizzi syndrome type IA (according to the classification of Csendes and Nagakava). This 36-year-old female patient was admitted for an elective laparoscopic cholecystectomy due to a chronic calculous cholecystitis. Preoperative examination did not reveal any ...
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Laparoscopic resection and radiofrequency thermal ablation for colorectal liver metastasis Tue, 01 Jul 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4237.html http://www.websurg.com/doi-vd01en4237.html P Pessaux, D Ntourakis, S Varatharajah, D Mutter, J Marescaux
We report a case of laparoscopic hepatic resection combined with radiofrequency thermoablation for colonic liver metastases. A 55-year old female patient underwent a laparoscopic right colectomy for a pT2N0 right colon adenocarcinoma and she presented 18 months after liver metastases. The procedure ...
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Laparoscopic NOSE subtotal gastrectomy for cancer Tue, 01 Jul 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4315.html http://www.websurg.com/doi-vd01en4315.html C Huscher, C Ponzano
Natural orifice specimen extraction (NOSE) is well described in colorectal surgery. In this video, Professor Huscher presents a case of NOSE procedure with transoral extraction for gastric cancer.
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POEM endoscopic treatment of achalasia: a live case in point Tue, 01 Jul 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4252.html http://www.websurg.com/doi-vd01en4252.html LL Swanström, S Perretta, B Dallemagne, J Marescaux
POEM (PerOral Endoscopic Myotomy) is an emerging technique for the treatment of esophageal achalasia. Introduced in 2011 by Doctor Inoue, this technique consists in a selective myotomy of the inner circular muscular layer of the esophageal wall. Access to the muscular wall is achieved by an ...
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Hinchey II sigmoid diverticulitis with chronic abscess and sigmoidovesical fistula in a male patient: laparoscopic management Tue, 17 Jun 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4314.html http://www.websurg.com/doi-vd01en4314.html B Salky
The video entitled "Hinchey II sigmoid diverticulitis with chronic abscess and sigmoidovesical fistula in a male patient: laparoscopic management", authored by J Leroy, D Ntourakis, D Mutter, and J Marescaux is analyzed by Barry Salky, MD, FACS (Mount Sinai Medical Center, New York, USA), sharing ...
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Laparoscopic D2 lymphadenectomy with preservation of an aberrant left hepatic artery during distal gastric resection for cancer Thu, 12 Jun 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4271.html http://www.websurg.com/doi-vd01en4271.html B Badii, F Staderini, I Skalamera, G Fiorenza, G Perigli, F Cianchi
During laparoscopic D2 lymphadenectomy for gastric cancer, an aberrant left hepatic artery (ALHA) can be found arising from the left gastric artery (LGA). It is recommended to preserve this vessel since it is impossible to intraoperatively determine whether it is a “replaced” or “accessory” ...
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Laparoscopic left lateral sectionectomy for hepatocarcinoma on cirrhotic liver Thu, 12 Jun 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4247.html http://www.websurg.com/doi-vd01en4247.html P Pessaux, D Ntourakis, M Shen, J Marescaux
We report the case of a 73-year old patient presenting with a Child-Pugh class A5, post-viral B cirrhosis, with no portal hypertension in which a laparoscopic left lateral sectionectomy is performed for hepatocarcinoma. Four ports are placed. Parenchymal transection is marked approximately 1cm to ...
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Laparoscopic redo Nissen posterior fundoplication Thu, 12 Jun 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4270.html http://www.websurg.com/doi-vd01en4270.html P Vorwald, E York Pineda, E Bernal, M Posada, S Ayora González, R Restrepo
This video shows a reintervention after laparoscopic Nissen-Rossetti due to failure of the technique in a 70-year-old woman presenting with a history of dysphagia and weight loss beginning short after surgery. First, dissection of the fundic wrap and esophageal hiatus are completed in order to ...
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Laparoscopic resection of retrocholedochal cystic lymphangioma Thu, 12 Jun 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4096.html http://www.websurg.com/doi-vd01en4096.html P Pessaux, M Nedelcu, A Dehlawi, J Marescaux
We report the case of a 55-year old female patient in which a laparoscopic resection of a retrocholedochal cystic lymphangioma is performed. Decision is made to perform a laparoscopic approach using 4 ports placed in the right hypochondrium. The procedure is begun with a duodenopancreatic ...
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Management of complications after Roux-en-Y gastric bypass: pain and internal hernias Thu, 12 Jun 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03ensuter006.html http://www.websurg.com/doi-lt03ensuter006.html M Suter
Gastric bypass for morbid obesity is largely performed worldwide and currently represents the gold standard of treatment. In this key lecture, Dr. Michel Suter presents the different possible complications after laparoscopic Roux-en-Y gastric bypass and their management.
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Scopinaro's technique in bariatric surgery Wed, 07 May 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03enscopinaro002.html http://www.websurg.com/doi-lt03enscopinaro002.html N Scopinaro
Professor Nicola Scopinaro performed the first biliopancreatic diversion in 1976. Today, his procedure is performed in about 150 centers in the United States. In this lecture, he details his procedure and presents his 30 years’ experience.
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Laparoscopic Roux-en-Y gastric bypass: second redo Wed, 07 May 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4242.html http://www.websurg.com/doi-vd01en4242.html L Marx, M Nedelcu, M Vix, J Marescaux
Bariatric surgery has undergone a rapid evolution over the last few years. Nowadays, laparoscopic sleeve gastrectomy represents a valuable alternative to laparoscopic Roux-en-Y gastric bypass, especially in patients with a very high BMI and in whom a gastric bypass procedure may be difficult. A ...
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Sleeve gastrectomy and hiatal hernia/reflux disease Wed, 07 May 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03enpomp002.html http://www.websurg.com/doi-lt03enpomp002.html A Pomp

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Bariatric/metabolic surgery: take home message Wed, 07 May 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03enpomp001.html http://www.websurg.com/doi-lt03enpomp001.html A Pomp
Morbid obesity is a medical and social problem worldwide. In this lecture, Dr. Pomp demonstrates the current status and indications for morbid obesity.
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Surgical treatment of type 2 diabetes in non-obese patients Wed, 07 May 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03enscopinaro003.html http://www.websurg.com/doi-lt03enscopinaro003.html N Scopinaro
Type 2 diabetes and morbid obesity are major health problems that have reached epidemic proportions and are growing at alarming rates around the world. In this lecture, Professor Scopinaro outlines the current management of type 2 diabetes in obese patients.
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Reoperation for symptomatic intrathoracic migration of a fundoplication: valve repositioning and reinforced crural repair Wed, 07 May 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4175.html http://www.websurg.com/doi-vd01en4175.html B Dallemagne, S Perretta, LL Swanström, J Marescaux
Intrathoracic migration of the fundoplication is one of the most common causes of failure after antireflux surgery. When the patient develops symptoms related to the volume of intramediastinal hernia, the only option is to reoperate. Such redos are complex and necessitate a thorough and painstaking ...
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Robotic bariatric surgery Wed, 07 May 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03enkatz001.html http://www.websurg.com/doi-lt03enkatz001.html L Katz
In this lecture, Dr. Katz presents the evolution of robotic surgery and its application in morbidly obese patients. Dr. Katz’s technique is also outlined.
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Voluminous pararectal and presacral paraganglioma: laparoscopic resection Wed, 07 May 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4074.html http://www.websurg.com/doi-vd01en4074.html J Leroy, D Ntourakis, J Marescaux
In this video, authors demonstrate the feasibility of performing the laparoscopic resection of a voluminous benign right pararectal tumor encapsulated in the pelvic floor.
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A new tool to access the extraperitoneal space in bilateral hernia TEP repair Wed, 07 May 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4254.html http://www.websurg.com/doi-vd01en4254.html B Dallemagne, A D'Urso, J Marescaux
Access to the extraperitoneal space is a key step in the totally extraperitoneal approach for the management of inguinal hernia. Different techniques have been described. However, the safest technique remains a standardized approach to the muscular sheath of rectus abdominis muscles. In this film, ...
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Endoscopic revision of Roux-en-Y gastric bypass Fri, 04 Apr 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03engalvaoneto006.html http://www.websurg.com/doi-lt03engalvaoneto006.html M Galvao Neto
Roux-en-Y gastric bypass is currently considered the gold standard for severely obese patients but weight regain can appear in up to 20% of patients. In this key lecture, Dr. Galvao Neto presents the different endoscopic procedures to manage weight regain.
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Adjustable gastric band erosion Fri, 04 Apr 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03engalvaoneto005.html http://www.websurg.com/doi-lt03engalvaoneto005.html M Galvao Neto
Long-term follow-up of gastric band patients has shown different complications. Gastric erosion is one of the most challenging ones. In this key lecture, Dr. Galvao Neto presents the optimal approach in different conditions.
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Omega gastric bypass: which indications? Fri, 04 Apr 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03enchevallier002.html http://www.websurg.com/doi-lt03enchevallier002.html JM Chevallier
In this key lecture, Dr. Chevallier presents the indications for omega gastric bypass for morbid obesity.
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Laparoscopic omega-loop gastric bypass for the conversion of failed sleeve gastrectomy Fri, 04 Apr 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03enchevallier001.html http://www.websurg.com/doi-lt03enchevallier001.html JM Chevallier
Revisional weight loss surgery can be performed in experienced hands. In this key lecture, Dr. Chevallier presents laparoscopic omega loop gastric bypass as revisional surgery after failed sleeve gastrectomy.
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Postoperative leak: endoscopic management Fri, 04 Apr 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03engalvaoneto007.html http://www.websurg.com/doi-lt03engalvaoneto007.html M Galvao Neto
Sleeve gastrectomy is one of the most performed bariatric procedures. Leaks after sleeve gastrectomy are dramatic events. In this lecture, Dr. Galvao Neto presents the endoscopic management of this challenging complication.
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Laparoscopic gastric plication with intraoperative endoscopy: a guide for a correct procedure Fri, 04 Apr 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4222.html http://www.websurg.com/doi-vd01en4222.html N Perrotta, F Romana de Filippo, A Cappiello, N Andriulo, E Palladino, D Loffredo
The field of bariatric surgery is continually evolving. Laparoscopic gastric plication (LGP) is an experimental bariatric procedure developed with the intent to offer the same effect as sleeve gastrectomy in gastric restriction without the same degree of risk. The LGP procedure consists in a ...
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Paraesophageal hernia repair with temporary diaphragmatic reinforcement Fri, 04 Apr 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4177.html http://www.websurg.com/doi-vd01en4177.html B Dallemagne, S Perretta, D Ntourakis, J Marescaux
Paraesophageal hernia (PEH) repair is challenging. Repositioning of the herniated stomach, and occasionally other organs, must also include reduction of the hernia sac in order to diminish the risk of recurrence. Recurrence is also linked to the type of crural repair performed, some authors ...
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Laparoscopic Roux-en-Y gastric bypass with linear gastrojejunostomy: occurrence of postsurgical complications Fri, 04 Apr 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4189.html http://www.websurg.com/doi-vd01en4189.html A Pomp
The video entitled "Laparoscopic Roux-en-Y gastric bypass with linear gastrojejunostomy: occurrence of postsurgical complications", authored by M Vix, G Sojod, J Marescaux is analyzed by Alfons Pomp, MD, FACS, FRCSC (Weill Medical College of Cornell University, New York Presbyterian Hospital, New ...
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NOTES and single port in bariatric surgery Fri, 04 Apr 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03enzorron003.html http://www.websurg.com/doi-lt03enzorron003.html R Zorron
NOTES and single port surgery can be indicated with adequate indications in selected patients. In this key lecture, Zorron presents the different minimally invasive approaches and new endoscopic procedures in bariatric surgery.
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Sleeve failure, standard Roux-en-Y gastric bypass Fri, 07 Mar 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03encardosoramos002.html http://www.websurg.com/doi-lt03encardosoramos002.html A Cardoso Ramos
Despite the initial effectiveness of sleeve gastrectomy (SG), some patients who undergo this purely restrictive technique have inadequate weight loss or renewed weight gain or could present severe complications. In this lecture, Dr. Cardoso Ramos presents a case of failed sleeve gastrectomy ...
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Unusual bowel obstruction after RYGB: bezoar Fri, 07 Mar 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03encardosoramos004.html http://www.websurg.com/doi-lt03encardosoramos004.html A Cardoso Ramos
In this key lecture, Dr. Cardoso Ramos presents some videos of laparoscopic bariatric revisional surgery.
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Outcomes following LRYGP, LSG and LAGB Fri, 07 Mar 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03enballantyne002.html http://www.websurg.com/doi-lt03enballantyne002.html G Ballantyne
The prevalence of severe and complex obesity is increasing worldwide and surgery offers an effective and lasting treatment. In this key lecture, Dr. Ballantyne presents the results of 3 most frequent procedures performed worldwide.
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Management of Meckel’s diverticulitis with perforation Fri, 07 Mar 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4217.html http://www.websurg.com/doi-vd01en4217.html S Rua, D Albergaria
In 1809, Johann Friedrich Meckel described Meckel’s diverticulum named after him. It is a remnant of the proximal portion of the Yolk stalk, which frequently develops into a blindly ending diverticulum of the ileum. In infants, the most frequent symptom is bleeding but in adults, it is ...
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Single port laparoscopic-assisted ileocolic resection for recurrent Crohn's disease Fri, 07 Mar 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4219.html http://www.websurg.com/doi-vd01en4219.html F Narouz, R Cahill
Background: Here we demonstrate a single port laparoscopic ileocolic resection technique in a patient with Crohn’s disease and recurrent anastomotic stricturing despite prior ileocaecal resection and medication. Procedure: The procedure is begun with a 3cm transumbilical incision. After safe ...
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Laparoscopic ventral hernia repair (LVHR) Fri, 07 Mar 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4221.html http://www.websurg.com/doi-vd01en4221.html M Kai
Laparoscopic ventral hernia repair (LVHR) is now accepted as a popular minimally invasive repair technique. More and more cases are reported but some surgeons still feel uncomfortable about this technique because they are unfamiliar with this operation. This video demonstrates the hernia repair ...
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Gastric plications, PROs Fri, 07 Mar 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03encardosoramos003.html http://www.websurg.com/doi-lt03encardosoramos003.html A Cardoso Ramos
Greater curvature plication is a promising new bariatric surgical procedure that has been shown to be effective in adults with severe obesity. In this authoritative lecture, Dr. Cardoso Ramos presents his experience with this procedure.
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Occurrence of a rare complication during laparoscopic sleeve gastrectomy Thu, 13 Feb 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4182.html http://www.websurg.com/doi-vd01en4182.html G Ballantyne
The video entitled "Occurrence of a rare complication during laparoscopic sleeve gastrectomy", authored by L Marx, M Vix, J Marescaux is analyzed by Garth Ballantyne, MD, MBA, FACS, FASCRS (Lawrence & Memorial Hospital, New London, CT, United States), sharing in this way his own personal experience ...
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Laparoscopic and endoscopic treatment of a complicated candy cane syndrome after Roux-en-Y gastric bypass Wed, 05 Feb 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4162.html http://www.websurg.com/doi-vd01en4162.html L Marx, M Nedelcu, M Vix, J Marescaux
A “Candy Cane” Roux syndrome represents an excessive length of non-functional Roux limb proximal to the gastrojejunostomy, which can cause abnormal upper gastrointestinal symptoms of postprandial epigastric discomfort that is relieved by vomiting. Symptoms of reflux, loss of satiety, and nausea ...
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Tips’n tricks: gastric pouch creation during redo gastric bypass Wed, 05 Feb 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4168.html http://www.websurg.com/doi-vd01en4168.html L Marx, A D'Urso, M Nedelcu, M Vix, J Marescaux
The evolution of bariatric surgery has dramatically accelerated over the last few decades. In Europe, a craze for gastric band placement has swept the surgical community from the early 1990s. Currently, a reversal of trends may be noted as the number of bands removed is greater than the number of ...
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Robot-assisted gastric band removal: any limitations? Wed, 05 Feb 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4163.html http://www.websurg.com/doi-vd01en4163.html L Marx, M Vix, A D'Urso, J Marescaux
Nowadays, indications for gastric band removal are well-standardized. In case of esophageal or gastric dilatation, migration or any injury related to the LAP-BAND® access port or tubing, the band and its access port should be removed. In rare specific cases, part of the LAP-BAND® system (either ...
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Laparoscopic transgastric sphincterotomy for common bile duct stones Wed, 05 Feb 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4098.html http://www.websurg.com/doi-vd01en4098.html P Pessaux, J Huppertz, D Ntourakis, A Sportes, E Wedi, D Mutter, J Marescaux
We report the case of a transgastric sphincterotomy. This is the case of a 67-year-old woman presenting with cholangitis with a past history of an esophageal peptic stenosis. After dilatation, the duodenoscopy does not make it possible to cross this stenosis. A transgastric laparoscopy is decided ...
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Robot-assisted mini gastric bypass in a patient with a huge liver Wed, 05 Feb 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4188.html http://www.websurg.com/doi-vd01en4188.html L Katz
The video entitled "Robot-assisted mini gastric bypass in a patient with a huge liver", authored by M Vix, J Marescaux is analyzed by Leon Katz, MD, FACS (Crozer-Chester Medical Center, Chester, PA, United States), sharing in this way his own personal experience and highlighting the different ...
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Gastric diverticulum and GERD: laparoscopic resection and Nissen fundoplication Wed, 05 Feb 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4183.html http://www.websurg.com/doi-vd01en4183.html D Mutter, M Ignat, J Marescaux
A patient was admitted with dysphagia, nausea and postoperative vomiting. These symptoms were associated with a more typical GERD. Exploration demonstrated the presence of a rare disease: a gastric diverticulum. It was typically located at the upper and posterior part of the greater curvature of ...
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Original full laparoscopic reversal of Hartmann’s procedure after open subtotal colectomy Wed, 05 Feb 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4144.html http://www.websurg.com/doi-vd01en4144.html J Leroy, G Sojod, D Mutter
The objective of this film is to demonstrate a fully laparoscopic original technique for the restoration of the ileorectal continuity after total colectomy for colonic obstruction in a pT4aN0M0 advanced colonic cancer which was operated on 10 months earlier (Hartmann procedure) and then managed by ...
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Thoracoscopic enucleation of a middle esophagus leiomyoma Wed, 05 Feb 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4179.html http://www.websurg.com/doi-vd01en4179.html F Ochando Cerdan, JM Fernandez Cebrian, L Vega Lopez
Leiomyoma is the most frequent esophageal benign tumor. It represents 70% of these tumors and 1 to 8% of all esophageal tumors. The most frequent location is the distal esophagus. The majority of cases are asymptomatic and are discovered by chance in endoscopic or radiologic examinations. An ...
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Low cost laparoscopic appendectomy Mon, 06 Jan 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4108.html http://www.websurg.com/doi-vd01en4108.html S Rua, I Nascimento, H Oliveira, G Machado
The laparoscopic approach to acute surgical abdomen has been revolutionary because it allows a full inspection of all abdominal and pelvic cavities. It is important to emphasize the possibility not only to be diagnostic but also therapeutic simultaneously. In Western countries but more particularly ...
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Transgastric laparoscopic resection of a GIST Mon, 06 Jan 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en3723.html http://www.websurg.com/doi-vd01en3723.html D Mutter, M Nedelcu, J Marescaux
Laparoscopic intragastric surgery (LIGS) represents a minimally invasive technique for lesions that mainly exist in the gastric lumen or at the gastroesophageal junction. Ohashi initially described this technique in 1995 to resect early gastric cancers that could not be treated by Endoscopic ...
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Laparoscopic Total Mesorectal Excision for rectal cancer Mon, 06 Jan 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03enwhiteford005.html http://www.websurg.com/doi-lt03enwhiteford005.html M Whiteford
In this authoritative lecture, Dr. Mark Whiteford details total mesorectal excision (TME) for rectal cancer.
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Right colectomy: intracorporeal vs. extracorporeal anastomosis Mon, 06 Jan 2014 00:00:00 +0100 http://www.websurg.com/doi-lt03enbianchi001.html http://www.websurg.com/doi-lt03enbianchi001.html P Bianchi
Some controversies still persist regarding intracorporeal or extracorporeal anastomosis after right laparoscopic colectomy. In this lecture, Dr. Bianchi presents a review of the literature and presents his experience.
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Total gastrectomy for early gastric cancer and giant paraesophageal hernia Mon, 06 Jan 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4138.html http://www.websurg.com/doi-vd01en4138.html P Vorwald, M de Vega Irañeta, E Bernal, D Cortés, S Ayora González, A Gomez Valdazo
This video shows a total gastrectomy in an 83-year-old woman with a giant type III paraesophageal hernia and an early gastric cancer located at the middle third of the stomach. First, type III paraesophageal hernia dissection with complete resection of the hernia sac is shown. A D1 lymphadenectomy ...
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Minimally invasive redo esophagojejunostomy for postoperative dehiscence after laparoscopic total gastrectomy for gastric cancer Mon, 06 Jan 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4156.html http://www.websurg.com/doi-vd01en4156.html I Maruri Chimeno, I Otero Martinez, V Vigorita, M Bertucci Zoccali, H Pardellas Rivera, P Troncoso Pereira , JE Casal Núñez
This is the case of an 87-year-old man receiving dual antiplatelet therapy, with aortic steno-insufficiency, chronic heart and renal failure, admitted to our service for anemia due to lesser curvature gastric cancer. The patient underwent an uneventuful laparoscopic total gastrectomy with D1 ...
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Laparoscopic sigmoidectomy for benign diverticular disease Mon, 06 Jan 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en3910.html http://www.websurg.com/doi-vd01en3910.html J Leroy, A Melani, J Marescaux
Dr. Armando Melani beautifully demonstrates a laparoscopic sigmoidectomy technique for a benign diverticular condition. He provides tips and tricks to perfectly expose the operating field and recommends an extensive approach to the left colon with primary mobilization of the splenic flexure using a ...
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Laparoscopic totally extraperitoneal repair (TEP) for left inguinal hernia Mon, 06 Jan 2014 00:00:00 +0100 http://www.websurg.com/doi-vd01en4112.html http://www.websurg.com/doi-vd01en4112.html M Kai
Laparoscopic totally extraperitoneal (TEP) repair has been accepted as a popular tension-free hernia repair, but some surgeons still feel uncomfortable about this technique because of unfamiliar pelvic anatomy and limited working space. This video demonstrates the technique in a male patient with a ...
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Laparoscopy for Perforated Peptic Ulcer (PUP) Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ennavez007.html http://www.websurg.com/doi-lt03ennavez007.html B Navez
Since the introduction of PPI treatment, perforated ulcer is decreased, but it still occurs. It is more frequent in men than in women and it has the highest incidence in patients aged between 40 and 60. In this lecture, Dr. Navez presents the laparoscopic treatment of this life-threatening ...
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Laparoscopic simultaneous resection: liver metastases and colorectal cancer Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enmelani004.html http://www.websurg.com/doi-lt03enmelani004.html A Melani
In this lecture, Dr. Melani details the surgical laparoscopic approach of colorectal cancer presenting with simultaneous liver metastasis.
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Acute peritonitis: the interest of laparoscopy Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ennavez005.html http://www.websurg.com/doi-lt03ennavez005.html B Navez
In this lecture, Dr. Navez discusses the interest of laparoscopic exploration in acute peritonitis.
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Low anterior resection of the rectum with natural orifice specimen extraction (NOSE) using the vaginal route Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4068.html http://www.websurg.com/doi-vd01en4068.html S Rua, H Capote, F Guilherme
This is the case of a young woman presenting with rectal neoplasia at 6cm from the anal verge. Surgery occurs 8 weeks after radiotherapy and chemotherapy. Following adnexectomy, resection of the rectum is performed along with total mesorectal excision. Surgical specimens are extracted after vaginal ...
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Laparoscopic incisional hernia repair in an obese patient Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3828.html http://www.websurg.com/doi-vd01en3828.html D Mutter, V Podelski, J Marescaux
Obese patients have a specific risk of ventral hernia related to their morphology and to difficulties in closing port incision. The laparoscopic approach to postoperative ventral hernia was considered a challenge, but our experience demonstrates that this technique can be applied successfully in ...
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Single port colectomy Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enmelani003.html http://www.websurg.com/doi-lt03enmelani003.html A Melani
Current advances in single port laparoscopic surgery are difficult to define. The most common procedures are single port laparoscopic cholecystectomies and appendectomies. Significant clinical benefits have not yet been proven even in prospective, randomized studies. In this key lecture, Dr. Melani ...
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Laparoscopic oncologic right colectomy for cancer in an obese patient: interest of a full laparoscopic procedure with ileocolic “in“ anastomosis Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3911.html http://www.websurg.com/doi-vd01en3911.html F Corcione, J Leroy, J Marescaux
In this video, the author demonstrates the possibilities of an laparoscopic oncologic approach to perform a right colectomy in an obese patient. After a primary vascular approach, the colon is freed from its posterior and lateral attachments prior to being resected. The intracorporeal anastomosis ...
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Esophageal peptic stricture and shortened esophagus managed by a laparoscopic Collis-Nissen procedure Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4125.html http://www.websurg.com/doi-vd01en4125.html LL Swanström
The video entitled "Esophageal peptic stricture and shortened esophagus managed by a laparoscopic Collis-Nissen procedure", authored by B Dallemagne, S Perretta, Gf Donatelli, and J Marescaux is analyzed by Lee Swanström, MD, FACS, FRCS (The Oregon Clinic, Portland, Oregon, United States), sharing ...
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Laparoscopic surgery: complications, how to avoid them? Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enperretta011.html http://www.websurg.com/doi-lt03enperretta011.html S Perretta
Laparoscopic surgery is widely performed. The amount of complications is around 2% to 4%. In this key lecture, Dr. Perretta presents the different possible complications during laparoscopic surgery and their treatment.
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Laparoscopic cholecystectomy Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ennavez006.html http://www.websurg.com/doi-lt03ennavez006.html B Navez
In this lecture, Dr. Navez presents all the details regarding laparoscopic cholecystectomy and also discusses potential intraoperative situations and current guidelines.
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Laparoscopic sleeve gastrectomy for morbid obesity in a superobese woman Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3924.html http://www.websurg.com/doi-vd01en3924.html A Cardoso Ramos, M Galvao Neto
Laparoscopic sleeve gastrectomy has become a genuine morbid obesity procedure. Its frequency of use is quickly increasing as compared to other interventions. The rationale for such a success stems from the fact that the procedure is easy to perform, and weight loss is comparable to laparoscopic ...
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Towards cybernetic hepatic surgery: augmented reality applied to robotics Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enpessaux002.html http://www.websurg.com/doi-lt03enpessaux002.html P Pessaux
In this key lecture, Dr. Pessaux presents the first liver robotic resection guided by real time augmented reality.
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Laparoscopic internal hernia repair after mini gastric bypass Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4097.html http://www.websurg.com/doi-vd01en4097.html G Sojod, L Marx, J Marescaux
Laparoscopic Roux-en-Y gastric bypass (LGBP) has been shown to be an effective treatment for morbid obesity, both in terms of weight loss and improvement in multiple comorbidities. While the laparoscopic approach offers many advantages to patients in terms of fewer wound complications, decreased ...
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Laparoscopic treatment of small bowel obstruction in an elderly female patient: a succinct surgical procedure with reduced invasiveness Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4050.html http://www.websurg.com/doi-vd01en4050.html L Marx, J Marescaux
The progressive patient lifespan extension has a direct repercussion on our treatment strategy in such a way that surgical decisions are often complex to make. Indeed, older patients present many comorbidities and often major surgical histories. It is therefore crucial to select the best ...
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Laparoscopic partial hepatectomy Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enpessaux001.html http://www.websurg.com/doi-lt03enpessaux001.html P Pessaux
In this video presentation, Dr. Pessaux presents a laparoscopic partial hepatic resection for an increasing adenoma of the second liver segment.
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Laparoscopic hernia repair: totally extraperitoneal approach Fri, 06 Dec 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03endallemagne011.html http://www.websurg.com/doi-lt03endallemagne011.html B Dallemagne
Laparoscopic approach for hernia repair is well-established. Some concerns still persist in the indications between the transperitoneal and the extraperitoneal approach. In this key lecture, Dr. Dallemagne details all the steps of the TEP repair.
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Colonic stomal prolapse and parastomal incisional hernia: laparoscopic Sugarbaker repair procedure Mon, 18 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3754.html http://www.websurg.com/doi-vd01en3754.html J Leroy, J Marescaux
The objective of this film is to demonstrate stoma prolapse and parastomal incisional hernia repair according to the technique described by Sugarbaker in open surgery, reproduced here with a laparoscopic approach. Mesh placement into the abdominal cavity presents a risk that seems minimized by ...
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Small bowel volvulus over acute bowel invagination: laparoscopic management Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4070.html http://www.websurg.com/doi-vd01en4070.html J Leroy, L Marx, D Mutter, J Marescaux
Digestive angiodysplasia is a condition defined by an innate alteration of digestive wall vascular structures, which has been well-described since the development of endoscopy. Its cause is not well known and most occurrences are probably innate. Digestive angiodysplasias can be isolated or ...
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Segmentectomy IV-V with lymphadenectomy for gallbladder carcinoma Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enyamamoto005.html http://www.websurg.com/doi-lt03enyamamoto005.html M Yamamoto
Gallbladder carcinoma is an uncommon cancer with a poor prognosis. In this lecture, Professor Yamamoto presents oncological resection.
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TAPP laparoscopic repair of right inguinal hernia after artificial sphincter placement for post-prostatectomy urinary incontinence Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3879.html http://www.websurg.com/doi-vd01en3879.html J Leroy, C Saussine, J Marescaux
Incapacitating post-prostatectomy urinary incontinence may be managed by the placement of an artificial sphincter. This sphincter is composed of an inflatable circular tape (the sphincter itself), a remote control located in the scrotum, and of a reservoir connected to the sphincter by a catheter. ...
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Management of incidental gallbladder (GB) cancer Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enhan003.html http://www.websurg.com/doi-lt03enhan003.html HS Han
Gallbladder cancer (GC) is diagnosed in 0.3 to 0.9 % of patients undergoing laparoscopic cholecystectomy. In this lecture Dr Han discusses the operative strategy when an incidental GC is diagnosed.
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Biliary tract injury during cholecystectomy: early and delayed management Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enfarges001.html http://www.websurg.com/doi-lt03enfarges001.html O Farges
Cholecystectomy is the most frequent laparoscopic procedure performed worldwide. For younger surgeons, it appears as a simple procedure but complications could be life-threatening. In this key lecture, Dr. Farges presents the early and delayed management of biliary tract injury during laparoscopic ...
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Laparoscopic sigmoidectomy for sigmoiditis with transanal specimen extraction Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3261.html http://www.websurg.com/doi-vd01en3261.html J Leroy, J Marescaux
The objective of this video is to demonstrate a sigmoid colectomy technique for a diverticular sigmoiditis with a transanal extraction of the resected colonic segment. The goal of this video is to demonstrate the feasibility of this technique by means of only 3 trocars to further reduce parietal ...
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Laparoscopic cholecystectomy in double gallbladder with dual pathology Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4056.html http://www.websurg.com/doi-vd01en4056.html S Ghosh
Surgically significant anatomical variations are commonly encountered in cholecystectomies. Rarer though is double gallbladder. This anomaly adds more complexity to laparoscopy. The author presents a surgical video of laparoscopic cholecystectomy of a symptomatic young man with double gallbladder, ...
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Incisional hernia: laparoscopic hybrid repair Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3983.html http://www.websurg.com/doi-vd01en3983.html A D'Urso, J Leroy, T Piardi, P Pessaux, J Marescaux
About 10% of laparotomies are complicated by the development of incisional hernia (1). The prosthetic repair is the rule in the treatment of incisional hernia and is reported to have a lower recurrence rate than primary suture repair (2). The laparoscopic approach proposed since the early nineties ...
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Challenges and recent developments in laparoscopic surgery: mini trocars and single port Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enleroy019.html http://www.websurg.com/doi-lt03enleroy019.html J Leroy
Recently, some authors propose to use mini trocars to perform laparoscopic cholecystectomy while other authors recommend the use of the single port approach. The objective of this lecture is to explore the potentialities and the rationale of these two concepts and techniques.
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Laparoscopic gastric pacing Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4055.html http://www.websurg.com/doi-vd01en4055.html D Joyce, S Patchett, D Hickey, M Arumugasamy
We present the case of a 38-year-old woman with intractable gastroparesis. Her background history was significant for type I diabetes mellitus (DM), a pancreas kidney transplant in 2006, Nissen fundoplication, gastrotomy for bleeding Dieulafoy’s lesion, diabetic retinopathy, peripheral vascular ...
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Reduced port laparoscopic surgery: Roux-en-Y gastric bypass with manual gastrojejunostomy Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4048.html http://www.websurg.com/doi-vd01en4048.html G Dapri
Background: The philosophy to reduce the invasiveness of minimal access surgery invested the last years of general laparoscopy. Single incision laparoscopic surgery (SILS) has been reported to be feasible and safe. Reduced port laparoscopic surgery (RPLS) consists in performing conventional ...
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Laparoscopic enucleation of horseshoe-shaped esophageal leiomyoma: use of mini-instruments Thu, 07 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4053.html http://www.websurg.com/doi-vd01en4053.html C Rodríguez-Otero Luppi, EM Targarona, C Balagué, Luis Pallarés, M Trías Folch
Introduction: Leiomyoma is the most common benign tumor of the esophagus, usually arising in the inner circular muscle layer of the distal esophagus. Middle-aged men are most frequently affected. Most patients remain asymptomatic and when they become symptomatic, the main signs are usually ...
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Right hemicolectomy for appendicular mucocele Sun, 03 Nov 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3198.html http://www.websurg.com/doi-vd01en3198.html L Marx, F Costantino, J Marescaux
The appendicular mucocele is defined by a dilation of the appendix and an unusual accumulation of mucus within its lumen. It is a rare pathology which affects 0.25% of the population. Its histological discovery is made during the postoperative phase in nearly 70% of cases. Appendicular mucoceles, ...
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Tips 'n tricks: cholecystectomy: antegrade approach for difficult dissection Mon, 14 Oct 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4051.html http://www.websurg.com/doi-vd01en4051.html L Marx, C Hild, J Leroy, J Marescaux
Today, laparoscopic cholecystectomy is a routinely performed surgical intervention. In certain cases, the identification of Calot’s triangle may be difficult due to adhesions or inflammatory infiltrations of adjacent structures. Hydrodissection can allow for an atraumatic dissection but in more ...
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Surgical management of hilar cholangiocarcinoma Mon, 14 Oct 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enyamamoto004.html http://www.websurg.com/doi-lt03enyamamoto004.html M Yamamoto
Hilar cholangiocarcinoma (HC), also known as Klatskin tumor is a rare and highly malignant disease of the bile duct. Preoperative precise diagnosis of tumor extension is crucial. In this key lecture, Professor Yamamoto discusses the surgical management of this condition.
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SILS hepatectomy Mon, 14 Oct 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03entanabe001.html http://www.websurg.com/doi-lt03entanabe001.html M Tanabe
The major problem when performing SILS surgery is to make sure that instruments do not conflict one another. In this key lecture, Professor Tanabe presents a SILS hepatectomy showing the different instruments and tools to perform this procedure.
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Robotic spleen-preserving distal pancreatectomy with splenic vessel preservation Mon, 14 Oct 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3820.html http://www.websurg.com/doi-vd01en3820.html P Pessaux, T Piardi, D Mutter, J Marescaux
This video shows the case of a 58-year-old woman who has had 2 episodes of benign acute pancreatitis. Morphological findings showed dilatations of secondary ducts evocative of intraductal papillary mucinous neoplasm (IPMN) of the pancreas. A distal pancreatectomy was therefore indicated.
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State-of-the-art in ablation therapy: RFA, MCT, and cryoablation Mon, 14 Oct 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03entanabe002.html http://www.websurg.com/doi-lt03entanabe002.html M Tanabe
Less invasive procedures, such as those provided by interventional oncology are frequently offered to patients affected by liver tumors. In this lecture? Professor Tanabe presents the different techniques and presents his personal experience.
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Robotic HPB surgery: managing technological innovation Mon, 14 Oct 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03entang001.html http://www.websurg.com/doi-lt03entang001.html CN Tang
Laparoscopic hepatic resection approaches include pure laparoscopic, hand-assisted laparoscopic, and hybrid approaches. Robotic surgery has been the focus of recent research and development efforts. In this lecture, Dr. Tang presents his experience with hepatobiliary robotic surgery.
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Laparoscopic splenectomy in a patient with cirrhosis and splenomegaly Mon, 14 Oct 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4042.html http://www.websurg.com/doi-vd01en4042.html C Rodríguez-Otero Luppi, EM Targarona, C Balagué, Luis Pallarés, M Trías Folch
Introduction The first laparoscopic splenectomy was initially described more than 20 years ago. Hypersplenism associated with thrombocytopenia in cirrhotic patients could compromise quality of life and also limit therapeutic options such as interferon treatment. Material and methods We present ...
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Minimally invasive Ivor-Lewis esophagectomy: delayed postoperative fistula managed by endoscopy and percutaneous drainage Mon, 14 Oct 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4009.html http://www.websurg.com/doi-vd01en4009.html B Dallemagne, S Perretta, J Marescaux
This video describes an esophagectomy performed laparoscopically and thoracoscopically in a 53-year-old male patient presenting with an epidermoid esophageal carcinoma. The patient had previously undergone neoadjuvant chemoradiotherapy with poor results. Restoration of digestive continuity was ...
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Single incision transumbilical laparoscopic bilateral inguinal hernia repair (TEP) Mon, 14 Oct 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4054.html http://www.websurg.com/doi-vd01en4054.html G Dapri, L Gerard, V Zulian, M Bortes, J Bruyns, GB Cadière
Background: Laparoscopic repair of inguinal hernia by preperitoneal mesh placement (TEP) has been popularized. Recently, with the advent of single incision transumbilical laparoscopy, this procedure has to be considered because it allows to place a big mesh with a very small final scar, which is ...
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Hybrid surgical management of hilar cholangiocarcinoma Mon, 14 Oct 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enwakabayashi003.html http://www.websurg.com/doi-lt03enwakabayashi003.html G Wakabayashi
Hilar cholangiocarcinoma (HC) is a rare tumor that causes devastating disease. Surgical margin-negative (R0) resection, including major liver resection, is the most effective and potentially curative treatment for HC. In this key lecture, Dr. Wakabayashi presents his surgical experience with the ...
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Laparoscopic extended middle duodenal-preserving pancreatectomy: laparoscopic Beger procedure Mon, 14 Oct 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4032.html http://www.websurg.com/doi-vd01en4032.html E Falco, S Berti, E Francone, C Eretta, P Bonfante
This is the case of a 45-year-old woman (BMI of 19) who underwent a totally laparoscopic middle pancreatectomy for pancreatic incidentaloma. Preoperative work-up included abdominal ultrasound examination, CT-scan, MRI, and OctreoScan which demonstrated a hyperdense lesion in the pancreatic neck. ...
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Live webinar on hernia management Mon, 23 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4076.html http://www.websurg.com/doi-vd01en4076.html D Mutter, P Chastan, F Berrevoet, P Giordano

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Laparoscopic abdominoperineal resection (APR) for huge rectal congenital angioma Fri, 06 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3889.html http://www.websurg.com/doi-vd01en3889.html J Leroy, D Ntourakis, J Huppertz, M Delvaux, J Marescaux
The objective of this film is to demonstrate a rare case of large rectal angioma probably evolving from the patient’s childhood and responsible for repeated rectorrhagias and massive chronic anemia necessitating blood transfusions weekly. Following several attempts at local treatments and faced ...
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Collis Toupet procedure after long circular 'en bloc' endoscopic submucosal dissection (ESD) for Barrett’s carcinoma Fri, 06 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4030.html http://www.websurg.com/doi-vd01en4030.html B Dallemagne, S Perretta, J Marescaux
Currently, endoscopic submucosal dissection (ESD) is considered the first therapeutic option in the treatment of superficial cancer developed on Barrett’s metaplasia. There is no formal recommendation as to the treatment of associated gastroesophageal reflux. In this video, we show a ...
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Right hepatectomy in a living donor: the first pure laparoscopic case Fri, 06 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ensoubrane002.html http://www.websurg.com/doi-lt03ensoubrane002.html O Soubrane
In this key lecture, Dr. Soubrane presents a video of a purely laparoscopic right hepatectomy in a living donor.
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How to prevent bile duct injury during laparoscopic cholecystectomy Fri, 06 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03endallemagne010.html http://www.websurg.com/doi-lt03endallemagne010.html B Dallemagne
Laparoscopic cholecystectomy is one of the most performed laparoscopic procedures. In this key lecture, Dr. Dallemagne focuses on common bile duct injury during cholecystectomy, discussing risks, prevention and treatment of this severe complication.
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Live surgical anatomy for Glissonian pedicle approach Fri, 06 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enyamamoto003.html http://www.websurg.com/doi-lt03enyamamoto003.html M Yamamoto
The understanding of the Glissonian pedicle anatomy is fundamental for hepatobiliary surgeons. In this authoritative lecture, Dr. Yamamoto details all anatomical aspects of the Glissonian pedicle for different surgical approaches.
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Fundamental liver technique in open right and left hepatectomy Fri, 06 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ensoubrane001.html http://www.websurg.com/doi-lt03ensoubrane001.html O Soubrane
Blood loss reduction during hepatectomy is crucial for limiting postoperative complications. In this key lecture, Dr. Soubrane details the technique of right and left open hepatectomy.
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Laparoscopic right extended hepatectomy for gallbladder carcinoma Fri, 06 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ensoubrane003.html http://www.websurg.com/doi-lt03ensoubrane003.html O Soubrane
In this key lecture, Dr. Soubrane presents a clinical case along with video footage of a right extended hepatectomy for gallbladder carcinoma.
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Laparoscopic left pancreatectomy with spleen preservation for multiple neuroendocrine tumors Fri, 06 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4028.html http://www.websurg.com/doi-vd01en4028.html B Dallemagne, D Mutter, L Soler, J Marescaux
Insulinoma is the most common functional neuroendocrine tumor of the pancreas. Most insulinomas are benign and solitary. Surgical resection is preferred for insulinomas and cure is achieved in more than 90% of the patients. Successful surgery requires accurate localization based on contrast ...
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The role of single port in hepatic surgery left lateral segmentectomy Fri, 06 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enweiss003.html http://www.websurg.com/doi-lt03enweiss003.html H Weiss
In this authoritative lecture, Dr. Weiss presents his experience as well as the technique of single port laparoscopic liver resection.
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Hybrid hepatectomy: donor operation Fri, 06 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enwakabayashi002.html http://www.websurg.com/doi-lt03enwakabayashi002.html G Wakabayashi
In this key lecture, Dr. Wakabayashi presents technical details of donor hepatectomy.
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Fundamental liver techniques into fully laparoscopic hand-assisted and hybrid hepatectomy Fri, 06 Sep 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enwakabayashi001.html http://www.websurg.com/doi-lt03enwakabayashi001.html G Wakabayashi
Laparoscopic liver resection has been increasingly performed over years. In this authoritative lecture, Dr. Wakabayashi presents his experience and discusses the use of the purely laparoscopic hand-assisted approach to the liver.
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Long-term results after gastric banding for morbid obesity: a review Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ensuter004.html http://www.websurg.com/doi-lt03ensuter004.html M Suter
Laparoscopic gastric banding is one of the three most performed bariatric procedures. In this lecture, Dr. Suter presents the results of such a procedure.
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Precision liver surgery – Theory and practice Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03endong002.html http://www.websurg.com/doi-lt03endong002.html J Dong
In this authoritative lecture, Dr. Dong presents the evolution of liver resection due to new minimally invasive approaches, imaging techniques, and the introduction of robotic surgery.
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Complicated sigmoiditis with sigmoido-vaginal fistula: laparoscopic management with Natural Orifice Specimen Extraction (NOSE) Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4017.html http://www.websurg.com/doi-vd01en4017.html B Salky
The video entitled "Complicated sigmoiditis with sigmoido-vaginal fistula: laparoscopic management with Natural Orifice Specimen Extraction (NOSE)” authored by J Leroy, L Marx, J Marescaux is analyzed by Dr. Barry Salky, MD, FACS (Mount Sinai Medical Center, New York, USA) sharing in this way his ...
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Surgical devices for hepatic resection Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enkaneko004.html http://www.websurg.com/doi-lt03enkaneko004.html H Kaneko
Advances in laparoscopic hepatic resection have been related to the development of new devices. In this lecture, Dr. Kaneko presents the last devices used for the laparoscopic approach.
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Open vs. mini-invasive hepatectomy for malignant tumor Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enkaneko003.html http://www.websurg.com/doi-lt03enkaneko003.html H Kaneko
Since the introduction of minimally invasive techniques, there is little agreement about the use of laparoscopic surgery for malignant liver lesions as compared to open resection. In this lecture, Dr. Kaneko presents the current status of the laparoscopic approach.
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Robot-assisted laparoscopic precision liver surgery Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03endong001.html http://www.websurg.com/doi-lt03endong001.html J Dong
In this key lecture, Dr. Dong presents the technique and his experience with robotic liver resection.
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Intestinal obstructions after bariatric surgery: classification, recognition and treatment Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ensuter003.html http://www.websurg.com/doi-lt03ensuter003.html M Suter
Intestinal obstruction after bariatric surgery is a dramatic complication. In this lecture, Dr. Suter presents the classification, diagnosis and treatment of such a complication.
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Central bisectionectomy and laparoscopic approach Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enhan001.html http://www.websurg.com/doi-lt03enhan001.html HS Han
Central bisegmentectomy of the liver is recommended as a radical surgical procedure for patients with liver bed gallbladder carcinoma, which tends to directly invade the hepatic parenchyma through the liver bed. In this key lecture, Dr. Han presents indications of this procedure for the ...
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Suprapubic single incision laparoscopic left hemicolectomy (SILLH): an alternative to the umbilical access Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3999.html http://www.websurg.com/doi-vd01en3999.html G Dapri
Background: Single incision laparoscopy (SIL) has been described for colorectal surgery because it mainly provides an improved cosmetic outcome. A suprapubic access can be considered an alternative to the umbilical site for left hemicolectomy (LH) because the scar remains under the bikini line and ...
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Laparoscopic left-sided hepatectomy Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enhan002.html http://www.websurg.com/doi-lt03enhan002.html HS Han
Since the inception of laparoscopic liver surgery, the left lateral sectionectomy has become the standard of care for resection of lesions located in segments II and III of the liver. In this authoritative lecture, Dr. Han presents the technique of laparoscopic left-sided hepatectomy.
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Robot-assisted mini gastric bypass in a patient with a huge liver Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3951.html http://www.websurg.com/doi-vd01en3951.html M Vix, J Marescaux
This video demonstrates our mini gastric bypass technique using the da Vinci™ robotic surgical system. This intervention may be suggested in all morbidly obese patients without any major gastroesophageal reflux. One of the interests of this film lies in that the patient has a huge liver requiring ...
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Laparoscopic repair of a large right-sided Morgagni’s hernia Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4011.html http://www.websurg.com/doi-vd01en4011.html D Lawrence, YV Wu, MJ Rosen
Morgagni’s hernias are rare congenital anterior diaphragmatic hernias for which the optimal method of repair is unknown. This video presents a morbidly obese woman with oxygen-dependent chronic obstructive pulmonary disease (COPD) along with a Morgagni’s hernia that compresses her entire right ...
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Acute appendicitis: stapling or ileocaecal resection Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3962.html http://www.websurg.com/doi-vd01en3962.html D Mutter, S Mandala, J Marescaux
The management of acute complicated appendicitis may follow various strategies. Through these clinical cases, we reported two options adapted to the macroscopic aspect of the appendix: ileocaecal resection or appendix resection by stapling.
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Laparoscopic resection of gastric gastrointestinal stromal tumours Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3993.html http://www.websurg.com/doi-vd01en3993.html SA Naqi, S Rajendran, M Arumugasamy
We demonstrate two minimally invasive approaches for the management of gastric gastrointestinal stromal tumours (GIST). GISTs are the most common mesenchymal neoplasms of the gastroinstestinal tract. About 50% of GISTs are located in the stomach which makes it the most frequent location. GISTs can ...
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Laparoscopic right hemihepatectomy Thu, 04 Jul 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enkaneko002.html http://www.websurg.com/doi-lt03enkaneko002.html H Kaneko
In this lecture, Dr. Kaneko presents the technical aspects related to a fully laparoscopic right hemihepatectomy by showing his technique.
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APE and nerve preservation Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enheald003.html http://www.websurg.com/doi-lt03enheald003.html RJ Heald
Rectal cancer surgery is impaired by a high rate of postoperative sexual dysfunction, cause of frequent nerve injuries. In this lecture, Professor RJ Heald details all the key steps when performing rectal resection.
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Occurrence of a rare complication during laparoscopic sleeve gastrectomy Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3992.html http://www.websurg.com/doi-vd01en3992.html L Marx, M Vix, J Marescaux
Nowadays, sleeve gastrectomy is a common procedure frequently performed laparoscopically in the management of morbid obesity. This intervention as proven to be efficient in comparison to laparoscopic Roux-en-Y gastric bypass (LRYGB) regarding weight loss and revision of obesity-related ...
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Single incision laparoscopic gastrojejunal bypass with intraoperative ultrasonography for obstructive pancreatic head tumor Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3998.html http://www.websurg.com/doi-vd01en3998.html G Dapri
Background: Pancreatic head tumors can be diagnosed immediately as symptomatic although the biliary tract is not involved. Single incision laparoscopy can be proposed as a valid option to allow an early beginning of neo-adjuvant chemotherapy. Video: A 56-year-old man was admitted to hospital ...
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Laparoscopic right hemihepatectomy for polyadenomatosis Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3979.html http://www.websurg.com/doi-vd01en3979.html H Kaneko
The video entitled "Laparoscopic right hemihepatectomy for polyadenomatosis", authored by P Pessaux, A Sa Cunha, E Marzano, T Piardi, J Marescaux is analyzed by Hironori Kaneko, MD, PHD, FACS (Toho University School of Medicine, Tokyo, Japan), sharing in this way his own personal experience and ...
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From longitudinal gastric resection to sleeve gastrectomy - revival of a previously established surgical procedure Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enprager001.html http://www.websurg.com/doi-lt03enprager001.html G Prager
For severe obesity (BMI >35 kg/m2), bariatric surgery is not only the best, but often the only means of obtaining sufficient and durable weight loss. In this lecture, Dr. Prager presents the evolution of sleeve gastrectomy as an only procedure for obese patients.
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Laparoscopic total gastrectomy with D2 lymphadenectomy for adenocarcinoma Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3973.html http://www.websurg.com/doi-vd01en3973.html A Talvane Torres de Oliveira, C Lacerda, PA Bertolucci
Total gastrectomy with D2 lymphadenectomy is recommended for T1-T2 gastric cancer. The laparoscopic approach for this procedure has been validated by extensive clinical randomized trials in Asia, leading to fewer postoperative complications and morbidity and identical oncological outcome. This ...
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Mini gastric bypass vs. RYGB: rationale Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enhimpens004.html http://www.websurg.com/doi-lt03enhimpens004.html J Himpens
Laparoscopic Roux-en-Y gastric bypass (LRYGB) is considered the gold standard for the treatment of morbid obesity. While laparoscopic mini gastric bypass (LMGB) has been reported to be a simple and effective treatment for morbid obesity, controversy exists. In this lecture, Dr. Jacques Himpens ...
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POEM endoscopic treatment of achalasia using the EndoFLIP® (Endolumenal Functional Lumen Imaging Probe) imaging system Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3970.html http://www.websurg.com/doi-vd01en3970.html S Perretta, LL Swanström, B Dallemagne, J Marescaux
This is the case of a 75-year-old lady who presented with recurrent symptoms of dysphagia and regurgitation associated with a significant weight loss due to recurrent achalasia. She developed progressive recurrence after a first surgical treatment by an open Heller myotomy and Dor fundoplication ...
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Gastric bypass: understand the mechanism Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enhiga004.html http://www.websurg.com/doi-lt03enhiga004.html KD Higa
In this lecture, Dr. Kelvin Higa presents the different aspects of gastric bypass as a bariatric and metabolic procedure, showing indications, contraindications with complications and treatments.
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GERD after Vertical Sleeve Gastrectomy (VSG) Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enhiga005.html http://www.websurg.com/doi-lt03enhiga005.html KD Higa
Obesity and gastroesophageal reflux disease (GERD) are two of the major health problems of the industrialized world. Vertical Sleeve Gastrectomy (VSG) is rapidly becoming popular as a standalone bariatric operation. At the same time, there are valid concerns regarding its long-term durability and ...
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Laparoscopic partial fundoplication in a patient with scleroderma and severe GERD Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3967.html http://www.websurg.com/doi-vd01en3967.html S Perretta, B Dallemagne, J Marescaux
Scleroderma is associated with severe esophageal dysmotility and gastroesophageal reflux disease (GERD). Results after antireflux surgery have been suboptimal due to the profound esophageal dysmotility observed in this disease. Here, we show the case of a 54-year-old patient with scleroderma ...
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Laparoscopic redo Nissen for failed anterior fundoplication Tue, 11 Jun 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4005.html http://www.websurg.com/doi-vd01en4005.html B Dallemagne, S Perretta, J Marescaux
Nissen fundoplication is the most commonly performed antireflux operation. An alternative is the partial fundoplication, either anterior or posterior to the esophagus, which provides adequate control of reflux. The anterior valve is effective, provided that it is properly constructed. It is not a ...
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Is sleeve gastrectomy a metabolic operation? Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enherron003.html http://www.websurg.com/doi-lt03enherron003.html D Herron
Sleeve gastrectomy is a valuable emerging bariatric procedure. In this authoritative lecture, Dr. Herron presents the results of this procedure on metabolic aspects.
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Do volumes influence outcomes? Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enherron002.html http://www.websurg.com/doi-lt03enherron002.html D Herron
In this key lecture, Dr. Herron looks into the influence of volumes of patients on clinical outcome.
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Laparoscopic Roux-en-Y gastric bypass with linear gastrojejunostomy: occurrence of postsurgical complications Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3941.html http://www.websurg.com/doi-vd01en3941.html M Vix, G Sojod, J Marescaux
Roux-en-Y gastric bypass is a common procedure in bariatric surgery. It can be perfectly standardized in order to make it technically easier to perform and to reduce risks of postoperative complications. This video shows a conventional gastric bypass procedure with linear gastrojejunostomy. The ...
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Right iliac fossa mass Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3950.html http://www.websurg.com/doi-vd01en3950.html M Vix, M Raharimanantsoa, J Marescaux
This video shows the case of a 40-year-old woman complaining of pain in the right iliac fossa. Clinical history and complementary exams were suggestive of an appendicitis alleviated by an antibiotic treatment. However, they did not contribute to rule out the presence of a mucoid tumor of the ...
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Management of Roux-en-Y gastric bypass (RYGB) complications: laparoscopic gastric bypass case, abrupt onset abdominal pain Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enherron004.html http://www.websurg.com/doi-lt03enherron004.html D Herron
In this key lecture, Dr. Herron outlines the surgical management of RYGB complications.
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Laparoscopic hand-sewn re-gastrojejunostomy for complicated Roux-en-Y gastric bypass Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3960.html http://www.websurg.com/doi-vd01en3960.html G Dapri
Introduction: Laparoscopic Roux-en-Y gastric bypass (LRYGB) is a popular bariatric procedure associated with potential risk of late complications such as anastomotic stricture, marginal ulceration, fistula formation, weight gain, and nutritional deficiencies. A 48-year-old woman submitted to LRYGB ...
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Long-term results: bariatric surgery Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enbuchwald001.html http://www.websurg.com/doi-lt03enbuchwald001.html H Buchwald
In this circumstantial lecture, Professor Buchwald reviews the results of bariatric procedures.
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Robot-assisted revision of stenotic gastrojejunostomy after laparoscopic Roux-en-Y gastric bypass Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3927.html http://www.websurg.com/doi-vd01en3927.html M Vix, J Marescaux
This video presents the case of a 37-year-old woman who benefited from a laparoscopic Roux-en-Y gastric bypass with circular gastrojejunal anastomosis one year ago. An anastomotic stenosis rapidly occurred. It was managed conventionally by several endoscopic balloon dilatations without any stable ...
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Full laparoscopic pancreaticoduodenectomy for malignant ampulloma Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3972.html http://www.websurg.com/doi-vd01en3972.html A Talvane Torres de Oliveira, C Lacerda, PA Bertolucci
In the first description of Laparoscopic PancreaticoDuodenectomy (LPD) by Gagner and Pomp in 1994, the authors reported the technical feasibility of the procedure, but questioned its advantages as compared with the open approach. Recent reports on large series of LPD demonstrated that the procedure ...
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Laparoscopic management of small bowel perforation induced by foreign body Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3977.html http://www.websurg.com/doi-vd01en3977.html L Marx, M Raharimanantsoa, J Marescaux
Ingested foreign bodies are a common cause for emergency hospital admission. A precise interview of the patient often allows to establish the diagnosis. In 90% of cases, the foreign body is spontaneously eliminated without inducing any particular symptoms. In less than 10% of cases, it requires ...
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Operative approach to one-stage duodenal switch Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enbuchwald002.html http://www.websurg.com/doi-lt03enbuchwald002.html H Buchwald
In this key lecture, Professor Buchwald details the duodenal switch procedure for severe morbid obesity. He analyzes and compares the results with other bariatric procedures.
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Robot-assisted Roux-en-Y gastric bypass using Sonicision™ cordless ultrasonic dissection device Mon, 13 May 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3920.html http://www.websurg.com/doi-vd01en3920.html J Morton
The video entitled "Robot-assisted Roux-en-Y gastric bypass, Sonicision™ cordless ultrasonic dissection device", authored by M Vix, KH Liu, and J Marescaux is analyzed by John Morton, MD, MPH, FACS (Stanford Hospital and Clinics, Stanford, CA, USA), sharing in this way his own personal experience ...
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Laparoscopic stepwise approach of a tumor of the gastroesophageal junction Mon, 08 Apr 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3966.html http://www.websurg.com/doi-vd01en3966.html B Dallemagne, S Perretta, S Mandala, J Marescaux
GISTs are rare neoplasms that account for less than 1% of all gastrointestinal malignancies. GISTs have the capability to become malignant and then metastasize, whereas leiomyomas are almost invariably benign. In clinical practice, preoperative differentiation between GISTs and leiomyomas is ...
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Difficult case of laparoscopic Roux-en-Y gastric bypass Mon, 08 Apr 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3902.html http://www.websurg.com/doi-vd01en3902.html M Vix, J Marescaux
A perfect surgical standardization helps to perform a laparoscopic Roux-en-Y gastric bypass in usually simple conditions. Consequently, the procedure does not pose any particular technical problems. A low-fat diet contributes to the reduction in the volume of the liver and to some extent in the ...
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Acute small bowel obstruction two months after laparoscopic rectal prolapse surgery: laparoscopic management Mon, 08 Apr 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3899.html http://www.websurg.com/doi-vd01en3899.html L Marx, J Leroy, J Marescaux
Acute small bowel obstruction (SBO) is an ever-increasing clinical problem. In this video, the authors demonstrate the laparoscopic management of acute small bowel obstruction. Its successful management depends on a comprehensive knowledge of the etiology and pathophysiology of obstruction, ...
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Laparoscopic revision of stenotic colorectal anastomosis Mon, 08 Apr 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3896.html http://www.websurg.com/doi-vd01en3896.html G Dapri
Background: Colorectal anastomosis is usually performed using a circular stapler inserted transanally. Postoperative complications such as strictures are rare and related to various factors like ischemia, poor vascularization, and previous leak. This video shows a laparoscopic revision of a ...
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Gastric band removal for weight regain Mon, 08 Apr 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3919.html http://www.websurg.com/doi-vd01en3919.html G Prager
The video entitled "Gastric band removal for weight regain", authored by M Vix and J Marescaux, is analyzed by Doctor Gerhard Prager, MD (Medical University of Vienna, Department of Surgery, Vienna, Austria), sharing in this way his own personal experience and highlighting the different surgical ...
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Laparoscopic appendectomy for laterocaecal sub-hepatic appendicitis Mon, 08 Apr 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3933.html http://www.websurg.com/doi-vd01en3933.html D Ntourakis, AJ Carin, J Marescaux
Laparoscopic appendectomy is a technique with many advantages, especially in case of difficulty to locate the appendix. Here, we present the case of a 46-year-old woman with a laterocaecal appendicitis, with the tip of the appendix reaching the right sub-hepatic space.
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Hinchey II sigmoid diverticulitis with chronic abscess and sigmoidovesical fistula in a male patient: laparoscopic management Mon, 08 Apr 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3949.html http://www.websurg.com/doi-vd01en3949.html J Leroy, D Ntourakis, D Mutter, J Marescaux
The objective of this video is to demonstrate the laparoscopic management of complicated sigmoiditis. A persisting chronic abscess between the sigmoid loop and the bladder does not represent a contraindication to this minimally invasive approach. The authors outline the different technical points ...
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Hand-sewn laparoscopic Roux-en-Y gastric bypass Mon, 11 Mar 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3926.html http://www.websurg.com/doi-vd01en3926.html KD Higa
In this highly educational live video, Dr. Kelvin Higa demonstrates a laparoscopic Roux-en-Y gastric bypass using a hand-sewn gastrojejunal anastomosis. This technical maneuver seems extremely simple. However, it necessitates great dexterity and reflects long experience. All operative steps are ...
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Gastric bypass after band removal: robotic-assisted gastrojejunostomy and linear-stapled jejunojejunostomy Mon, 11 Mar 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3917.html http://www.websurg.com/doi-vd01en3917.html J Himpens
The video entitled "Gastric bypass after band removal: robotic-assisted gastrojejunostomy and linear-stapled jejunojejunostomy", authored by M Vix and J Marescaux, is analyzed by Professor Jacques Himpens (Hôpital Universitaire St Pierre, Brussel, Belgium), sharing in this way his own personal ...
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Image of the month: anterior abdominal mass after hysterectomy Mon, 11 Mar 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3909.html http://www.websurg.com/doi-vd01en3909.html M Vix, J Marescaux
This video demonstrates the case of a woman presenting with a mass appended to the anterior abdominal wall. In the patient’s surgical history, a hysterectomy performed a few years earlier can be noted. The operative report of that intervention is not available. Laparoscopy is therefore decided ...
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PROGRESS - Transanal TME with colo-anal anastomosis without trans-abdominal assistance for rectal cancer in a male patient Mon, 11 Mar 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3937.html http://www.websurg.com/doi-vd01en3937.html J Leroy, D Ntourakis, J Marescaux
The authors put forward an original oncologic Total Mesorectal Excision (TME) technique combined with distal sigmoidectomy followed by a mechanical colo-anal side-to-end anastomosis using a purely transanal route. The originality of this technique lies in the strictly transanal approach without ...
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Laparoscopic cholecystectomy 2 months after acute cholecystitis with intra-abdominal abscess Mon, 11 Mar 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3939.html http://www.websurg.com/doi-vd01en3939.html L Marx, A D'Urso, D Mutter, J Marescaux
Cholecystectomy for symptomatic gallstones is mainly performed as soon as an acute cholecystitis episode settles. The main reason is the fear of higher morbidity and conversion from laparoscopic cholecystectomy to open cholecystectomy during acute cholecystitis. Acute cholecystitis is generally ...
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Complicated sigmoiditis with sigmoido-vaginal fistula: laparoscopic management with Natural Orifice Specimen Extraction (NOSE) Mon, 11 Mar 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3898.html http://www.websurg.com/doi-vd01en3898.html J Leroy, L Marx, J Marescaux
Sigmoiditis complicated by the presence of chronic sigmoido-vaginal fistula has become increasingly rare. Its laparoscopic management has long been considered to be a contraindication. This film demonstrates that surgery is feasible and a laparotomy can be avoided as the extraction of the sigmoid ...
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Laparoscopic gastroesophageal resection after mesh migration Mon, 11 Mar 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3874.html http://www.websurg.com/doi-vd01en3874.html F Corcione, F Pirozzi, L Barra, V Cimmino, E Minona
In this video, we describe a laparoscopic gastroesophageal resection after a mesh migration in a 47-year-old woman diagnosed with a giant paraesophageal hernia. Preoperatively, a barium esophagogram, an upper endoscopy and an esophageal manometry were performed to define the anatomy of the ...
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Repair of distal esophageal perforation (Boerhaave’s syndrome) by left thoracoscopy with the patient in prone position Mon, 11 Mar 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3816.html http://www.websurg.com/doi-vd01en3816.html G Dapri, S Carandina, L Gerard, GB Cadière
Background: Boerhaave’s syndrome is an emergency disease related to a high risk of mortality and morbidity. Surgical treatment is usually performed by thoracotomy or thoracoscopy with the patient in lateral position. The authors report a patient with a distal esophageal perforation treated by ...
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Simplified laparoscopic Roux-en-Y gastric bypass Mon, 11 Mar 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3925.html http://www.websurg.com/doi-vd01en3925.html A Cardoso Ramos, M Galvao Neto
Roux-en-Y gastric bypass (RYGB) has become a common procedure for the management of morbid obesity. However, learning to perform such a procedure is difficult as it is made up of very technical operative steps in complex cases of overweight patients with a great amount of adipose tissue. The ...
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Live broadcast laparoscopic Nissen fundoplication Mon, 11 Mar 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3818.html http://www.websurg.com/doi-vd01en3818.html B Dallemagne, S Perretta, J Marescaux
This video shows a live broadcast demonstration of a Nissen fundoplication for gastroesophageal reflux disease. The different steps of the operation are commented upon and interaction between the surgeon and the audience of the Insubria International Summer School in Varese (Italy) provides ...
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Transumbilical single incision laparoscopic pericystectomy of liver segment 7 Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3815.html http://www.websurg.com/doi-vd01en3815.html G Dapri, V Donckier
Background: Transumbilical single incision laparoscopy has recently sparked interest mainly to improve cosmetic outcomes, while other potential advantages are currently under evaluation. This video presents a pericystectomy of liver segment 7 performed in a patient with a hydatic cyst. Clinical ...
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How to avoid the stoma after low colorectal anastomosis: experience with no coil device Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03encorcione006.html http://www.websurg.com/doi-lt03encorcione006.html F Corcione
In this lecture, Dr. Corcione presents the results of the no coil technique to avoid stoma after low colorectal anastomosis.
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Thoracoscopic resection of an esophageal leiomyoma Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3850.html http://www.websurg.com/doi-vd01en3850.html J Torres Bermúdez, FC Becerra García, J Lopez Espejo, JL Martín, G Sánchez de la Villa
Benign tumors of the esophagus are rare lesions that constitute less than 1% of esophageal neoplasms. Nearly two thirds of benign tumors are leiomyomas. They usually arise as intramural growths, most commonly along the distal two thirds of the esophagus. They have extremely small potential for ...
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Laparoscopy and abdominal sepsis Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ennavez004.html http://www.websurg.com/doi-lt03ennavez004.html B Navez
In this lecture, Dr. Benoît Navez covers the different aspects of laparoscopy during abdominal sepsis.
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Hepatic surgery: principles of the laparoscopic approach Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enayav001.html http://www.websurg.com/doi-lt03enayav001.html A Ayav
In this lecture, Professor Ayav presents the indications, principles and technical settings of laparoscopic hepatic surgery with video demonstration.
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Management of bile duct injury (BDI) Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ennavez002.html http://www.websurg.com/doi-lt03ennavez002.html B Navez
Biliary duct injury (BDI) is a dramatic event during laparoscopic cholecystectomy. In this lecture, Dr. Benoît Navez explains how to manage and prevent this complication.
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Robotic surgery for rectal endometriosis Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enrullier007.html http://www.websurg.com/doi-lt03enrullier007.html E Rullier
In this lecture, Dr. Eric Rullier presents the positive aspects of robotic surgery applied to the treatment of rectal endometriosis.
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Alternative procedures to ESD for resection of colonic and rectal lesions Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enleroy017.html http://www.websurg.com/doi-lt03enleroy017.html J Leroy
In this lecture, Professor Leroy presents alternative surgical techniques to ESD in colonic and rectal lesions.
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Robotic-assisted mini gastric bypass Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3894.html http://www.websurg.com/doi-vd01en3894.html D Herron
The video entitled "Robotic-assisted mini gastric bypass", authored by M Vix, KH Liu, and J Marescaux, is analyzed by Dr. Daniel Herron, MD, FACS (Mount Sinai Hospital, New York, United States of America), sharing in this way his own personal experience and highlighting the different surgical ...
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Intersphincteric resection in 10 questions Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enrullier006.html http://www.websurg.com/doi-lt03enrullier006.html E Rullier
In this lecture, Dr. Eric Rullier focuses on 10 main points to perform intersphinteric resection (ISR) for low rectal cancer.
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Laparoscopic splenectomy for subcapsular hematoma: medial approach Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3881.html http://www.websurg.com/doi-vd01en3881.html L Marx, D Ntourakis, B Dallemagne, S Perretta, J Marescaux
The spleen is the second most frequently injured organ in blunt abdominal trauma. The radiological diagnosis and prompt management of potentially life-threatening hemorrhage is the primary goal. The preservation of functional splenic tissue is secondary and may be accomplished using non-operative ...
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Laparoscopic approach of bleeding, leaks, occlusion and all the postoperative misery of laparoscopic colorectal surgery Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03encorcione005.html http://www.websurg.com/doi-lt03encorcione005.html F Corcione
In this lecture, Professor Corcione presents potential complications after laparoscopic colorectal surgery and their treatment.
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Acute cholecystitis (AC): laparoscopic approach Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ennavez001.html http://www.websurg.com/doi-lt03ennavez001.html B Navez
Major biliary tract emergencies are acute cholecystitis, ascending cholangitis, and acute pancreatitis. These conditions usually arise as a consequence of stones obstructing the biliary tree or the gallbladder. Less frequently, they may result from benign or malignant strictures of the biliary ...
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Laparoscopic cholecystectomy in a cirrhotic patient Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3865.html http://www.websurg.com/doi-vd01en3865.html D Mutter, J Marescaux
Laparoscopic cholecystectomy in cirrhotic patients may be associated with several difficulties. These include a more difficult mobilization of the rigid fibrotic liver as well as the increased risk of bleeding due to associated portal hypertension. This video shows that the mere respect of basic ...
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Transanal Total Mesorectal Excision (TME) with mechanical side-to-end coloanal anastomosis in a female patient Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3903.html http://www.websurg.com/doi-vd01en3903.html J Leroy, D Ntourakis, J Marescaux
The authors demonstrate how to perform a transanal total mesorectal excision using the TEO® device (Karl Storz) as well as a hemorrhoid stapler in a stepwise manner. This pure transanal approach was performed because of a suspicion of a T2 lesion on a large villous rectal tumor at 10/12 cm from ...
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Rectal prolapse repair using laparoscopic Douglasectomy and indirect ventral rectopexy and posterior colpopexy with polyester meshes Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3922.html http://www.websurg.com/doi-vd01en3922.html J Leroy, J Marescaux
For the authors of this film, the objective is to present the tips and tricks of their laparoscopic repair for rectal prolapse with elytrocele and rectocele. The procedure is outlined in a stepwise fashion and explained meticulously.
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Laparoscopy and appendicitis Thu, 14 Feb 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ennavez003.html http://www.websurg.com/doi-lt03ennavez003.html B Navez
Appendicitis is one of the most common medical emergency. In this lecture, Dr. Benoît Navez presents the current management of acute appendicitis.
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Laparoscopic three-trocar sigmoidectomy with transanal extraction and new Sonicision™ cordless ultrasonic dissection device Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3870.html http://www.websurg.com/doi-vd01en3870.html R Cahill
The video entitled "Laparoscopic three-trocar sigmoidectomy with transanal extraction and new Sonicision™ cordless ultrasonic dissection device", authored by J Leroy, B Barry, and J Marescaux, is analyzed by Dr. Ronan Cahill, MD, FRCS (Beaumont Hospital, Dublin, Ireland), sharing in this way his ...
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Single port laparoscopic cholecystectomy in situs inversus totalis using the E.K. glove port Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3867.html http://www.websurg.com/doi-vd01en3867.html E Khiangte, I Newme, P Phukan
This video demonstrates a rare case of single port laparoscopic cholecystectomy in a patient with situs inversus totalis using the E.K. glove port as the access port. There are only four reported cases in the literature of single port laparoscopic cholecystectomy in situs inversus totalis. The ...
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Laparoscopic splenectomy for acute and major thrombocytopenia Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3878.html http://www.websurg.com/doi-vd01en3878.html D Mutter, J Marescaux
A 50-year-old patient was admitted in an emergency 8 days ago for spontaneous hematomas, consciousness disorders and mucosal bleeding. Diagnosis of acute thrombocytopenia was established (1000 platelets/mm3). Medical treatment was started, including transfusion of platelets, gammaglobulins, ...
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Laparoscopic colectomy in colitis: an evidence-based approach Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03ensalky006.html http://www.websurg.com/doi-lt03ensalky006.html B Salky
Despite recent advances in the medical treatment of ulcerative colitis (UC), approximately 25-40% of patients will need surgery while the disease is still in effect. The aim of elective surgical treatment of UC is to remove the colon/and rectum with minimal postoperative morbidity, and to offer a ...
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Endoluminal bariatric procedures Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enthompson003.html http://www.websurg.com/doi-lt03enthompson003.html C Thompson
Obesity is a global health problem. The gold standard approach for obesity is laparoscopy. Endoscopy may introduce a new paradigm in obesity management. In this lecture, Dr. Christopher Thompson presents the emerging endoluminal procedures.
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Laparoscopic resection of an esophageal leiomyoma Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3849.html http://www.websurg.com/doi-vd01en3849.html J Torres Bermúdez, FC Becerra García, S del Valle Ruiz , AA Carrillo Sánchez, G Sánchez de la Villa
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 ...
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Voluminous right pararectal lipoma: laparoscopic removal Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3792.html http://www.websurg.com/doi-vd01en3792.html J Leroy, S Mandala, J D'Agostino, A D'Urso, J Marescaux
The objective of this film is to present the potential laparoscopic approaches for a voluminous right pararectal lipoma partially overlapping the pelvic floor. The advantage of this approach is the magnification of anatomical images which allows to better preserve the nervous plexus, and especially ...
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Single port access and single site incision: challenges with current instrumentation and recent development Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enleroy016.html http://www.websurg.com/doi-lt03enleroy016.html J Leroy
In this key lecture, Professor Joël Leroy presents the most recent devices for single port surgery as well as new developments in instrumentation.
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Laparoscopic right hemicolectomy for cancer Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3871.html http://www.websurg.com/doi-vd01en3871.html F Corcione, D Cuccurullo, F Pirozzi, MG Iovino, I Camperchioli
This video demonstrates a laparoscopic right hemicolectomy using a 3D 0-degree Olympus scope in a patient with a caecal cancer. The surgeon stands on the left side and performs a medial vascular approach including medial mobilization of the right colon and hepatic flexure. We perform an ...
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Transumbilical single access laparoscopic Toupet fundoplication Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3846.html http://www.websurg.com/doi-vd01en3846.html G Dapri, L Gerard, S Carandina, GB Cadière
Background: Different procedures have been reported to be feasible and safe through single access laparoscopy (SAL). A transumbilical SAL Toupet fundoplication is demonstrated here. Video: A young lady sought care for gastroesophageal reflux disease associated with grade B esophagitis, hiatal ...
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How to treat leaks after bariatric procedures and esogastric resections Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enthompson004.html http://www.websurg.com/doi-lt03enthompson004.html C Thompson
Leaks after bariatric surgery are a challenging problem. In this lecture, Dr. Christopher Thompson presents the different types of leaks and the appropriate management.
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Safe approach: transverse colon Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-lt03enmelani002.html http://www.websurg.com/doi-lt03enmelani002.html A Melani
The vascular approach for lesions located on the transverse colon is very challenging. In this lecture, Dr. Armondo Melani presents a safe laparoscopic approach.
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PROGRESS - Transanal TME with colo-anal anastomosis without trans-abdominal assistance for rectal cancer in a male patient Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en4155.html http://www.websurg.com/doi-vd01en4155.html M Whiteford
The video entitled "PROGRESS - Transanal TME with colo-anal anastomosis without trans-abdominal assistance for rectal cancer in a male patient", authored by J Leroy, D Ntourakis, J Marescaux is analyzed by Mark Whiteford, MD, FACS, FASCRS (Providence Cancer Center, Portland, Oregon, United States), ...
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Laparoscopic total colectomy for T4N0M0 right colonic cancer and Lynch syndrome Tue, 15 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3804.html http://www.websurg.com/doi-vd01en3804.html J Leroy, J Marescaux
The authors demonstrate their technique of laparoscopic total colectomy indicated for T3 tumors of the right transverse colon in a 40-year-old man with a family history of Lynch syndrome. Colonoscopy performed 3 years earlier ruled out the presence of polyps. Due to the tumor's invasiveness and the ...
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Laparoscopic management of Mirizzi syndrome Thu, 10 Jan 2013 00:00:00 +0100 http://www.websurg.com/doi-vd01en3852.html http://www.websurg.com/doi-vd01en3852.html Aa Rai, R Singh, S Rai, Sa Rai
The surgical management of acute cholecystitis continues to be a matter of personal choice. At our institution, we perform early laparoscopic cholecystectomy electively after treatment with intravenous fluids and antibiotics. We present the case of a 35-year-old man who was admitted with a ...
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Laparoscopic TME: does preoperative chemoradiotherapy increase complications? Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enrullier005.html http://www.websurg.com/doi-lt03enrullier005.html E Rullier
The additional use of radiotherapy has changed the treatment of locally advanced rectal cancer (LARC) dramatically. But a major achievement has been the development of total mesorectal excision (TME) as a surgical standard. In this lecture, Prof. Rullier discusses preoperative chemoradiotherapy in ...
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Ideal choledochotomy in a young patient with multiple gallbladder and common bile duct stones Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3863.html http://www.websurg.com/doi-vd01en3863.html B Dallemagne, C Lacerda, A Melani
Laparoscopic Common Bile Duct (CBD) clearance for stones can be performed through the cystic duct or through a choledochotomy, the choice being mainly guided by the size of the CBD stone as well as the size of the cystic and common bile duct. In this young patient with an enlarged CBD and multiple ...
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Robotic-assisted mini gastric bypass Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3763.html http://www.websurg.com/doi-vd01en3763.html M Vix, KH Liu, J Marescaux
Amongst bariatric procedures, mini gastric bypass has been described by Rutledge in 2001 with the objective of simplifying the gastric bypass technique (1). Mini gastric bypass only requires one anastomosis instead of 2 and should reduce complications related to the anastomosis at the foot of the ...
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Reversal Hartmann's procedure Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enleroy013.html http://www.websurg.com/doi-lt03enleroy013.html J Leroy
In this authoritative lecture, Prof. Joel Leroy outlines his technique of laparoscopic reversal Hartmann's procedure.
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Laparoscopic total gastrectomy and D2 lymphadenectomy for adenocarcinoma Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3823.html http://www.websurg.com/doi-vd01en3823.html J Torres Bermúdez, S del Valle Ruiz , FC Becerra García, G Sánchez de la Villa
The video demonstrates a stepwise technique for total laparoscopic gastrectomy and D2 lymphadenectomy in a patient with T2N1M0 adenocarcinoma.
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Rectal cancer: laparoscopic TME - How to reproduce the open Heald procedure? Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enleroy012.html http://www.websurg.com/doi-lt03enleroy012.html J Leroy
Total mesorectal excision (TME) offers the lowest reported rates of local recurrence and the best survival results in patients with rectal cancer. The objective of Prof. Leroy in this lecture is to show the feasibility of laparoscopic approach respecting the principles of open dissection that Prof. ...
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Umbilical hernia: laparoscopic treatment with a composite mesh Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3845.html http://www.websurg.com/doi-vd01en3845.html D Mutter, J Marescaux
This is the case of a patient referred for a symptomatic umbilical hernia, only partially reducible. The aim of the procedure is to perform a laparoscopic exploration to reduce the incarcerated omentum and to perform a laparoscopic repair using a composite mesh covered by a non-adherent collagen ...
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Suprapubic single incision laparoscopic right hemicolectomy with intracorporeal anastomosis Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3814.html http://www.websurg.com/doi-vd01en3814.html G Dapri
Background: Single incision laparoscopy (SIL) has recently sparked considerable interest. The objectives of this technique are to improve cosmetic outcomes and to reduce invasiveness. Until now the umbilicus was the preferred way of entry, but suprapubic access can be an alternative especially for ...
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Laparoscopic surgery in complex Crohn's disease Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03ensalky005.html http://www.websurg.com/doi-lt03ensalky005.html B Salky
Laparoscopic surgery represents a widely accepted option for selected patients with Crohn's disease (CD): a broad spectrum of procedures, from simple to very complex, can be technically performed. In this authoritative lecture, Dr. Barry Salky presents his experience in the treatment of complex ...
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Laparoscopic right colectomy for cancer: tips and tricks Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enleroy014.html http://www.websurg.com/doi-lt03enleroy014.html J Leroy
Prof. Joel Leroy presents an exhaustive lecture with video footage to show different tips and tricks when performing laparoscopic right colectomy. All the steps of the procedure have been detailed.
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Laparoscopic TME: tips and tricks Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enleroy015.html http://www.websurg.com/doi-lt03enleroy015.html J Leroy
Total mesorectal excision (TME) is the gold standard in the treatment of rectal cancer. Some technical details are essential when using the laparoscopic approach. In this key lecture, Prof. Leroy provides some tips and tricks.
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Laparoscopic splenectomy for large infected cyst Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3826.html http://www.websurg.com/doi-vd01en3826.html D Mutter, J Marescaux
A young lady was admitted for acute pain in the left hypochondrium. She has no significant past medical history, and no trauma. Imaging studies demonstrated the presence of a heterogeneous splenic cyst of 17cm in diameter. The diagnosis of hemorrhagic cyst with potential infection was established ...
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Laparoscopic Roux-en-Y gastric bypass with linear gastrojejunostomy Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3851.html http://www.websurg.com/doi-vd01en3851.html M Vix, A D'Urso, J Marescaux
Gastric bypass is a standard procedure in bariatric surgery. Indeed, all operative steps can be standardized, hence improving the performance of the procedure and its teaching. Here, we present a technique adapted from a simplified gastric bypass procedure demonstrated by Dr. Almino Ramos in ...
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Redo management of Crohn's disease after ileocaecal resection 20 years ago: new ileocolic laparoscopic resection Tue, 04 Dec 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3869.html http://www.websurg.com/doi-vd01en3869.html B Salky
The video entitled "Redo management of Crohn's disease after ileocaecal resection 20 years ago: new ileocolic laparoscopic resection", authored by J Leroy and J Marescaux, is analyzed by Dr. Barry Salky, MD, FACS (Mount Sinai Medical Center, New York, United States), sharing in this way his own ...
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Gastrointestinal reconstruction in a patient with intestinal malrotation Fri, 09 Nov 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3822.html http://www.websurg.com/doi-vd01en3822.html J Torres Bermúdez, S del Valle Ruiz , J Lopez Espejo, G Sánchez de la Villa
Rotational anomalies occur as a result of an arrest of normal rotation of the embryonic gut around the superior mesenteric artery. It occurs at a rate of 1 in 500 live births. Twenty-five percent of patients present after age 1 year and into late adulthood; many are recognized intraoperatively ...
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Single port procedures: current state of the literature and contraindications Fri, 09 Nov 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enboni002.html http://www.websurg.com/doi-lt03enboni002.html L Boni
Single port surgery is currently feasible for different procedures but patients must be selected. In this lecture, Dr. Boni presents a large review of all the procedures that could be carried out using a single port access.
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Laparoscopic splenic cyst unroofing Fri, 09 Nov 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3799.html http://www.websurg.com/doi-vd01en3799.html D Mutter, L Soler, J Marescaux
This video shows the case of a young patient presenting with an 8cm splenic cyst associated with occasional left hypochondrium pain. A simple resection of the cyst dome is decided upon in order to heal the patient and preserve the spleen.
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Challenges in GERD: Collis fundoplication in a patient with a BMI of 41 Fri, 09 Nov 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3825.html http://www.websurg.com/doi-vd01en3825.html B Dallemagne, S Perretta, J Marescaux
Obesity has long been considered a predisposing factor for gastroesophageal reflux. It is also thought to predispose patients to a poorer clinical outcome following antireflux surgery and some authors recommend gastric bypass in obese patient with symptomatic GERD. However, some studies reported ...
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Single port right colectomy: surgical technique and results Fri, 09 Nov 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enboni003.html http://www.websurg.com/doi-lt03enboni003.html L Boni
In this lecture, Dr. Boni presents his experience in laparoscopic single port right colectomy. He shows his technique and presents the results of his series.
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Laparoscopic rectovaginal resection for endometriosis: transvaginal specimen extraction and anastomosis Fri, 09 Nov 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3811.html http://www.websurg.com/doi-vd01en3811.html J Leroy, CY Akladios, V Thoma, A Wattiez, J Marescaux
The authors demonstrate a rectovaginal resection technique for invasive endometriosis. The original nature of this approach hinges on the mesorectum dissection technique in contact with the rectal wall in order to preserve rectal vascularization and innervation. Additionally, rectal exteriorization ...
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Transumbilical laparoscopic total colectomy with S-Port™ and side-to-end ileorectal anastomosis for ulcerative colitis Fri, 09 Nov 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3770.html http://www.websurg.com/doi-vd01en3770.html R Cahill
The video entitled "Transumbilical laparoscopic total colectomy with S-Port™ and side-to-end ileorectal anastomosis for ulcerative colitis", authored by J Leroy, J D'Agostino, B Barry, and J Marescaux, is analyzed by Dr. Ronan Cahill, MD, FRCS (Beaumont Hospital, Dublin, Ireland), sharing in this ...
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Laparoscopic left colectomy for diffuse diverticulosis Tue, 16 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3747.html http://www.websurg.com/doi-vd01en3747.html A Melani, J Marescaux
The author presents his left colectomy technique for diffuse diverticulosis of the left colon. He uses an oncological dissection technique with a vascular approach starting with the vein and then moving on to the inferior mesenteric artery. He continues the technique with the mobilization of the ...
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Gastric band removal for weight regain Tue, 16 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3764.html http://www.websurg.com/doi-vd01en3764.html M Vix, J Marescaux
Patients with a gastric band frequently request for its removal when it becomes inefficient in order to envisage another bariatric procedure. The intervention consists in the dissection of several adhesions between the liver and the stomach, the freeing of the gastric wrap, and the band removal. ...
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Critical value of cadavers in training for NOTES transanal endoscopic TME for rectal cancer Tue, 16 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3788.html http://www.websurg.com/doi-vd01en3788.html P Sylla, D Rattner
In 2007, Whiteford et al. described the first transanal NOTES radical sigmoidectomy in human cadavers. Currently, the transition on human application is increasingly observed. Although instrument and platform limitations are still a barrier to pure applications of transanal NOTES resection, ongoing ...
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Laparoscopic appendectomy for retrocaecal appendicitis Tue, 16 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3779.html http://www.websurg.com/doi-vd01en3779.html E Girsowicz, J D'Agostino, J Marescaux
Appendectomy is the most frequent surgical procedure performed by general surgeons. This video demonstrates the laparoscopic treatment of a retrocaecal appendicitis performed by a resident in general surgery. The retrocaecal position of the appendix is found in 25% of cases. Advantages of a ...
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Gastric bypass after band removal: robotic-assisted gastrojejunostomy and linear-stapled jejunojejunostomy Mon, 15 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3761.html http://www.websurg.com/doi-vd01en3761.html M Vix, J Marescaux
Laparoscopic gastric bypass performed after gastric band removal requires the same surgical steps as a conventional gastric bypass. The presence of adhesions between the liver and the stomach makes the dissection of the superior gastric pouch more difficult. It is essential to correctly visualize ...
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Fluorescence-based enhanced reality to assess intestinal vascularization Mon, 15 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03endiana002.html http://www.websurg.com/doi-lt03endiana002.html M Diana
In this video Dr. Diana presents the results of an experimental study held at the IRCAD aiming to develop a novel concept and technology: the enhanced reality assessment of intestinal perfusion. The technology is quite promising and may offer the opportunity to reduce the rate of anastomotic ...
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Laparoscopic sigmoidectomy for benign disease: how I do it Mon, 15 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3749.html http://www.websurg.com/doi-vd01en3749.html M Li, J Marescaux
Dr. Michael LI (Pamela Youde Nethersole Eastern Hospital, Hong Kong) demonstrates his approach to laparoscopic sigmoidectomy in a case of sigmoid diverticulitis with an audience made up of renowned experts in colorectal surgery. Discussions around appropriate strategies for the management of ...
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Total laparoscopic right hepatectomy for large hepatoma using the Glissonian pedicle control with anterior approach Mon, 15 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3794.html http://www.websurg.com/doi-vd01en3794.html R Chanwat, C Bunchaliew, T Khuhaprema
Background: Although laparoscopic liver resection has been widely adopted, performing a total laparoscopic right hepatectomy remains a challenging procedure, especially in patients with large tumor. This video illustrates a useful technique for total laparoscopic right hepatectomy which was ...
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Local excision vs. TME after downstaging following radiochemotherapy Mon, 15 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enrullier004.html http://www.websurg.com/doi-lt03enrullier004.html E Rullier
Organ preservation in rectal cancer is a new concept. In this lecture, Prof. Eric Rullier presents the indications of local resection after neoadjuvant therapy in rectal cancer.
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Laparoscopic sigmoidectomy for diverticulitis two months after percutaneous drainage of pelvic abscess Tue, 09 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3775.html http://www.websurg.com/doi-vd01en3775.html J Leroy, J Marescaux
The objective of this film is to show the possibilities of the laparoscopic approach after percutaneous treatment of a pelvic abscess on a perforated sigmoid diverticulitis. After exploration of the abdominal cavity, the author demonstrates the interest of using new energy devices for the ...
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Robot-assisted splenectomy for idiopathic thrombocytopenic purpura (ITP) Tue, 09 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3693.html http://www.websurg.com/doi-vd01en3693.html D Mutter, J Marescaux
Robot-assisted splenectomy follows the same surgical principles than a more conventional laparoscopic technique. This video demonstrates a splenectomy for idiopathic thrombocytopenic purpura (ITP) in a young patient. The procedure was performed with the Da Vinci Si™ robotic system, using three ...
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Laparoscopic partial gastrectomy for stromal tumor Thu, 04 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3719.html http://www.websurg.com/doi-vd01en3719.html HK Yang
The video entitled "Laparoscopic partial gastrectomy for stromal tumor", authored by D Mutter, L Soler, and J Marescaux, is analyzed by Professor Han-Kwang Yang, MD, PhD, FACS (Seoul National University Cancer Research Institute, Seoul, South Korea), sharing in this way his own personal experience ...
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SILS single port splenectomy in a woman diagnosed with idiopathic thrombocytopenia Thu, 04 Oct 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3767.html http://www.websurg.com/doi-vd01en3767.html F Corcione, F Pirozzi, F  Galante
Laparoscopic splenectomy (LS) has become the technique of choice for surgical removal of the spleen since its first description in 1991. Indications for LS have rapidly increased and LS is now considered the standard approach for the treatment of benign and malignant hematologic disorders, ...
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Second reoperative antireflux procedure for valve slippage Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3753.html http://www.websurg.com/doi-vd01en3753.html B Dallemagne, S Perretta, J D'Agostino, J Marescaux
Redo surgery is technically more demanding than primary fundoplication. In addition, anatomical defects that caused failure may increase technical difficulties. A recent review found that the average success rate after laparoscopic redo operations ranged from 65 to 100 per cent (van Beek D, Auyang ...
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Enhanced recovery after surgery: ERAS and laparoscopy Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03endemartines004.html http://www.websurg.com/doi-lt03endemartines004.html N Demartines
Enhanced recovery after surgery (ERAS) programmes have been shown to improve outcomes after colonic surgery. In this lecture, Professor Nicolas Demartines presents the general principles of this program and shows the results of his experience.
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Liver surgery: state of the art in laparoscopic liver resection Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enkaneko001.html http://www.websurg.com/doi-lt03enkaneko001.html H Kaneko
The totally laparoscopic approach is feasible and safe in the resection of solid liver lesions. In this lecture, Dr. Kaneko presents his experience.
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Long-term results of endo-laparoscopic colectomy for left-sided colonic obstruction Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03encheung002.html http://www.websurg.com/doi-lt03encheung002.html H Cheung
Self-expanding metal stents are used as a safe and effective bridge to subsequent laparoscopic surgery in patients with obstructing left-sided colonic cancer. This endolaparoscopic approach makes a 1-stage operation more feasible, is associated with reduced incidence of stoma creation, and allows ...
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Why does robotic surgery make sense for rectal resection? Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03encheung001.html http://www.websurg.com/doi-lt03encheung001.html H Cheung
In this lecture, Dr. Cheung explains why robotic surgery makes sense for rectal resection.
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Integrating morphological and functional imaging in assessment of response Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enbrown006.html http://www.websurg.com/doi-lt03enbrown006.html G Brown
In this lecture, Dr. Gina Brown discusses the interest of MRI restaging after neoadjuvant treatment for rectal cancer.
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MRI staging for low rectal cancer surgery: improving results Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enbrown007.html http://www.websurg.com/doi-lt03enbrown007.html G Brown
High-resolution MRI is proved to have a high degree of diagnostic accuracy for T-stage of rectal carcinoma. Preoperative MRI is helpful in treatment planning. In this lecture, Dr. Brown proves the importance of MRI in the accuracy of rectal staging.
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Near-infrared laparoscopy for real-time, intraoperative fluorescence lymphatic mapping and sentinel node identification Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03encahill002.html http://www.websurg.com/doi-lt03encahill002.html R Cahill
Appropriate lymphatic assessment is a cornerstone of definitive surgical resection for colorectal cancer. Near-infrared (NIR) laparoscopy may allow real-time intraoperative identification of territorial lymphatic drainage and sentinel nodes in patients with early-stage disease prior to radical ...
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TEO and minilaparoscopy Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enmelani001.html http://www.websurg.com/doi-lt03enmelani001.html A Melani
Transanal endoscopic microsurgery excision is a safe and precise technique. In this lecture, Dr. Melani presents a video demonstrating this technique using TEO and micro-instruments.
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Remaining challenges in liver resection Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enhabib001.html http://www.websurg.com/doi-lt03enhabib001.html N Habib
In this key lecture, Dr. Habib presents the technical and anatomical challenges when performing liver resection.
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Laparoscopic management of choledochal cyst Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3756.html http://www.websurg.com/doi-vd01en3756.html E Khiangte, D Prasad Das, I Newme
The objective of this video is to demonstrate the laparoscopic treatment of a choledochal cyst in a 24-year-old woman. The Roux-en-Y construction is carried out extracorporeally using the E.K. port as the wound protector and the hand-sewn hepatico-jejunostomy is performed intracorporeally.
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Video-Assisted Anal Fistula Treatment (VAAFT) Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enmeinero001.html http://www.websurg.com/doi-lt03enmeinero001.html P Meinero
Video-assisted anal fistula treatment (VAAFT) is a novel minimally invasive and sphincter-saving technique to treat complex fistulas. In this lecture, Dr. Meinero describes the procedural steps and preliminary results of VAAFT.
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Laparoscopic partial gastrectomy with D1 beta lymphadenectomy for early gastric cancer Wed, 12 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3774.html http://www.websurg.com/doi-vd01en3774.html S Rua, A Pinto, P Moura, C Sousa
This is the case of a 75-year-old man, symptom-free, with a cT2N0M0 early cancer of the stomach. The lesion is located between the body and the antrum of the stomach. The laparoscopic approach allows to carry out a partial gastrectomy with D1 beta lymphadenectomy (lymph nodes number: ...
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Robot-assisted Roux-en-Y gastric bypass using Sonicision™ cordless ultrasonic dissection device Tue, 11 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3741.html http://www.websurg.com/doi-vd01en3741.html M Vix, KH Liu, J Marescaux
Gastric bypass is considered to be the gold standard in morbid obesity surgery. If technical principles are well-established, there are several alternatives to apply them. Consequently, gastrojejunostomy can be performed in three different fashions: manual, linear, and circular. Manual ...
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Laparoscopic gastric bypass with linear-stapled gastrojejunostomy: a typical procedure Tue, 11 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3758.html http://www.websurg.com/doi-vd01en3758.html M Vix, J Marescaux
Gastrojejunostomy in a typical gastric bypass procedure for morbidly obese patients may be performed using different approaches (manually, or by means of a mechanical linear stapler or a mechanical circular stapler). This video demonstrates the use of a linear stapler to perform the anastomosis. ...
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Laparoscopic coloproctectomy with ileoanal pouch anastomosis for familial adenomatous polyposis (FAP) Tue, 11 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3746.html http://www.websurg.com/doi-vd01en3746.html J Leroy, J Marescaux
Coloproctectomy is a challenging surgical procedure, whether open or laparoscopic, particularly when an ileoanal anastomosis with pouch is performed. The objective of this film is to provide some tricks to perform this surgical procedure laparoscopically. The main trick is probably the ...
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Redo management of Crohn's disease after ileocaecal resection 20 years ago: new ileocolic laparoscopic resection Tue, 11 Sep 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3745.html http://www.websurg.com/doi-vd01en3745.html J Leroy, J Marescaux
Crohn’s disease is an evolutive inflammatory bowel disease. Surgery may be performed several times during the patient’s life. Using a laparoscopic approach limits the risk of adhesions and the possibilities of re-operations in those patients. In this film, the surgeon comes across ...
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Typical procedure for laparoscopic gastric bypass: gastrojejunostomy with circular stapler Tue, 17 Jul 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3598.html http://www.websurg.com/doi-vd01en3598.html D Herron
The video entitled "Typical procedure for laparoscopic gastric bypass: gastrojejunostomy with circular stapler", authored by M Vix and J Marescaux, is analyzed by Dr. Daniel Herron, MD (Mount Sinai Hospital, New York, United States), sharing in this way his own personal experience and highlighting ...
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Laparoscopic right colectomy for caecal cancer using Sonicision™ cordless ultrasonic dissection device Tue, 17 Jul 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3750.html http://www.websurg.com/doi-vd01en3750.html J Leroy, J Marescaux
The interest of this video is to demonstrate a fully laparoscopic oncologic right colectomy technique performed by means of novel dissection instruments such as the Sonicision™ cordless ultrasonic dissection device (Valleylab, Covidien) as well as stapling devices designed for anastomosis ...
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A laparoscopic right hemicolectomy with a primary vascular approach Tue, 17 Jul 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3748.html http://www.websurg.com/doi-vd01en3748.html M Walz, J Marescaux
Introduction: We present the case of a 54-year-old male with a 5cm villous adenoma at the ileocaecal valve with a focus of invasive carcinoma. Previous attempts at endoscopic mucosal resection were unsuccessful. Methods: The set-up consisted of two 10/12mm ports (sub-umbilical and left iliac ...
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Laparoscopic sleeve gastrectomy Tue, 17 Jul 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enkawahara001.html http://www.websurg.com/doi-lt03enkawahara001.html N Kawahara
In this key lecture, Dr. Kawahara presents indications, contraindications and technical details of laparoscopic sleeve gastrectomy.
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Full laparoscopic small bowel resection using Sonicision™ cordless ultrasonic dissection device Tue, 17 Jul 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3740.html http://www.websurg.com/doi-vd01en3740.html J Leroy, J Marescaux
This video demonstrates a full laparoscopic small bowel resection in a woman presenting with a repeated small bowel obstruction syndrome. The author highlights the interest of using several instruments for specific purposes: the Sonicision™ cordless ultrasonic dissection device, the new ...
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Deciphering sleeve gastrectomy: a simple operation with complex results Tue, 17 Jul 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enperretta009.html http://www.websurg.com/doi-lt03enperretta009.html S Perretta
Laparoscopic sleeve gastrectomy (LSG) has recently become a feasible option in the management of morbid obesity. Indeed, it is a technically feasible operation. In this lecture, Dr. Silvana Perretta presents some challenging postoperative complications.
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Robotic-assisted Roux-en-Y gastric bypass with manual gastrojejunostomy and jejunojejunostomy Tue, 17 Jul 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3702.html http://www.websurg.com/doi-vd01en3702.html M Vix, KH Liu, J Marescaux
Gastric bypass is one of the most common procedures in bariatric surgery. The main steps of this procedure are well codified, namely fashioning of a small-sized gastric pouch in contact with the esophagus, measuring of a biliary limb and of an alimentary limb, gastrojejunal anastomosis and ...
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Bariatric endoscopy - Sleeve Gastrectomy Leak Tue, 17 Jul 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03engalvaoneto002.html http://www.websurg.com/doi-lt03engalvaoneto002.html M Galvao Neto
In this lecture, Dr. Manoel Galvao Neto presents his experience in the treatment of leaks after sleeve gastrectomy along with the possible origins of such a severe complication.
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Single incision laparoscopic surgery (SILS) assisted segmental colectomy for adenomatous polyp Tue, 17 Jul 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3734.html http://www.websurg.com/doi-vd01en3734.html SA Naqi, S Rajendran, R Cahill
In patients with colonic polyps not amenable to endoscopic removal, single incision laparoscopic resection of a polyp-bearing segment of colon offers an alternative treatment option. The Glove port offers an ergonomically and economically favourable option for this approach. Early mobilisation and ...
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Totally laparoscopic single port hepatic left lobectomy and cholecystectomy for cholangiocarcinoma Mon, 16 Jul 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3720.html http://www.websurg.com/doi-vd01en3720.html U Cillo, E Gringeri, R Boetto, G Zanus
Background: Single port (SP) hepatic resection presents a few examples in the recent literature which suggest a clear possibility for better cosmetic results and shorter hospital stay. This video presents a patient who has undergone totally laparoscopic SP left hepatic lobectomy for ...
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Laparoscopic management of a splenic injury during redo bariatric surgery Mon, 18 Jun 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3597.html http://www.websurg.com/doi-vd01en3597.html KD Higa
The video entitled "Laparoscopic management of a splenic injury during redo bariatric surgery", authored by V Podelski, M Vix, and J Marescaux, is analyzed by Dr. Kelvin Higa, MD, FACS, FASMBS, sharing in this way his own personal experience and highlighting the different surgical approaches ...
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Laparoscopic transcystic clearance of the common bile duct (CBD) during three-trocar cholecystectomy Wed, 13 Jun 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3724.html http://www.websurg.com/doi-vd01en3724.html B Dallemagne, T Piardi, J Marescaux
Common bile duct stones are found in approximately 16% of patients undergoing laparoscopic cholecystectomy. If the diagnosis is established during intraoperative cholangiography, the surgeon is confronted with a therapeutic dilemma, namely the choice between laparoscopic common bile duct (CBD) ...
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Management of persisting dysphagia after laparoscopic Nissen fundoplication Wed, 13 Jun 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3679.html http://www.websurg.com/doi-vd01en3679.html B Dallemagne, S Perretta, T Piardi, J Marescaux
Dysphagia is a normal observation after fundoplication for GERD. It usually lasts for 4 to 6 weeks and results from esophageal motility disorders related to the esophageal dissection and to the outlet obstruction created by the fundoplication. It is managed by appropriate diet. When dysphagia ...
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Laparoscopic right hemihepatectomy for polyadenomatosis Wed, 13 Jun 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3722.html http://www.websurg.com/doi-vd01en3722.html P Pessaux, A Sa Cunha, E Marzano, T Piardi, J Marescaux
Hepatic adenomatosis was first described in 1985 by Flejou et al. as multiple adenomas (arbitrarily more than 10), in an otherwise normal liver parenchyma. Several authors have suggested that it is a distinct entity from hepatic adenoma, which is predominantly seen in young women taking oral ...
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Laparoscopic three-trocar sigmoidectomy with transanal extraction and new Sonicision™ cordless ultrasonic dissection device Tue, 12 Jun 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3732.html http://www.websurg.com/doi-vd01en3732.html J Leroy, B Barry, J Marescaux
Introduction We present the case of a 32-year-old female patient with recurrent episodes of diverticulitis. She underwent an elective sigmoidectomy using the new Sonicision™ cordless ultrasonic dissection device. Methods Our set-up consisted of a standard three-port technique with one ...
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Laparoscopic treatment of biliary peritonitis following complete division of posterior right lateral duct Tue, 12 Jun 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3416.html http://www.websurg.com/doi-vd01en3416.html A D'Urso, D Mutter, J Leroy, J Marescaux
Bile duct injury is a severe and potentially life-threatening complication of laparoscopic cholecystectomy. Early recognition and an adequate multidisciplinary approach are the cornerstones for the optimal final outcome. This video shows the laparoscopic management of biliary peritonitis after ...
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Metabolic surgery in India Tue, 15 May 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enshah001.html http://www.websurg.com/doi-lt03enshah001.html S Shah
Bariatric surgery is the main option to obtain substantial and long-term weight loss in morbidly obese patients, and it has also been shown to improve diabetes. In this lecture, Dr. Shah presents the results of metabolic surgery in India.
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Three-trocar totally laparoscopic splenectomy for solid tumor: combined anterior posterior approach Tue, 15 May 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3672.html http://www.websurg.com/doi-vd01en3672.html R Cotta-Pereira, D De Paula, B London, AC Garrido Iglesias
A 59-year-old female patient underwent a splenectomy for a nodular lesion in the spleen. This video demonstrates a laparoscopic splenectomy with a combined anterior and posterior approach. This surgery was performed with three left subcostal trocars, and the spleen was removed through a ...
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Single stage laparoscopic management of common bile duct stones with acute cholecystitis Tue, 15 May 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3628.html http://www.websurg.com/doi-vd01en3628.html J D'Agostino, J Marescaux
Ten to 18% of patients undergoing cholecystectomy for gallstones have common bile duct (CBD) stones. Treatment options for these stones include pre- or post-operative endoscopic retrograde cholangiopancreatography (ERCP), open surgery, or laparoscopic surgery. The first option depends mainly on ...
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Laparoscopic removal of a migrated intragastric lap-band® Tue, 15 May 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3596.html http://www.websurg.com/doi-vd01en3596.html K Miller
The video entitled "Laparoscopic removal of a migrated intragastric lap-band®", authored by M Vix, and J Marescaux, is analyzed by Dr. Karl Miller, MD, FACS, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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Laparoscopic splenectomy for splenic abscess Tue, 15 May 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3682.html http://www.websurg.com/doi-vd01en3682.html D Mutter, J Marescaux
Laparoscopy is the common approach to perform a splenectomy and frequently only requires 3 trocars. In case of splenic abscess, local inflammation can modify the anatomy and make the dissection somehow more difficult, by avoiding the identification of the usual dissection planes. This is well shown ...
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Weight loss failure Tue, 15 May 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enpryor001.html http://www.websurg.com/doi-lt03enpryor001.html AD Pryor
The worldwide incidence of morbid obesity is increasing, and surgery seems to be the only effective long-term treatment, but weight loss failure does exist. In this authoritative lecture, Dr. Pryor presents the possible surgical causes for weight loss failure as well as the possible ways to improve weight regain. To better visualize the expert's powerpoint ...
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Transumbilical laparoscopic total colectomy with S-Port™ and side-to-end ileorectal anastomosis for ulcerative colitis Tue, 15 May 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3659.html http://www.websurg.com/doi-vd01en3659.html J Leroy, J D'Agostino, B Barry, J Marescaux
This video demonstrates a total laparoscopic colectomy technique with a new single port device (S-Port™ from Karl Storz). After a brief description of this device, the authors outline their surgical strategy and present anatomical plane images of outstanding quality as well as the excellent ...
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Ideal bariatric algorithm in cases of compulsive eating disorders Tue, 15 May 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enhimpens003.html http://www.websurg.com/doi-lt03enhimpens003.html J Himpens
In this short key lecture, Dr. Jacques Himpens presents the bariatric algorithm to be used in cases of compulsive eating disorders.
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Laparoscopic repair of giant type 4 paraesophageal hernia Tue, 15 May 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3708.html http://www.websurg.com/doi-vd01en3708.html B Dallemagne, E Marzano, S Perretta, J Marescaux
Type 4 giant hiatal hernias are not common. The stomach is herniated, as well as viscera in the mediastinum, colon, spleen, and even sometimes in the pancreas. Repair is challenging for different reasons. This type of hernia is frequent in older and fragile patients. Reduction of the sac from the ...
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Hand-assisted vs. laparoscopic colectomy: when and how? Mon, 16 Apr 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enwhelan003.html http://www.websurg.com/doi-lt03enwhelan003.html RL Whelan
Laparoscopic colectomy has significant patient benefits but is technically challenging. Hand-assisted laparoscopic surgery (HALS) allows for tactile feedback because the surgeon's hand assists in retraction and dissection. This may decrease the technical difficulty. In this lecture, Dr. Whelan ...
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Which bariatric procedure for which patient? Mon, 16 Apr 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03endiana001.html http://www.websurg.com/doi-lt03endiana001.html M Diana
This lecture presents a discussion between bariatric surgery experts held during a laparoscopic obesity surgery course at the IRCAD, moderated by Dr. Michele Diana. A real-time quiz-based presentation of 4 challenging virtual cases, each one presenting very specific characteristics, assessed the ...
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Management of left hepatic artery injury during laparoscopic redo sleeve gastrectomy Mon, 16 Apr 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3595.html http://www.websurg.com/doi-vd01en3595.html J Himpens
The video entitled "Management of left hepatic artery injury during laparoscopic redo sleeve gastrectomy", authored by M Vix and J Marescaux, is analyzed by Dr. Jacques Himpens, MD, sharing in this way his own personal experience and highlighting the different surgical approaches available with ...
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Single port colorectal surgery: the Cleveland Clinic experience Mon, 16 Apr 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03encostedio001.html http://www.websurg.com/doi-lt03encostedio001.html M Costedio
The first single port colorectal procedure was described in 2008. It is feasible but only in selected cases. In this lecture, Dr. Costedio presents the Cleveland Clinic experience.
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Esophageal peptic stricture and shortened esophagus managed by a laparoscopic Collis-Nissen procedure Mon, 16 Apr 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3582.html http://www.websurg.com/doi-vd01en3582.html B Dallemagne, S Perretta, Gf Donatelli, J Marescaux
This video presents a laparoscopic Collis-Nissen procedure performed in a 64-year-old man presenting with long-standing reflux disease and esophageal peptic stricture. The patient underwent several (>15) endoscopic dilatations that elicit only temporary improvement of dysphagia. Two esophageal ...
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Bariatric surgery: results Mon, 16 Apr 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03envix003.html http://www.websurg.com/doi-lt03envix003.html M Vix
Obesity is a major risk factor for many diseases and is associated with significant morbidity and mortality. It has reached an epidemic proportion in the Western society. Bariatric surgery is currently the only modality that provides a significant and sustained weight loss for the patient who is ...
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Appendicular mucocele: laparoscopic management Mon, 16 Apr 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3644.html http://www.websurg.com/doi-vd01en3644.html M Vix, D Mutter, J Leroy, J Marescaux
Appendicular mucocele is a rare, yet typical tumor of the appendix. Its potentially malignant nature, the risk of pseudomyxoma peritonei (PMP) in case of rupture mandates a surgical resection without damage. In this case, diagnosis was suspected during colonoscopy performed because of right iliac ...
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Hand-sewn retrogastric retrocolic gastric bypass Mon, 16 Apr 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3639.html http://www.websurg.com/doi-vd01en3639.html KD Higa, M Vix, J Marescaux
Nowadays, the Roux-en-Y gastric bypass has become a gold standard in bariatric surgery. In this procedure, the stomach is divided into a small gastric pouch and a Y-shaped section of the intestine is then fashioned and joined to the gastric pouch. A jejunojejunal anastomosis allows for a ...
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Laparoscopic partial gastrectomy for stromal tumor Mon, 16 Apr 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3665.html http://www.websurg.com/doi-vd01en3665.html D Mutter, L Soler, J Marescaux
In this video, a young woman presenting with abdominal pain was investigated. The diagnosis of an 8cm GIST tumor was established through imaging studies and endoscopic biopsy. A laparoscopic partial gastrectomy was carried out preserving the antrum. The resection involved 3 staplers and allowed to ...
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Laparoscopic enucleation of a solitary insulinoma located in the isthmus of the pancreas Mon, 16 Apr 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3402.html http://www.websurg.com/doi-vd01en3402.html B Dallemagne, J D'Agostino, L Marx, J Marescaux
The majority of insulinomas are benign, solitary, and are located within the pancreatic parenchyma. Because of the characteristic clinical presentation of hypoglycemia, they are usually diagnosed when they are still small ( ...
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Reintervention for anastomotic colorectal stenosis after laparoscopic reversal of Hartmann's procedure Mon, 09 Apr 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3030.html http://www.websurg.com/doi-vd01en3030.html J Leroy, J Marescaux
The objective of this film is to demonstrate the different steps to resect a stenotic colorectal anastomosis following a Hartmann's reversal procedure and to perform a new anastomosis. The author outlines tips and tricks that allow for pelvic access which is often the seat of abundant adhesions. ...
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Three steps laparoscopic ileal pouch-anal anastomosis (IPAA) for ulcerative colitis Thu, 15 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enponzano001.html http://www.websurg.com/doi-lt03enponzano001.html C Ponzano
In this key lecture, Dr. Cecilia Ponzano outlines the different steps to go through when performing laparoscopic ileal pouch anal anastomosis (IPAA) for ulcerative colitis.
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Bariatric and metabolic surgery Thu, 15 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03envix002.html http://www.websurg.com/doi-lt03envix002.html M Vix
In this key lecture, Dr. Michel Vix presents a general overview of bariatric and metabolic surgery.
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Ventral hernia, laparoscopic approach Thu, 15 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enmutter007.html http://www.websurg.com/doi-lt03enmutter007.html D Mutter
Laparoscopy is the ideal approach for ventral, incisional, and umbilical hernia. In this authoritative lecture delivered during the Advanced course in Laparoscopic Digestive Surgery at the IRCAD, on 3-5 November, 2011, Professor Didier Mutter presents the state-of-the-art for this type of surgery.
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Laparoscopic simplified gastric bypass Thu, 15 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3638.html http://www.websurg.com/doi-vd01en3638.html M Galvao Neto, A Cardoso Ramos, M Vix, J Marescaux
Laparoscopic gastric bypass is currently the gold standard in bariatric surgery. This procedure is complex and yet, it can be perfectly standardized in order to shorten the learning curve. This video presents a well-standardized and easily reproducible technique. All operative steps have been ...
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Endoscopic duodenojejunal bypass with GI sleeve Thu, 15 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03engalvaoneto001.html http://www.websurg.com/doi-lt03engalvaoneto001.html M Galvao Neto
The duodenojejunal bypass liner (DJBL) (EndoBarrier Gastrointestinal Liner) is an endoscopically placed removable intestinal liner that creates a duodenojejunal bypass resulting in weight loss and improvement in type 2 diabetes mellitus. In this lecture, Dr. Manoel Galvao Neto presents his ...
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Laparoscopic ISR for very low rectal cancer: indications, pitfalls and tricks Thu, 15 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enokuda004.html http://www.websurg.com/doi-lt03enokuda004.html J Okuda
In this lecture, Professor Junji Okuda outlines the indications and tricks of intersphinteric resection (ISR) for low rectal tumors referring to his personal experience.
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Gastric banding – technical keysteps Thu, 15 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enmiller001.html http://www.websurg.com/doi-lt03enmiller001.html K Miller
Laparoscopic adjustable gastric banding (LAGB) is one of the most commonly performed bariatric procedures of the past decade. In this authoritative lecture, Professor Miller describes the technique and its current indication.
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Laparoscopic re-exploration for persistent abdominal pain after gastric bypass for morbid obesity Thu, 15 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3594.html http://www.websurg.com/doi-vd01en3594.html M Suter
The video entitled "Laparoscopic re-exploration for persistent abdominal pain after gastric bypass for morbid obesity", authored by V Podelski, M Vix, and J Marescaux, is analyzed by Dr. Michel Suter, MD, sharing in this way his own personal experience and highlighting the different surgical ...
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Single port laparoscopic management of a hepatic cyst using the SILS™ device Wed, 14 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3524.html http://www.websurg.com/doi-vd01en3524.html D Mutter, J Marescaux
We report the case of a young lady referred to the emergency department with acute abdominal pain related to a complicated hepatic cyst. This cyst is managed using a single port access through the umbilicus by unroofing and sutured omentoplasty.
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Laparoscopic TEP repair of bilateral inguinal hernia without mesh fixation Wed, 14 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3646.html http://www.websurg.com/doi-vd01en3646.html B Dallemagne, J Marescaux
Laparoscopic totally extraperitoneal (TEP) repair has been accepted as a popular procedure for inguinal hernia repair, but surgeons still encounter technical difficulties owing to unfamiliar pelvic anatomy and limited working space. This video demonstrates the technique in a young patient with ...
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Oncologic segmental resection of splenic flexure in a woman with a T2 adenocarcinoma Wed, 14 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3518.html http://www.websurg.com/doi-vd01en3518.html J Leroy, J Marescaux
The objective of this film is to demonstrate an oncologic segmental resection of the splenic flexure in a woman presenting with a T2 adenocarcinoma of the splenic flexure.
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Laparoscopic Nissen fundoplication for atypical symptoms Wed, 14 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3534.html http://www.websurg.com/doi-vd01en3534.html LL Swanström, J Marescaux
Patients with gastro-esophageal reflux sometimes present with conflicting preoperative studies or atypical symptoms. This case had a primary complaint of pain and a normal 24-hour pH study. In this case, there were other indications for surgery - esophagitis and a type I hiatal hernia. Because ...
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Laparoscopic management of recurrent ventral hernia after laparoscopic repair Wed, 14 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3478.html http://www.websurg.com/doi-vd01en3478.html D Mutter, C Callari, J Marescaux
A morbidly obese patient (BMI of 39) presented with a second recurrence of umbilical hernia, previously treated by simple suture once, and by laparoscopy a second time. A new laparoscopic procedure was performed. It showed the lack of adhesions on the mesh and tackers, and the mechanism of ...
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Reoperative antireflux surgery for early recurrence: the reality of shortened esophagus Wed, 14 Mar 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3533.html http://www.websurg.com/doi-vd01en3533.html B Dallemagne, S Perretta, J Marescaux
This video presents the management of an early recurrence after Nissen fundoplication related to a valve slippage in a 54-year-old man. Intraoperative findings demonstrate that the failure originates from a shortened esophagus. Treatment consists in an esophageal lengthening procedure associated ...
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Three trocar laparoscopic sigmoidectomy for diffuse diverticulosis with transanal specimen extraction: tips and tricks Thu, 16 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3546.html http://www.websurg.com/doi-vd01en3546.html J Leroy, J Marescaux
The video demonstrates the case of a woman with recurrent diverticulitis, BMI 30. She has a background of a previous hysterectomy via a Pfannenstiel incision. A three-port sigmoidectomy with transanal excision was carried out. Methods The set up consisted of a 12mm umbilical optical port, a 12mm ...
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Thoraco-laparoscopic three-stage esophagectomy for cancer Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3542.html http://www.websurg.com/doi-vd01en3542.html B Dallemagne, S Perretta, J Marescaux
This video demonstrates a combined thoracoscopic and laparoscopic esophagectomy for the treatment of a lower third esophageal cancer. The case is that of a 76-year-old man presenting with dysphagia and weight loss. The preoperative work-up demonstrated a T3 large esophageal tumor, poorly ...
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Conversion in single-port cholecystectomy: lesson learned from hemorrhage Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3472.html http://www.websurg.com/doi-vd01en3472.html E Khiangte, I Newme, P Phukan
The objective of this video is to illustrate the potential difficulties that may be encountered during the dissection of Calot’s triangle in the management of acute cholecystitis performed through a single port. The video demonstrates when to convert and how to manage hemorrhage in single port ...
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Ureteral injuries during laparoscopic colon surgeries: causes and prevention Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enfranklin004.html http://www.websurg.com/doi-lt03enfranklin004.html ME Franklin
Ureteral injury during pelvic laparoscopic surgery is a known complication. Its morbidity depends on the time of recognition of the injury. The incidence of such injuries are 0.5-2 % and most of these complications occur with gynecology, endourology, and general surgery operations. In this lecture, ...
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Laparoscopic biliopancreatic diversion with duodenal switch: hand-sewn anastomosis Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3574.html http://www.websurg.com/doi-vd01en3574.html L Biertho, S Marceau
This video illustrates our technique of laparoscopic biliopancreatic diversion with duodenal switch. The stomach is first mobilized from the antrum to the angle of His. The first part of the duodenum is dissected and transected 3 to 4cm distal to the pylorus. A sleeve gastrectomy is then performed. ...
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Laparoscopic single port atypical gastrectomy for GIST Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3593.html http://www.websurg.com/doi-vd01en3593.html O Raspado, V Pichot-Delahaye
This video demonstrates a laparoscopic single port atypical gastrectomy for gastrointestinal stromal tumor, using ultrasonic dissection and stapling with purple cartridges in a 65-year-old man.
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Laparoscopic oncologic sigmoidectomy for Tis (tumor in situ) with transanal specimen extraction Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3544.html http://www.websurg.com/doi-vd01en3544.html ME Franklin
The video entitled "Laparoscopic oncologic sigmoidectomy for Tis (tumor in situ) with transanal specimen extraction", authored by J. Leroy and J. Marescaux is analyzed by Dr. Morris Franklin, MD, FACS, sharing in this way his own personal experience and highlighting the different surgical ...
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T3 invaginated rectal tumor: oncologic anterior rectosigmoid resection Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3604.html http://www.websurg.com/doi-vd01en3604.html J Leroy, J Marescaux
This film demonstrates the oncologic laparoscopic approach to a tumor of the distal sigmoid colon. The colorectal junction was invaginated.
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What must we know in redo bariatric surgery? Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enhimpens002.html http://www.websurg.com/doi-lt03enhimpens002.html J Himpens
Gastric bypass is one of the most performed operations in bariatric surgery with very good results. In this lecture, Dr. Jacques Himpens presents the possible options in case of gastric bypass failure.
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Management of transpyloric invagination of a gastrointestinal stromal tumor (GIST) Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3568.html http://www.websurg.com/doi-vd01en3568.html J D'Agostino, Gf Donatelli, S Perretta, J Marescaux
Gastrointestinal stromal tumors (GISTs) are the most common mesenchymal tumors of the gastrointestinal tract. GISTs are most commonly found in the stomach (40-70%), but can occur in all other parts of the GI tract, with 20 to 40% of GISTs arising in the small intestine and 5 to 15% from the colon ...
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Gastric bypass: anastomotic ulcers and GJ stenosis Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enhiga003.html http://www.websurg.com/doi-lt03enhiga003.html KD Higa
The most common complications of the gastric bypass are gastrojejunal (GJ) stenosis and marginal ulceration. Work-up and approach to treatment will be discussed with video illustrations.
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Voluminous fistulized caecal diverticulum: laparoscopic ileocaecal resection Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3571.html http://www.websurg.com/doi-vd01en3571.html J Leroy, S Mandala, J Marescaux
This film demonstrates an ileocaecal resection for a voluminous fistulized paracaecal diverticulum in a 62-year-old woman.
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Clinical evidence for laparoscopic surgery in patients with advanced colorectal cancer Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enwhelan002.html http://www.websurg.com/doi-lt03enwhelan002.html RL Whelan
In this authoritative lecture, Dr. Whelan presents the current guidelines for the treatment of metastatic colon cancer.
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Gastric bypass: jejunal obstruction and stenosis Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enherron001.html http://www.websurg.com/doi-lt03enherron001.html D Herron
Small bowel obstruction at or near the jejuno-jejunal anastomosis is a rare complication after gastric bypass, occurring in less than 1% of patients. Obstruction at the distal anastomosis is different from stricture at the proximal anastomosis, in that it is not caused by hypertrophic scarring. ...
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Reduced port surgery for splenic pathology Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3523.html http://www.websurg.com/doi-vd01en3523.html S Fernandez Ananin, EM Targarona, S Mocanu, F Marinello, Luis Pallarés, C Balagué, M Trías Folch
Laparoscopic approach is the gold standard for elective splenectomy. In the last years, single port laparoscopic surgery has offered a useful alternative, capable to furthermore reduce the aggression on the abdominal wall, but with the loss of a good exposure as major drawback. We propose the use ...
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Robot-assisted distal splenopancreatectomy for pancreatic cancer Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3520.html http://www.websurg.com/doi-vd01en3520.html D Mutter, M Vix, J Marescaux
This film shows the case of a robot-assisted distal splenopancreatectomy in a 56-year-old woman diagnosed with distal pancreatic cancer. The video highlights the advantages of the robotic assistance to standard laparoscopy.
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Laparoscopic rectal cancer surgery: technical tips, how to prevent anastomotic leakage after lap LAR Wed, 15 Feb 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enokuda003.html http://www.websurg.com/doi-lt03enokuda003.html J Okuda
In this lecture, Professor Okuda outlines some tips for low rectal resection stemming from his experience in order to prevent anastomotic leakage.
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Laparoscopic sigmoidectomy for sigmoid diverticulitis with transanal specimen extraction Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3554.html http://www.websurg.com/doi-vd01en3554.html J Leroy, J Marescaux
Laparoscopic colectomy is performed widely all around the world, and some institutions perform more laparoscopic operations than conventional open operations. Skin incision is required to remove the resected colon. This video shows a laparoscopic sigmoidectomy, which involves transanal specimen ...
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Laparoscopy and acute cholecystitis Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03endallemagne008.html http://www.websurg.com/doi-lt03endallemagne008.html B Dallemagne
Laparoscopic cholecystectomy is one of the most performed laparoscopic procedures. It seems to be an easy operation but when complications happen, they could be dramatic. In this lecture, Dr. Bernard Dallemagne presents the different types of complications and injury during cholecystectomy and ...
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Laparoscopic-facilitated ESD and endoscopic mucosal resection for large sessile benign polyps Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enwhelan001.html http://www.websurg.com/doi-lt03enwhelan001.html RL Whelan
Currently, EMR and ESD are carried out alone in endoscopy suites. If a perforation is noted, an attempt may be made to close the hole with endoscopic clips. If a large perforation is made or if clips are not adequate, surgery is then necessary to deal with the problem. There is inevitably a delay ...
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Single port laparoscopic total hand-sewn treatment of a right indirect inguinal hernia: TAPP approach Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3464.html http://www.websurg.com/doi-vd01en3464.html E Khiangte, I Newme, P Phukan
This video demonstrates the single port laparoscopic treatment of a right indirect inguinal hernia in a 21-year-old male patient using the E.K. Glove port. This video will show the polypropylene mesh fixation and the repair of the peritoneal flaps performed exclusively by hand suturing.
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Bilateral inguinal hernia: laparoscopic TAPP repair, tips and tricks Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3556.html http://www.websurg.com/doi-vd01en3556.html J Leroy, J Marescaux
This video provides an excellent teaching demonstration of a laparoscopic transabdominal preperitoneal (TAPP) hernia repair.
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Paraesophageal hernias and controversies Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enswanstrom014.html http://www.websurg.com/doi-lt03enswanstrom014.html LL Swanström
There are several advanced situations in antireflux surgery: these include giant hiatal hernias (PEH), the short esophagus and the use of meshes to minimize recurrences. PEH is a disease of the diaphragm more than one of the esophagus, recurrence rates at 5 to 10 years are very high (>50%) due to ...
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Laparoscopic colorectal surgery: basic principles Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-lt03enleroy011.html http://www.websurg.com/doi-lt03enleroy011.html J Leroy
In this authoritative lecture, Professor Joel Leroy explains the basic principles in laparoscopic colorectal surgery from operative room settings to laparoscopic techniques.
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Single incision transumbilical laparoscopic left hepatic lobectomy Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3489.html http://www.websurg.com/doi-vd01en3489.html G Dapri, V Donckier, J Himpens, GB Cadière
Background: Single-incision laparoscopy (SIL) recently gained interest mainly to improve the cosmetic outcomes. This video shows a patient submitted to left hepatic lobectomy by transumbilical SIL. Video: A 24 year-old woman with a BMI of 24.4 kg/m2 consulted for a hydatid cyst of the II-III ...
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Lessons learned after left ureteral injury during laparoscopic sigmoidectomy for acute sigmoiditis Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3564.html http://www.websurg.com/doi-vd01en3564.html J Leroy, C Callari, J Marescaux
The objective of this film is to demonstrate a laparoscopic sigmoidectomy for acute sigmoid diverticulitis in a male patient, and more specifically to highlight all the errors that led to a ureteral injury, which was identified and managed immediately intraoperatively.
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Laparoscopic duodenal derotation due to superior mesenteric artery syndrome Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3549.html http://www.websurg.com/doi-vd01en3549.html M Nora, G Gonçalves, T Ferreira
Introduction: Wilkie’s Syndrome, also called the Superior Mesenteric Artery Syndrome (SMA) is a clinical entity characterized by compression of the 3rd portion of the duodenum between the aorta and the emergence of the SMA. It is a rare cause of duodenal obstruction with around 400 cases reported ...
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Live laparoscopic sleeve gastrectomy for morbid obesity Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3555.html http://www.websurg.com/doi-vd01en3555.html M Vix, J Marescaux
Sleeve gastrectomy (SG) patients have been shown to experience significant weight loss and improvements in their health. This video shows a live procedure in which all steps are well discussed.
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Total laparoscopic pylorus-preserving pancreatoduodenectomy for periampullary tumor Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3548.html http://www.websurg.com/doi-vd01en3548.html E Viana, F Neves
The authors show an edited video of a total laparoscopic modified Whipple procedure for an ampullary adenocarcinoma. The patient was obese wth a BMI of 35.6 kg/m2. Surgery was performed at the Hospital Federal de Ipanema in Rio de Janeiro, Brazil. Hand-sewn pancreatico-jejunostomy, ...
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Laparoscopic excision of a large leiomyoma of the esophagogastric junction Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3522.html http://www.websurg.com/doi-vd01en3522.html C Balagué, EM Targarona, S Mocanu, S Fernandez Ananin, F Marinello, M Trías Folch
Esophageal leiomyomas represent a benign pathology that usually affects the distal third and the esophagogastric junction, and that is perfectly suitable for a laparoscopic enucleation. A correct preoperative diagnosis is mandatory, as the most common differential diagnosis in this localization is ...
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Management of a hiatal hernia during laparoscopic Roux-en-Y gastric bypass: be ready to repair Mon, 16 Jan 2012 00:00:00 +0100 http://www.websurg.com/doi-vd01en3474.html http://www.websurg.com/doi-vd01en3474.html S Perretta, J Marescaux
Here we show the case of a 44-year-old woman with a BMI of 40.5 and a history of gastroesophageal reflux disease. She was presented for a weight reductive surgery evaluation. Preoperative esophagogastroduodenoscopy, barium swallow and esophageal high resolution manometry were performed. They ...
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Laparoscopic sigmoidectomy for T3N2M1 sigmoid cancer Fri, 16 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3540.html http://www.websurg.com/doi-vd01en3540.html A Melani, J Marescaux
Introduction: This is the case of a 65-year-old gentleman who presented with blood per rectum (PR) and symptoms of subacute obstruction. He was diagnosed with a stenotic invasive adenocarcinoma at 15cm from the anal verge and with liver metastases. After discussion at our multidisclipinary ...
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Laparoscopic gastric bypass after band removal: hand-sewn gastrojejunostomy Thu, 15 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3466.html http://www.websurg.com/doi-vd01en3466.html M Vix, J Marescaux
A subgroup of patients who receive the LAP-BAND fail to lose enough weight or present severe complications. Gastric bypass, which has both restrictive and malabsorptive components, is a good second-line choice for patients who did not do well with the band.
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Different techniques for gallbladder fundus retraction in single port cholecystectomy Thu, 15 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3454.html http://www.websurg.com/doi-vd01en3454.html E Khiangte, I Newme, P Phukan
One of the main drawbacks of single port cholecystectomy, which cripples the surgeon is the gallbladder fundus retraction. Here, we demonstrate the different cost-effective methods we employ for fundus retraction in single port cholecystectomy.
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Transumbilical single-access perforated gastric ulcer repair Thu, 15 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3488.html http://www.websurg.com/doi-vd01en3488.html G Dapri, J Himpens, GB Cadière
Background: Single-access laparoscopy (SAL) can be proposed in patients presenting peritonitis both for diagnosis and treatment. This video shows a transumbilical SAL performed for perforated gastric ulcer. Video: A 30 year-old woman with a body mass index of 22.9 kg/m2 was admitted to the ...
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Laparoscopic Heller procedure for achalasia developed late after esophageal reconstruction for atresia Thu, 15 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3521.html http://www.websurg.com/doi-vd01en3521.html F Marinello, EM Targarona, S Mocanu, S Fernandez Ananin, Luis Pallarés, M Trías Folch
This is a case of a 30-year-old male patient with a childhood history of surgical repair of esophageal atresia, who in his third decade of life developed a gradual dysphagia accompanied by severe respiratory symptoms due to aspiration. The diagnostic work-up revealed an achalasia. A laparoscopic ...
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Laparoscopic caecal wedge resection combined with intraoperative colonoscopy for flat polyp Thu, 15 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3376.html http://www.websurg.com/doi-vd01en3376.html M Whiteford
The video "Laparoscopic caecal wedge resection combined with intraoperative colonoscopy for flat polyp", authored by J Leroy, Gf Donatelli, J Marescaux, is analyzed by Dr. Mark Whiteford, MD, FACS, FASCRS, sharing in this way his own personal experience and highlighting the different surgical ...
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Laparoscopic management of a perforated ulcer at the gastrojejunal anastomosis after LGBP Thu, 15 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3497.html http://www.websurg.com/doi-vd01en3497.html V Podelski, L Marx, J Marescaux
Anastomotic ulcers (also known as ‘‘marginal’’ ulcers) develop as a complication of Roux-en-Y gastric bypass for treatment of obesity, they are almost always found to arise in the jejunal Roux limb directly abutting the gastrojejunal anastomosis. Marginal ulcers have been reported in ...
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Teaching laparoscopic cholecystectomy Thu, 15 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3510.html http://www.websurg.com/doi-vd01en3510.html B Dallemagne, J Marescaux
Cholecystectomy is the most common laparoscopic procedure performed worldwide. This authoritative and instructive video shows a laparoscopic cholecystectomy with intraoperative cholangiogram.
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Collis Nissen procedure: a technique to be learned Thu, 15 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3553.html http://www.websurg.com/doi-vd01en3553.html B Dallemagne, S Perretta, J Marescaux
Antireflux operations are commonly performed. Nissen fundoplication is the “gold standard” antireflux procedure. Some problems could be encountered when a short esophagus is found. This is the case of patient with reflux disease in which a short esophagus is found during the surgical procedure. ...
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Laparoscopic single-port treatment of a left indirect inguinal hernia: TAPP approach Thu, 15 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3437.html http://www.websurg.com/doi-vd01en3437.html E Khiangte, I Newme, P Phukan
This video demonstrates the single-port laparoscopic treatment of a left indirect inguinal hernia in a male patient aged 50 using the E.K. glove port. The peritoneal dissection, the separation of the hernia sac and placement of the polypropylene mesh are demonstrated. Single-port intracorporeal ...
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Laparoscopic gastrectomy for cancer Wed, 14 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03entanigawa001.html http://www.websurg.com/doi-lt03entanigawa001.html N Tanigawa
This authoritative lecture provided by Professor Nobuhiko Tanigawa focuses on 601 consecutive gastric resections, presented with indications, results, and video demonstrations.
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Explorative laparoscopy: resection of small bowel for vascular tumor Wed, 14 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3435.html http://www.websurg.com/doi-vd01en3435.html M Vix, J Marescaux
The management of patients with small bowel bleeding remains a diagnostic and therapeutic challenge. In about 5% of cases, upper endoscopy and colonoscopy are nondiagnostic, and the small intestine is the site of bleeding, This is the case of a 55-year-old patient admitted to the emergency ...
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Single port access and bariatric surgery Wed, 14 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03entargarona005.html http://www.websurg.com/doi-lt03entargarona005.html EM Targarona
In this key lecture, Professor Eduardo Targarona presents the current “state of the art” of single access in all bariatric procedures.
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Lesson from experience with single port cholecystectomy Tue, 13 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enmutter006.html http://www.websurg.com/doi-lt03enmutter006.html D Mutter
Laparoscopic cholecystectomy is now accepted as the gold standard for the treatment of symptomatic cholelithiasis. Traditionally, laparoscopic cholecystectomy has been performed with four ports either using the American or the French technique. There has been a trend toward minimizing the number of ...
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Laparoscopic sigmoidectomies with transanal specimen extraction: techniques and indications Tue, 13 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enleroy009.html http://www.websurg.com/doi-lt03enleroy009.html J Leroy
In this key lecture, Professor Joel Leroy presents indications along with his personal technique for transanal specimen extraction.
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Single port liver and pancreas surgery: technical considerations Tue, 13 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enweiss002.html http://www.websurg.com/doi-lt03enweiss002.html H Weiss
In this authoritative lecture, Dr. Helmut Weiss presents his experience in selected cases of pancreas and liver lesions managed with a single port access.
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Laparoscopic small bowel resection for bleeding GIST Tue, 13 Dec 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3452.html http://www.websurg.com/doi-vd01en3452.html B Dallemagne, J Marescaux
Gastrointestinal stromal tumors (GIST) are rare tumors and can be a cause of gastrointestinal bleeding when others causes have already been excluded. This video shows the laparoscopic resection of an ileal GIST using a three-port approach.
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The glove TEM port: the poor man's TEM Tue, 15 Nov 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3501.html http://www.websurg.com/doi-vd01en3501.html R Hompes, F Ris, C Cunningham, N Mortensen, R Cahill
Objective: Single port laparoscopic tools and principles are transferable to transanal work. Initial experiences and small series have recently been reported with the use of commercially available singe port systems. In an effort to improve the ergonomic constraints as well as to reduce the costs ...
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Laparoscopic distal pancreatectomy and enucleation Tue, 15 Nov 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03endallemagne007.html http://www.websurg.com/doi-lt03endallemagne007.html B Dallemagne
Pancreatic endocrine tumors (PETs) are rare tumors (1 per 100,000 population). They occur, or are at least discovered, most commonly in the fourth and fifth decade of life with a slight female predominance. They are classified as functioning (70% of cases) if responsible for a clinical syndrome ...
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En bloc laparoscopic right hemicolectomy associated to atypical hepatectomy for advanced cancer of the hepatic flexure Tue, 15 Nov 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3495.html http://www.websurg.com/doi-vd01en3495.html G Dapri, J Himpens, GB Cadière
Background: An adenocarcinoma of the hepatic colic flexure associated to liver invasion was diagnosed in a 55 year-old woman, who consulted for weight loss and anemia. The patient was submitted to neoadjuvant chemotherapy and, after 4 cycles, an en bloc laparoscopic right hemicolectomy and atypical ...
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Spleen-preserving robotic distal pancreatectomy Tue, 15 Nov 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03engiulianotti001.html http://www.websurg.com/doi-lt03engiulianotti001.html PC Giulianotti
Minimally invasive techniques were revolutionary and provided evident clinical benefits. Robotic-assisted surgery may be useful in advanced laparoscopic procedures such as pancreatic resections. In this lecture, Professor Giulianotti presents a robotic distal pancreatectomy.
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Nyhus IIIb right inguinal hernia: a stepwise TAPP approach Tue, 15 Nov 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3491.html http://www.websurg.com/doi-vd01en3491.html J Leroy, J Marescaux
This is the case of a patient presenting with a Nyhus IIIb right inguinal hernia. The surgical technique is explained live in a stepwise fashion starting from the introduction of the first port until closure of the peritoneum. The major anatomical landmarks are highlighted. The dissection technique ...
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Laparoscopic sigmoidectomy for acute diverticulitis and transanal specimen extraction: tricks for removal of huge specimens Tue, 15 Nov 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3375.html http://www.websurg.com/doi-vd01en3375.html M Whiteford
The video "Laparoscopic sigmoidectomy for acute diverticulitis and transanal specimen extraction: tricks for removal of huge specimens", authored by J Leroy, J Marescaux, is analyzed by Dr. Mark Whiteford, MD, FACS, FASCRS, sharing in this way his own personal experience and highlighting the ...
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Laparoscopic management of intra-abdominal fish bone mimicking acute cholecystitis Tue, 15 Nov 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3427.html http://www.websurg.com/doi-vd01en3427.html E Khiangte, I Newme, P Phukan
This video shows a female patient of 62 years, presenting with acute upper abdominal pain with fever and vomiting for five days. Clinically, she presented with features of acute cholecystitis. Blood examination revealed leukocytosis with normal liver function tests. Abdominal ultrasonography ...
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Single port spleen-preserving distal pancreatectomy for pancreatic cystadenoma Tue, 15 Nov 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3431.html http://www.websurg.com/doi-vd01en3431.html S Chang, M Mayasari, D Lomanto
This video presents a single port laparoscopic spleen-preserving distal pancreatectomy for cystic tumor of the pancreatic body. The technique was performed using the Covidien SILS™ port with the help of a Roticulator Endograsp™ instrument, Ligasure™ and normal laparoscopic instruments. Stay ...
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Insulinoma located in the uncinate process of the pancreas: laparoscopic resection Mon, 14 Nov 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3484.html http://www.websurg.com/doi-vd01en3484.html D Mutter, L Soler, J Marescaux
Insulinoma is the most common functional neuroendocrine tumor of the pancreas. Laparoscopic resection of insulinomas is feasible and safe. Laparoscopic ultrasound contributes to successful insulinoma localization and laparoscopic resection. This video shows a laparoscopic resection of an insulinoma ...
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Laparoscopic splenectomy with selective vascular control and deeply involved pancreatic tail Mon, 17 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3483.html http://www.websurg.com/doi-vd01en3483.html D Mutter, L Soler, J Marescaux
Laparoscopic splenectomy is currently the procedure of choice for elective splenectomy. The indications for this procedure are the same as with open procedures, they range from idiopathic thrombocytopenic purpura, and unresponsive hemolytic anemia to staging procedures and to primary splenic cysts.
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Laparoscopic TME for T3 upper rectal cancer: end-to-end low colorectal anastomosis Mon, 17 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3153.html http://www.websurg.com/doi-vd01en3153.html J Leroy, J Marescaux
This video, performed during a live demonstration, shows a laparoscopic TME for upper rectal cancer.
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Laparoscopic enucleation of leiomyoma of the GE junction Mon, 17 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3465.html http://www.websurg.com/doi-vd01en3465.html B Dallemagne, C Callari, L Soler, J Marescaux
Gastric leiomyoma is an uncommonly found benign submucosal neoplasm that may cause bleeding in rare cases. This video demonstrates a laparoscopic enucleation of a leiomyoma of the GE junction.
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Typical procedure for laparoscopic gastric bypass: gastrojejunostomy with circular stapler Mon, 17 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3362.html http://www.websurg.com/doi-vd01en3362.html M Vix, J Marescaux
Gastric bypass is the most frequently performed bariatric surgery nowadays. This video clearly shows all steps of this procedure.
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Acute cholecystitis and CBD stone: difficult laparoscopy and ERCP Mon, 17 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3293.html http://www.websurg.com/doi-vd01en3293.html F Costantino, D Mutter, Gf Donatelli, J Marescaux
Cholecystectomy for symptomatic gallstones is one of the mostly performed laparoscopic procedures. Early laparoscopic cholecystectomy during acute cholecystitis appears to be safe and shortens the total hospital stay. This video shows a cholecystectomy for acute cholecystitis associated with an ...
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Single port appendectomy using the EK glove port: a cost-effective innovation Sat, 15 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3399.html http://www.websurg.com/doi-vd01en3399.html E Khiangte, I Newme
Single port laparoscopic surgery has emerged to enhance the cosmetic benefits and to decrease morbidity in minimally invasive surgery. However, this technique requires a specialized multichannel port (to introduce the laparoscope and instruments) which is very costly and not affordable ...
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Technical aspects of laparoscopic sigmoidectomy for diverticular disease Fri, 14 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enambrosetti004.html http://www.websurg.com/doi-lt03enambrosetti004.html P Ambrosetti
Laparoscopic surgery offers less postoperative pain, shorter hospital stay, and improved quality of life. In this lecture, Professor Ambrosetti presents the indications for an open approach.
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Single access colectomy Fri, 14 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enli003.html http://www.websurg.com/doi-lt03enli003.html M Li
Single incision laparoscopic surgery is an area of growing interest in colorectal surgery. In this lecture, Professor Li presents his experience in single access colectomy.
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Intracorporeal anastomosis Fri, 14 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03ensalky004.html http://www.websurg.com/doi-lt03ensalky004.html B Salky
Laparoscopic intracorporeal anastomosis has potential advantages such as reduction of wound surgical site infections, no manipulation, or reduction of abdominal wall incision. In this lecture, Doctor Salky deals with intracorporeal laparoscopic anastomosis.
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Laparoscopic subtotal gastrectomy and D1 extended lymphadenectomy for gastric cancer Fri, 14 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3408.html http://www.websurg.com/doi-vd01en3408.html J Torres Bermúdez, S del Valle Ruiz , M Montoya Tabares, E Garcia Abril , J Lopez Espejo, G Sánchez de la Villa
Laparoscopic gastrectomy for cancer is feasible. However, an extensive D2 or D3 lymphadenectomy by laparoscopy is very demanding and yet to be accepted as standard procedure. In this video, we show the stepwise technique of a D1 extended gastrectomy in a patient with a cT2N0M0 gastric tumor.
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Elective surgery for diverticular disease Fri, 14 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enambrosetti003.html http://www.websurg.com/doi-lt03enambrosetti003.html P Ambrosetti
Elective laparoscopic sigmoidectomy for diverticulitis is feasible and safe. The complication and mortality rates are similar to those observed after open procedures. In this lecture, Professor Ambrosetti presents the current indications for elective surgery for diverticular disease.
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Laparoscopic single port reversal of Hartmann’s procedure Fri, 14 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3455.html http://www.websurg.com/doi-vd01en3455.html O Raspado, E D'Errico, N Arfi
This video demonstrates the laparoscopic single port restoration of bowel continuity after Hartmann’s procedure. The key steps of the operation —namely stoma removal, preparation of the descending colon, dissection and recut of the rectal stump, and trans-sutural colorectal anastomosis— are ...
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Totally thoracoscopic and laparoscopic Ivor Lewis esophagectomy in obese patients Fri, 14 Oct 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3414.html http://www.websurg.com/doi-vd01en3414.html P Ubiali, M Andretta, M Ciocca Vasino, A Mancin, S Pastori, F Maffeis
Totally thoracoscopic and laparoscopic Ivor Lewis esophagectomy using a circular stapler or manual anastomosis has recently been described by a few authors. We performed this challenging technique with a completely thoracoscopic hand-sewn esophagogastric anastomosis in two obese patients in ...
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Paraesophageal hernia (PEH) in a 40-year-old patient: laparoscopic repair with reinforced cruroplasty Thu, 15 Sep 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3326.html http://www.websurg.com/doi-vd01en3326.html N Soper
The video "Paraesophageal hernia (PEH) in a 40-year-old patient: laparoscopic repair with reinforced cruroplasty", authored by B Dallemagne, J Marescaux, is analyzed by Dr. Nathaniel Soper, MD, sharing in this way his own personal experience and highlighting the different surgical approaches ...
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Transanal endoscopic TME with laparoscopic assistance for rectal cancer Thu, 15 Sep 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03ensylla005.html http://www.websurg.com/doi-lt03ensylla005.html P Sylla
The feasibility and safety of Natural Orifice Translumenal Endoscopic Surgery (NOTES) transanal endoscopic rectosigmoid resection using transanal endoscopic microsurgery (TEM) was previously demonstrated in human cadavers and in porcine survival models. In this lecture, Dr. Sylla presents the ...
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Laparoscopic management of sealed gallbladder perforation Thu, 15 Sep 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3398.html http://www.websurg.com/doi-vd01en3398.html E Khiangte, I Newme, P Phukan
This video features a 62-year-old diabetic male patient who is not undergoing any treatment. He has sufferont from vague upper abdominal pain for one month. He has a past history of acute upper abdominal pain which was managed conservatively. Abdominal ultrasonography demonstrates cholelithiasis ...
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Laparoscopic repair of post-traumatic diaphragmatic hernia with mesh insertion Thu, 15 Sep 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3407.html http://www.websurg.com/doi-vd01en3407.html A Rotundo, T Knowles,  , S Kadirkamanathan, M Harvey
Traumatic injuries of the diaphragm are rare (0.8%-5.8% of all blunt trauma). Early diagnosis is difficult, and many reports have described delayed presentation of diaphragmatic hernia with subsequent significant morbidity and mortality. We report a case of an acute diaphragmatic hernia in a ...
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Anastomotic redo after open subtotal TME for rectal cancer: laparoscopic pelvic resection with coloanal anastomosis Thu, 15 Sep 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3381.html http://www.websurg.com/doi-vd01en3381.html J Leroy, F Costantino, J Marescaux
The objective of this film is to demonstrate how to perform a laparoscopic redo of a recurrence after carrying out a low colorectal anastomosis through open surgery to manage a cancer of the mid-upper rectum following radiochemotherapy.
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Approaches for laparoscopic right colectomy Thu, 15 Sep 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enwhiteford001.html http://www.websurg.com/doi-lt03enwhiteford001.html M Whiteford
In this lecture, Dr. Whiteford demonstrates the different laparoscopic approaches for right laparoscopic colectomy focusing on the top down approach.
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Laparoscopic TME for rectal cancer Thu, 15 Sep 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enwhiteford002.html http://www.websurg.com/doi-lt03enwhiteford002.html M Whiteford
Anterior resection with total mesorectal excision (TME) has become the gold standard for the treatment of rectal cancer. In this lecture, Dr. Whiteford presents some interesting data from the literature and from important trials showing no substantial difference with the open approach.
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Laparoscopic distal splenopancreatectomy for mucinous tumor Thu, 15 Sep 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3364.html http://www.websurg.com/doi-vd01en3364.html B Dallemagne, J Marescaux
This video presents the case of a 29-year-old female patient presenting with abdominal pain at the epigastrium. CT-scan and magnetic resonance imaging demonstrated a septated cystic lesion at the tail of the pancreas. This lesion is about 5cm in diameter. It is incarcerated in the hilum of the ...
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Laparoscopic resection of a retroperitoneal schwannoma Thu, 15 Sep 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3367.html http://www.websurg.com/doi-vd01en3367.html J Torres Bermúdez, F González Sánchez, FC Becerra García, G Sánchez de la Villa
Schwannoma occurrences in the retroperitoneal space are very rare. The procedure involves complete removal of the schwannoma. A hemorrhage is a serious intraoperative problem in cases where major vessels are situated nearby. We present a case of retroperitoneal benign schwannoma compressing the ...
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Fully laparoscopic right colectomy for caecal cancer in an obese patient Thu, 15 Sep 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3429.html http://www.websurg.com/doi-vd01en3429.html J Leroy, J Marescaux
This video shows a fully laparoscopic right colectomy with intracorporeal anastomosis for a caecal cancer in an obese female patient with a BMI higher than 34.
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TEM: new possibilities for an old technology Thu, 15 Sep 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03ensylla004.html http://www.websurg.com/doi-lt03ensylla004.html P Sylla
Transanal endoscopic microsurgery (TEM) provides direct endoscopic access to the rectum and peritoneal cavity. In this lecture, Dr. Sylla presents the evolution of the TEM approach from the first reports to the present-day application of laparoscopic and NOTES approaches.
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Endoscopic palliative therapy of advanced esophageal cancer Fri, 15 Jul 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3349.html http://www.websurg.com/doi-vd01en3349.html Gf Donatelli, B Dallemagne, S Perretta, J Marescaux
Esophageal cancer is a dramatic condition. 16,640 new cases and 14,500 deaths were estimated in the United States in 2010. This video shows the usefulness of interventional endoscopy for palliation of symptoms.
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Laparoscopic oncologic sigmoidectomy for Tis (tumor in situ) with transanal specimen extraction Fri, 15 Jul 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3370.html http://www.websurg.com/doi-vd01en3370.html J Leroy, J Marescaux
This is the case of a patient presenting with a big polyp located 20cm away from the anal margin. It is a degenerated polyp, and a submucosal and lymphatic invasion can be noted. An oncologic resection of the sigmoid colon has been decided upon after the polyp was removed and localized by a clip.
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Laparoscopic femoral hernia repair: TAPP approach with micro-instruments Fri, 15 Jul 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3353.html http://www.websurg.com/doi-vd01en3353.html E Coutinho, J Fernandes, M Da Costa
This video demonstrates a micro trans-abdominal preperitoneal (TAPP) approach to recurrent femoral and obturator hernias in a female patient. The authors use what they call MIX lap surgery, which consists in combining the use of conventional 5mm and 2mm instruments.
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Didactic demonstration of standard Nissen fundoplication Fri, 15 Jul 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3365.html http://www.websurg.com/doi-vd01en3365.html B Dallemagne, S Perretta, J Wall, J Marescaux
Anti-reflux surgery is an old operation, as it has been performed for 20 years now. This video shows a live demonstration of a standard Nissen fundoplication.
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Treitz laparoscopic resection with intracorporeal anastomosis with a new barbed suture Fri, 15 Jul 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3321.html http://www.websurg.com/doi-vd01en3321.html M Scatizzi, E Lenzi, M Baraghini, KC Kröning, F Menici, S Cantafio, F Feroci
Gastrointestinal stromal tumors (GISTs) are rare mesenchymal neoplasms of the gastrointestinal tract. Life-threatening hemorrhage or intestinal obstruction are the most common presenting symptoms. In the last year, we observed four patients affected by GIST of the small bowel presenting with a ...
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Laparoscopic right colectomy for voluminous tumor of the ascending colon: oncologic approach Fri, 15 Jul 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3371.html http://www.websurg.com/doi-vd01en3371.html B Salky, J Marescaux
This video shows a laparoscopic right colectomy performed during an IRCAD course.
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Lesson learned from hemorrhage and conversion during treatment of acute cholecystitis Fri, 15 Jul 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3219.html http://www.websurg.com/doi-vd01en3219.html V Podelski, B Dallemagne, D Mutter, J Marescaux
The objective of this clinical case is to illustrate the potential anatomical difficulties that may be encountered during the dissection of Calot’s triangle in the management of acute cholecystitis.
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Laparoscopic TME 10 weeks after radiochemotherapy for T3N+ rectal cancer Fri, 15 Jul 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3373.html http://www.websurg.com/doi-vd01en3373.html J Leroy, J Marescaux
Total mesorectal excision (TME) offers the lowest reported rates of local recurrence and the best survival results in patients with rectal cancer. This video shows a laparoscopic TME 10 weeks after radiochemotherapy for T3N+ rectal cancer.
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Tips and tricks in laparoscopic left hemicolectomy Fri, 15 Jul 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03encorcione004.html http://www.websurg.com/doi-lt03encorcione004.html F Corcione
In this lecture, Prof. Corcione uses his experience in left laparoscopic colectomy to present some tips and tricks.
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Controversies on short esophagus and mesh repair of hernia Thu, 14 Jul 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enswanstrom013.html http://www.websurg.com/doi-lt03enswanstrom013.html LL Swanström
Most surgeons believe that cruroplasty (hiatoplasty) is an essential part of antireflux operations. One of the main causes of failure after antireflux operations is gastric wrap herniation through the hiatus that may be attributed to a breakdown of the hiatal closure or to a faulty repair. In this ...
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Transumbilical single incision total colectomy for carcinoma of sigmoid and descending colon with multiple polyps Wed, 15 Jun 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3298.html http://www.websurg.com/doi-vd01en3298.html P Lau, SY Kwok, W Day, A Yip
Single incision laparoscopic surgery can be applied for colonic resection. This video demonstrates a multiple port transumbilical single incision technique for total colectomy. The procedure is in compliance with oncological principles in cancer surgery. The final wound is slightly larger than the ...
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Laparoscopic abdominoperineal resection for T4 distal rectal cancer Wed, 15 Jun 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3332.html http://www.websurg.com/doi-vd01en3332.html J Leroy, J Marescaux
This video demonstrates a laparoscopic abdominoperineal resection for T4 ultralow rectal tumor with involvement of the sphincter and limited downstaging with a neo-adjuvant radiochemotherapy.
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Laparoscopic segmental oncologic splenic flexure colonic resection for cancer Wed, 15 Jun 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3340.html http://www.websurg.com/doi-vd01en3340.html F Corcione, J Marescaux
Carcinoma of the splenic flexure is a rare condition accounting for approximately 3 to 8% of colon cancers. The surgical treatment is challenging and not fully standardized. This video demonstrates a laparoscopic segmental oncologic splenic flexure colonic resection for cancer.
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Laparoscopic anterior rectal resection for T1 rectal cancer Wed, 15 Jun 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3335.html http://www.websurg.com/doi-vd01en3335.html J Leroy, J Marescaux
This is a live demonstration of a laparoscopic anterior rectal resection for a T1 rectal cancer.
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Robotic abdominoperineal resection with sacrectomy in obese male patients Wed, 15 Jun 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3297.html http://www.websurg.com/doi-vd01en3297.html S Marecik, A deSouza, C Corning, J Park, L Prasad
This video presents a robotic abdominoperineal resection with sacrectomy in an obese male patient. The patient has a BMI of 37 and a locally advanced rectal cancer invading the sacrum. After preoperative chemoradiation therapy, he developed a localized abscess within the mesorectum. He ...
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Laparoscopic inguinal hernia repair: TEP approach without fixation of the mesh Wed, 15 Jun 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3329.html http://www.websurg.com/doi-vd01en3329.html B Dallemagne, J Marescaux
The most common laparoscopic techniques for inguinal hernia repair are transabdominal preperitoneal (TAPP) repair and totally extraperitoneal (TEP) repair. In TAPP, the surgeon goes into the peritoneal cavity and places a mesh through a peritoneal incision over potential hernia sites. TEP is ...
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Technique of myotomy in laparoscopic Heller procedure Wed, 15 Jun 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3272.html http://www.websurg.com/doi-vd01en3272.html B Dallemagne, S Perretta, J Marescaux
This is the case of a 60-year-old woman with a chief complaint of dysphagia for solids and liquids, regurgitation, and chest pain. An initial diagnosis of achalasia was made in 2007 with the manometry showing a high hypertonic low esophageal sphincter which failed to relax and respond to ...
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Laparoscopic repair of paraesophageal hiatal hernias Tue, 14 Jun 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03ensoper005.html http://www.websurg.com/doi-lt03ensoper005.html N Soper
The surgical treatment for paraesophageal hiatal hernias is challenging. It is a complex operation with a high recurrence rate. In this lecture, Dr. Nathaniel J Soper presents the current technique used to manage this condition and demonstrates the fundamental steps of the procedure through videos.
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Preventing CBD injury during laparoscopic cholecystectomy Tue, 14 Jun 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03ensoper006.html http://www.websurg.com/doi-lt03ensoper006.html N Soper
Bile duct injury is still the biggest issue when performing laparoscopic cholecystectomy. In this lecture, Dr. Nathaniel J Soper presents all aspects of this problem, including cystic duct identification, and he demonstrates the risk factors.
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Laparoscopic management of a splenic injury during redo bariatric surgery Mon, 16 May 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3291.html http://www.websurg.com/doi-vd01en3291.html V Podelski, M Vix, J Marescaux
Gastric bypass for morbid obesity is a well standardized procedure but in case of previous surgery, perioperative challenging complications may occur. This is the case of a female patient who benefited from a gastric band removal 2 months ago because of band’s failure. The video shows the ...
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Endoloop-assisted colon polypectomy Mon, 16 May 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3341.html http://www.websurg.com/doi-vd01en3341.html Gf Donatelli, G Mavrogenis, S Perretta, B Dallemagne, J Marescaux
A 48-year-old man was addressed for endoscopic evaluation of chronic pain of the left lower quadrant. Gastroscopy was unrevealing. However, colonoscopy disclosed a villous-like pedunculated polyp of the sigmoid colon, 2.5cm in diameter, with fresh blood distally to it. Due to its size and to the ...
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Robotic total mesorectal excision, a practical solution in an obese female patient Mon, 16 May 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3296.html http://www.websurg.com/doi-vd01en3296.html S Marecik, M Zawadzki, C Corning, J Park, L Prasad
This video describes a practical solution to total mesorectal excision using robotics. The patient is a 55-year-old female with a BMI of 32 and low rectal cancer localized 3cm above the anorectal ring. She also has large uterine fibroids. The patient received preoperative chemoradiation and ...
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Laparoscopic suturing technique Mon, 16 May 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enhiga002.html http://www.websurg.com/doi-lt03enhiga002.html KD Higa
In laparoscopic surgery, intracorporeal suturing is one of the most important and difficult techniques. It is essential in advanced laparoscopy and is a rate-limiting step in many procedures. In this lecture, Dr. Higa presents the technique and problems related to laparoscopic suturing with video ...
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Gastric bypass: management of Roux limb Mon, 16 May 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enhiga001.html http://www.websurg.com/doi-lt03enhiga001.html KD Higa
Gastric bypass is presently the most performed procedure for morbid obesity. In this lecture, Dr. Higa shows the most challenging problems in which the surgeon is commonly involved.
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Totally robot-assisted sleeve gastrectomy Mon, 16 May 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3252.html http://www.websurg.com/doi-vd01en3252.html F Costantino, J Marescaux
This video shows how to perform a sleeve gastrectomy in a morbidly obese patient with a BMI of 46. Surgery is performed entirely using a robot-assisted approach from beginning to end. The second generation of the three-armed Da Vinci S™ robot is used. The robotic arms are orientated so as to ...
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Is there a place for NOTES and Single Port access? Mon, 16 May 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enwjlee001.html http://www.websurg.com/doi-lt03enwjlee001.html WJ Lee
In recent years, single-incision laparoscopic surgery (SILS) and NOTES have emerged as another modality of carrying out the classic laparoscopic procedures. In this lecture, Professor WJ Lee presents the applications of NOTES and SILS in bariatric surgery.
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Complications after bariatric surgery: case discussion Mon, 16 May 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03ensuter002.html http://www.websurg.com/doi-lt03ensuter002.html M Suter
In this lecture, Dr. Michel Suter presents case reports of specific complications after different bariatric procedures. He shows videos of high interest.
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LIVE Laparoscopic total splenectomy for cystic lesions of the spleen Fri, 13 May 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3290.html http://www.websurg.com/doi-vd01en3290.html D Mutter, F Costantino, L Soler, J Marescaux
This the case of a 32-year-old lady who went to see her medical practitioner for a back pain and a calcification was discovered in the left upper quadrant of the abdomen. A CT-scan was performed and provided the diagnosis of a cyst of the spleen with a lot of calcifications. This cyst does not ...
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Full medial laparoscopic right colectomy for cancer of the ascending colon Fri, 13 May 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3289.html http://www.websurg.com/doi-vd01en3289.html J Leroy, C Callari, J Marescaux
This video shows a live right laparoscopic colectomy for the management of cancer of the ascending colon.
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Live laparoscopic reoperation for slipped fundoplication with intraoperative endoscopic monitoring Fri, 13 May 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3334.html http://www.websurg.com/doi-vd01en3334.html B Dallemagne, S Perretta, J Marescaux
This video shows a laparoscopic reoperation for slipped fundoplication with intraoperative endoscopic monitoring during a live demonstration.
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Laparoscopic re-exploration for persistent abdominal pain after gastric bypass for morbid obesity Fri, 15 Apr 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3109.html http://www.websurg.com/doi-vd01en3109.html V Podelski, M Vix, J Marescaux
This is the case of a 38-year-old female patient who benefited from a gastric bypass some 18 months ago. She lost 40 kilos. She complained of cramp-like pain on a regular basis. This video shows the laparoscopic exploration.
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Mesenteric lengthening plasty with multiple vascular divisions to perform ileoanal anastomosis and J pouch reservoir Fri, 15 Apr 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3170.html http://www.websurg.com/doi-vd01en3170.html FH Remzi
The video "Mesenteric lengthening plasty with multiple vascular divisions to perform ileoanal anastomosis and J pouch reservoir", authored by J Leroy and J Marescaux, is analysed by Dr. Feza H. Remzi, MD, FACS, sharing in this way his own personal experience and highlighting the different surgical ...
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Laparoscopic removal of a migrated intragastric lap-band® Fri, 15 Apr 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3202.html http://www.websurg.com/doi-vd01en3202.html V Podelski, M Vix, J Marescaux
This is the case of a 40-year-old female patient who had a gastric band placed in 2000. A few years later, after failure of the band, complementary examinations were carried out. They raised the suspicion of an intragastric migration of the band. The laparoscopic removal of this migrated band is ...
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Laparoscopic anterior rectopexy for rectal prolapse Fri, 15 Apr 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3242.html http://www.websurg.com/doi-vd01en3242.html J Saunders, P Thomas, K Badrinath
This video demonstrates the technique and steps required to perform a laparoscopic anterior rectopexy for the successful treatment of rectal prolapse. The treatment of rectal prolapse with a laparoscopic trans-abdominal approach is well-established and has resulted in reduced morbidity and shorter ...
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Laparoscopic mini gastric bypass (MGB) Fri, 15 Apr 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3093.html http://www.websurg.com/doi-vd01en3093.html WJ Lee
Mini gastric bypass procedure is a minimally invasive, short, simple, and successful laparoscopic weight loss surgery. This video shows a live procedure performed by Professor Lee.
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Laparoscopic sigmoidectomy for acute diverticulitis and transanal specimen extraction: tricks for removal of huge specimens Fri, 15 Apr 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3076.html http://www.websurg.com/doi-vd01en3076.html J Leroy, J Marescaux
Laparoscopic surgery for colorectal cancer requires an abdominal incision to extract the resected specimen. Transanal extraction avoids the need to make any additional abdominal incisions for specimen retrieval. This video demonstrates various tricks for the removal of a huge specimen.
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Hand-sewn laparoscopic Roux-en-Y gastric bypass Fri, 15 Apr 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3094.html http://www.websurg.com/doi-vd01en3094.html KD Higa
Over the last 20 years, the Roux-en-Y gastric bypass has been successfully used as one of many surgical treatments to achieve significant long-term weight loss. This video demonstrates a hand-sewn laparoscopic Roux-en-Y gastric bypass.
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Oncologic splenic flexure resection for adenocarcinoma of the left descending colon Fri, 15 Apr 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3027.html http://www.websurg.com/doi-vd01en3027.html J Leroy, J Marescaux
The objective of this film is to demonstrate a completely laparoscopic technique for left colon resection and for cancer of the descending portion of the splenic flexure.
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TEP repair of a recurrent right inguinal hernia following failed TAPP repair: world’s first report Tue, 15 Mar 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3234.html http://www.websurg.com/doi-vd01en3234.html MH Mobasheri, A Wan, G Vasilikostas , KM Reddy
A 10mm paraumbilical balloon-tipped port was inserted into the preperitoneal space under direct vision and CO2 was insufflated. Blunt dissection of the preperitoneal space to the pubis inferiorly and towards the left hernial orifices was performed using the 10mm laparoscope. A further 10mm port ...
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Laparoscopic treatment of an ulcerative colitis after medical failure: total coloproctectomy with ileoanal anastomosis Tue, 15 Mar 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3206.html http://www.websurg.com/doi-vd01en3206.html J Leroy, J Marescaux
The objective of this film is to demonstrate a laparoscopic coloproctectomy technique for the treatment of an invalidating ulcerative colitis evolving over several years and resisting to the different medical treatments.
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Teflon pledgets cruroplasty and vicryl mesh reinforcement for rolling hiatal hernia repair Tue, 15 Mar 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3223.html http://www.websurg.com/doi-vd01en3223.html B Dallemagne, S Perretta, J Marescaux
This video shows the laparoscopic treatment of a rolling hiatal hernia in a 71-year-old female patient with a previous history of upper GI symptoms. Teflon pledgets cruroplasty and vicryl mesh reinforcement are demonstrated.
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A live case of laparoscopic floppy Nissen fundoplication for GERD: teaching the novice Tue, 15 Mar 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3152.html http://www.websurg.com/doi-vd01en3152.html B Dallemagne, S Perretta, J Marescaux
This video shows a live case of laparoscopic floppy Nissen fundoplication for GERD in which all surgical steps are accurately described. This is a perfect teaching case.
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Emergency ERCP for cholangitis in a 95-year-old patient Tue, 15 Mar 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3229.html http://www.websurg.com/doi-vd01en3229.html Gf Donatelli, C Dabo, S Perretta, B Dallemagne, J Marescaux
Cholangitis is an infection of the biliary tract with potentially high morbidity and mortality. It was described by Charcot in 1877 with the following triad of symptoms: fever, jaundice, and right upper quadrant pain. Many patients with severe cholangitis need an emergency biliary ...
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Minimally invasive esophagectomy for esophageal tumor Tue, 15 Mar 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3228.html http://www.websurg.com/doi-vd01en3228.html JL Elorza, S Larburu, JI Asensio, E Eizagirre, M Alkorta, I Augusto
This video demonstrates the first step of a minimally invasive esophagectomy for the management of an esophageal tumor in a 56-year-old woman. After general anesthesia, the patient is placed in prone position. Three trocars are then placed in the chest cavity. The esophagus will be dissected, and ...
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Three-port laparoscopic sigmoidectomy with transanal extraction for sigmoid diverticulitis Tue, 15 Mar 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3171.html http://www.websurg.com/doi-vd01en3171.html JR Monson
The video "Three-port laparoscopic sigmoidectomy with transanal extraction for sigmoid diverticulitis ", authored by J Leroy and J Marescaux, is analysed by Dr. John Rowat Monson, MD, sharing in this way his own personal experience and highlighting the different surgical approaches available with ...
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Laparoscopic closed cystopericystectomy in liver hydatidosis Tue, 15 Mar 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3215.html http://www.websurg.com/doi-vd01en3215.html JM Ramia, JE Quiñones, R de la Plaza, J García-Parreño
A 54-year-old woman presented to our Department with epigastric pain. Abdominal ultrasound and MRI showed a cystic lesion of 30 x 36 x 37mm located in segment III of the liver. The left portal trunk, which divides into branches, can be found close to the lesion. Serological test of hydatidosis was ...
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Laparoscopic cholecystectomy with rendez-vous technique for symptomatic cholelithiasis with occult choledocholithiasis Tue, 15 Mar 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3224.html http://www.websurg.com/doi-vd01en3224.html F Costantino, Gf Donatelli, J Marescaux
This video demonstrates a laparoscopic cholecystectomy with a rendez-vous technique for choledocholithiasis. This 75-year-old patient presented with pain at the level of the right hypochondrium, without jaundice. Serum chemistries show a hepatic cytolysis without cholestasis. Medical imaging ...
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Transanal specimen extraction with endorectal plastic sleeve protection after sigmoidectomy for diverticulitis Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3098.html http://www.websurg.com/doi-vd01en3098.html J Leroy, J Marescaux
The objective of this film is to demonstrate a technique for transanal extraction using a plastic protection sleeve at the rectal level after sigmoidectomy for sigmoid diverticulitis.
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Esophageal leiomyoma enucleation after two laparoscopic hiatal surgeries Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3216.html http://www.websurg.com/doi-vd01en3216.html B Dallemagne, S Perretta, J Marescaux
Esophageal leiomyomas probably account for 70% of all benign tumors of the esophagus. Surgical removal is indicated for symptomatic patients or for a tumor with a progressive increase in size. This is the case of a 36-year-old patient, who had previously undergone a laparoscopic operation for ...
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What is your view of surgical education in laparoscopic and endoscopic colorectal surgery? Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd02en3176.html http://www.websurg.com/doi-vd02en3176.html AJ Senagore

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Laparoscopic diverticulectomy and esophageal myotomy for epiphrenic diverticulum Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3163.html http://www.websurg.com/doi-vd01en3163.html B Dallemagne, S Perretta, Gf Donatelli, J Marescaux
Diverticula of the distal esophagus, epiphrenic diverticula, are relatively rare. They have a tendency to enlarge and are frequently associated with neuromuscular dysfunction of the esophagus. In this video, we show the case of an 84-year-old lady referred to our surgical unit with symptoms of ...
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Laparoscopic TME in a female patient: advantage of using the latest generation of energy source devices, retractors and staplers Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3178.html http://www.websurg.com/doi-vd01en3178.html J Leroy, J Marescaux
Total mesorectal excision (TME) offers the lowest reported rates of local recurrence and the best survival results in patients with rectal cancer. Laparoscopic TME can be performed only by very expert surgeons; the introduction of new devices could help the surgeon during this challening ...
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Laparoscopic sigmoidectomy for diverticulitis: three-trocar technique with transanal extraction Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3060.html http://www.websurg.com/doi-vd01en3060.html J Leroy, J Marescaux
This is the case of a woman who had several attacks of diverticulitis with abscess confirmed by CT-scan. A laparoscopic sigmoidectomy using three trocars and a transanal extraction is shown.
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Laparoscopic oncologic sigmoidectomy with transanal specimen removal: a step to NOTES or single port procedure Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3169.html http://www.websurg.com/doi-vd01en3169.html FH Remzi
The video "Laparoscopic oncologic sigmoidectomy with transanal specimen removal: a step to NOTES or single port procedure", authored by J Leroy, F Costantino, P Allemann and J Marescaux, is analysed by Dr. Feza H Remzi, MD, FACS, sharing in this way his own personal experience and highlighting the ...
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Management of left hepatic artery injury during laparoscopic redo sleeve gastrectomy Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3110.html http://www.websurg.com/doi-vd01en3110.html M Vix, J Marescaux
The problem of revision of failed gastric banding (GB) procedure has become a common situation in bariatric surgery. This video presents a re-intervention in a female patient who had her gastric band removed and decides to have a laparoscopic sleeve gastrectomy.
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Laparoscopic treatment for intestinal occlusion following gastric bypass Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3205.html http://www.websurg.com/doi-vd01en3205.html F Costantino, J Marescaux
Bowel obstruction after laparoscopic gastric bypass has been frequently reported. All bariatric surgeons, general surgeons, and physicians involved with postoperative management of the bariatric surgery patient should be familiar with this potentially life-threatening complication because an early ...
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Laparoscopic wedge resection following endoscopic caecal perforation Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3062.html http://www.websurg.com/doi-vd01en3062.html J Leroy, Gf Donatelli, J Marescaux
The objective of this film is to demonstrate the management of a right colon perforation after an endoscopic submucosal dissection (ESD) performed 48 hours before.
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Laparoscopic management of a recurrent suprapubic incisional hernia Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3019.html http://www.websurg.com/doi-vd01en3019.html J Leroy, J Marescaux
The objective of this video is to demonstrate the laparoscopic treatment of a recurrent voluminous suprapubic incisional hernia after the laparoscopic repair of a suprapubic incisional hernia.
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Is robotics a new treatment for rectal cancer? Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd02en3174.html http://www.websurg.com/doi-vd02en3174.html AM Gudgeon

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Single access transumbilical laparoscopic splenectomy using curved and reusable instruments Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3121.html http://www.websurg.com/doi-vd01en3121.html G Dapri, J Himpens, GB Cadière
This patient is a 23-year-old female who is candidate for elective splenectomy for idiopathic thrombocytopenic purpura (ITP). A single access transumbilical laparoscopic splenectomy using curved and reusable instruments is presented. Thanks to the special shape of these instruments, there is no ...
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Laparoscopic caecal wedge resection combined with intraoperative colonoscopy for flat polyp Tue, 15 Feb 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3123.html http://www.websurg.com/doi-vd01en3123.html J Leroy, Gf Donatelli, J Marescaux
The objective of this film is to demonstrate a wedge resection of the right anterior colonic wall carried out to manage a flat polyp. A Surgiquest™ Airseal™ 12mm trocar is used for that purpose, along with two other trocars: a suprapubic trocar and an epigastric trocar. Two 12mm trocars are ...
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ERCP during laparoscopic cholecystectomy for common bile duct stone Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3161.html http://www.websurg.com/doi-vd01en3161.html Gf Donatelli, V Podelski, D Mutter, J Marescaux
This is the case of a 23-year-old female patient 8 months after an uncomplicated pregnancy, with no medical or surgical history. She has been admitted to the emergency care unit for abdominal pain in the right hypochondrium and epigastrium associated with nausea. This video shows a peroperative ...
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Laparoscopic surgery for colonic diverticular disease Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enmonson001.html http://www.websurg.com/doi-lt03enmonson001.html JR Monson
In this lecture, Professor John Rowat Monson revisits present-day indications and recommendations for laparoscopic resection in diverticular disease. The outcomes of randomized trials and results of metanalysis are also presented.
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Single port colonic resection technique and results Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enboni001.html http://www.websurg.com/doi-lt03enboni001.html L Boni
In this lecture, Dr. Luigi Boni discusses single port colonic resection, and shows his technique by video demonstration and the results of his experience.
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Single incision laparoscopy: fundoplication/gastric resection Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03enweiss001.html http://www.websurg.com/doi-lt03enweiss001.html H Weiss
Laparoscopic fundoplication is the actual gold standard for the surgical treatment of gastroesophageal reflux. In this lecture, Dr. Helmut Weiss shows a single port laparoscopic fundoplication, presents his experience and also shows how new instruments can help the surgeon in single port surgery.
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Robotics applied to TME: enhancing the precision and quality of minimally invasive TME? Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03engudgeon001.html http://www.websurg.com/doi-lt03engudgeon001.html AM Gudgeon
In this lecture, Dr. Mark Gudgeon presents the advantages, disadvantages and benefits of classical laparoscopic and robotic TME for rectal cancer.
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Endomucosal resection (EMR) using the Transanal Endoscopic Operation (TEO®) device and the new Ligasure Advance® device Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3022.html http://www.websurg.com/doi-vd01en3022.html J Leroy, J Marescaux
The objective of this film is to demonstrate the advantage of using the new revolving handle Ligasure Advance® device, which is, for some surgeons, more ergonomic than the first generation handle. The use of the Ligasure Advance® device proves beneficial, as it provides us with a very thin 2mm ...
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Laparoscopic Heller-Dor technique for stage 3 esophageal achalasia Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3181.html http://www.websurg.com/doi-vd01en3181.html J Torres Bermúdez, FC Becerra García, G Sánchez de la Villa
Heller’s myotomy has demonstrated good long-term results in the treatment for esophageal achalasia and the laparoscopic approach has been well established in the last years. Nevertheless, there is still a failure rate of approximately 10% at 5 years. It is a difficult operation to perform and the ...
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Collis Nissen fundoplication in a patient with Barrett's esophagus Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3154.html http://www.websurg.com/doi-vd01en3154.html B Dallemagne, S Perretta, J Marescaux
This video demonstrates a laparoscopic Collis esophageal lengthening procedure in a 65-year-old man with a 15 years' history of typical GERD symptoms and Barrett’s esophagus. The identification and surgical management of the short esophagus are discussed as well as the technical steps required ...
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What are the benefits of single port access in laparoscopic colorectal surgery? Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd02en3173.html http://www.websurg.com/doi-vd02en3173.html FH Remzi

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A special technique for single port laparoscopic cholecystectomy using Hartmann's pouch stitch Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3155.html http://www.websurg.com/doi-vd01en3155.html M Malik, I Ahmed
This video demonstrates a single port laparoscopic cholecystectomy using conventional reusable instruments. In addition, safe visualisation of Calot’s triangle is achieved via a percutaneous silk suture passed through the Hartmann’s pouch permitting anterior and posterior dissection without the ...
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Live laparoscopic antecolic and antegastric gastric bypass for morbid obesity Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en2958.html http://www.websurg.com/doi-vd01en2958.html M Vix, J Marescaux
Gastric bypass is the most frequently performed bariatric surgery. It provides long-term and consistent weight loss. This video shows a laparoscopic gastric bypass in a 49-year-old woman with a BMI of 42.
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Laparoscopic management of Crohn’s disease Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-lt03ensenagore001.html http://www.websurg.com/doi-lt03ensenagore001.html AJ Senagore
In this lecture, Mr. Senagore presents the indications, preparation of the patient, and strategy when planning laparoscopic treatment for Crohn’s disease. He also demonstrates the operative technique and the results of his experience.
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Single incision transumbilical laparo-endoscopic gastric benign tumor resection Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3122.html http://www.websurg.com/doi-vd01en3122.html G Dapri, J Himpens, GB Cadière
This video shows a single incision transumbilical laparo-endoscopic gastric benign tumor resection using double curved instruments. The double-curved instrument is interesting because it allows for correct triangulation of the tools but also for retraction of the left lobe of the liver during ...
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Laparoscopic one-trocar cholecystectomy: the glove technique, tips 'n tricks Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en2964.html http://www.websurg.com/doi-vd01en2964.html J Leroy, J Marescaux
The objective of this film is to demonstrate a technique for cholecystectomy using a single port situated in the umbilicus. This home-made system is inexpensive. It has been used a lot in South Korea and Japan. It consists of a surgical glove connected to the Applied Medical Alexis® wound ...
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Difficult case of laparoscopic sleeve gastrectomy after removal of a gastric band for morbid obesity Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3083.html http://www.websurg.com/doi-vd01en3083.html J Himpens
The video "Difficult case of laparoscopic sleeve gastrectomy after removal of a gastric band for morbid obesity" authored by M. Vix and J. Marescaux is analysed by Dr. Jacques Himpens, MD, sharing in this way his own personal experience and highlighting the different surgical approaches available ...
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What do you think of Natural Orifice Specimen Extraction (NOSE) in colorectal surgery (transanal and transvaginal access)? Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd02en3172.html http://www.websurg.com/doi-vd02en3172.html FH Remzi

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Laparoscopic one-trocar cholecystectomy, vascular anomaly: interest of angled scope and liver retraction to expose Calot’s triangle Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3168.html http://www.websurg.com/doi-vd01en3168.html F Costantino, J Leroy, J Marescaux
The objective of this film is to demonstrate how to perform a safe single trocar cholecystectomy in a female patient who had previously benefited from a xiphopubic laparotomy to manage several abdominal infections. This video underlines the importance of a good exposure in order to avoid dangerous ...
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Laparoscopic pancreatectomy for insulinoma Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3151.html http://www.websurg.com/doi-vd01en3151.html B Dallemagne, S Perretta, L Soler, J Marescaux
Insulinomas are rare tumors of the islet cells of the pancreas. They are solitary, small and benign. They may occur anywhere within the pancreatic gland. This video shows a laparoscopic pancreatectomy for insulinoma in a 52-year-old man with a BMI of 25.
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Laparoscopic total gastrectomy for pT2 N0 M0 adenocarcinoma of the lesser curvature of the stomach Mon, 17 Jan 2011 00:00:00 +0100 http://www.websurg.com/doi-vd01en3140.html http://www.websurg.com/doi-vd01en3140.html HK Yang
The video "Laparoscopic total gastrectomy for pT2 N0 M0 adenocarcinoma of the lesser curvature of the stomach" authored by B. Dallemagne, F. Costantino and J. Marescaux is analysed by Dr. Han-Kwang Yang, MD, sharing in this way his own personal experience and highlighting the different surgical ...
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Laparoscopic redo Nissen for recurrent GERD not responding to PPIs Wed, 15 Dec 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3133.html http://www.websurg.com/doi-vd01en3133.html B Dallemagne, S Perretta, J Marescaux
This video demonstrates a redo laparoscopic Nissen fundoplication in a 34-year-old man with recurrent gastroesophageal reflux symptoms. A first laparoscopic Nissen-Rossetti procedure was performed ten years ago, and was taken down 2 months after surgery for severe dysphagia and important weight ...
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Unusual voluminous inflammatory diverticulum of the sigmoid colon: laparoscopic management Wed, 15 Dec 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3048.html http://www.websurg.com/doi-vd01en3048.html J Leroy, J Marescaux
In this video, we show the case of a 70-year-old male patient who had several attacks during the last weeks, abdominal pain, and fever. After CT-scan, he was diagnosed a perisigmoid abscess. We diagnosed a lot of diverticula and we made a diagnosis of sigmoiditis with perisigmoid abscess. So this ...
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Laparoscopic colorectal resection for anastomotic stricture following reversal of Hartmann's procedure Wed, 15 Dec 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3117.html http://www.websurg.com/doi-vd01en3117.html J Leroy, J Marescaux
Reversal of Hartmann's procedure is a major undertaking and due to its associated morbidity and mortality, many patients are left with permanent colostomy and many others elect not to have the reversal. The advances in laparoscopy and stapler anastomosis have made the reversal simpler and easier. ...
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Laparoscopic splenectomy following an embolic septic abscess in a young patient Wed, 15 Dec 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3135.html http://www.websurg.com/doi-vd01en3135.html J D'Agostino, M Vix, J Marescaux
This video shows a laparoscopic splenectomy in a young patient who developed several septic emboli originating from a skin wound. One of these septic emboli induced a splenic abscess. Due to vegetations on a cardiac aortic valve, cardiovascular surgeons ask to remove the spleen along with the ...
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Laparoscopic Roux-en-Y gastric bypass after vertical banded gastroplasty Wed, 15 Dec 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3084.html http://www.websurg.com/doi-vd01en3084.html KD Higa
The video "Laparoscopic Roux-en-Y gastric bypass after vertical banded gastroplasty" authored by M. Vix, F. Costantino and J. Marescaux is analysed by Dr. Kelvin Dwight Higa, MD, FACS, FASMBS, sharing in this way his own personal experience and highlighting the different surgical approaches ...
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Identification of the left ureter during an acute sigmoiditis with sidewall fixation Wed, 15 Dec 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2977.html http://www.websurg.com/doi-vd01en2977.html J Leroy, J Marescaux
Laparoscopic sigmoid colectomy has become an acceptable method of surgical treatment for diverticulitis. However, during acute procedures, dissection is challenging. The objective of this film is to demonstrate the dissection performed during an acute sigmoid diverticulitis with attachment of the ...
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Laparoscopic total colectomy with the new 5mm Ligasure Blunt Tip® device Wed, 15 Dec 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3013.html http://www.websurg.com/doi-vd01en3013.html J Leroy, J Marescaux
The objective of this film is to demonstrate how to perform a total colectomy by means of the new Ligasure Atlas Blunt Tip® vessel-sealing device, which allows for a perfect hemostasis and can be used for dissection like the finger of one’s hand.
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Laparoscopic sleeve gastrectomy technique Wed, 15 Dec 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enhimpens001.html http://www.websurg.com/doi-lt03enhimpens001.html J Himpens
Laparoscopic sleeve gastrectomy is a widely accepted bariatric procedure. In this lecture, Professor Jacques Himpens presents all the technical details when performing this procedure and shows the difference between the old and the new steps of greater curvature dissection.
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What is the place of the gastric banding today? Tue, 16 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd02en3086ballantyne.html http://www.websurg.com/doi-vd02en3086ballantyne.html G Ballantyne

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Mini Gastric Bypass (MGB) vs. conventional Roux-en-Y Gastric Bypass (RYGB) Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd03en3085_higa_himpens.html http://www.websurg.com/doi-vd03en3085_higa_himpens.html J Himpens, KD Higa

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Laparoscopic single port splenectomy for idiopathic thrombocytopenic purpura (ITP) Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3102.html http://www.websurg.com/doi-vd01en3102.html F Cianchi, G Perigli, E Qirici
This video demonstrates a laparoscopic single port splenectomy in a 27-year-old woman with medically refractory idiopathic thrombocytopenic purpura (ITP). The procedure was performed using a multi-instrument flexible single incision port, SILS port (Covidien), which was inserted through a 2.5cm ...
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Laparoscopic redo for severe dysphagia following open Nissen procedure 15 years ago Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2927.html http://www.websurg.com/doi-vd01en2927.html B Dallemagne, J Marescaux
Nissen fundoplication is a commonly used antireflux operation. After this operation, symptoms such as dysphagia, inability to belch and vomit, and gas bloating are frequently reported in the literature. The objective of this film is to demonstrate a surgical intervention carried out in a ...
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Rectovaginal fistula after wedge anterior rectal resection for endometriosis: laparoscopic low anterior resection with transvaginal extraction Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3070.html http://www.websurg.com/doi-vd01en3070.html J Leroy, A Wattiez, J Marescaux
The objective of this film is to demonstrate the management of a rectovaginal fistula in a woman in her thirties. Three months before, she had benefited from the resection of a nodule of the rectovaginal septum, along with the vaginal resection of the posterior Douglas’ pouch and the anterior ...
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Laparoscopic Roux-en-Y gastric bypass after Nissen procedure for morbid obesity Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3116.html http://www.websurg.com/doi-vd01en3116.html F Costantino, B Dallemagne, J Marescaux
Different studies have shown that revision of antireflux procedures to RYGB is safe and feasible for morbidly obese patients with weight gain or recurrent GERD symptoms. This video demonstrates a laparoscopic gastric bypass in a 56-year-old patient who had benefited from a laparoscopic Nissen ...
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Laparoscopic cholecystectomy: a step by step basic procedure Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3036.html http://www.websurg.com/doi-vd01en3036.html D Mutter, J Marescaux
This video shows detailed steps when performing laparoscopic cholecystectomy.
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Laparoscopy for fistulous Crohn’s disease Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03ensalky003.html http://www.websurg.com/doi-lt03ensalky003.html B Salky
In this lecture, Dr. Barry Salky presents the current status of the treatment of Crohn’s disease and shows his personal experience regarding the laparoscopic treatment in case of fistulous disease.
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Total intracorporeal colon surgery using natural orifice extraction Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enfranklin003.html http://www.websurg.com/doi-lt03enfranklin003.html ME Franklin
Laparoscopic surgery for colonic disease has experienced an increased utilization by surgeons. Current techniques require an abdominal incision for specimen extraction. In this lecture, Dr. Franklin presents the technique of total intracorporeal colon surgery using natural orifice for specimen ...
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Recognizing and preserving the nerves of sexual function Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enheald002.html http://www.websurg.com/doi-lt03enheald002.html RJ Heald
In this magisterial lecture, Professor Heald shows the correct technique of dissection for nerve preserving in TME.
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Laparoscopic splenopancreatectomy for a solid pseudopapillary pancreatic tumor Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3069.html http://www.websurg.com/doi-vd01en3069.html J Torres Bermúdez, FC Becerra García, G Sánchez de la Villa, M Montoya Tabares, F González Sánchez, R Nehme, AA Carrillo Sánchez, JL Martín
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 ...
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Three-trocar laparoscopic sigmoidectomy and transanal extraction of the specimen for diverticular sigmoiditis Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3079.html http://www.websurg.com/doi-vd01en3079.html B Salky
The video "Three-trocar laparoscopic sigmoidectomy and transanal extraction of the specimen for diverticular sigmoiditis" authored by J. Leroy and J. Marescaux is analysed by Dr. Barry Salky, MD, sharing in this way his own personal experience and highlighting the different surgical approaches ...
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Laparoscopic Heller myotomy for the treatment of esophageal achalasia Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3103.html http://www.websurg.com/doi-vd01en3103.html B Ghavami
The treatment of achalasia has undergone a dramatic evolution over the past years with the introduction of advanced laparoscopic techniques. In this video, a Heller myotomy in a 50-year-old patient suffering from esophageal achalasia is demonstrated.
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Single port sleeve gastrectomy using internal retractors (Endograb™) and needlescopic grabber Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3115.html http://www.websurg.com/doi-vd01en3115.html EM Targarona, C Balagué, Luis Pallarés, M Trías Folch
Tubular gastrectomy is a new technique for single port approach. This is the case of a patient presenting with a BMI of 42. A single port access is proposed. To do so, a 2cm mini-laparotomy is carried out at the level of junction of the upper two thirds and the lower third of the xiphoumbilical ...
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Laparoscopic treatment of a retrorectal solitary fibrous tumor Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3114.html http://www.websurg.com/doi-vd01en3114.html EM Targarona, F Marinello, Luis Pallarés, M Trías Folch
Historically, solitary fibrous tumors were thought to arise from the pleura, but solitary fibrous tumors arising from extrathoracic sites have been reported in increasing frequency. This is the case of a 32-year-old woman presenting with unspecific discomfort. An 8cm-diameter round tumor situated ...
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Laparoscopic management of duodenal perforation during endoscopic sphincterotomy for CBD gallstone Mon, 15 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3049.html http://www.websurg.com/doi-vd01en3049.html J Leroy, Gf Donatelli, S Paveliu, J Marescaux
Endoscopic retrograde cholangiopancreatography (ERCP) with sphincterotomy is commonly used in the treatment of common bile duct stones. It is widely regarded as a safe procedure, but the major complication rate approaches 10%. ERCP-related perforations occur in about 1% of patients. The objective ...
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Laparoscopic appendectomy Mon, 01 Nov 2010 00:00:00 +0100 http://www.websurg.com/doi-ot02en334.html http://www.websurg.com/doi-ot02en334.html B Navez, C Solano
In 1889, McBurney published his first results on appendectomy, while de Kok published a "new technique for resecting the non-inflamed not-adhesive appendix through a mini-laparotomy with the aid of the laparoscope" in 1977. Currently, appendectomy is the most frequent surgical procedure performed ...
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Laparoscopic near-total splenectomy (NTS) for splenic cyst Fri, 15 Oct 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3047.html http://www.websurg.com/doi-vd01en3047.html F Corcione, F Pirozzi, D Cuccurullo, V Cimmino, S Mandala, P Angelini
Symptomatic non-parasitic splenic cysts are rare in clinical practice. There is some confusion about their etiology, pathogenesis and classification as well. This video shows the laparoscopic resection of a splenic cyst.
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Mesenteric lengthening plasty with multiple vascular divisions to perform ileoanal anastomosis and J pouch reservoir Fri, 15 Oct 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3080.html http://www.websurg.com/doi-vd01en3080.html B Salky
The video "Mesenteric lengthening plasty with multiple vascular divisions to perform ileoanal anastomosis and J pouch reservoir" authored by J. Leroy and J. Marescaux is analysed by Dr. Barry Salky, MD, sharing in this way his own personal experience and highlighting the different surgical ...
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Laparoscopic left colectomy with transmesenteric colorectal anastomosis on the mid-transverse colon Fri, 15 Oct 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3029.html http://www.websurg.com/doi-vd01en3029.html J Leroy, J Marescaux
The objective of this film is to show the totalization of a left partial colectomy performed one year ago and the possibility of doing a transmesenteric laparoscopic colorectal anastomosis. This patient had undergone a sigmoidectomy for sigmoid diverticulitis with a colorectal anastomosis one year ...
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Laparoscopic total gastrectomy and D2 lymphadenectomy for subcardial gastric cancer Thu, 14 Oct 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3042.html http://www.websurg.com/doi-vd01en3042.html B Ghavami
Laparoscopic D2 radical gastrectomy is a safe and feasible procedure with quick recovery, and it is comparable to open gastrectomy regarding lymph node dissection and oncological results. This video shows a total laparoscopic gastrectomy with a D2 lymphadenectomy in a 70-year-old female patient who ...
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Laparoscopic emergency gastric band removal for acute total food intolerance Thu, 14 Oct 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2928.html http://www.websurg.com/doi-vd01en2928.html M Vix, J Marescaux
Laparoscopic gastric banding is a procedure with very low postoperative morbidity and mortality, but presents different long-term complications very challenging to manage. We report the case of a 35-year-old woman in whom a gastric band had been placed 5 years ago. Her initial BMI was 42. The ...
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Hinchey IIa sigmoid diverticulitis: feasibility of the laparoscopic approach Thu, 14 Oct 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2965.html http://www.websurg.com/doi-vd01en2965.html J Leroy, J Marescaux
The objective of this film is to demonstrate the possibilities of the laparoscopic approach during acute sigmoid diverticulitis partly responding to medical treatment. The sigmoid diverticulitis is accompanied by an important mesenteritis.
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Laparoscopic TME for lower rectal cancer: when to convert? Thu, 14 Oct 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3031.html http://www.websurg.com/doi-vd01en3031.html J Leroy, J Marescaux
The objective of this film is to demonstrate the limits of laparoscopic surgery in lower rectal cancer. This is the case of a 52-year-old patient in whom a voluminous T3/T4 tumor of the mid-rectum was found in association with liver metastases.
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Incisional hernia after laparoscopic Roux-en-Y gastric bypass: laparoscopic management Wed, 13 Oct 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3012.html http://www.websurg.com/doi-vd01en3012.html M Vix, D Mutter, J Marescaux
This video shows the laparoscopic management of an incisional hernia after laparoscopic Roux-en-Y gastric bypass in a 50-year-old woman. Her initial BMI was 45. Now it is 23. The patient regularly complains of pain in the left hypochondrium just opposite an incisional hernia on a trocar ...
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Recorded live laparoscopic gastric band placement in a woman aged 26 with a BMI of 40 Wed, 13 Oct 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3081.html http://www.websurg.com/doi-vd01en3081.html M Vix, J Marescaux
This video shows a laparoscopic gastric banding in a 26-year-old woman. She presents with a BMI of 40. She has a history of dieting with some success but no long-term success with weight loss. All steps are presented in this video recorded at the IRCAD Advanced course in laparoscoic bariatric and ...
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Management of colonic perforation during trocar placement in bariatric surgery Wed, 13 Oct 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2930.html http://www.websurg.com/doi-vd01en2930.html M Vix, J Marescaux
Complications related to first trocar placement are rare when performing laparoscopic procedures. In case of anterior procedures, gaining access to the abdominal cavity could be very difficult. This video demonstrates the management of colonic perforation during trocar placement in bariatric ...
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Single port access for general and digestive surgery Tue, 05 Oct 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03entargarona003.html http://www.websurg.com/doi-lt03entargarona003.html EM Targarona
In this lecture, Professor Eduardo Targarona presents the early results of Single Incision Laparoscopic Surgery for appendectomy, adrenalectomy, hernia repair and applications in liver surgery.
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Three-port laparoscopic sigmoidectomy with transanal extraction for sigmoid diverticulitis Wed, 15 Sep 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3020.html http://www.websurg.com/doi-vd01en3020.html J Leroy, J Marescaux
Laparoscopic resection of the sigmoid colon is currently considered a feasible option for open surgery. Many attempts have been made to reduce scars. The objective of this film is to demonstrate a transanal extraction technique for the laparoscopic management of sigmoid diverticulitis using three ...
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Multi-recurrent right inguinal hernia: advantages of the laparoscopic TAPP approach Wed, 15 Sep 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3011.html http://www.websurg.com/doi-vd01en3011.html B Dunkin
The video "Multi-recurrent right inguinal hernia: advantages of the laparoscopic TAPP approach" authored by J. Leroy, C. Callari and J. Marescaux is analysed by Dr. Brian Dunkin, MD, FACS, sharing in this way his own personal experience and highlighting the different surgical approaches available ...
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Laparoscopic treatment of an incisional umbilical hernia Wed, 15 Sep 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3023.html http://www.websurg.com/doi-vd01en3023.html J D'Agostino, J Marescaux
Laparoscopy, when applied to the management of incisional hernias, provides good results in terms of safety and minimal recurrence. This is the case of a 50-year-old patient who underwent laparoscopic treatment for a recurrent umbilical hernia. This treatment was carried out using an anterior ...
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Emergency Roux-en-Y jejunostomy for caustic lesion of the esophagus Wed, 15 Sep 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2836.html http://www.websurg.com/doi-vd01en2836.html F Costantino, J Marescaux
This video shows a Roux-en-Y alimentary jejunostomy in a 48-year-old patient who had had symptoms of maniac and depressive psychosis and who had tried to commit suicide by drinking a cleaning product. This caused an ischemia without necrosis all along the esophagus, without reaching the stomach.
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Transumbilical single incision laparoscopic total colectomy and partial proctectomy with ileorectal anastomosis Wed, 15 Sep 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3033.html http://www.websurg.com/doi-vd01en3033.html JR Ramos, R Mesquita Machado, EA Valory, AH Creiler
This video demonstrates our transumbilical three-trocar technique for single incision total colectomy and partial proctectomy with intracorporeal side-to-end ileorectal anastomosis using standard laparoscopic instrumentation. The patient is a thin 19-year-old boy with a BMI of 19 presenting with ...
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TEP approach for inguinal hernia repair: live comments Wed, 15 Sep 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2829.html http://www.websurg.com/doi-vd01en2829.html B Dallemagne, J Marescaux
This is a live video recorded during an intensive IRCAD laparoscopic general surgery course. In this video, a TEP approach for inguinal hernia is presented. Live comments help understand the different aspects of this procedure.
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Single incision laparoscopic partial splenectomy for splenic hemangioma Wed, 15 Sep 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3032.html http://www.websurg.com/doi-vd01en3032.html L Boni, G Dionigi, M Di Giuseppe, E Colombo, L Giavarini, F Cantore, R Dionigi
Laparoscopy is now considered the "gold standard" approach for splenectomy when treating different benign and malignant diseases requiring the removal of the whole or part of the spleen. During the last few months in both experimental and clinical settings, new techniques such as natural orifice ...
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Totally laparoscopic ileocaecal resection for distal ileal duplication Wed, 15 Sep 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3024.html http://www.websurg.com/doi-vd01en3024.html J Leroy, J Marescaux
Gastrointestinal duplications are rare congenital anomalies, usually detected prenatally or in the first two years of life, although they can be diagnosed even in older age. Small bowel location is the most frequent (more than 50% of cases). The objective of this film is to demonstrate an ileocaeal ...
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Totally laparoscopic right colectomy using the medial approach for caecal cancer Wed, 15 Sep 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2873.html http://www.websurg.com/doi-vd01en2873.html J Leroy, J Marescaux
The advantages of a total intracorporeal anastomosis are as follows: no need to enlarge the incision and no traction of the pedicle during the extracorporeal anastomosis. This video shows a right colectomy for a polyp of the ascending colon in a 50-year-old female patient presenting with a Lynch ...
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Autonomic nerve-preserving laparoscopic total mesorectal excision in a male patient based on a new anatomical concept Wed, 15 Sep 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3034.html http://www.websurg.com/doi-vd01en3034.html Y Sakai, K Hida, K Kawada, JI Kawamura, A Nomura, S Nagayama, S Hasegawa
Dr. Kinugasa proposed the new concept of surgical anatomy in the pelvis. In his concept, the pre-hypogastric nerve fascia is defined as a fibrous membrane, which covers the superior hypogastric nerve plexus, the hypogastric nerves and the pelvic nerve plexus. In this video, we present our procedure ...
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Recorded live laparoscopic Heller procedure for mega-esophagus Thu, 15 Jul 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3003.html http://www.websurg.com/doi-vd01en3003.html B Dallemagne, S Perretta, J Marescaux
This is the case of a 64-year-old man presenting with a complex history of symptoms of reflux and dysphagia for some years, with a combination of dysmotility, reflux and anatomical problems in terms of hiatal hernia. This video shows a laparoscopic Heller myotomy with an associated antireflux ...
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Laparoscopic single incision sleeve gastrectomy Thu, 15 Jul 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3006.html http://www.websurg.com/doi-vd01en3006.html M Vix, J Marescaux
Laparoscopic sleeve gastrectomy has gained increasing popularity due to its simplicity and good results. Nowadays, many attempts are made to minimize port access, and sleeve gastrectomy is no exception for that. This video shows a laparoscopic single incision sleeve gastrectomy in a 40-year-old ...
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Laparoscopic exploration after Roux-en-Y gastric bypass following intestinal obstruction Thu, 15 Jul 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3001.html http://www.websurg.com/doi-vd01en3001.html F Costantino, M Vix, J Marescaux
This video demonstrates a laparoscopic exploration in a female patient who had undergone a gastric bypass in 2002. Her BMI was 58 at that time. Now it is 20. She had been operated on for an incisional hernia that occurred at the level of the former umbilical optical port site. She suffered from ...
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New curved and reusable instruments for single access transumbilical laparoscopic Nissen fundoplication Thu, 15 Jul 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3016.html http://www.websurg.com/doi-vd01en3016.html G Dapri, J Bruyns, L Casali, J Himpens, GB Cadière
Since the first operation performed in 2005, single incision laparoscopic surgery has been used around the world to perform many procedures. Problems still remain for exposure. This video shows a single incision laparoscopic Nissen fundoplication with new curved and reusable instruments.
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Laparoscopic treatment of recurrent abdominal incisional hernia with double layer mesh Thu, 15 Jul 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3010.html http://www.websurg.com/doi-vd01en3010.html B Dunkin
The video "Laparoscopic treatment of recurrent abdominal incisional hernia with double layer mesh" authored by J. Leroy and J. Marescaux is analysed by Dr. Brian Dunkin, MD, FACS, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips ...
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Laparoscopic gastrectomy for gastric cancer Thu, 15 Jul 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enyang001.html http://www.websurg.com/doi-lt03enyang001.html HK Yang
In Eastern countries such as Korea, Japan, and China, gastric cancer is the most prevalent malignant neoplasm and the first cause of cancer-related death. In this lecture, Professor Han-Kwang Yang describes all technical aspects of gastric cancer treatment with minimally invasive surgery. ...
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Recorded live laparoscopic TAPP approach for bilateral hernia with single mesh and absorbable tacker Thu, 15 Jul 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3000.html http://www.websurg.com/doi-vd01en3000.html J Leroy, J Marescaux
Laparoscopic hernia repair has become one of the most common laparoscopic operations. Several studies have demonstrated a definite advantage over open repair with regard to reduced postoperative pain and earlier return to work and normal activities, especially when treating bilateral hernias. This ...
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Minimally invasive Ivor Lewis esophagectomy for cancer Thu, 15 Jul 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3007.html http://www.websurg.com/doi-vd01en3007.html B Dallemagne, J Marescaux
Minimally invasive Ivor Lewis esophagectomy is technically challenging but feasible in experienced minimally invasive surgery centers. This video illustrates the surgical approach of an Ivor-Lewis esophagectomy. This surgery was carried out in a patient presenting with a type 2 cardia tumor ...
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Laparoscopic right hepatectomy for colorectal liver metastases Thu, 15 Jul 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3028.html http://www.websurg.com/doi-vd01en3028.html M Schön
Major anatomical liver resections, initially considered to be unsuitable for laparoscopy, are increasingly reported by several centers worldwide. It is widely accepted that standards of open liver surgery should not be compromised during laparoscopic interventions. The video describes a totally ...
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Laparoscopic partial gastrectomy for GIST Thu, 15 Jul 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2983.html http://www.websurg.com/doi-vd01en2983.html F Costantino, B Dallemagne, L Soler, J Marescaux
This video shows a laparoscopic partial gastrectomy of a gastrointestinal stromal tumor (GIST) with a low mitotic count located at the lesser curvature of the stomach. This low-grade tumor was found as the patient complained of chronic abdominal pain. The CT-scan evidenced the presence of a 5 by ...
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Laparoscopic Roux-en-Y gastric bypass after open Nissen fundoplication Thu, 15 Jul 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en3018.html http://www.websurg.com/doi-vd01en3018.html M Vix, B Dallemagne, F Costantino, J Marescaux
Although laparoscopic revision of antireflux procedures when performing a RYGB is feasible, it presents some technical problems such as dissection of Nissen wrap and identification of anatomical landmarks. This is the case of a 50-year-old female patient who underwent a laparoscopic converted to ...
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Mesenteric lengthening plasty with multiple vascular divisions to perform ileoanal anastomosis and J pouch reservoir Wed, 16 Jun 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2959.html http://www.websurg.com/doi-vd01en2959.html J Leroy, J Marescaux
Total coloproctectomy with ileal pouch-anal anastomosis is the operation of choice for both ulcerative colitis and familial adenomatous polyposis. The objective of this film is to demonstrate the benefits of mesenteric lengthening using vascular divisions in order to perform an ileoanal anastomosis ...
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Giant hepatic cyst: laparoscopic fenestration and omentoplasty Wed, 16 Jun 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2842.html http://www.websurg.com/doi-vd01en2842.html D Mutter, L Soler, J Marescaux
Hepatic cysts are usually asymptomatic. Intervention is only indicated when they become symptomatic or when they grow at a rapid rate. This is the case of a patient presenting with a symptomatic giant hepatic cyst, a laparoscopic fenestration with omentoplasty is presented.
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Laparoscopic left pancreatectomy with spleen preservation and splenic vessels resection Wed, 16 Jun 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2877.html http://www.websurg.com/doi-vd01en2877.html B Dallemagne, S Perretta, L Soler, J Marescaux
This film demonstrates the laparoscopic resection of a pancreatic tumor in a 47-year-old woman who consulted for epigastric pain. The preoperative exam showed a tumor larger than 4cm situated at the body of the pancreas.
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Laparoscopic TME in a male patient with side-to-end low colorectal anastomosis and peroperative ultrasonography Wed, 16 Jun 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2981.html http://www.websurg.com/doi-vd01en2981.html J Leroy, J Marescaux
Local control of rectal cancer and patient survival have improved remarkably with advances in surgical techniques. The objective of this film is to demonstrate a laparoscopic total mesorectal excision for a rectal adenocarcinoma situated in the upper rectum.
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Ventral and umbilical hernia: simultaneous laparoscopic management Wed, 16 Jun 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2971.html http://www.websurg.com/doi-vd01en2971.html C Callari, D Mutter, J Marescaux
The laparoscopic repair of abdominal wall hernias to treat both spontaneous and incisional hernias has good results. We report the case of a patient presenting with two concomitant pathologies, an umbilical hernia and a linea alba hernia situated on a previous incision’s scar that were treated ...
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Complete laparoscopic splenic flexure mobilization as the first step in anterior resection (medial to lateral approach) Wed, 16 Jun 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2987.html http://www.websurg.com/doi-vd01en2987.html R Cahill, I Lindsey, C Cunningham
This video shows a complete laparoscopic splenic flexure mobilization as the first step in anterior resection (medial to lateral approach). The advantage of routine specific flexure mobilization in an anterior resection is that sufficient length for a tension-free anastomosis is always assured and ...
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Laparoscopic pericystectomy for an 8cm hepatic hydatid cyst with 3D reconstruction Wed, 16 Jun 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2885.html http://www.websurg.com/doi-vd01en2885.html D Mutter, L Soler, J Marescaux
This is the case of a female patient presenting with epigastric pain. An 8cm liver cyst is identified on the examination. Given her previous medical and clinical history, the patient has a hydatid cyst. Serologic tests remain negative. This hydatid cyst is no longer active. Surgery is indicated ...
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Laparoscopic treatment of a right indirect strangulated inguinal hernia: TAPP approach Wed, 16 Jun 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2989.html http://www.websurg.com/doi-vd01en2989.html F Costantino, J Leroy, J Marescaux
Laparoscopic Trans-Abdominal PrePeritoneal (TAPP) hernia repair is a recognized procedure for inguinal hernia repair in patients undergoing elective surgery. There is a scarcity of data on TAPP repair in emergency situations such as those involving strangulated hernias. We report the laparoscopic ...
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Totally laparoscopic total gastrectomy for stage IIIA (cT3 cN1 cM0) advanced gastric carcinoma Wed, 16 Jun 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2974.html http://www.websurg.com/doi-vd01en2974.html G Pignata, M Barone, U Bracale, E Gianetta, F Badessi
A 66-year-old man was admitted to our hospital with complaints of epigastric pain. His hemoglobin level was 9.3g/dL. Endoscopy of the upper gastrointestinal tract (EGD) showed an advanced gastric carcinoma that had invaded the middle and lower third of the stomach. A biopsy specimen revealed a ...
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Laparoscopic subtotal colectomy with ileo-sigmoid anastomosis for cancer in an elderly patient Wed, 16 Jun 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2880.html http://www.websurg.com/doi-vd01en2880.html J Leroy, J Marescaux
Surgery in patients who have previously undergone abdominal operations is always difficult and the risk of complications is high. The objective of this film is to demonstrate a laparoscopic subtotal colectomy in an elderly female patient aged 89. This patient had undergone a laparoscopic right ...
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Single access laparoscopic incisional hernia repair using curved and reusable instruments Tue, 15 Jun 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2972.html http://www.websurg.com/doi-vd01en2972.html G Dapri, J Bruyns, J Himpens, GB Cadière
This video demonstrates a laparoscopic single incision repair of an incisional hernia using bi-curved and reusable instruments.
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SILS Single port cholecystectomy Tue, 18 May 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2946.html http://www.websurg.com/doi-vd01en2946.html B Navez, D Mutter, J Marescaux
The video "SILS single port site cholecystectomy" authored by D Mutter and J Marescaux is analysed by Dr. Benoît Navez, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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After successful conservative treatment of acute left-sided colonic diverticulitis: where is the surgeon? Tue, 18 May 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enambrosetti002.html http://www.websurg.com/doi-lt03enambrosetti002.html P Ambrosetti
In this lecture, Dr. Patrick Ambrosetti discusses the incidence of left-sided colonic diverticulitis (with CT-scan data) and presents the results of his perspective study, and reviews the literature.
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Live surgeries of laparoscopic inguinal hernia repair: TAPP and TEP approaches Tue, 18 May 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2992.html http://www.websurg.com/doi-vd01en2992.html J Leroy, B Dallemagne, J Marescaux
This video shows the TransAbdominal PrePeritoneal (TAPP) and Totally ExtraPeritoneal (TEP) procedures for inguinal hernia repair. These are live operations performed by Professor Joel Leroy (TAPP procedure) and Doctor Bernard Dallemagne (TEP procedure). The different technical details for each ...
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Left colectomy: three-port technique Tue, 18 May 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enhuscher002.html http://www.websurg.com/doi-lt03enhuscher002.html C Huscher
In this lecture, Professor Cristiano Huscher presents his experience with the three port technique for left colectomy explaining operative settings and pinpointing technical details.
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Three-trocar laparoscopic sigmoidectomy with transanal extraction for diverticulitis and endometriosis Tue, 18 May 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2933.html http://www.websurg.com/doi-vd01en2933.html J Leroy, J Marescaux
The combination of standard laparoscopy and specimen extraction through a natural orifice has the potential to decrease wound-related complications. The objective of this film is to demonstrate a three-trocar sigmoidectomy technique performed without any abdominal incision and with transanal ...
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Laparoscopic sleeve gastrectomy after gastric band removal: two different clinical cases Tue, 18 May 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2979.html http://www.websurg.com/doi-vd01en2979.html M Vix, F Costantino, J Marescaux
Sleeve gastrectomy after gastric band is a challenging procedure due to the alteration of anatomy caused by the band; the identification of anatomical landmarks is crucial. The objective of this video is to successively demonstrate two different sleeve gastrectomy cases after gastric band removal.
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Abdominoperineal excision (APE) for colorectal cancers Tue, 18 May 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enheald001.html http://www.websurg.com/doi-lt03enheald001.html RJ Heald
Thanks to Professor Bill Heald, Total Mesorectal Excision (TME) is now widely accepted as the gold standard operation for rectal cancer surgery. This is an interesting lecture on the management and surgical treatment of rectal cancer.
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Colorectal anastomotic stenosis after elective laparoscopic sigmoidectomy for diverticular disease Tue, 18 May 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enambrosetti001.html http://www.websurg.com/doi-lt03enambrosetti001.html P Ambrosetti
Anastomotic stenosis is a poorly understood and under-examined complication of gastrointestinal surgery. In this lecture, Dr. Patrick Ambrosetti presents his experience with colorectal anastomotic stenosis after elective laparoscopic sigmoidectomy for diverticular disease.
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Laparoscopic Tanner’s gastropexy for acute gastric volvulus Fri, 14 May 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2975.html http://www.websurg.com/doi-vd01en2975.html J Torres Bermúdez, S del Valle Ruiz , J Lopez Espejo, G Sánchez de la Villa
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 ...
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Laparoscopic redo Nissen fundoplication using the EndoFLIP® (Endolumenal Functional Lumen Imaging Probe) Imaging System Thu, 15 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2934.html http://www.websurg.com/doi-vd01en2934.html B Dallemagne, S Perretta, J Marescaux
This video demonstrates a redo laparoscopic Nissen fundoplication in a 46-year-old woman with recurrent gastroesophageal reflux symptoms 10 years after the previous antireflux repair, in which a functional lumen imaging probe "the endoFLIP" was used.
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Laparoscopic gastric bypass with hand-sewn gastro-jejunostomy Thu, 15 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2948.html http://www.websurg.com/doi-vd01en2948.html KD Higa
This is an interesting live video that shows a laparoscopic gastric bypass for morbid obesity with a hand-sewn gastro-jejunostomy and transmesocolic passage. All technical details and tips and tricks are well presented and discussed.
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Small bowel strangulation due to internal hernia after left colectomy Thu, 15 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2830.html http://www.websurg.com/doi-vd01en2830.html J Leroy, F Costantino, J Marescaux
Internal small bowel herniation through a mesenteric defect is a rare but severe complication. The purpose of the video is to demonstrate the closure of a mesenteric defect following a full left colectomy. This closure is controversial, and when performed, the closure must be perfect. This is the ...
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Single band small bowel obstruction after total gastrectomy: laparoscopic management Thu, 15 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2932.html http://www.websurg.com/doi-vd01en2932.html D Mutter, J D'Agostino, J Marescaux
A 40-year-old patient underwent a total gastrectomy for cancer. For a couple of weeks, he has suffered from cramp-like abdominal pain that would go away by themselves. He is admitted for an acute intestinal obstruction that also goes away spontaneously. This video shows the laparoscopic management ...
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Laparoscopic distal pancreatectomy with spleen and vessel preservation Thu, 15 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2926.html http://www.websurg.com/doi-vd01en2926.html D Mutter, L Soler, J Marescaux
This is the case of a female patient presenting with a 12mm endocrine tumor located at the pancreatic isthmus. To manage this case, a distal pancreatectomy is decided upon. This tumor measures 16mm in its transverse diameter and it is located just above the portal vein. The CT-scan and its 3D ...
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Single port adrenalectomy and splenectomy Thu, 15 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enkrukowski001.html http://www.websurg.com/doi-lt03enkrukowski001.html Z Krukowski
In this lecture, Professor Zygmunt Krukowsky presents the characteristics of single port surgery and shows the operative technique of single port adrenalectomy and splenectomy.
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Single port surgery: cholecystectomy and abdominal wall surgery Thu, 15 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enmoralesconde001.html http://www.websurg.com/doi-lt03enmoralesconde001.html S Morales-Conde
Currently surgeons try to improve the results of standard laparoscopic surgery. Single port access seems to be a feasible technique. In this lecture, Doctor Morales Conde presents his experience in single port cholecystectomy and abdominal wall surgery.
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Laparoscopic left colectomy after symptomatic constipation in a patient with previous rectopexy for rectal prolapse Thu, 15 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2913.html http://www.websurg.com/doi-vd01en2913.html J Leroy, F Costantino, J Marescaux
The objective of this film is to demonstrate a colectomy technique after laparoscopic rectal prolapse surgery that caused increased constipation in a female patient in her fifties. Indeed, a few months earlier, an indirect rectopexy had been performed with placement of subperitoneal strips; this ...
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Chylothorax after esophagectomy: thoracoscopic sealing of the thoracic duct Thu, 15 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2915.html http://www.websurg.com/doi-vd01en2915.html B Dallemagne, S Perretta, J Marescaux
Chylothorax after esophagectomy for cancer is an uncommon, but potentially life-threatening postoperative complication with a reported incidence rate of 1-4%. A high index of suspicion for duct injury must be maintained in all patients after operation. Here we show the case of a 61-year-old man who ...
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Totally laparoscopic subtotal gastrectomy with D2 lymphadenectomy for stage II (cT3 cN0 cM0) advanced gastric carcinoma Fri, 09 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2938.html http://www.websurg.com/doi-vd01en2938.html G Pignata, U Bracale, M Barone, F Perna, P Becchi
A 54-year-old female patient with a past medical history of hypertension presented with abdominal pain and an episode of coffee ground emesis. Symptoms of pain and vomiting started approximately two to three months before admission and began to worsen over the past month. The pain was relieved by ...
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Low anterior resection in a patient with T3 N0 mid-rectal carcinoma: tips and tricks Fri, 09 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2941.html http://www.websurg.com/doi-vd01en2941.html AJZ Khan
The key to an oncologically resection of mid or low rectal cancer is the 'en bloc' resection of the rectum and its enveloping mesentery to the level of the pelvic floor with a negative distal and radial resection margin, the total mesorectal excision (TME). This video illustrates a laparoscopic low ...
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Single port site cholecystectomy for symptomatic cholelithiasis Fri, 09 Apr 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2945.html http://www.websurg.com/doi-vd01en2945.html B Navez, D Mutter, J Marescaux
The video "Single port site cholecystectomy for symptomatic cholelithiasis" authored by D Mutter and J Marescaux is analysed by Dr. Benoît Navez, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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Paraesophageal hernia (PEH) in a 40-year-old patient: laparoscopic repair with reinforced cruroplasty Thu, 18 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2881.html http://www.websurg.com/doi-vd01en2881.html B Dallemagne, J Marescaux
Patients with paraesophageal hernia (PEH) are usually symptomatic with GERD or obstructive symptoms, such as dysphagia. The underlying surgical principles for successful repair include reduction of hernia contents, removal of the hernia sac, closure of the hiatal defect, and an antireflux ...
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Aortic injury following the first port introduction during laparoscopic cholecystectomy Thu, 18 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2893.html http://www.websurg.com/doi-vd01en2893.html F Costantino, J Leroy, Y Georg, J Marescaux
Although infrequent, major complications may occur during first trocar insertion during laparoscopy. Immediate recognition and management is critical and may lead to a safe outcome. The objective of this video is to show a severe vascular complication that occurred during laparoscopic ...
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Difficult case of ureteral identification during laparoscopic sigmoidectomy: interest of augmented reality Thu, 18 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2890.html http://www.websurg.com/doi-vd01en2890.html J Leroy, L Soler, J Marescaux
The aim of this video is to show the benefit of imaging when faced with anatomical abnormalities to avoid incidents during the surgical procedure. In this case, it is the left ureter that is abnormal, passing behind a section of the left iliac ureter, the latter being in fact an abnormally long ...
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Perigastric band abscess: laparoscopic approach Thu, 18 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2886.html http://www.websurg.com/doi-vd01en2886.html M Vix, F Costantino, J Marescaux
Band infection after gastric banding is a relatively rare complication. In most cases, it manifests itself through abdominal pain associated with fever, and/or an abscess surrounding the access port. This is the case of a 37-year-old female patient in whom a gastric band was placed 5 years ago. The ...
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Laparoscopic ileocaecal resection for Crohn's disease Thu, 18 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2831.html http://www.websurg.com/doi-vd01en2831.html J Leroy, J Marescaux
This video demonstrates an ileocaecal resection for distal ileal Crohn’s disease. The expert’s surgical strategy is to separate the ileocaecum from the ileum and the ascending colon without freeing the posterior inflammatory attachments of the ileocaecum that will be freed subsequently. The ...
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Fully laparoscopic total coloproctectomy for intestinal polyposis Thu, 18 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2916.html http://www.websurg.com/doi-vd01en2916.html J Leroy, J Marescaux
The objective of this film is to demonstrate a technique of coloproctectomy for disseminated polyposis in a young female patient who presented fairly massive bleedings. Her polyposis was discovered but did not have any known family history. Technical details and all steps of the dissection are ...
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Laparoscopic hepatectomy for a left 8cm hepatocellular carcinoma after embolization for bleeding Thu, 18 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2889.html http://www.websurg.com/doi-vd01en2889.html D Mutter, L Soler, J Marescaux
This is the case of a patient presenting with a hepatocellular carcinoma, referred to the emergency department because of a hemorrhage. The first step consisted in an arterial embolization. The patient recovers from the embolization and two months later, a left lateral segmentectomy is decided ...
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Laparoscopic removal of infected intra-abdominal dual mesh placement for incisional hernia Thu, 18 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2784.html http://www.websurg.com/doi-vd01en2784.html J Leroy, V Podelski, J Marescaux
The aim of this video is to demonstrate the danger represented by long-term intraperitoneal prostheses, especially in patients with a high risk of developing intra-abdominal infections through a diverticulitis for instance, or any other causes of intra-abdominal inflammations such as cholecystitis ...
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New curved and reusable instruments for single access laparoscopic appendectomy Wed, 17 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2910.html http://www.websurg.com/doi-vd01en2910.html G Dapri, L Casali, J Himpens, GB Cadière
Surgeons are always looking for the most effective and least invasive techniques to benefit patients. The single incision laparoscopic surgery (SILS) is revolutionary in the gastrointestinal surgical field. Specific tools are used in this kind of surgery. This video shows a SILS appendectomy ...
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Left laparoscopic colectomy: towards the zero error Wed, 17 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03encorcione003.html http://www.websurg.com/doi-lt03encorcione003.html F Corcione
The postoperative complications associated with laparoscopic colorectal surgery are essentially the same as those for open surgery. There are certain other complications that are specific to the laparoscopic approach. In this interesting lecture, Professor Francesco Corcione presents his personal ...
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Single port cholecystectomy: impact of instrumentation in getting the critical view of safety Wed, 17 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2929.html http://www.websurg.com/doi-vd01en2929.html Z Krukowski, J Leroy, J Marescaux
The video "Single port cholecystectomy: impact of instrumentation in getting the critical view of safety" authored by B Dallemagne, J Leroy and J Marescaux is analysed by Prof. Zygmunt Krukowski, sharing in this way his own personal experience and highlighting the different surgical approaches ...
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Advanced techniques to minimize recurrence Wed, 17 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enswanstrom010.html http://www.websurg.com/doi-lt03enswanstrom010.html LL Swanström
Primary laparoscopic hiatal hernia repair is associated with up to a 42% recurrence rate. This has led to the use of mesh for crural repair, which has resulted in an improved recurrence rate (0-24%). However, mesh complications have been observed. In this lecture, Professor Lee Swanstrom discusses ...
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Laparoscopic treatment of peritonitis after low anterior resection Wed, 17 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enrullier003.html http://www.websurg.com/doi-lt03enrullier003.html E Rullier
Low anterior resection (LAR) is usually the procedure of choice for rectal cancer, but a series of complications often accompany this procedure. Peritonitis caused by anastomotic leakage is a dramatic event. In this lecture, Professor Eric Rullier presents a case of peritonitis after LAR and ...
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Ultra-low TME versus amputation: differences in the strategy Wed, 17 Mar 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03endemartines003.html http://www.websurg.com/doi-lt03endemartines003.html N Demartines
Treatment of cancer of the lower rectum requires favorable operative fields, minimal contact with the tumor during dissection, and delicate surgical procedures to avoid nerve damage. Good surgery on its own when applied appropriately is associated with a very low rate of local recurrence. In this ...
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Laparoscopic TEP repair for recurrent inguinal hernia after anterior plug hernioplasty Wed, 17 Feb 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2685.html http://www.websurg.com/doi-vd01en2685.html B Dallemagne, F Costantino, J Marescaux
In this video, we show the case of a patient who had undergone an anterior approach Plug treatment for an inguinal hernia. One year later, this patient presents with an obvious and painful recurrence that is well identified following a Valsalva's maneuver. We decide to perform a totally ...
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Multi-recurrent right inguinal hernia: advantages of the laparoscopic TAPP approach Wed, 17 Feb 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2862.html http://www.websurg.com/doi-vd01en2862.html J Leroy, C Callari, J Marescaux
Laparoscopic TAPP hernia repair is technically difficult, but in the hands of a well-trained surgeon, it is safe and effective in recurrent hernia too. The objective of this video is to demonstrate how a multi-recurrent hernia in the right inguinal region can be treated laparoscopically using a ...
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One glove single port cholecystectomy: some tips and tricks Wed, 17 Feb 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2845.html http://www.websurg.com/doi-vd01en2845.html J Leroy, F Costantino, J Marescaux
Single incision laparoscopic surgery (SILS) was developed with the aim of reducing the invasiveness of traditional laparoscopy. The aim of this video is to show tips that are useful when performing a cholecystectomy with a single umbilical trocar while respecting the rules of biliary surgery.
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SILS total colectomy with end ileostomy Wed, 17 Feb 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2867.html http://www.websurg.com/doi-vd01en2867.html R Cahill, I Lindsey, O Jones, R Guy, N Mortensen, C Cunningham
Single incision laparoscopic surgery (SILS) is emerging as a method to improve morbidity and cosmetic benefits of laparoscopic surgery. This is the case of a 27-year-old woman presenting with ulcerative colitis. Because of her young age and slim body habitus, a total colectomy using a single port ...
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New curved and reusable instruments for single access laparoscopic cholecystectomy Wed, 17 Feb 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2868.html http://www.websurg.com/doi-vd01en2868.html G Dapri, L Casali, J Himpens, GB Cadière
This video demonstrates a laparoscopic single incision cholecystectomy using new curved and reusable instruments: a grasper with double curves and a hook with a single curve. A reusable 10mm trocar is inserted.
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Incisional hernia: laparoscopic approach Fri, 12 Feb 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enmutter005.html http://www.websurg.com/doi-lt03enmutter005.html D Mutter
Incisional hernia is a common complication of abdominal surgery and it is often a source of long-term morbidity. The surgical treatment includes many different techniques and until today the choice may be difficult, remaining a challenge for the general surgeon. In this lecture, Prof. Didier Mutter ...
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Laparoscopic left pancreatectomy with spleen preservation for a suspicion of IPMN Fri, 12 Feb 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2864.html http://www.websurg.com/doi-vd01en2864.html B Dallemagne, S Perretta, L Soler, J Marescaux
Laparoscopic distal pancreatectomy is suitable for benign and premalignant neoplasms located in the body and tail of the pancreas. Spleen preservation following distal pancreatectomy is known to be safe. There are two distinct approaches to preserve the spleen during the dissection of the distal ...
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Laparoscopic hepatectomy: surgical aspects Fri, 12 Feb 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enmutter004.html http://www.websurg.com/doi-lt03enmutter004.html D Mutter
In this lecture, Prof. Didier Mutter presents the various aspects of the laparoscopic approach in liver surgery, presenting the indications, the surgical technique, video demonstrations in different pathologies. The laparoscopic approach is feasible, has selected indications with many benefits for ...
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Laparoscopic Roux-en-Y gastric bypass (LRGBP) redo after laparoscopic sleeve gastrectomy in a morbidly obese woman Fri, 12 Feb 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2844.html http://www.websurg.com/doi-vd01en2844.html M Vix, J Marescaux
With more and more bariatric procedures being performed, it is predictable that more patients will suffer from complications necessitating re-do surgery. We show the case of a laparoscopic sleeve gastrectomy being transformed into a laparoscopic Roux-en-Y gastric bypass.
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Single access transumbilical laparoscopic appendectomy and cholecystectomy with curved instruments Fri, 12 Feb 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03endapri001.html http://www.websurg.com/doi-lt03endapri001.html G Dapri
Single Incision Laparoscopic Surgery (SILS) has the potential advantages of reduced postoperative pain and reduced port-site complications. In this lecture, Dr. Giovanni Dapri presents new curved instruments for single access laparoscopic surgery and shows the feasibility of this approach for ...
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Segmental colonic resection for cancer of the splenic flexure Fri, 12 Feb 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2840.html http://www.websurg.com/doi-vd01en2840.html J Leroy, J Marescaux
The laparoscopic approach for the treatment of splenic flexure (SF) colon cancer is not standardized and is a challenging procedure. The aim of this video is to show the possible segmental and oncological resections of a tumor of the splenic flexure.
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Transanal Endoscopic Operation (TEO) for rectal polyp: submucosal dissection with Ligasure Advance® Thu, 21 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2818.html http://www.websurg.com/doi-vd01en2818.html N Demartines, J Leroy, J Marescaux
The video "Transanal Endoscopic Operation (TEO) for rectal polyp: submucosal dissection with Ligasure Advance®" authored by J Leroy and J Marescaux is analysed by Prof. Nicolas Demartines, sharing in this way his own personal experience and highlighting the different surgical approaches available ...
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Bleeding control following division of ileocolic vessels close to the superior mesenteric vessels in an obese patient Wed, 20 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2860.html http://www.websurg.com/doi-vd01en2860.html J Leroy, J Marescaux
The objective of this film is to demonstrate the operative strategy in case of bleeding in contact to large vessels, and here the superior mesenteric vein following division of the ileocolic vessels.
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Single port sleeve gastric resection for a GIST Wed, 20 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2850.html http://www.websurg.com/doi-vd01en2850.html B Alkari, I Ahmed
Single Port Surgery is an advanced minimally invasive approach leaving almost no visible scar. With this technique, pain and discomfort are also reduced to a minimum and recovery time is quicker. This video demonstrates a laparoscopic single port sleeve gastric resection in a 41-year-old female ...
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Single incision laparoscopic-assisted right hemicolectomy for a caecal cancer Wed, 20 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2851.html http://www.websurg.com/doi-vd01en2851.html R Cahill, S Ahmed, C Cunningham, N Mortensen
Single port operations are usually presented for appendectomies and cholecystectomies. We present the case of an 84-year-old man who presented recently to our department with Iron Deficiency Anemia (IDA). A CT-colonography identified a caecal tumor, which was proven malignant by biopsies taken at ...
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Laparoscopic transhiatal esophagectomy for adenocarcinoma of the lower esophagus Tue, 19 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2794.html http://www.websurg.com/doi-vd01en2794.html B Dallemagne, S Perretta, J Marescaux
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 ...
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Laparoscopic sleeve gastrectomy: integral procedure Tue, 19 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2807.html http://www.websurg.com/doi-vd01en2807.html M Vix, J Marescaux
This is the case of a 56-year-old woman with a BMI of 44. This patient wanted to have surgery for morbid obesity and after giving her explanations about the sleeve gastrectomy and gastric bypass, she preferred to have a sleeve gastrectomy. This is a real-time recorded video in which all aspects and ...
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Complications in antireflux surgery Mon, 18 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03endallemagne004.html http://www.websurg.com/doi-lt03endallemagne004.html B Dallemagne
Laparoscopic antireflux surgery is currently a common procedure performed in a variety of different hospital categories. In this lecture, Dr. Bernard Dallemagne presents the possible complications that surgeons may encounter when performing this procedure detailing therapeutic modalities.
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Diverticular disease of the colon: from emergency surgery to quality of life issues Mon, 18 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enforgione002.html http://www.websurg.com/doi-lt03enforgione002.html A Forgione
Diverticular disease is a very common condition in Western countries and its incidence is increasing all over the world even in young generations because of the adoption of low fiber diet. In this lecture, Dr. Antonello Forgione underlines the importance of quality of life in patients operated for ...
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Inguinal hernia repair - TAPP or TEP: how to choose? Mon, 18 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enbailey001.html http://www.websurg.com/doi-lt03enbailey001.html M Bailey
The objective of this exhaustive lecture is to determine whether laparoscopic methods are more effective and cost-effective than open mesh methods of inguinal hernia repair, and then whether laparoscopic transabdominal preperitoneal (TAPP) repair is more effective and cost-effective than ...
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Laparoscopic pancreatic surgery Mon, 18 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03endallemagne005.html http://www.websurg.com/doi-lt03endallemagne005.html B Dallemagne
In this lecture, indications of laparoscopic pancreatic surgery are discussed. Following enthusiasm for the procedure at first, the Whipple operation now seems to be abandoned, while treatment of pancreatic islet cell tumors, pseudocystic and distal lesions are feasible and give good results.
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Endoscopic dilatation of benign colorectal anastomotic strictures Mon, 18 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03endonatelli001.html http://www.websurg.com/doi-lt03endonatelli001.html Gf Donatelli
In recent years, fluoroscopically guided placement of metallic stents has been used with favorable results in patients with colorectal strictures for the palliative treatment of inoperable colorectal cancer. In this very interesting lecture, Dr. Gianfranco Donatelli presents the endoscopic ...
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Trans-Umbilical Laparoscopic Surgery (TULS) sigmoidectomy: a step to NOTES™? Mon, 18 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-lt03enleroy008.html http://www.websurg.com/doi-lt03enleroy008.html J Leroy, J Marescaux
Trans-Umbilical Laparoscopic Surgery (TULS) seems to be feasible and safe even using conventional laparoscopic instruments for simple procedures. In this lecture, Prof. Joel Leroy presents a trans-umbilical laparoscopic sigmoidectomy showing the types of port and instruments used.
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Internal hernia after laparoscopic Roux-en-Y gastric bypass Fri, 15 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2675.html http://www.websurg.com/doi-vd01en2675.html F Costantino, J Marescaux
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 ...
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Collis Nissen for slipped fundoplication with recurrent GERD symptoms Thu, 14 Jan 2010 00:00:00 +0100 http://www.websurg.com/doi-vd01en2810.html http://www.websurg.com/doi-vd01en2810.html B Dallemagne, J Marescaux
Hiatal hernia recurrence is a dreaded postoperative complication after surgery for gastroesophageal reflux. This video presents a live surgery performed on a patient presenting with recurrent symptoms and dysphagia after previous Nissen fundoplication performed 5 years ago. All the preoperative ...
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SILS Nissen fundoplication Wed, 16 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2833.html http://www.websurg.com/doi-vd01en2833.html T Tran Ba, J Ebels, D Burnon
Patients undergoing gastrointestinal surgery had only two surgical options: conventional open surgery or laparoscopic surgery with multiple incisions. Single incision laparoscopic surgery may become the preferred method of the future. Patients experience less pain and quicker recovery. Patients ...
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Laparoscopic rectal resection for a large adenovillous tumor Wed, 16 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2823.html http://www.websurg.com/doi-vd01en2823.html J Leroy, J Marescaux
The laparoscopic approach is currently accepted for the treatment of colorectal malignancy. This video demonstrates a laparoscopic rectal resection for a large adenovillous tumor using five trocars. The patient’s right arm is alongside the body. All the team stands to the right, one assistant ...
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Totally laparoscopic sigmoidectomy for diverticulitis with transanal colonic removal Wed, 16 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2771.html http://www.websurg.com/doi-vd01en2771.html J Leroy, J Marescaux
The objective of this film is to demonstrate the segmental resection of the sigmoid colon through a totally laparoscopic approach and without any mini-laparotomy for the specimen extraction. To do so, the specimen will be extracted transanally and the whole of the anastomosis will be carried out ...
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Laparoscopic coloproctectomy for ulcerative colitis Wed, 16 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2822.html http://www.websurg.com/doi-vd01en2822.html C Huscher, J Marescaux
Laparoscopic coloproctectomy for ulcerative colitis is a safe procedure and is associated with short-term benefits such as faster recovery and less pain. In this live video shot during the IRCAD Advanced Course in Laparoscopic Colorectal Surgery in November 2009, Prof. Cristiano Huscher shows a ...
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Laparoscopic treatment of multiple symptomatic biliary cysts Wed, 16 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2753.html http://www.websurg.com/doi-vd01en2753.html D Mutter, J Marescaux
The exact frequency of liver cysts is not known because most do not cause symptoms. It has been estimated that they occur in 5% of the population. No more than 10 to 15% of the patients present symptoms. This video shows a laparoscopic fenestration in a patient presenting with hepatorenal ...
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Laparoscopic cholecystectomy for acute cholecystitis with intraoperative cholangiography Wed, 16 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2773.html http://www.websurg.com/doi-vd01en2773.html D Mutter, J Marescaux
Early laparoscopic cholecystectomy is feasible and safe. Nowadays, it is an accepted treatment for patients suffering from acute cholecystitis. This video demonstrates a laparoscopic cholecystectomy with intraoperative cholangiography for acute cholecystitis in an obese patient.
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Transanal Endoscopic Operation (TEO) for rectal polyp: first step for NOTES colorectal procedure? Wed, 16 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2816.html http://www.websurg.com/doi-vd01en2816.html N Demartines, J Leroy, J Marescaux
The video "Transanal Endoscopic Operation (TEO) for rectal polyp: first step for NOTES colorectal procedure?" authored by J Leroy and J Marescaux is analysed by Prof. Nicolas Demartines, sharing in this way his own personal experience and highlighting the different surgical approaches available ...
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Intraoperative ultrasonography for identification of left colon tumor Wed, 16 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2765.html http://www.websurg.com/doi-vd01en2765.html J Leroy, J Marescaux
The purpose of this video is to demonstrate a technique for the identification of intracolonic polyps during laparoscopy. Numerous techniques have been described, in particular ultrasonic-assisted identification for lesions of the distal colon and upper rectum. We use this identification technique ...
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Laparoscopic pancreato-splenectomy for cancer Wed, 16 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2834.html http://www.websurg.com/doi-vd01en2834.html E Viana
This is a case of a 50-year-old man with a solid tumor in the tail of the pancreas found during routine check-up ultrasound. The diagnostic work-up for neuro-endocrine tumor was negative. The patient was operated on in Hospital de Ipanema, Rio de Janeiro, Brazil by Dr. Eduardo Viana and his team. ...
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Transumbilical single port laparoscopic sigmoidectomy for diverticulosis Wed, 16 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2820.html http://www.websurg.com/doi-vd01en2820.html J Leroy, J Marescaux
Transumbilical single incision laparoscopic sigmoidectomy is feasible by experienced laparoscopic surgeons using current available laparoscopic instruments and staplers. In this live video shot during the IRCAD Advanced Course in Laparoscopic Colorectal Surgery in November 2009, Prof. Leroy shows ...
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Laparoscopic left colectomy for cancer Wed, 16 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2821.html http://www.websurg.com/doi-vd01en2821.html F Corcione, J Marescaux
The laparoscopic approach for colonic cancer has been shown to be feasible, safe and respects oncologic criteria for cancer surgery. In this video demonstration at the IRCAD Advanced Course in Laparoscopic Colorectal Surgery in November 2009, Prof. Francesco Corcione shows a laparoscopic left ...
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Laparoscopic retrocaecal appendectomy and disseminated peritonitis Tue, 15 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2676.html http://www.websurg.com/doi-vd01en2676.html F Costantino, J Marescaux
This video demonstrates the laparoscopic treatment of a retrocaecal appendicitis with disseminated peritonitis. This is the case of a 45-year-old patient presenting with an appendicular peritonitis. The patient, who had no previous medical history, was referred to emergencies with a pain syndrome ...
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SILS sleeve gastrectomy Tue, 15 Dec 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03envix001.html http://www.websurg.com/doi-lt03envix001.html M Vix
In this lecture, Dr. Michel Vix presents the video of a one trocar sleeve gastrectomy using the SILS port by Covidien. The procedure respects all steps of the conventional laparoscopic approach. Note that there is no crossing of instruments; of particular interest is the running suture performed ...
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Laparoscopic total gastrectomy for pT2 N0 M0 adenocarcinoma of the lesser curvature of the stomach Wed, 18 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2756.html http://www.websurg.com/doi-vd01en2756.html B Dallemagne, F Costantino, J Marescaux
Totally laparoscopic gastrectomy for cancer remains limited because of technical problems, expecially for lymphadenectomy. We present the case of a 75-year-old patient with no specific history in which an adenocarcinoma of the lesser curvature of the stomach was found. An endoscopic ultrasound had ...
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Three-trocar laparoscopic sigmoidectomy and transanal extraction of the specimen for diverticular sigmoiditis Tue, 17 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2774.html http://www.websurg.com/doi-vd01en2774.html J Leroy, J Marescaux
The objective of this video is to demonstrate the laparoscopic sigmoidectomy using three ports with the transanal extraction of the sigmoid colon for the treatment of a diverticular sigmoiditis. The interest of this technique is the ability to limit the number of ports used; as a result, parietal ...
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Single port cholecystectomy: impact of instrumentation in getting the critical view of safety Tue, 17 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2802.html http://www.websurg.com/doi-vd01en2802.html B Dallemagne, J Leroy, J Marescaux
Single port access surgery may be the next generation of minimally invasive surgery thanks to the obvious advantages (e.g., scarless surgery, lesser pain, and faster postoperative recovery). Performing a cholecystectomy via a single trocar imposes a few technical constraints. The first is the ...
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Difficult case of laparoscopic sleeve gastrectomy after removal of a gastric band for morbid obesity Tue, 17 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2725.html http://www.websurg.com/doi-vd01en2725.html M Vix, J Marescaux
Laparoscopic sleeve gastrectomy as a redo surgery after gastric band removal is a challenging operation. Many technical problems are encountered during this procedure. Care must be taken in finding anatomical planes, understanding the type of adhesions and avoiding a gastric injury, especially in ...
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Laparoscopic small bowel resection for metastasis of melanoma Mon, 16 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2718.html http://www.websurg.com/doi-vd01en2718.html J Leroy, J Marescaux
This is the case of a patient who has had digestive bleeds. Lesions of the distal small bowel segments were reported about 30cm from the ileocaecal valve. The bowel segment has been identified and a complete exploration of the small bowel has been achieved laparoscopically. The objective of this ...
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An original technique of liver retraction in laparoscopic esophagogastric surgery Mon, 16 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2793.html http://www.websurg.com/doi-vd01en2793.html N Tanigawa
Adequate exposure enables an operation to be performed safely and with precision. In most of the upper abdominal operations, good retraction of the hepatic lobe is necessary. A simple, effective and inexpensive method of liver retraction is clearly described in this video. We apply a hand-made ...
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Laparoscopic appendectomy following transparietal drainage of an abscess Mon, 16 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2738.html http://www.websurg.com/doi-vd01en2738.html F Costantino, J Marescaux
Patients presenting with complicated appendicitis represent a common and challenging problem. Conflicting data exist concerning optimal treatment of these patients with primary versus delayed appendectomy. This video shows the case of a 48-year-old female patient operated upon previously for a ...
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Totally laparoscopic right hemicolectomy for a pT2 N0 M0 adenocarcinoma Mon, 16 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2790.html http://www.websurg.com/doi-vd01en2790.html B Ghavami
This video demonstrates a right hemicolectomy for pT2 N0 M0 adenocarcinoma at the level of the caeco-ascending junction using a medial approach. The medial approach includes a primary vascular access, dissection into Toldt’s area and total freeing of the right colon. Once the terminal small bowel ...
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Laparoscopic splenectomy Mon, 16 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03enpark003.html http://www.websurg.com/doi-lt03enpark003.html A Park
Laparoscopic splenectomy is the gold standard for normosplenic patients for elective operations. In this lecture, Dr. Adrian Park, MD, FACS, FRCS, presents the different indications for performing splenectomy, and his personal experience of 250 consecutive splenectomies. He also presents very ...
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When and how to perform a safe direct entry of a laparoscopic trocar Mon, 16 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2747.html http://www.websurg.com/doi-vd01en2747.html E Kovoor, I Miranda-Mendoza, J Nassif, A Wattiez, J Marescaux
In this video, we show the indications, technique and contraindications of direct port entry in laparoscopic surgery. Although this way of entry is not popular, recent data show that there are no differences in terms of safety for a way of entry (i.e., Veress needle, open laparoscopy, Hasson's ...
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Duodenopancreatectomy: potentialities of the laparoscopic approach in the mobilization, dissection, and resection stages of the procedure Fri, 13 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2791.html http://www.websurg.com/doi-vd01en2791.html B Ghavami
This video demonstrates the laparoscopic approach of a cephalic duodenopancreatectomy in a 70-year-old patient presenting with an adenocarcinoma of the pancreatic head. Using 4 ports, the duodenum is completely detached. The unciform process is prepared posteriorly by dissecting the superior ...
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SILS Single port cholecystectomy Mon, 09 Nov 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2808.html http://www.websurg.com/doi-vd01en2808.html M Bailey, D Mutter, J Marescaux
The video "SILS Single port cholecystectomy" authored by D Mutter and J Marescaux is analysed by Prof. Michael Bailey, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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Laparoscopic surgery for transverse colon cancer Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03enokuda002.html http://www.websurg.com/doi-lt03enokuda002.html J Okuda, N Tanigawa
Laparoscopic surgery is feasible and safe in selected patients with rectal cancer, with favorable short-term and mid-term outcomes. Recently, results of large randomized controlled trials comparing laparoscopic with conventional open surgery have been published, demonstrating that laparoscopic ...
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Transanal Endoscopic Operation (TEO) for rectal polyp: submucosal dissection with Ligasure Advance® Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2658.html http://www.websurg.com/doi-vd01en2658.html J Leroy, J Marescaux
In recent years, local treatment procedures have been developed to manage benign lesions of the rectum. This is the case of a superficial tumor of the anal margin located at the lower third of the rectum on its right anterior aspect. The objective of the video is to demonstrate a submucosal ...
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Laparoscopic resection of Crohn's disease Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03enkennedy002.html http://www.websurg.com/doi-lt03enkennedy002.html R Kennedy
In this lecture, Dr. Robin Kennedy shows the advantages of the laparoscopic approach for Crohn’s disease, such as reduced complications, reduced hospital stay and costs, and presents the operative steps with videos. More specifically, he pinpoints special precautions to follow when performing an ...
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Totally extraperitoneal endoscopic inguinal hernia repair (TEP) in 10 steps Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2755.html http://www.websurg.com/doi-vd01en2755.html M Miserez
This video describes our technique for a totally extraperitoneal endoscopic inguinal hernia repair or TEP procedure in a male patient with a right inguinal hernia. In some cases, short clips of other patients are inserted as intermezzo for better understanding. The technique consists of 10 ...
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Which patient should not have laparoscopic surgery? Who should have open surgery? Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03encecil001.html http://www.websurg.com/doi-lt03encecil001.html T Cecil
The benefits of laparoscopic colon cancer resection, such as reduced morbidity and shorter hospital stay, have been clearly demonstrated. Laparoscopic rectal cancer surgery is thought to be more challenging. Some authors question the oncological outcome, the anastomotic technique and the ...
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Laparoscopic partial sleeve-like gastrectomy for benign schwannoma Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2740.html http://www.websurg.com/doi-vd01en2740.html F Costantino, B Dallemagne, J Marescaux
Schwannomas, also known as neurinomas, are generally benign, slow-growing neoplasms representing 0.2% of all gastric tumors. This is the case of a 48-year-old patient presenting with epigastralgias. A 4cm lesion is found as evidenced by the CT-scan. Gastroscopy and endoscopic ultrasonography did ...
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Laparoscopic Hartmann procedure for Hinchey III diverticulitis Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2743.html http://www.websurg.com/doi-vd01en2743.html J Leroy, C Callari, J Marescaux
Guidelines for the treatment of complicated sigmoid diverticulitis recommend Hartmann's procedure. The surgical approach is changing from the current standard of laparotomy to a minimally invasive technique. The objective of this film is to demonstrate the potentials of laparoscopy to manage a ...
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Robot-assisted and laparoscopic removal of a gastric band followed by a sleeve gastrectomy Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2719.html http://www.websurg.com/doi-vd01en2719.html M Vix, J Marescaux
Dysfunction is one of the common long-term complications of laparoscopic adjustable gastric banding (Lap-Band) that classically requires surgical treatment. Revision surgery is technically challenging and should be performed only by experienced surgeons. This is the case of a 50-year-old patient ...
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Ivor-Lewis esophagogastrectomy with hand-sewn anastomosis by thoracoscopy in prone position and laparoscopy Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2749.html http://www.websurg.com/doi-vd01en2749.html GB Cadière, G Dapri, J Himpens
Minimally invasive esophagectomy is a feasible and safe alternative to open esophagectomy. The stomach is the preferred medium for gastrointestinal reconstruction. This patient is a 51-year-old male with a distal esophageal lesion classified as a T2 on echo-endoscopy. This video describes the ...
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Splenic flexure mobilization Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03enhuscher001.html http://www.websurg.com/doi-lt03enhuscher001.html C Huscher
In this lecture, Cristiano Huscher, MD, FACS, FRCS presents the technical details of a splenic flexure mobilization. He shows the port and patient positioning. All the surgical steps are detailed through the use of videos and anatomical notes.
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Totally laparoscopic splenectomy for benign splenic cyst Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2684.html http://www.websurg.com/doi-vd01en2684.html D Mutter, L Soler, J Marescaux
Splenic cysts are rare lesions. Splenectomy is the treatment of choice. This video demonstrates a totally laparoscopic splenectomy. The procedure is performed with the patient placed in a supine position with a slight right lateral tilt. An open laparoscopy is carried out systematically. Four ports ...
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Laparoscopic treatment of recurrent abdominal incisional hernia with double layer mesh Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2607.html http://www.websurg.com/doi-vd01en2607.html J Leroy, J Marescaux
The management of patients with recurrent incisional hernia continues to test the skills and judgments of gastrointestinal surgeons. Several different surgical techniques and types of mesh prostheses are available for repair. The purpose of this video is to show a technique for a recurrent ...
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Laparoscopic resection of liver segments V and VIII for colorectal metastasis Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2689.html http://www.websurg.com/doi-vd01en2689.html B Dallemagne, D Mutter, L Soler, J Marescaux
Laparoscopic liver resection in selected patients in highly specialized centers provides comparable oncological results to treatment with open liver resection for patients with colorectal liver metastases. In this video, we present the case of a patient who underwent the resection of two liver ...
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Three-trocar laparoscopic splenectomy for thrombocytopenia Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2779.html http://www.websurg.com/doi-vd01en2779.html A Park, D Mutter, J Marescaux
The video "Three-trocar laparoscopic splenectomy for thrombocytopenia" authored by D Mutter and J Marescaux is analysed by Dr. A Park, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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Enucleation of a pancreatic nonfunctioning endocrine tumor localized with intraoperative US and augmented reality Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2775.html http://www.websurg.com/doi-vd01en2775.html A Park, B Dallemagne, L Soler, J Marescaux
The video "Enucleation of a pancreatic nonfunctioning endocrine tumor localized with intraoperative US and augmented reality" authored by B Dallemagne and J Marescaux is analysed by Dr. A Park, sharing in this way his own personal experience and highlighting the different surgical approaches ...
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Single Incision Laparoscopic Surgery (SILS): gastric banding removal for acute gastric pouch dilatation Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2748.html http://www.websurg.com/doi-vd01en2748.html N Perrotta, A Cappiello, C Giudicianni, N Andriulo, T Marinelli, D Loffredo
In a significantly short time, Laparoscopic Adjustable Gastric Banding (LAGB) for morbid obesity has become a common operation in Europe and elsewhere. Recent series show a high percentage of patients re-operated on, almost always with excision of the banding system. The reasons for re-operation ...
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Laparoscopic approach for symptomatic benign stricture following laparoscopic sigmoid resection Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2648.html http://www.websurg.com/doi-vd01en2648.html J Leroy, F Costantino, J Marescaux
Anastomotic stenosis and fistula after laparoscopic sigmoidectomy are a subject of interest in the literature. Most series reporting results on these complications are heterogeneous. In addition, the selection of patients for treatment vary considerably. The objective of this film is to show a ...
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Comparison between floppy Nissen and Nissen Rossetti fundoplication: the significance of short gastric vessels division Thu, 15 Oct 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2646.html http://www.websurg.com/doi-vd01en2646.html B Dallemagne, S Perretta, J Marescaux
In this video, we present the surgical treatment of a typical gastroesophageal reflux disease in a young woman. She suffers from PPI tolerance, regurgitation with ENT symptoms, some asthma that usually is an indirect sign of very important regurgitation problems. That’s probably the best ...
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SILS Single port cholecystectomy Thu, 10 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2722.html http://www.websurg.com/doi-vd01en2722.html D Mutter, J Marescaux
Laparoscopic techniques have allowed surgeons to perform complicated intra-abdominal surgery with minimal trauma. Recently, the use of single incision laparoscopic surgery (SILS) has increased the potential of further reducing the trauma of surgical access respecting the basic principles of ...
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Laparoscopic extraction of a CBD stone after failure of ERCP (duodenal perforation) Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2732.html http://www.websurg.com/doi-vd01en2732.html B Dallemagne, S Perretta, Gf Donatelli, J Marescaux
Laparoscopic common bile duct (CBD) exploration with stone extraction can be performed with high efficiency, minimal morbidity and without mortality. A trans-cystic approach is feasible in most patients, whereas choledochotomy should be restricted to large bile duct stones that cannot be extracted ...
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Laparoscopic suture of colonic perforation after colonoscopy Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2716.html http://www.websurg.com/doi-vd01en2716.html F Costantino, J Marescaux
In this video, the laparoscopic treatment of a colonic perforation following a colonoscopic screening is presented. The procedure consisted in closure of the perforation accompanied by an omentoplasty.
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Three-trocar laparoscopic splenectomy for thrombocytopenia Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2698.html http://www.websurg.com/doi-vd01en2698.html D Mutter, J Marescaux
This video demonstrates a three-trocar laparoscopic splenectomy performed for atypical idiopathic thrombocytopenic purpura in a 33-year-old patient. An anterior approach, as in this case, is a very interesting one as the spleen does not need to be manipulated in this patient.
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Laparoscopic TEP repair of a Nyhus type II left inguinal hernia in a male patient Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2682.html http://www.websurg.com/doi-vd01en2682.html B Dallemagne, J Marescaux
This video shows the technical details of a laparoscopic TEP repair of a Nyhus type II left inguinal hernia in a male patient performed during an IRCAD-EITS course in Strasbourg.
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Live mentoring of laparoscopic right colectomy for cancer Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2657.html http://www.websurg.com/doi-vd01en2657.html J Leroy, J Marescaux
The purpose of this video is to show the mentoring of a laparoscopic right colectomy routinely used in Professor Marescaux’s department of colorectal surgery. In this video, we see trainees assisted by Professor Leroy as first assistant. Professor Leroy demonstrates the technique in a step by step fashion, remaining faithful to the operative chapter written ...
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Laparoscopic distal pancreatectomy for mucinous cystadenoma Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2708.html http://www.websurg.com/doi-vd01en2708.html M AlGari
This is a 23-year-old girl presenting with abdominal pain and vomiting. The CT-scan showed a 4cm cystic lobulated lesion in the region between the tail and the body of the pancreas. The laparoscopic approach is presented in this video.
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Laparoscopic coloanal anastomosis for the treatment of anastomotic stricture after partial TME Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2629.html http://www.websurg.com/doi-vd01en2629.html J Leroy, J Marescaux
An anastomotic stricture is a common clinical finding. Its management can be difficult. Major corrective surgery is possible; however, it is technically challenging and not risk-free. The purpose of this video is to show the feasibility of a laparoscopic re-intervention on a stenosis following a ...
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Laparoscopic small bowel resection for cavernous hemangioma Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2717.html http://www.websurg.com/doi-vd01en2717.html J Leroy, D Coumaros, J Marescaux
The purpose of this video is to show a technique of laparoscopic exploration for a vascular lesion of the upper GI tract, responsible for recurring hemorrhages and anemia in a young patient with no significant medical history. This video shows a totally laparoscopic resection of the jejunum with ...
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Laparoscopic left colectomy for cancer: transmesenteric passage of the transverse colon Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2724_2.html http://www.websurg.com/doi-vd01en2724_2.html J Leroy, J Marescaux
The aim of this video is to show a tip involving the transmesenteric route of the transverse colon to perform a tension-free colorectal anastomosis following an extensive excision of the left colon.
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Laparoscopic left colectomy for cancer: injury and control of IMA Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2724_1.html http://www.websurg.com/doi-vd01en2724_1.html J Leroy, J Marescaux
Vascular injury is the most urgent type of trauma at laparoscopy. The objective of this film is to demonstrate the control and mechanism of an injury to the inferior mesenteric artery during its dissection at its origin. This dissection has been performed using monopolar scissors.
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Management of a splenic hemorrhage during mobilization of the left colon Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2729.html http://www.websurg.com/doi-vd01en2729.html J Leroy, F Costantino, J Marescaux
Bleeding-related complications during the mobilization of the splenic flexure via a laparoscopic approach during left colon and rectum surgery are rare. This video shows how to manage a bleeding due to a decapsulation of the inferior pole of the spleen.
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Enucleation of a pancreatic nonfunctioning endocrine tumor localized with intraoperative US and augmented reality Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2723.html http://www.websurg.com/doi-vd01en2723.html B Dallemagne, L Soler, J Marescaux
Pancreatic endocrine tumors (PETs) are uncommon but clinically challenging and fascinating tumors. Small, benign neoplasms are readily curable by surgical resection. This video presents the case of a 40-year-old woman with a tumor at the level of the pancreatic body. The patient’s virtual ...
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Laparoscopic partial TME with side-to-end coloanal anastomosis in a female patient Fri, 04 Sep 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2548.html http://www.websurg.com/doi-vd01en2548.html J Leroy, J Marescaux
The laparoscopic approach for rectal tumors is a technically demanding procedure, but it is safe and it has the feature of an oncologic procedure. The objective of this video is to demonstrate a standardized technique for the treatment of cancers of the upper rectum in a female patient. The ...
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Laparoscopic low anterior resection, technical tips: how to prevent anastomotic leakage? Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03enokuda001.html http://www.websurg.com/doi-lt03enokuda001.html J Okuda, N Tanigawa
Despite improved surgical techniques, anastomotic leakage is still a severe complication in colorectal surgery, with increased morbidity and mortality. The leakage reported rate varies from 3% to 19%, and is usually higher than 10%. In this lecture, Prof. Junji Okuda reports his experience, with ...
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Single port left direct inguinal hernia repair Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2694.html http://www.websurg.com/doi-vd01en2694.html I Ahmed
Minimally invasive techniques continue to evolve. This leads to an improvement of less invasive surgery over standard procedures. Single port TAPP inguinal hernia repair is technically feasible. This video shows a left direct inguinal hernia repair using the R port (namely the TriPort manufactured ...
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Postoperative hemoperitoneum and inefficient suction drain Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2624.html http://www.websurg.com/doi-vd01en2624.html D Mutter, J Marescaux
After any major procedure, bleeding into the abdominal cavity or from the abdominal wound is possible. This complication is unusual because of the precautions that are taken, but when important bleeding happens, it may be necessary to return to the operating room. Drainage tubes are often used for ...
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Laparoscopic treatment of gastrogastric fistulas after gastric bypass Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2587.html http://www.websurg.com/doi-vd01en2587.html M Vix, D Mutter, J Marescaux
Gastrogastric fistula (GGF) is a rare complication that occurs after a divided Roux-en-Y gastric bypass (RYGBP). The incidence can be as high as 49% in patients who undergo non-divided or partially divided RYGBP. This is the case of a 33-year-old female patient who benefited of a gastric bypass 4 ...
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Paraesophageal herniation of the colon: laparoscopic repair Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2610.html http://www.websurg.com/doi-vd01en2610.html B Dallemagne, S Perretta, J Marescaux
Large paraesophageal hernias (PEHs) occur most commonly in an elderly, debilitated patient population with existing co-morbid conditions. The surgical approach to paraesophageal hernias (PEHs) has changed with the advent of laparoscopic techniques. This video presents the case of a 72-year-old male ...
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Laparoscopic partial TME for sessile polyp with intraoperative endoscopic control Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2711.html http://www.websurg.com/doi-vd01en2711.html M Li
Total mesorectal excision (TME) was described 20 years ago and is now recognized as the therapeutic gold standard for middle and lower third rectal cancers. This is the case of a 70-year-old man with a BMI of 24 presenting with multiple polyps of the sigmoid colon larger than 3cm at 10 to 30cm ...
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Laparoscopic fenestration of a symptomatic primary splenic cyst using a single port access approach Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2701.html http://www.websurg.com/doi-vd01en2701.html EM Targarona
Non-neoplastic cysts of the spleen are rare and their management has evolved from total open splenectomy to laparoscopic cyst decapsulation. The aim of this video is to present a lesser invasive laparoscopic splenic cyst fenestration using a transumbilical single port device.
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Segment III hepatocellular carcinoma (HCC) and major liver cirrhosis: laparoscopic resection Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2659.html http://www.websurg.com/doi-vd01en2659.html D Mutter, L Soler, J Marescaux
Laparoscopy for liver resection is a highly specialized surgical field because liver surgery presents severe technical difficulties, such as control of bleeding and risk of gas embolism. This video presents the case of a 60-year-old patient presenting with significant liver cirrhosis. During ...
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Totally laparoscopic right hemicolectomy with transvaginal specimen extraction Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2700.html http://www.websurg.com/doi-vd01en2700.html S McKenzie, JH Baek, A Pigazzi
We present our technique for totally laparoscopic right colectomy for locally advanced colon cancer with transvaginal specimen extraction. The patient was a 73-year-old female who presented with a biopsy proven cecal adenocarcinoma. We performed a right hemicolectomy using a 4 port approach with ...
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Unusual cause of new onset persistent dysphagia after Nissen fundoplication Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2662.html http://www.websurg.com/doi-vd01en2662.html B Dallemagne, J Marescaux
Persistent troublesome dysphagia develops in a small percentage of patients after Nissen fundoplication. Mild transient solid food dysphagia is an unavoidable side-effect of the operation. However, severe persistent dysphagia is probably related to poor patient selection, inadequate preoperative ...
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Laparoscopic management of gangrenous perforated cholecystitis Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2703.html http://www.websurg.com/doi-vd01en2703.html B Navez, J D'Agostino, J Marescaux
The video "Laparoscopic management of gangrenous perforated cholecystitis" authored by J D'Agostino and J Marescaux is analysed by Dr. Benoit Navez, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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Laparoscopic sigmoidectomy with ventral and posterior indirect rectopexy for rectal prolapse in a female patient Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2485.html http://www.websurg.com/doi-vd01en2485.html J Leroy, D Mutter, F Costantino, J Marescaux
Rectal prolapse is an uncommon disease mainly seen in patients of advanced age. In the last few years, the laparoscopic route has been shown to be feasible and has the advantage of being a minimally invasive technique. The objective of this film is to demonstrate a technique for the repair of ...
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Adenocarcinoma of colorectal junction: laparoscopic anterior rectal resection. Advantage of the Ligasure Advance® device Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2709.html http://www.websurg.com/doi-vd01en2709.html J Leroy, J Marescaux
The purpose of this video is to show an anterior rectal resection technique for an adenocarcinoma of the rectosigmoid junction using the Ligasure Advance® device (Valleylab, Covidien, Boulder, CO).This video shows how this device can optimize efficiency and safety in the operating room and ...
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Transanal Endoscopic Microsurgery (TEM): ancestor of NOTES and still alive Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03endemartines002.html http://www.websurg.com/doi-lt03endemartines002.html N Demartines
Transanal Endoscopic Microsurgery (TEM) allows local excision of rectal tumors located 4 to 18cm above the anal verge. The technique is not yet generally established because of the necessary special instrumentation and tools, the unusual technical aspects of the approach, and the stringent patient ...
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Laparoscopic coloproctectomy for Inflammatory Bowel Disease (IBD) Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03ensalky002.html http://www.websurg.com/doi-lt03ensalky002.html B Salky
Laparoscopic surgery for inflammatory bowel disease (IBD) is technically demanding. Fistulous disease is common, but can be managed safely and with acceptable morbidity in experienced hands. In this lecture, Dr. B. Salky presents his experience in performing laparoscopic coloproctectomy for IBD.
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Transanal Endoscopic Operation (TEO) for rectal polyp: first step for NOTES colorectal procedure? Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2420.html http://www.websurg.com/doi-vd01en2420.html J Leroy, J Marescaux
Transanal Endoscopic Microsurgery (TEM) is a minimally invasive technique for the resection of adenomas and early rectal carcinomas unsuitable for local or colonoscopic excision, which would otherwise necessitate major surgery. The objective of this film is to demonstrate the transanal resection of ...
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Laparoscopic single port splenectomy Thu, 16 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2705.html http://www.websurg.com/doi-vd01en2705.html Z Krukowski, I Ahmed
A technique for single port splenectomy in a normal sized spleen and using a single 2cm subcostal incision is demonstrated. This approach was chosen to allow the use of a straight (non-articulated) 5mm Ligasure device. This was used to divide the gastrosplenic ligament and short gastric vessels, to ...
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Laparoscopic Collis gastroplasty and partial fundoplication for valve slippage Wed, 15 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2649.html http://www.websurg.com/doi-vd01en2649.html B Dallemagne, S Perretta, J Marescaux
Re-operative antireflux surgery represents a challenging and complex clinical undertaking requiring careful patient selection as well as a high level of technical expertise. The procedures themselves are associated with a high rate of morbidity. This video shows a laparoscopic Collis gastroplasty ...
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Laparoscopic one trocar cholecystectomy: Gelport® technique Wed, 15 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2630.html http://www.websurg.com/doi-vd01en2630.html D Mutter, J Marescaux
Single port access cholecystectomy is a new laparoscopic procedure using only one transumbilically placed port. This video shows a procedure performed using a Gelport® through a 2.5cm incision. This Gelport® is usually used to perform hand-assisted surgery. In this case, the incision used to ...
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Laparoscopic right colectomy with Ligasure Advance® for ileocaecal mass in a young male patient Fri, 10 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2466.html http://www.websurg.com/doi-vd01en2466.html J Leroy, J Marescaux
Endoscopic polypectomy still remains the cornerstone of therapy for colorectal polyps and adenomas. However, if colorectal polyps are too large or not accessible for endoscopic ablation or cannot be removed without an increased risk of perforation, operative procedures are required. In such ...
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Laparoscopic sleeve gastrectomy Fri, 10 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2474.html http://www.websurg.com/doi-vd01en2474.html M Vix, J Marescaux
Laparoscopic sleeve gastrectomy (LSG) is an emerging bariatric procedure. Its acceptance as an alternative surgical treatment for morbid obesity in the last years is due to the fact that is a rapid and less traumatic operation and thus far is showing good resolution of co-morbidities and good ...
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Laparoscopic right colectomy for voluminous polyp of the ascending colon Fri, 10 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2447.html http://www.websurg.com/doi-vd01en2447.html J Leroy, J Marescaux
Laparoscopic resection of colorectal polyps is a safe and minimally invasive technique for the management of colorectal tumors. Thus, the laparoscopic approach to endoscopically not resectable polyps with suspicion of malignancy enriches the therapeutic spectrum. The purpose of the video is to ...
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Laparoscopic right colectomy with LigaSure Advance® for ileocaecal mass in a young male patient Tue, 07 Jul 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2697.html http://www.websurg.com/doi-vd01en2697.html B Salky, J Leroy, J Marescaux
The video "Laparoscopic right colectomy with LigaSure Advance® for ileocaecal mass in a young male patient" authored by J Leroy and J Marescaux is analysed by Dr. Barry Salky, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and ...
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Laparoscopic fenestration of a symptomatic cyst of the liver Sun, 14 Jun 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2592.html http://www.websurg.com/doi-vd01en2592.html D Mutter, L Soler, J Marescaux
Simple liver cysts are always benign. The only patients who require treatment for one or multiple liver cysts are those who develop symptoms. Simply removing the fluid from the cyst with a needle is not effective because the cyst fills up again within several days. Laparoscopic fenestration has ...
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Single access laparoscopic cholecystectomy using conventional laparoscopic instruments Fri, 12 Jun 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2524.html http://www.websurg.com/doi-vd01en2524.html L Boni, M Di Giuseppe, E Colombo, SM Tenconi, G Dionigi
Laparoscopic cholecystectomy is now considered the "gold standard" approach for the treatment of symptomatic gallstones and acute cholecystitis. Single access laparoscopy has been proposed in order to reduce even more surgical trauma and improving the postoperative course and cosmetic results by ...
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Laparoscopic total gastrectomy and D2 lymphadenectomy for gastric cancer of the lesser curvature Fri, 12 Jun 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2668.html http://www.websurg.com/doi-vd01en2668.html G Dapri, J Himpens, GB Cadière
Laparoscopic gastrectomy is recognized to be a less invasive operation for early gastric cancer. This video shows a totally laparoscopic total gastrectomy with D2 lymph node dissection for a cancer of the lesser curve with a clear demonstration of each surgical step.
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Ileorectal fistula after open total colectomy: laparoscopic re-operation Fri, 12 Jun 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2603.html http://www.websurg.com/doi-vd01en2603.html J Leroy, J Marescaux
Total colectomy with an ileorectal anastomosis (IRA) is a commonly performed operation. Postoperative mortality and morbidity are reported to be low and functional outcome is generally rated as good to excellent. When a postoperative fistula occurs, the surgical management is very complex. The ...
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Laparoscopic treatment of a recurrent colostomy prolapse Fri, 12 Jun 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2614.html http://www.websurg.com/doi-vd01en2614.html J Leroy, J Marescaux
The creation of a colostomy is a frequent procedure in visceral surgery. Despite new operative techniques, the stoma formation remains an often necessary surgical procedure, which results in a dramatic change in the patients' life. Many complications, such as stoma necrosis, stoma retraction or ...
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Laparoscopic transgastric resection of a cardial stromal tumor Fri, 12 Jun 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2438.html http://www.websurg.com/doi-vd01en2438.html B Dallemagne, S Perretta, M Asakuma, D Mutter, J Marescaux
Gastrointestinal stromal tumors are the most common mesenchymal tumors of the gastrointestinal tract. They may arise anywhere along the gastrointestinal tract but they are most commonly found in the stomach and small intestine. Nevertheless, cardial GISTs are rare and described in less than 5% of ...
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Three trocar sigmoidectomy for diverticulitis with transanal extraction Fri, 12 Jun 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2643.html http://www.websurg.com/doi-vd01en2643.html J Leroy, J Marescaux
The combination of laparoscopy and specimen extraction through a natural orifice has the potential to decrease wound complications and to improve postoperative recovery. The objective of this film is to demonstrate the possibilities of specimen extraction of a sigmoid diverticulitis transanally ...
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Laparoscopic treatment for a symptomatic esophageal stenosis following Nissen repair Thu, 11 Jun 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2606.html http://www.websurg.com/doi-vd01en2606.html B Dallemagne, J Marescaux
Laparoscopic fundoplication has revolutionized the surgical treatment of gastroesophageal reflux disease. Careful patient selection, identification of the short esophagus, and accurate construction of the fundoplication can lead to a decrease in the incidence of postoperative dysphagia. This is an ...
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Laparoscopic sleeve gastrectomy in a female patient with a BMI of 42 Thu, 11 Jun 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2609.html http://www.websurg.com/doi-vd01en2609.html M Vix, J Marescaux
Laparoscopic sleeve gastrectomy (LSG) was initially introduced for super-obese patients in a two-step concept in order to reduce the perioperative risk. Presently, it is proposed as one of the effective standard procedures for surgical treatment of morbid obesity. This video shows a laparoscopic ...
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Recurrent incisional hernia: laparoscopic management with a collagen-coated double layer mesh Thu, 11 Jun 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2578.html http://www.websurg.com/doi-vd01en2578.html D Mutter, J Marescaux
Laparoscopic incisional hernia repair using a mesh is an effective method and is associated with lower complication rates. The use of meshes has become essential for the repair of all hernias since the recurrence rates are consistently lower when meshes are used. In order to prevent recurrence, ...
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Laparoscopic excision of a horseshoe-shaped leiomyoma of the lower esophagus Wed, 10 Jun 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2690.html http://www.websurg.com/doi-vd01en2690.html LL Swanström, B Dallemagne, J Marescaux
The video "Laparoscopic excision of a horseshoe-shaped leiomyoma of the lower esophagus" authored by B Dallemagne and J Marescaux is analysed by Prof. L Swanström, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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Laparoscopic indirect ventral rectopexy with sigmoidectomy for rectal prolapse in a young female patient Thu, 14 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2619.html http://www.websurg.com/doi-vd01en2619.html J Leroy, J Marescaux
The aim of surgical treatment of rectal prolapse is to anatomically restore prolapse and functionally remedy fecal incontinence and disorder of rectal emptying. There is not yet sufficient evidence-based knowledge of the advantages and disadvantages of various surgical methods. In practice, ...
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Standardized laparoscopic sigmoidectomy for diverticulitis in an obese male patient using the triple stapling technique Thu, 14 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2637.html http://www.websurg.com/doi-vd01en2637.html J Leroy, J Marescaux
Obesity is a modern-day phenomenon that is increasing throughout the world. Laparoscopic colorectal surgery is clearly more technically demanding in the obese patient. Apart from this, however, it is not associated with any increased risk of postoperative complications. This is the case of a ...
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Single port access: a feasible alternative to conventional laparoscopic splenectomy Thu, 14 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2642.html http://www.websurg.com/doi-vd01en2642.html EM Targarona, J Marescaux
Laparoscopic splenectomy (LS) is the gold standard approach for normal spleens. Conventional LS requires 3 to 5 large bore trocars and enlargement of one trocar for bag insertion and spleen morcellation. There is a trend to reduce invasiveness of minimally invasive procedures with NOTES, hybrid ...
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Laparoscopic TME dissection with monopolar cautery Thu, 14 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2623.html http://www.websurg.com/doi-vd01en2623.html RJ Heald, J Leroy, J Marescaux
The video "Laparoscopic TME dissection with monopolar cautery" authored by J Leroy and J Marescaux is analysed by Prof. RJ Heald, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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Three port technique for laparoscopic left colectomy Thu, 14 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2635.html http://www.websurg.com/doi-vd01en2635.html C Huscher, J Marescaux
With advancing surgical technology and technique, truly minimally invasive surgical procedures are feasible. Three port laparoscopic colectomy should offer minimal scarring without compromising the surgical outcome. This video demonstrates the technical details in performing the three port ...
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Staple line failure during NOTES sleeve gastrectomy Thu, 14 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2625.html http://www.websurg.com/doi-vd01en2625.html M Vix, J Marescaux
In current surgical practice, the majority of the anastomoses is performed using a stapling device. Despite correct usage, staple line failure might still occur. Concerning surgical stapling devices, the United States Food and Drug Administration (FDA) received reports of 22,804 malfunctions, ...
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Totally laparoscopic segmental resection of splenic flexure for cancer Thu, 14 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2458.html http://www.websurg.com/doi-vd01en2458.html J Leroy, J Marescaux
In laparoscopic colectomy, intracorporeal anastomosis is technically difficult. The objective of this video is to show the technique of laparoscopic segmental resection of the splenic flecture using a medial approach with an intracorporeal manual colosigmoid anastomosis. Each step of the procedure ...
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Laparoscopic oncologic sigmoidectomy with transanal specimen removal: a step to NOTES or single port procedure Thu, 14 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2560.html http://www.websurg.com/doi-vd01en2560.html J Leroy, F Costantino, P Allemann, J Marescaux
The combination of standard laparoscopy and specimen extraction through a natural orifice has the potential to decrease wound-related complications, the number of the trocars and the size of the incisions in order to avoid traumatic specimen extractions at the level of the abdominal wall. This ...
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Totally laparoscopic TME for middle rectal cancer with a side-to-end colorectal anastomosis Thu, 14 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2638.html http://www.websurg.com/doi-vd01en2638.html J Leroy, J Marescaux
Over the last decade, the surgical treatment of rectal cancer has witnessed various improvements. Total mesorectal excision (TME) became the standard procedure. The surgical quality of the TME has a high effect on prognosis. This is the case of a 60-year-old woman with a BMI of 38 in whom a totally ...
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Laparoscopic sigmoidectomy following inadequate endoscopic resection margins of pedunculated polyp Thu, 14 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2636.html http://www.websurg.com/doi-vd01en2636.html F Corcione, J Marescaux
The value and efficacy of laparoscopic colorectal surgery has been validated by large multicenter, randomized, controlled trials. This video shows a laparoscopic sigmoidectomy in a 74-year-old woman who underwent an incomplete endoscopic resection of a T1 adenocarcinoma tumor. Four trocars are ...
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Stepwise approach for side-to-side isoperistaltic colosigmoid anastomosis Thu, 14 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2640.html http://www.websurg.com/doi-vd01en2640.html J Leroy, J Marescaux
In hand-assisted surgery, the surgeon can insert a hand through the small incision in the abdomen and inserts his/her hand into the patient’s body, using it for sensory perception and to guide surgical instruments. Hand-assisted laparoscopic surgery is the use of the non-dominant hand ...
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Laparoscopic right hemicolectomy for cancer Wed, 13 May 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03endhoore002.html http://www.websurg.com/doi-lt03endhoore002.html A D'Hoore
In this lecture, Prof. Andre D’Hoore demonstrates the importance of the quality aspect of resection and lymph node dissection in colon cancer and its impact on survival. Technical details, review of the literature and video demonstrations are presented too.
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Reconstruction after TME Wed, 13 May 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03endhoore001.html http://www.websurg.com/doi-lt03endhoore001.html A D'Hoore
In this lecture, Prof. Andre D’Hoore presents the different possibilities of reconstruction after Total Mesorectal Excision (TME) straight anastomosis, colonic J-pouch, coloplasty, and side-to-end anastomosis. He shows the benefits of the different techniques, compares the functional results and ...
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Gastric bypass: surgical treatment of morbid obesity Tue, 12 May 2009 00:00:00 +0100 http://www.websurg.com/doi-ot02en336.html http://www.websurg.com/doi-ot02en336.html M Vix
Morbid obesity is a major health concern in so many countries. It is associated with severe life-threatening co-morbidities. Unfortunately, many studies have proven that non-surgical approaches to lose weight are doomed to fail. There is good evidence that bariatric surgery is the most enduring and ...
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The place of laparoscopic resection for colorectal cancer Tue, 12 May 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03enkennedy001.html http://www.websurg.com/doi-lt03enkennedy001.html R Kennedy
In this lecture, Dr. Robin Kennedy presents his experience in performing laparoscopic colorectal cancer surgery with the intent to determine the potential for laparoscopic resection and its applicability in this setting. In addition, conversions are analysed in order to define which cases might be ...
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Functional results after elective laparoscopic sigmoid resection Tue, 12 May 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03enforgione001.html http://www.websurg.com/doi-lt03enforgione001.html A Forgione
Diverticular disease is ranked as the fifth most important gastrointestinal disease worldwide. Five percent of people over 60 years of age and 20% of all patients with diverticulosis develop overt symptomatology with potential serious sequelae. In this lecture, Dr. Antonello Forgione presents the ...
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Rectal cancer: principles of laparoscopic TME Tue, 12 May 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03enleroy007.html http://www.websurg.com/doi-lt03enleroy007.html J Leroy
Total Mesorectal Excision (TME) is a challenging surgical technique. In this lecture, Prof. Joel Leroy presents all various aspects in performing laparoscopic TME. Anatomy, instrumentation, number and position of trocars and all surgical steps are presented with very didactic video contributions.
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Tips and tricks for autonomic nerve-sparing dissection in laparoscopic TME for rectal cancer Mon, 11 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01enWSAW55237263.html http://www.websurg.com/doi-vd01enWSAW55237263.html O Asoglu
The aim of rectal cancer surgery is to ensure good oncological outcome and maintain a good quality of life. What has laparoscopy provided us in this aspect? Using laparoscopy and considering the anatomical relationship of the superior hypogastric plexus (SHP) and inferior mesenteric artery (IMA), ...
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Laparoscopic left hepatectomy with direct Glissonian approach Mon, 11 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01enWSAW8316983.html http://www.websurg.com/doi-vd01enWSAW8316983.html JJ Do Rego Monteiro Filho
The patient is a 43-year-old woman that was operated on for a micro-invasive breast cancer 3 years before. An ultrasound exam revealed a suspicious liver segment IV lesion that is confirmed by MRI. A laparoscopic left hepatectomy with a direct Glissonian approach is proposed. The MRI shows the ...
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Abdominoperineal resection: a superior approach Mon, 11 May 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01enWSAW17471174.html http://www.websurg.com/doi-vd01enWSAW17471174.html R Austin
Use of the total mesorectal excision technique (TME) for the abdominal part of an abdominoperineal resection procedure for a very low rectal cancer requires dissection of the mesorectum off the levator ani muscles. This results in the resected specimen having a narrow waist where the mesorectum ...
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Laparoscopic right colectomy for cancer Sun, 03 May 2009 00:00:00 +0100 http://www.websurg.com/doi-ot02en335.html http://www.websurg.com/doi-ot02en335.html J Leroy, J Marescaux
Laparoscopic colorectal surgery has gained wide acceptance as a treatment in a variety of benign and malignant diseases. The reproducibility and safety of all the principal colorectal procedures has been demonstrated. Surgeons performing right hemicolectomy using the laparo-assisted technique ...
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Giant hiatal hernia: acute presentation with gastric volvulus Mon, 13 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2601.html http://www.websurg.com/doi-vd01en2601.html EM Targarona, B Dallemagne, S Perretta, J Marescaux
The video "Giant hiatal hernia: acute presentation with gastric volvulus" authored by B Dallemagne, S Perretta and J Marescaux is analysed by E Targarona, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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Endo-laparoscopic colectomy for left-sided colonic tumors Mon, 13 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2554.html http://www.websurg.com/doi-vd01en2554.html M Li
When performing ‘traditional’ laparoscopic colectomy for left-sided colonic tumors, specimen retrieval requires a mini-laparotomy, which often is the cause and evil of postoperative pain, wound infection as well as other pain-related complications. Herein we describe a new technique of ...
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Totally laparoscopic TME in a male patient with a side-to-end mechanical anastomosis Fri, 10 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2572.html http://www.websurg.com/doi-vd01en2572.html J Leroy, J Marescaux
Total mesorectal excision (TME) of the rectum has been advocated as the gold surgical treatment of the middle and low third rectal cancer. This video clearly demonstrates a totally laparoscopic TME in a male patient with a side-to-end anastomosis according to the principle of TME as described by ...
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Laparoscopic sigmoidectomy for cancer in a female patient: a gold standard technique Fri, 10 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2591.html http://www.websurg.com/doi-vd01en2591.html J Leroy, J Marescaux
This video clearly demonstrates the technical details (exposure, vascular approach, colorectal dissection and anastomosis) to correctly perform a laparoscopic sigmoidectomy for cancer in a female patient.
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Double plastic wound protection for specimen extraction in colorectal surgery Fri, 10 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2589.html http://www.websurg.com/doi-vd01en2589.html J Leroy, J Marescaux
The technique used for extraction of operative specimens is critical. It has the objective of avoiding too large incisions at the level of the abdominal wall since such an incision may induce incisional hernias. It also has the objective of ensuring a perfect protection of the extraction site to ...
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TME for rectal cancer in a female patient: low rectal dissection Fri, 10 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2582.html http://www.websurg.com/doi-vd01en2582.html J Leroy, J Marescaux
Total mesorectal excision (TME) has been established as a standardized radical surgical procedure in malignant tumors of the middle and lower rectal third. The objectives of TME are low rates of locoregional recurrences and good functional results. Total mesorectal excision in the radical surgical ...
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Laparoscopic excision of a horseshoe-shaped leiomyoma of the lower esophagus Fri, 10 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2545.html http://www.websurg.com/doi-vd01en2545.html B Dallemagne, J Marescaux
Esophageal leiomyomas are approximately 50 times less common than carcinomas, but they represent 80% of benign tumors of the lower esophagus. An esophageal leiomyoma can be enucleated safely and effectively through minimally invasive surgery. The laparoscopic approach is a conventional option for ...
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Laparoscopic treatment of an incarcerated right femoral hernia in a female patient Fri, 10 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2574.html http://www.websurg.com/doi-vd01en2574.html F Costantino, J Leroy, J Marescaux
Femoral hernia is predominantly a female disorder. Incarcerated femoral hernia is a common surgical emergency condition. Diagnosis is always obvious and straightforward by clinical examination, and open surgical repair was the mainstay of treatment. In the era of minimally invasive surgery, ...
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Benefits of laparoscopy in the management of malfunctioning peritoneal dialysis catheters: 3 clinical cases Fri, 10 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2510.html http://www.websurg.com/doi-vd01en2510.html D Mutter, F Costantino, J D'Agostino, J Marescaux
Laparoscopic techniques for placement of peritoneal dialysis catheters are becoming increasingly popular. There may be several problems related to the functioning of peritoneal dialysis catheters. This is a report of three cases illustrating the diagnostic and often therapeutic interest of ...
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Laparoscopic splenopancreatectomy assisted by augmented reality for pancreatic cancer Fri, 10 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2571.html http://www.websurg.com/doi-vd01en2571.html D Mutter, J Marescaux, L Soler
Soper et al. in 1994 were able to establish the safety and efficacy of laparoscopic distal pancreatectomy in an animal model, with no evidence of pancreatic leaks or fistulas. Later, in 1996, Cuschieri et al. described the technique they used to perform laparoscopic distal 70–80% pancreatectomy ...
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Laparoscopic Roux-en-Y gastric bypass after vertical banded gastroplasty Fri, 10 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2596.html http://www.websurg.com/doi-vd01en2596.html M Vix, F Costantino, J Marescaux
Patients who have undergone bariatric surgery and present with upper abdominal symptoms pose a diagnostic and management challenge. Laparoscopic vertical banded gastroplasty (VBG) is associated with high revisional rates. In the case of failed VBG, repeat VBG seems to be a poor option and ...
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Stepwise approach for laparoscopic reversal of Hartmann's procedure Fri, 10 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2579.html http://www.websurg.com/doi-vd01en2579.html J Leroy, F Costantino, J Marescaux
Restoration of intestinal continuity following reversal of Hartmann's procedure is an operation associated with a lengthy hospital stay, protracted convalescence, and a high morbidity rate. The advantages of minimally invasive surgery such as rapid mobilization, less postoperative pain, early ...
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Laparoscopic TAPP procedure for bilateral inguinal hernia Fri, 10 Apr 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2527.html http://www.websurg.com/doi-vd01en2527.html J Leroy, J Marescaux
This video demonstrates the trans-abdominal preperitoneal (TAPP) approach to bilateral inguinal hernia in a male patient with a BMI of 55. The surgeon performs the repair using a non-woven, non-absorbable polypropylene mesh. The author uses a 3-trocar approach: the first one is a 12mm ...
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Laparoscopic management of gangrenous perforated cholecystitis Thu, 12 Mar 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2540.html http://www.websurg.com/doi-vd01en2540.html J D'Agostino, J Marescaux
Laparoscopic cholecystectomy is the gold standard for symptomatic cholecystolithiasis. Technical maturation and advances in instrumentation have enabled the application of this procedure for acute cholecystitis. This video demonstrates the surgical approach to performing a laparoscopic ...
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Endoscopic sphincterotomy for residual choledocholithiasis in a patient with a Billroth II gastrectomy Thu, 12 Mar 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2562.html http://www.websurg.com/doi-vd01en2562.html D Coumaros, N Tsesmeli, Gf Donatelli
This video presents the case of a 54-year-old patient who underwent a Billroth II distal gastrectomy 10 years ago with an isoperistaltic anastomosis and 48 hours before he had a laparoscopic cholecystectomy for acute cholecystitis. Because of persistent pain and accentuated jaundice related to ...
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Laparoscopic re-operation for severe dysphagia following fundoplication and prosthetic reinforcement of the hiatus Thu, 12 Mar 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2518.html http://www.websurg.com/doi-vd01en2518.html B Dallemagne, S Perretta, J Marescaux
Complications related to prosthetic hiatoplasty for hiatal hernia repair are more common than previously reported with no apparent relationship between mesh type and mesh configuration. The aim of this video is to show a case of mesh repair complication. A 50-year-old woman presented with severe ...
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TME for rectal cancer: laparoscopic dissection of the Holy Plane using 3-directional (3D) retraction Thu, 12 Mar 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2590.html http://www.websurg.com/doi-vd01en2590.html J Leroy, F Costantino, J Marescaux
This video shows how to perform laparoscopic dissection of the presacral space following the principle of 3-directional retraction as described in open surgery by Bill Heald. Monopolar cautery scissors are used. This video is very suitable for surgeons interested in rectal surgery.
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Laparoscopic partial fundoplication after lung transplant in a patient with severe esophageal motility disorders (scleroderma) Thu, 12 Mar 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2552.html http://www.websurg.com/doi-vd01en2552.html B Dallemagne, S Perretta, J Marescaux
Gastroesophageal reflux disease (GERD) is prevalent among patients with end-stage lung disease before and after lung transplantation. In addition to problems with the lower esophageal sphincter, systemic diseases such as scleroderma and cystic fibrosis can diminish esophageal and gastric motility. ...
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Totally laparoscopic duodenal pancreatectomy for cancer Thu, 12 Mar 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2595.html http://www.websurg.com/doi-vd01en2595.html F Corcione, J Marescaux
Since the early 1990s, laparoscopic techniques have been applied to a growing number of pancreatic surgeries. Laparoscopic pancreatic resections have been performed in patients with a variety of diseases including chronic pancreatitis, pancreatic trauma, congenital hyperinsulinism. Laparoscopic ...
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Laparoscopic proctectomy with ileoanal anastomosis for inflammatory bowel disease Thu, 12 Mar 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2509.html http://www.websurg.com/doi-vd01en2509.html J Leroy, J Marescaux
Total coloproctectomy with ileal pouch-anal anastomosis is the operation of choice for ulcerative colitis. The objective of this video is to demonstrate the technique used to perform a laparoscopic coloproctectomy for the treatment of inflammatory bowel disease (and particularly, ulcerative ...
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Laparoscopic pelvic reperitonization after abdominoperineal resection in a female patient Thu, 12 Mar 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2556.html http://www.websurg.com/doi-vd01en2556.html J Leroy, J Marescaux
This video presents a stepwise approach to perform the pelvis’ reperitonization following removal of the rectum after an abdominoperineal resection in a female patient. The surgeon uses absorbable monofilament suture material that is much easier to manipulate. Two half running sutures with an ...
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Stepwise approach for laparoscopic treatment of retrocaecal appendicitis Thu, 12 Mar 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2559.html http://www.websurg.com/doi-vd01en2559.html F Costantino, J Marescaux
The vermiform appendix has no constant position and the data on the variations in its position are limited. This video shows a stepwise approach to explore the abdominal cavity and correctly offer the treatment of a retrocaecal appendicitis.
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A technical guide to safe laparoscopic lysis of adhesions Tue, 10 Mar 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01enWSAW7570149.html http://www.websurg.com/doi-vd01enWSAW7570149.html GJ Mancini
Aims: Laparoscopic lysis of adhesions is increasingly associated with routine laparoscopic procedures. Adhesiolysis potentially adds to patient morbidity if not performed safely. Bleeding and bowel injury are important complications related to laparoscopic lysis of adhesions. This video ...
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Laparoscopic sleeve gastrectomy for morbid obesity: a stepwise approach Thu, 12 Feb 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2511.html http://www.websurg.com/doi-vd01en2511.html M Vix, J Marescaux
Laparoscopic sleeve gastrectomy (SG) was first described in 1999 as part of the biliopancreatic diversion-duodenal switch (BPD-DS) procedure. Subsequently, laparoscopic SG has been performed as a stand-alone procedure or as part of a staged surgical approach, with the intention of completing the ...
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Laparoscopic treatment of a rectovaginal fistula following the resection of a rectovaginal endometriotic nodule Thu, 12 Feb 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2489.html http://www.websurg.com/doi-vd01en2489.html J Leroy, O Garbin, J Marescaux
For thousands of years, women simply tolerated the distressing symptoms generated by rectovaginal fistulas (RVFs). This is no longer necessary because most RVFs can be surgically corrected via a number of approaches. The most common etiology of RVFs is obstetric injury, followed by radiation ...
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Stepwise approach for intersphincteric dissection in colo-anal anastomosis Thu, 12 Feb 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2465.html http://www.websurg.com/doi-vd01en2465.html J Leroy, J Marescaux
The surgical technique of intersphincteric resection (ISR) with colo-anal anastomosis has been proposed to offer sphincter preservation and to avoid permanent colostomy in patients with very low rectal carcinoma. Several studies have reported that functional results and local recurrence rates after ...
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Laparoscopic sigmoidectomy for acute diverticulitis: medial approach with extensive IMV dissection Thu, 12 Feb 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2500.html http://www.websurg.com/doi-vd01en2500.html F Corcione, J Marescaux
Colonic diverticulosis is an increasingly common condition in Western societies. Sigmoid colectomy for diverticulitis can be technically challenging because of severe inflammation in the left lower quadrant and pelvis. We here present a standard elective sigmoidectomy, after episodes of ...
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Laparoscopic antrectomy and vagotomy for stenotic pyloric peptic ulcer Thu, 12 Feb 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2492.html http://www.websurg.com/doi-vd01en2492.html B Dallemagne, S Perretta, J Marescaux
Peptic ulcer disease is the major cause of benign gastro-duodenal obstruction or gastric outlet obstruction (GOO) in the adult population. Patients often present with abdominal pain and distension, vomiting, dehydration, and weight loss. Previous studies have demonstrated that the incidence of GOO ...
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Giant hiatal hernia: acute presentation with gastric volvulus Thu, 12 Feb 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2538.html http://www.websurg.com/doi-vd01en2538.html B Dallemagne, S Perretta, J Marescaux
Hiatal hernia is a common disorder of the digestive tract. Most patients are elderly and with significant co-morbidities. Historically, the surgical repair of paraesophageal hernias (PHH) has been advocated regardless of the presence of symptoms. In fact, despite patients being symptom-free, the ...
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Laparoscopic right colectomy in an obese patient with a dysplastic adenoma Thu, 12 Feb 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2498.html http://www.websurg.com/doi-vd01en2498.html C Huscher, J Marescaux
This video demonstrates a laparoscopic three-port right hemicolectomy in an obese patient with a dysplastic adenoma. A stepwise approach including landmark identification is undertaken during the procedure. The specimen is extracted through a small laparotomy, which will be protected by a plastic ...
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Laparoscopic TEP repair for right direct inguinal hernia Thu, 12 Feb 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2563.html http://www.websurg.com/doi-vd01en2563.html M Bailey, B Dallemagne, J Marescaux
The video "Laparoscopic TEP repair for right direct inguinal hernia" authored by B Dallemagne and J Marescaux is analysed by M Bailey, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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Laparoscopic Heller's myotomy with anterior fundoplication Thu, 12 Feb 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2549.html http://www.websurg.com/doi-vd01en2549.html B Sgromo, A Rotundo, R Marshall, ND Maynard
Heller’s myotomy is the most effective long-term treatment for patients with achalasia. This operation has been performed for many years; it was at first performed as an open procedure and in the last twenty years, the minimally invasive approach has become more popular with surgeons all over the ...
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Laparoscopic TEP repair for right direct inguinal hernia Thu, 15 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2531.html http://www.websurg.com/doi-vd01en2531.html B Dallemagne, J Marescaux
In this video, we present the technique of a TEP approach for the management of an inguinal hernia in a male patient. The technique is meticulously explained, emphasizing on the main anatomical landmarks, the key steps of the procedure and the potential injuries to be avoided.
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Laparoscopic left colectomy for cancer in a male patient after failure of endoscopic approach Thu, 15 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2528.html http://www.websurg.com/doi-vd01en2528.html J Leroy, F Costantino, J Marescaux
Laparoscopic colon resection is a complex endeavour since it involves a good knowledge of the anatomy, surgical skills and many times a wide specimen extraction. This video demonstrates the technique of laparoscopic left colectomy for treatment of malignant tumor with takedown of the splenic ...
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Laparoscopic enucleation of a pancreatic insulinoma Thu, 15 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2533.html http://www.websurg.com/doi-vd01en2533.html B Dallemagne, S Perretta, J Marescaux
Insulinoma is the most common pancreatic endocrine neoplasm. Treatment is by excision. In the pre-laparoscopic era, the enucleation was performed by laparotomy, but surgeons have shown that it can be performed laparoscopically. Preoperative localization is important in planning port placement and ...
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Laparoscopic TAPP approach for a Nyhus IIIb inguinal hernia in a male patient Thu, 15 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2516.html http://www.websurg.com/doi-vd01en2516.html J Leroy, J Marescaux
Following the laparoscopic revolution, laparoscopic hernia repair has become one of the most common laparoscopic operations. Several studies have demonstrated a definite advantage over open repair with regards to reduced postoperative pain and earlier return to work and normal activities, ...
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Laparoscopic stepwise repair of a giant hiatal hernia Thu, 15 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2520.html http://www.websurg.com/doi-vd01en2520.html B Dallemagne, S Perretta, M Asakuma, J Marescaux
The laparoscopic approach is considered the technique of choice for the repair of large hiatal hernia leading to low morbidity and mortality rates. We describe our approach for the laparoscopic repair of giant hiatus hernia. This entails full dissection of the hernia sac from the mediastinum, ...
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Laparoscopic gastric bypass in a super-obese male patient (BMI = 54) Thu, 15 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2532.html http://www.websurg.com/doi-vd01en2532.html M Vix, J Marescaux
Over the years, the Roux-en-Y gastric bypass has been successfully used as one of many surgical treatments to achieve significant long-term weight loss. Through a minimally invasive approach, a faster recovery time with less pain and prompt ambulation is possible. However, this procedure is not ...
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Totally laparoscopic right colectomy for T3, N+, M0 stenotic adenocarcinoma Thu, 15 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2529.html http://www.websurg.com/doi-vd01en2529.html J Leroy, J Marescaux
We present this video for a standard oncological laparoscopic approach for a T3 cancer in the right colonic flexure. The patient presented with asthenia but no symptoms of occlusion. A right colectomy is performed by a medial to lateral approach. A stepwise approach is chosen and anatomical ...
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Laparoscopic esophageal diverticulectomy and myotomy Thu, 15 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2517.html http://www.websurg.com/doi-vd01en2517.html B Dallemagne, S Perretta, J Marescaux
Open trans-thoracic surgery represents the traditional approach for the treatment of symptomatic esophageal diverticula. However, it should be noted that minimally invasive techniques, including the laparoscopic trans-hiatal approach has been reported with success. We present the case of a patient ...
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How important is hand-assisted surgery in colonic surgery and in comparison to laparoscopy? Wed, 14 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd02en2481dozois4e.html http://www.websurg.com/doi-vd02en2481dozois4e.html E Dozois

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What is your opinion of single port laparoscopic surgery applied to colorectal procedures? Does it have a future? What are its limitations? Wed, 14 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd02en2481dozois5e.html http://www.websurg.com/doi-vd02en2481dozois5e.html E Dozois

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Laparoscopic sigmoidectomy for acute diverticulitis (Hinchey stage IIb) Wed, 14 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd01en2513.html http://www.websurg.com/doi-vd01en2513.html J Leroy, P Ambrosetti
The video "Laparoscopic sigmoidectomy for acute diverticulitis (Hinchey stage IIb)" authored by J Leroy and J Marescaux is analysed by P Ambrosetti, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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How important is robotics in colonic surgery? Wed, 14 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd02en2481kim1e.html http://www.websurg.com/doi-vd02en2481kim1e.html SH Kim

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Is laparoscopy the gold standard for inflammatory bowel diseases, such as ulcerative colitis and Crohn's disease (IBD)? Wed, 14 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd02en2481dozois1e.html http://www.websurg.com/doi-vd02en2481dozois1e.html E Dozois

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How important is robotics in rectal surgery? Wed, 14 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd02en2481kim2e.html http://www.websurg.com/doi-vd02en2481kim2e.html SH Kim

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According to the Mayo clinic research, is laparoscopy the gold standard for colonic cancers and/or rectal surgery? Wed, 14 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-vd02en2481dozois2e.html http://www.websurg.com/doi-vd02en2481dozois2e.html E Dozois

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Laparoscopic colectomy for colon cancer - How are we doing? Thu, 01 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03endozois002.html http://www.websurg.com/doi-lt03endozois002.html E Dozois
Laparoscopic resection of carcinoma of the colon is associated with a long-term outcome no different from that of open colectomy. Laparoscopic approach offers short-term benefits to patients; however, concerns about oncological radicality and long-term outcome has limited the adoption of ...
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Minimally invasive colectomy: where do we go now? Thu, 01 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03endozois001.html http://www.websurg.com/doi-lt03endozois001.html E Dozois
Advances in minimally invasive surgical techniques, technology, and instrumentation have fostered the application of minimally invasive surgery to the management of colorectal surgery. Colorectal procedures through a laparoscopic, robotic or NOTES approach are feasible and appear to offer ...
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Laparoscopic low anterior resection (LAR): step by step technique on standardization Thu, 01 Jan 2009 00:00:00 +0100 http://www.websurg.com/doi-lt03enkim001.html http://www.websurg.com/doi-lt03enkim001.html SH Kim
Laparoscopic resection for rectal cancer is feasible and safe, with morbidity and long-term results quite acceptable. All the major aspects for successful performance of this complex minimally invasive procedure are described and explained in detail.
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Laparoscopic treatment of GERD in an obese patient Fri, 05 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2505.html http://www.websurg.com/doi-vd01en2505.html B Dallemagne, J Marescaux, N Soper
The video "Laparoscopic treatment of GERD in an obese patient" authored by B Dallemagne is analysed by N Soper, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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Laparoscopic treatment of GERD in an obese patient Fri, 05 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2506.html http://www.websurg.com/doi-vd01en2506.html B Dallemagne, LL Swanström
The video "Laparoscopic treatment of GERD in an obese patient" authored by B Dallemagne is analysed by L Swanström, sharing in this way his own personal experience and highlighting the different surgical approaches available with tips and tricks.
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What do you tell your patients after their anti-reflux procedure? What should they expect? Thu, 04 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454soper5e.html http://www.websurg.com/doi-vd02en2454soper5e.html N Soper

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Use of absorbable tacker for Nyhus IIIa left inguinal hernia Thu, 04 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2473.html http://www.websurg.com/doi-vd01en2473.html D Mutter, J Marescaux
We present the case of an inguinal hernia in a male patient, treated laparoscopically through a TAPP approach. The use of innovative absorbable tackers and its advantages are shown and thoroughly explained.
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What are the most difficult technical aspects to teach? Thu, 04 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454soper2e.html http://www.websurg.com/doi-vd02en2454soper2e.html N Soper

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What are the most difficult steps of the operation? Thu, 04 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454swanstrom5e.html http://www.websurg.com/doi-vd02en2454swanstrom5e.html LL Swanström

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What are the most difficult technical aspects to teach? Thu, 04 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454swanstrom1e.html http://www.websurg.com/doi-vd02en2454swanstrom1e.html LL Swanström

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What do you tell your patients after their anti-reflux procedure? What should they expect? Thu, 04 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454swanstrom4e.html http://www.websurg.com/doi-vd02en2454swanstrom4e.html LL Swanström

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For the treatment of GERD, do you favour total or partial fundoplication? Thu, 04 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454soper3e.html http://www.websurg.com/doi-vd02en2454soper3e.html N Soper

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When and how do you reinforce the crura? Thu, 04 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454soper4e.html http://www.websurg.com/doi-vd02en2454soper4e.html N Soper

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When and how do you reinforce the crura? Thu, 04 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454swanstrom3e.html http://www.websurg.com/doi-vd02en2454swanstrom3e.html LL Swanström

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What are the most difficult steps of the operation? Thu, 04 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454soper6e.html http://www.websurg.com/doi-vd02en2454soper6e.html N Soper

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What approach do you favor when faced with postoperative dysphagia? Thu, 04 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454soper7e.html http://www.websurg.com/doi-vd02en2454soper7e.html N Soper

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What approach do you favor when faced with postoperative dysphagia? Wed, 03 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454swanstrom6e.html http://www.websurg.com/doi-vd02en2454swanstrom6e.html LL Swanström

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Laparoscopic treatment of a rectal prolapse: modified Orr-Loygue technique Wed, 03 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2456.html http://www.websurg.com/doi-vd01en2456.html J Leroy, J Marescaux
The purpose of the movie is to show our technique of laparoscopic repair of a rectal prolapse using indirect pexy with a mesh.
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Laparoscopic sleeve gastrectomy: surgical treatment of morbid obesity Wed, 03 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-ot02en333.html http://www.websurg.com/doi-ot02en333.html M Vix, C Solano
Laparoscopic sleeve gastrectomy (LSG) as a stand alone procedure for the surgical management of morbid obesity represents 2% of the bariatric operations in the United States of America. In the USA, this technique was developed as a modification of the biliopancreatic diversion in 1988; and in the ...
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Intraoperative diagnosis of short esophagus in a patient with Barrett's metaplasia Wed, 03 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2476.html http://www.websurg.com/doi-vd01en2476.html B Dallemagne, S Perretta, J Marescaux
Patients who have Barrett’s esophagus are considered at risk for having a short esophagus. Routine intraoperative endoscopy and liberal addition of a Collis gastroplasty is a key factor to prevent recurrences.
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Laparoscopic left pancreatectomy with preservation of splenic vessels Wed, 03 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01enWSAW16944285.html http://www.websurg.com/doi-vd01enWSAW16944285.html M Sanhueza
This is the case of a 35-year-old female patient with a history of epigastric pain. No prior history of acute pancreatitis was known. An ultrasound and MRI showed a cystic tumor located in the body of the pancreas. An intraoperative ultrasound was done during a diagnostic laparoscopy; it revealed ...
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Laparoscopic TME dissection with monopolar cautery Wed, 03 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2453.html http://www.websurg.com/doi-vd01en2453.html J Leroy, J Marescaux
We present the case of a TME dissection performed with monopolar cautery. A good knowledge of the anatomy and adequate surgical skills permit to effectively complete the mesorectal excision. This video is recommended for advanced digestive surgeons.
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Meckel's diverticulectomy: laparoscopic approach and critical analysis of the technique Wed, 03 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2439.html http://www.websurg.com/doi-vd01en2439.html D Varela, D Mutter, J Marescaux
Meckel’s diverticulum is a true diverticulum that normally obliterates in the 7-8 weeks of gestation; however, its incidence ranges between 2-3%. It is difficult to diagnose during both clinical and imaging examination because the symptoms and imaging features are non-specific. We present the ...
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For the treatment of GERD, do you favor total or partial fundoplication? Wed, 03 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454swanstrom2e.html http://www.websurg.com/doi-vd02en2454swanstrom2e.html LL Swanström

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Transgastric hybrid cholecystectomy Wed, 03 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2483.html http://www.websurg.com/doi-vd01en2483.html B Dallemagne, S Perretta, J Marescaux
In this era of scarless surgery, hybrid NOTES procedures seem to be a valuable option in human beings. In order to maintain the principle of no scar surgery, the transgastric approach seems to be a feasible way to perform a cholecystectomy in male patients for symptomatic cholelithiasis. We ...
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What are the ideal indications for laparoscopic splenic surgery? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park5e.html http://www.websurg.com/doi-vd02en2437park5e.html A Park

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Which approach do you prefer, namely anterior, posterior, or a combined approach and what are the limits of the laparoscopic splenectomies? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park6e.html http://www.websurg.com/doi-vd02en2437park6e.html A Park

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When treating incisional hernias, do you close the hernial defect or not? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park11e.html http://www.websurg.com/doi-vd02en2437park11e.html A Park

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How important is pancreatic surgery oncologically speaking? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park1e.html http://www.websurg.com/doi-vd02en2437park1e.html A Park

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Do you prefer to perform pancreatectomy with or without preservation of the spleen and what are your indications and the limits of both strategies? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park4e.html http://www.websurg.com/doi-vd02en2437park4e.html A Park

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With regards to the pancreatic gland, what division and control techniques do you use (staples, Ligasure device, ultrasound, or regular sutures)? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park3e.html http://www.websurg.com/doi-vd02en2437park3e.html A Park

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Faced with portal vein thrombosis, do you think it is a specific laparoscopic problem or does it occur in the same way in the open approach? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park9e.html http://www.websurg.com/doi-vd02en2437park9e.html A Park

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To fix the mesh, do you prefer tackers, suture, or even a transparietal suture? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park12e.html http://www.websurg.com/doi-vd02en2437park12e.html A Park

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What type of approach do you favour when it comes to the tail of the pancreas (supine vs. lateral)? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park2e.html http://www.websurg.com/doi-vd02en2437park2e.html A Park

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To control the pedicle, do you use clips, sutures or staples and what are the benefits and limits of each method? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park8e.html http://www.websurg.com/doi-vd02en2437park8e.html A Park

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With regards to pedicle control, do you favour an ‘en bloc’ approach or do you divide the splenic vein and artery? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park7e.html http://www.websurg.com/doi-vd02en2437park7e.html A Park

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With regards to the treatment of incisional hernias, what type of mesh do you use and is there an ideal one? Mon, 01 Dec 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2437park10e.html http://www.websurg.com/doi-vd02en2437park10e.html A Park

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Laparoscopic ileocolectomy for caecal perforated diverticulum using the Ligasure Advance® Fri, 07 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2362.html http://www.websurg.com/doi-vd01en2362.html J Leroy, J Marescaux
This patient presents with a perforation of a caecal diverticulum. The right parietocolic ridge is dissected, using the monopolar tip of the Ligasure Advance device. Hemostasis can be performed with the same instrument, using the bipolar sealing part. A classic ileocolectomy is carried out and a ...
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Value of a TEP approach for a bilateral direct inguinal hernia repair Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2379.html http://www.websurg.com/doi-vd01en2379.html B Dallemagne, J Marescaux
The laparoscopic inguinal herniorrhaphy has become an established approach to groin hernia. The use of a totally extraperitoneal (TEP) approach, allows a preperitoneal approach with potentially less discomfort and morbidity than do conventional repairs. We present a stepwise approach for the ...
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Laparoscopic three trocars sleeve gastrectomy Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2327.html http://www.websurg.com/doi-vd01en2327.html M Vix, C Solano, D Varela
Traditionally a sleeve gastrectomy is performed with the aid of 5 to 7 abdominal trocars. By reducing the number of trocars, parietal trauma, pain and hernia risks can be minimized. We present a video of a 3-trocar laparoscopic sleeve gastrectomy performed in a female patient with a BMI of 37. ...
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Laparoscopic approach for a T3 cancer of the colorectal junction Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2442.html http://www.websurg.com/doi-vd01en2442.html J Leroy, J Marescaux
This video shows a standard oncological laparoscopic approach for T3 cancer of the colorectal junction. In this case, the patient presents a big tumor with a clinical sub-occlusion. A low anterior resection is performed by a medial to lateral approach, with a primary inferior mesenteric artery ...
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Inflammatory myofibroblastic tumour of appendix presenting as acute appendicular mass: laparoscopic management Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01enWSAW11818137.html http://www.websurg.com/doi-vd01enWSAW11818137.html V Rajagopalan
Inflammatory Myofibroblastic Tumors [IMFT] are rare, distinct clinicopathological entities characterized by a dense inflammatory cell component amidst myofibroblastic proliferation. IMFT of the gastrointestinal tract are extremely rare and there have been only three confirmed cases of involvement ...
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Laparoscopic sigmoidectomy for acute diverticulitis (Hinchey stage IIb) Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2399.html http://www.websurg.com/doi-vd01en2399.html J Leroy, J Marescaux
This video presents the laparoscopic treatment of a perforated acute diverticulitis of the sigmoid colon. The patient has a Hinchey stage IIb peritonitis. Because of a stable clinical presentation, a laparoscopic treatment was offered. The cavity of the abscess is opened and cleaned. Local ...
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Laparoscopic radical antegrade pancreatosplenectomy Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2464.html http://www.websurg.com/doi-vd01en2464.html I Tait, FM Polignano, GD Adamson
Benign inflammatory lesions, cystic neoplasms, and neuro-endocrine tumours in the body and tail of the pancreas are considered good indications for laparoscopic distal pancreatectomy and/or en-bloc pancreatosplenectomy. Laparoscopic resection of malignant neoplasms has raised concern about the ...
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Combined endoscopic and laparoscopic transgastric single port (TriPort) access for a gastric tumor Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2450.html http://www.websurg.com/doi-vd01en2450.html J Leroy, B Dallemagne, D Mutter, J Marescaux
Intragastric tumors represent a challenging pathology to treat with a minimally invasive approach because of their position and size. The possibility to combine both endoscopy and intragastric endoscopic surgery is of great value in these cases. This video shows such a combined endoscopic and ...
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Laparoscopic treatment of a gastric fistula after removal of a gastric band Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2440.html http://www.websurg.com/doi-vd01en2440.html M Vix, J Marescaux
The gastric banding procedure is performed nowadays with less frequency compared to other procedures for morbid obesity. The risk of a gastric fistula after the removal of a gastric band is possible; a high index of suspicion is recommended in order to diagnose this life-threatening complication. ...
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Subperitoneal tunnel for iliac laparoscopic colostomy Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2428.html http://www.websurg.com/doi-vd01en2428.html J Leroy, J Marescaux
Peristomial hernia is a very common complication in gastrointestinal surgery. Some degree of peristomial herniation has been claimed to be an almost inevitable complication of any ostomy formation. A stepwise approach to perform a subperitoneal tunnel iliac colostomy is presented in an attempt to ...
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Can you describe the NOTES transgastric cholecystectomy and the potential obstacles to this technique? Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd02en2454soper1e.html http://www.websurg.com/doi-vd02en2454soper1e.html N Soper

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How to perform a laparoscopic omentoplasty in pelvic surgery? Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2470.html http://www.websurg.com/doi-vd01en2470.html J Leroy, J Marescaux
The omentum has the potential to obliterate the pelvic defects created during urological, gynecologic or digestive surgeries. The omentoplasty has been proposed as a means for reducing the perineal complication rate frequently associated. In this case, we present the technique of a laparoscopic ...
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Aberrant biliary ducts (Luschka's ducts) in a laparoscopic cholecystectomy Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2435.html http://www.websurg.com/doi-vd01en2435.html B Dallemagne, J Marescaux
Aberrant biliary ducts represent a morphological anomaly rather than an anatomical variation of the biliary tree. These ducts are described in 20 to 50% of the patients, and their existence can sometimes explain the origin of certain cases of biliary peritonitis. We present a video of a standard ...
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Single port site cholecystectomy for symptomatic cholelithiasis Mon, 03 Nov 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2433.html http://www.websurg.com/doi-vd01en2433.html D Mutter, J Marescaux
The reduction of the number of trocars is one of the ways to minimize the invasiveness of the surgical intervention. This video shows a cholecystectomy with a single site access, using a Gelport. This device was designed for hand-assisted surgery. Standard laparoscopic trocars are inserted through ...
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Laparoscopic sigmoidectomy for cancer in an obese male patient (BMI=32) Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2411.html http://www.websurg.com/doi-vd01en2411.html J Leroy, J Marescaux
We present a laparoscopic sigmoidectomy in an obese patient using the AirSeal device. This trocar uses a different approach: instead of establishing a seal around each instrument, this trocar offers a totally open passage from the outside to the intra-abdominal space – i.e. no diaphragm, valves, ...
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Laparoscopic treatment of GERD in an obese patient Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2419.html http://www.websurg.com/doi-vd01en2419.html B Dallemagne, J Marescaux
We present a laparoscopic Nissen technique for the surgical management of a hiatal hernia. In order to better understand the technique, a stepwise approach is performed and tips and tricks on how to avoid major problems are presented.
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Laparoscopic cholecystectomy with only one port Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01enWSAW22381220.html http://www.websurg.com/doi-vd01enWSAW22381220.html D Fausto
In 1997, we initiated what we considered our philosophy of the "surgery without trace", when replacing the ports of attendance by percutaneous needles of 1mm or less (hook-needle, passing suture needle, reins of traction). Of immediate way our technique showed its kindness to us and since then we ...
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Laparoscopic treatment of subcostal incisional hernia Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2412.html http://www.websurg.com/doi-vd01en2412.html D Varela, J Marescaux
One of the disadvantages of open nephrectomy is the appearance of symptomatic incisional hernias. In this video, we present the case of a patient with a subcostal incisional hernia occuring after an open nephrectomy repared laparoscopically.
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A world premiere: Single port sigmoidectomy for diverticulosis in humans Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2395.html http://www.websurg.com/doi-vd01en2395.html J Leroy, J Marescaux
This video shows a unique procedure during which a sigmoidectomy was performed with a single trocar and entirely through the umbilicus. The principles applied to benign colonic resections are respected. An original colo-colonic anastomosis is presented with the use of external magnets to aid in ...
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Laparoscopic treatment of a greater omentum volvulus Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2429.html http://www.websurg.com/doi-vd01en2429.html M Vix, C Solano, J Marescaux
This video presents the case of an acute abdomen in a patient with a past surgical history of two procedures for morbid obesity. Torsion of the omentum is a very uncommon cause of acute abdominal pain. This stepwise video is recommended for general surgeons.
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Retroperitoneal left pelvic migrated Kirschner pin 10 years after thoracic osteosynthesis Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2371.html http://www.websurg.com/doi-vd01en2371.html J Leroy, F Costantino, J Marescaux
This video shows the case of a patient with a past medical history of a significant kyphoscoliosis, that was treated in 1999 with a surgical fixation. Nine years later, during a control exam a Kirschner pin was found in the retroperitoneum. A detailed description is made of the dissection and ...
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Stepwise approach for a typical inguinal hernia repair using the 4DDOME® Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2394.html http://www.websurg.com/doi-vd01en2394.html J Leroy, D Mutter, J Marescaux
In this video, the standardized technique for the treatment of an indirect inguinal hernia is presented. Each step is precisely described and leads to the final hernia repair with placement of a 4DDOME® mesh (that is a semi-absorbable mesh).
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Laparoscopic restorative proctocolectomy Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01enWSAW42509255.html http://www.websurg.com/doi-vd01enWSAW42509255.html B Bilgi
A 28-year-old woman who has an intractable ulcerative colitis disease for two years was admitted to our clinic. Colonoscopic examination revealed pancolitis. Laparoscopic restorative proctocolectomy with loop ileostomy was done. Length of hospital stay was 4 days. Ileostomy was closed 6 weeks after ...
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Laparoscopic treatment of disseminated appendicular peritonitis Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2425.html http://www.websurg.com/doi-vd01en2425.html F Costantino, J Marescaux
This video shows the case of a laparoscopic appendicectomy in a male patient with disseminated peritonitis.
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Totally intra-abdominal laparoscopic ileocolic anastomosis Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2380.html http://www.websurg.com/doi-vd01en2380.html J Leroy, J Marescaux
A stepwise approach to perform a laparoscopic ileocolic anastomosis is shown. The anastomosis is performed totally intra-abdominally, thus avoiding the need to perform a mini-laparotomy.
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Laparoscopic total colectomy for disseminated polyposis in an obese male patient (BMI=32) Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2374.html http://www.websurg.com/doi-vd01en2374.html J Leroy, J Marescaux
This video presents the case of an obese male patient with rectorrhagia caused by disseminated polyposis. A stepwise approach is applied. The landmarks are identified in a detailed way.
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Laparoscopic treatment of a non-congenital diaphragmatic hernia Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2426.html http://www.websurg.com/doi-vd01en2426.html B Dallemagne, S Perretta, J Marescaux
A step-by-step approach is explained for the laparoscopic management of a diaphragmatic hernia in a patient with a past surgical history of Nissen fundoplication. Preoperative and postoperative CT-scans are shown.
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Laparoscopic gastric bypass for a young woman with a BMI of 44 Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2389.html http://www.websurg.com/doi-vd01en2389.html D Varela, J Marescaux
This video presents the key steps to a gastric bypass procedure. This video is recommended for advanced laparoscopic surgeons.
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Fluoroscopically-guided laparoscopic choledochotomy for impacted CBD stone Wed, 01 Oct 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01enWSAW3102284.html http://www.websurg.com/doi-vd01enWSAW3102284.html E Ahmed
Laparoscopic choledochotomy is a recent technique that started to gain widespread acceptance as an effective and safe alternative to ERCP for removal of common bile duct stones. This video demonstrates the technique of removal of an impacted stone in the lower end of the CBD under fluoroscopy ...
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Laparoscopic resection of a hepatocellular carcinoma within segment IVa of the liver Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2390.html http://www.websurg.com/doi-vd01en2390.html D Mutter, J Marescaux, L Soler
This video presents the case of a female patient with an ethylic cirrhosis, diagnosed with a hepatocellular carcinoma located in segment IVa of the liver. The laparoscopic approach helps preserve liver function in patients with precarious liver conditions.
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PEG tube fixation of sigmoid volvulus Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01enWSAW3958255.html http://www.websurg.com/doi-vd01enWSAW3958255.html S Salem
This presentation demonstrates the technique of fixing the sigmoid volvulus by inserting three PEG tubes percutaneously into the fixed colon. The first aim is to make sure that the volvulus in the sigmoid colon is reduced. Next, the colon is transilluminated. Following the subcutaneous injection of ...
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Tips and tricks: IMA and IMV dissection with LigaSure Advance™ Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2351.html http://www.websurg.com/doi-vd01en2351.html J Leroy, J Marescaux
This video shows a series of technical tips and tricks for the identification, dissection and ligation of the main vascular elements during a laparoscopic left colonic resection using the LigaSure Advance™.
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Laparoscopic Nissen fundoplication: a stepwise standard approach Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2376.html http://www.websurg.com/doi-vd01en2376.html B Dallemagne, J Marescaux
This video demonstrates all the important technical steps for a standard construction of a Nissen's fundoplication.
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Pelvic TME dissection in a woman with LigaSure Advance: Tips'n tricks Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2352.html http://www.websurg.com/doi-vd01en2352.html J Leroy, J Marescaux
This video presents a stepwise approach to a TME dissection in a female patient. It shows the advantages of using the new Ligasure advance for landmark identification and preservation in restrained areas; here, the pelvic area.
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Laparoscopic right colectomy for cancer: vascular problem during the anastomosis Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2405.html http://www.websurg.com/doi-vd01en2405.html B Salky
This video presents the case of a right colectomy, with an intraoperative complication of the anastomosis, requiring a redo of the ileocolic isoperistaltic anastomosis.
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Laparoscopic cholecystectomy using micro-instrumentation including monopolar and bipolar 2mm cautery Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2402.html http://www.websurg.com/doi-vd01en2402.html D Mutter, J Marescaux
This video demonstrates the feasibility and the challenges of a laparoscopic cholecystectomy using micro-instrumentation in an uncomplicated cholelithiasis.
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Totally laparoscopic reversal of Hartmann's procedure Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2387.html http://www.websurg.com/doi-vd01en2387.html J Leroy, J Marescaux
This video presents a totally laparoscopic reversal of Hartmann’s procedure in a patient with a surgical history of laparotomy for colorectal surgery.
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TME with LigaSure Advance®: coloanal anastomosis on the J-pouch after failed closure of the rectal stump Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2372.html http://www.websurg.com/doi-vd01en2372.html J Leroy, J Marescaux
This video presents a TME with creation of a J-pouch for a coloanal anastomosis. A thorough description of the operative steps is presented. This video is recommended for digestive surgeons.
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Laparoscopic management of Dormia basket impaction Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en1910.html http://www.websurg.com/doi-vd01en1910.html M Simone, D Coumaros, J Marescaux
This video presents the endoscopic and surgical management of a Dormia basket impaction in the common bile duct. The patient has acute cholangitis associated with cholelithiasis.
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Laparoscopic TME in a female patient Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2406.html http://www.websurg.com/doi-vd01en2406.html J Leroy, J Marescaux
This video shows a TME resection performed live at an EITS Course in Laparoscopic Colorectal Surgery. It shows the technical steps and relevant anatomy in a difficult case as the patient has a past surgical history and is predisposed to bleeding.
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Laparoscopic treatment of an appendicular mucocele Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2388.html http://www.websurg.com/doi-vd01en2388.html J Leroy, J Marescaux
This video shows the laparoscopic treatment of an appendicular mucocele in a female patient who had had a hysterectomy.
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Laparoscopic ileocaecal resection in Crohn's disease: right hemicolectomy Thu, 04 Sep 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2305.html http://www.websurg.com/doi-vd01en2305.html J Leroy, J Marescaux
This video shows the surgical treatment of a mass in the right iliac fossa in a patient presenting with Crohn’s disease.
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Laparoscopic TAPP repair for a right Nyhus type IVa inguinal hernia in a male patient Mon, 07 Jul 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2367.html http://www.websurg.com/doi-vd01en2367.html J Leroy, J Marescaux
This edit of a case performed at a recent EITS Laparoscopic Course demonstrates the TAPP technique for a right inguinal hernia. As well as the technical steps, the relevant anatomy is expertly demonstrated.
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Complication of fundoplication: esophageal stenosis at the hiatal orifice Mon, 07 Jul 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2385.html http://www.websurg.com/doi-vd01en2385.html B Dallemagne, J Marescaux
The video demonstrates the laparoscopic surgical management of an unusual case of postoperative dysphagia following a Nissen's fundoplication for reflux disease.
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Tips and tricks: standard case of laparoscopic cholecystectomy in an obese patient with a BMI of 49 Mon, 07 Jul 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2356.html http://www.websurg.com/doi-vd01en2356.html M Vix, J Marescaux
This video demonstrates a series of technical tricks designed to overcome the specific challenges of laparoscopic cholecystectomy in morbidly obese patients.
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Laparoscopic small bowel resection for Meckel's diverticulitis Mon, 07 Jul 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2364.html http://www.websurg.com/doi-vd01en2364.html F Costantino, E Triki, J Marescaux
This video shows a case of laparoscopic segmental intestinal resection for Meckel's diverticulitis.
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TAPP (transabdominal preperitoneal) repair of a right infraumbilical Spiegelian hernia Thu, 03 Jul 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2392.html http://www.websurg.com/doi-vd01en2392.html P Arora
This video demonstrates how the principles of TAPP procedures may be applied to repair Spiegelian hernia of the abdominal wall.
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Complicated colonic diverticulitis (Hinchey IIb): is there a limit for a totally laparoscopic resection? Fri, 06 Jun 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2322.html http://www.websurg.com/doi-vd01en2322.html J Leroy, J Marescaux
This video presents the case of a sigmoidectomy in a female patient with a complicated diverticulitis treated in the beginning with a conservative management. A detailed description of the altered anatomy and dissection is given.
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A stepwise approach for laparoscopic right colectomy using the LigaSure Advance® Fri, 06 Jun 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2306.html http://www.websurg.com/doi-vd01en2306.html J Leroy, J Marescaux
This video presents a laparoscopic right colectomy performed with the aid of the new Ligasure Advance. The combination of advanced tissue fusion and division functionalities thanks to a dissecting electrode, allows for a more effective and a less time-consuming procedure.
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Use of the new EEA stapler in a laparoscopic Roux-en-Y gastric bypass Fri, 06 Jun 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2181.html http://www.websurg.com/doi-vd01en2181.html M Vix, J Marescaux
This video shows the advantages of performing a laparoscopic gastrojejunostomy in a gastric bypass with the new DST Series EEA stapler. Every operative step is clearly shown and described.
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Tips and tricks: a new method for colorectal anastomosis using a triple stapling technique Fri, 06 Jun 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2290.html http://www.websurg.com/doi-vd01en2290.html J Leroy, J Marescaux
This video presents a new method for colorectal anastomosis in an easy and reproducible stepwise approach.
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Tips and tricks: preservation of superior rectal vessels using the new LigaSure Advance™ Fri, 06 Jun 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2236.html http://www.websurg.com/doi-vd01en2236.html J Leroy, J Marescaux
This video describes an elective laparoscopic sigmoidectomy for benign disease with the aid of the new Ligasure Advance. This 5mm laparoscopic electrosurgical instrument incorporates both a monopolar and tissue fusion (bipolar) function.
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Large type III hiatal hernia repair with a biological diaphragmatic mesh and partial posterior fundoplication Fri, 06 Jun 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2350.html http://www.websurg.com/doi-vd01en2350.html B Dallemagne, J Marescaux
This video presents the management of a giant hiatal hernia by a laparoscopic Toupet fundoplication. We use a combination of pledgets and sutures as well as a mesh to close the crural defect. We recommend this video for advanced upper GI surgeons.
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Typical demonstration of a laparoscopic Roux-en-Y gastric bypass Tue, 06 May 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2334.html http://www.websurg.com/doi-vd01en2334.html M Vix, J Marescaux
This video shows how to perform laparoscopic Roux-en-Y bypass in a standardised fashion. Every step is clearly shown and explained.
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Laparoscopic TEP repair for left inguinal hernia: a stepwise approach to the preperitoneal space Tue, 06 May 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2338.html http://www.websurg.com/doi-vd01en2338.html GF Bégin, J Marescaux
This video carefully demonstrates each of the technical steps of the TEP method for inguinal hernia repair.
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Laparoscopic floppy Nissen: a standard procedure Tue, 06 May 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2340.html http://www.websurg.com/doi-vd01en2340.html B Dallemagne, J Marescaux
This authoritative operative performance clearly demonstrates each important technical step in the construction of a "floppy wrap" Nissen's fundoplication.
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Laparoscopic repair of a giant hiatal hernia: challenging dissection of the hernia sac Tue, 06 May 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2328.html http://www.websurg.com/doi-vd01en2328.html B Dallemagne, J Marescaux
This live operative recording shows the laparoscopic performance of a giant hiatal hernia repair.
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Laparoscopic redo for dysphagia after Nissen fundoplication induced by fibrosis at the hiatal orifice Tue, 06 May 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2337.html http://www.websurg.com/doi-vd01en2337.html B Dallemagne, J Marescaux
This video demonstrates the performance of a difficult redo operation following a previous laparoscopic Nissen fundoplication complicated by severe fibrosis at the hiatal orifice.
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Cancer of the descending colon: laparoscopic left colectomy Tue, 06 May 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2336.html http://www.websurg.com/doi-vd01en2336.html J Leroy, J Marescaux
This video clearly demonstrates the laparoscopic performance of left hemicolectomy for cancer.
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Left Spiegelian and left retrofunicular inguinal hernias: laparoscopic TAPP repair Tue, 06 May 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2339.html http://www.websurg.com/doi-vd01en2339.html J Leroy, J Marescaux
This video demonstrates how a Spiegelian hernia repair may be included by expanding the standard TAPP inguinal hernia repair.
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Preservation of superior rectal vessels: laparoscopic sigmoidectomy for diverticulosis Tue, 06 May 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2341.html http://www.websurg.com/doi-vd01en2341.html J Leroy, J Marescaux
This video shows and explains the performance of laparoscopic sigmoidectomy for benign disease in the elective setting.
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Laparoscopic cholecystectomy: a gold standard case for the dissection of Calot’s triangle Wed, 09 Apr 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2317.html http://www.websurg.com/doi-vd01en2317.html D Mutter, J Marescaux
This authoritative demonstration clearly shows all the key steps of laparoscopic cholecystectomy for symptomatic cholelithiasis.
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Laparoscopic ileocaecal resection for mucinous cystadenoma of the appendix Wed, 09 Apr 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2314.html http://www.websurg.com/doi-vd01en2314.html J Leroy, F Costantino, J Marescaux
This video demonstrates a laparoscopic limited ileocecal resection for a large mucinous cystadenoma of the appendix.
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''Upside down'' stomach: laparoscopic repair Wed, 09 Apr 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2218.html http://www.websurg.com/doi-vd01en2218.html B Dallemagne, C Solano, J Marescaux
This video demonstrates the laparoscopic technique for repair of a large hiatal hernia associated with a supradiaphragmatic stomach.
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Recurrent indirect inguinal hernia after laparoscopic TAPP: a new TAPP repair Fri, 07 Mar 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2297.html http://www.websurg.com/doi-vd01en2297.html J Leroy, J Marescaux
This video demonstrates a TAPP repair for a doubly recurrent inguinal hernia. The difficulties encountered due to the previous attempts at repair are shown as well as how they are supervened.
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Laparoscopic sleeve gastrectomy converted to gastric bypass Fri, 07 Mar 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2251.html http://www.websurg.com/doi-vd01en2251.html M Vix, D Varela, J Marescaux
This video demonstrates the performance of a gastric bypass in a patient who already had had a sleeve gastrectomy performed previously.
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Laparoscopic TME with lateral mobilization of the splenic flexure for a T4 low rectal cancer Fri, 07 Mar 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2260.html http://www.websurg.com/doi-vd01en2260.html J Leroy, J Marescaux
This case demonstrates the performance of a TME for a 10cm rectal cancer by Prof. Leroy in front of a live audience including Prof. Heald. A number of special technical tricks are displayed for gaining access to the low pelvis while the minimization of cephalad dissection planes is emphasized.
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Meckel's diverticulitis: laparoscopic resection Fri, 07 Mar 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2280.html http://www.websurg.com/doi-vd01en2280.html F Fontanazza, P Bocchi
This video demonstrates how an inflamed Meckel's diverticulum, encountered during a diagnostic laparoscopy for right abdominal pain, can be resected laparoscopically.
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Laparoscopic redo fundoplication for a slipped Nissen Fri, 15 Feb 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2220.html http://www.websurg.com/doi-vd01en2220.html B Dallemagne, C Solano, S Perretta, J Marescaux
This video demonstrates the laparoscopic revision of complicated prior Nissen's fundoplication. Description of the anatomy and all the technical steps of the procedure are discussed.
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Completion gastrectomy by laparoscopic approach for cancer of the gastric stump Fri, 15 Feb 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2274.html http://www.websurg.com/doi-vd01en2274.html F Corcione
This operative video demonstrates the performance of a completion gastrectomy in a patient who has had prior partial gastrectomy. This patient had a previous partial gastrectomy. To mobilize the distal esophagus, the author divides the phrenoesophageal membrane, and then frees the esophagus of all ...
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Stenotic anastomosis after sigmoidectomy: laparoscopic redo Fri, 15 Feb 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2250.html http://www.websurg.com/doi-vd01en2250.html J Leroy, J Marescaux
This recording of a live case reveals all the key technical steps in laparoscopic revision of an anastomotic stenosis following a prior sigmoidectomy.
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Laparoscopic total colectomy with partial proctectomy Thu, 14 Feb 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2261.html http://www.websurg.com/doi-vd01en2261.html J Leroy, J Marescaux, F Costantino
This video demonstrates the performance of a total colectomy performed laparoscopically that included resection of the cephalad portion of the rectum. This approach involves resection of the proximal portion of the rectum. The authors divide the ileum near the ileocecal junction. With the ureter ...
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Dealing with vascular variation: laparoscopic cholecystectomy Tue, 15 Jan 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2242.html http://www.websurg.com/doi-vd01en2242.html D Mutter, J Marescaux, C Solano
This video describes the technique of laparoscopic cholecystectomy for symptomatic cholelithiasis with intraoperative cholangiography. The key steps are presented: exploration, exposure, dissection of Calot’s triangle, intraoperative cholangiography, clipping and division, gallbladder bed ...
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Laparoscopic sigmoidectomy with initial splenic flexure mobilization for diverticular disease Tue, 15 Jan 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2259.html http://www.websurg.com/doi-vd01en2259.html M Walz
This live video from a recent course at IRCAD demonstrates clearly the performance of a laparoscopic approach for sigmoid colectomy that commences with mobilisation of the splenic flexure.
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Robotic-assisted removal of a gastric band Tue, 15 Jan 2008 00:00:00 +0100 http://www.websurg.com/doi-vd01en2243.html http://www.websurg.com/doi-vd01en2243.html M Vix, J Marescaux
This video demonstrates the robotic-assisted removal of a previously placed gastric band. All salient aspects are presented and discussed.
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Laparoscopic management of acute small bowel obstruction after laparoscopic gastric bypass Wed, 05 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2211.html http://www.websurg.com/doi-vd01en2211.html M Vix, J Marescaux
This video demonstrates the laparoscopic approach to a case of acute bowel obstruction that developed in a patient who had previously had a laparoscopic gastric bypass. It involves adhesiolysis and repair of an internal mesenteric hernia.
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Laparoscopic treatment of acute small bowel obstruction: multiple cases of laparoscopic adhesiolysis Wed, 05 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2226.html http://www.websurg.com/doi-vd01en2226.html F Costantino, J Marescaux
The video shows the laparoscopic management of three separate cases of acute small bowel obstruction secondary to adhesions. The difficulties and advantages of such an approach in this emergency scenario are discussed. The author begins by inserting a trocar in the umbilicus. Upon exploration of ...
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Laparoscopic Collis-Nissen procedure for failed fundoplication Wed, 05 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2232.html http://www.websurg.com/doi-vd01en2232.html B Dallemagne, C Solano
This video shows a laparoscopic Collis Nissen gastroplasty in a patient with a previous Nissen fundoplication by open approach. Despite the extensive mobilization, it was not possible to achieve an adequate length of intra-abdominal esophagus. A short esophagus was diagnosed and the surgeon ...
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Laparoscopic management of a right lateral rectal cystic tumor in a 43-year-old female patient Wed, 05 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2168.html http://www.websurg.com/doi-vd01en2168.html J Leroy
This video shows the surgical management of a patient with a lateral pararectal cystic tumour (benign) and explains the surgical approach to retrorectal tumours in general.
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Laparoscopic gastric bypass after failed Mason procedure Wed, 05 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2216.html http://www.websurg.com/doi-vd01en2216.html M Vix, D Varela, J Marescaux
This video shows a redo gastric bypass in a patient who had previously failed to lose weight after a Mason procedure. The correction of the culprit gastrogastric fistula is demonstrated as well as the performance of the subsequent 'gold standard' operation. This video shows a re-do gastric bypass ...
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Nowadays, colorectal surgery for cancer is still under evaluation. Can it be performed using a minimally invasive approach? Mon, 03 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2249walz1e.html http://www.websurg.com/doi-vd02en2249walz1e.html M Walz

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What are the advantages of totally laparoscopic approaches for the treatment of colorectal cancers? Mon, 03 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2249franklin2e.html http://www.websurg.com/doi-vd02en2249franklin2e.html ME Franklin

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In your opinion, what are the essential steps for the training of surgeons? Mon, 03 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2249walz2e.html http://www.websurg.com/doi-vd02en2249walz2e.html M Walz

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How do you teach your residents? What is the evolution of the learning curve and what are the factors that indicate that the fellow is ready to perform the operation? Mon, 03 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2249franklin6e.html http://www.websurg.com/doi-vd02en2249franklin6e.html ME Franklin

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Nowadays, colorectal surgery for cancer is still under evaluation. Can it be performed using a minimally invasive approach? Mon, 03 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2249franklin1e.html http://www.websurg.com/doi-vd02en2249franklin1e.html ME Franklin

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In this respect, what do you think of our EITS educational course programs? Mon, 03 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2249walz3e.html http://www.websurg.com/doi-vd02en2249walz3e.html M Walz

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In America, what are the guidelines and recommendations for the laparoscopic treatment of colorectal cancers? Mon, 03 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2249franklin8e.html http://www.websurg.com/doi-vd02en2249franklin8e.html ME Franklin

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What kind of advice would you give to a novice surgeon? Mon, 03 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2249franklin7e.html http://www.websurg.com/doi-vd02en2249franklin7e.html ME Franklin

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Although Scientific Societies have not validated the laparoscopic approach for colorectal cancer, it appears that it is well standardized and gives good results. Are there any constraints for the procedure (obese patient, tumor stage, team and equipment)? Mon, 03 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2249franklin5e.html http://www.websurg.com/doi-vd02en2249franklin5e.html ME Franklin

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In Germany, what are the guidelines and recommendations for the laparoscopic treatment of colorectal cancers? Mon, 03 Dec 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2249walz4e.html http://www.websurg.com/doi-vd02en2249walz4e.html M Walz

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Three trocar technique for laparoscopic left colectomy for cancer: difficult mobilization of the splenic flexure in an obese patient Mon, 05 Nov 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2171.html http://www.websurg.com/doi-vd01en2171.html C Huscher, F Costantino
This video demonstrates a three trocar technique for mobilization and resection of the left colon for malignancy despite some considerable technical difficulty due to the patient’s body habitus. It concentrates in most detail on how to obtain the exposure necessary for radical oncology resection ...
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Diverticulitis: laparoscopic sigmoidectomy with preservation of superior rectal vessels Mon, 05 Nov 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2170.html http://www.websurg.com/doi-vd01en2170.html J Leroy, J Marescaux
This live video shows the salient steps in sigmoid resection for diverticulitis. The important differences between operation for benign disease versus that for malignant disease are discussed in detail and emphasized at each juncture.
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Redo bariatric surgery: laparoscopic adjustable gastric banding (LAGB) converted to Roux-en-Y gastric bypass (RYGB) Mon, 05 Nov 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2152.html http://www.websurg.com/doi-vd01en2152.html M Vix
This is the case of a morbidly obese 35-year-old female patient. Placement of an adjustable gastric band was performed 5 years ago (BMI of 45) with good postoperative results (BMI of 38, 60% of overweight lost). Following an episode of acute dysphagia, deflation of the gastric band was performed ...
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Splenectomy by laparoscopic posterior lateral approach for idiopathic thrombocytopenic purpura (ITP): selective vascular control Thu, 04 Oct 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2178.html http://www.websurg.com/doi-vd01en2178.html D Mutter
This video demonstrates an alternative approach to perform splenectomy by commencing with the dissection of the postero-lateral aspect. In this way, the splenic artery and vein are ligated first at the hilum before division of the short gastric arteries. This video is recommended to general ...
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Laparoscopic resection of the 3rd and 4th portion of duodenum for a gastrointestinal stromal tumor (GIST) Thu, 04 Oct 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2201.html http://www.websurg.com/doi-vd01en2201.html F Corcione
This video demonstrates the rather difficult procedure of laparoscopic resection of the distal duodenum. The duodenum is dissected from both above and below the transverse mesocolon. A hand-sewn duodenojejunal anastomosis restores bowel continuity. This video is recommended for upper GI ...
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Laparoscopic Heller procedure for achalasia Thu, 04 Oct 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2182.html http://www.websurg.com/doi-vd01en2182.html B Dallemagne, J Marescaux
This is a 'live' surgery performed by Dr. B Dallemagne demonstrating the key steps in performing a Heller procedure. Minimal dissection is carried out to expose the anterior surface of the esophagus, after which the myotomy is delicately performed with scissors. This video is recommended to upper ...
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Laparoscopic TME for rectal cancer in a male patient: an ideal case to start Thu, 04 Oct 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2188.html http://www.websurg.com/doi-vd01en2188.html J Leroy, J Marescaux
This video shows Dr. Joel Leroy performing an anterior resection. All the critical steps are described in detail. This video is suitable for surgeons performing laparoscopic colorectal surgery.
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Rolling (paraesophageal) hiatal hernia treatment in an 80-year-old male patient Thu, 04 Oct 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2167.html http://www.websurg.com/doi-vd01en2167.html B Dallemagne, J Marescaux
This is a 'live' surgical video demonstrating a hiatal hernia repair by Dr. Bernard Dallemagne. Every step of the operation is discussed with the expert panel and workshop participants. This video is recommended to upper GI surgeons.
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Laparoscopic resection of the 1st portion of duodenum for a gastrointestinal stromal tumor (GIST) Thu, 04 Oct 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2200.html http://www.websurg.com/doi-vd01en2200.html F Corcione
This video demonstrates a laparoscopic resection of the first part of the duodenum. A distal gastrectomy is performed concurrently and GI continuity is restored by a Roux-en-Y gastro-jejunostomy. This video is recommended for upper GI surgeons.
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Micro-instrumentation for minimally invasive cholecystectomy: surgical technique Thu, 04 Oct 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2146.html http://www.websurg.com/doi-vd01en2146.html D Mutter, J Marescaux
This video demonstrates an esthetic cholecystectomy using 2mm micro-instruments. The key steps and difficulties of this procedure are shown in detail by Professor Didier Mutter. This video is recommended to general surgeons. The authors use 2mm micro-instruments in this 25-year-old woman with ...
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Transabdominal pre-peritoneal (TAPP) repair of Amyand's hernia in a 72-year-old man Thu, 04 Oct 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2202.html http://www.websurg.com/doi-vd01en2202.html P Arora
This video demonstrates the unusual case of an Amyand's hernia, where the appendix is found in the right inguinal hernia sac. The patient underwent 2 previous open inguinal hernia repairs, making the procedure more challenging. This video is recommended to general surgeons.
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What is the place of laparoscopy in colorectal surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158li5e.html http://www.websurg.com/doi-vd02en2158li5e.html M Li

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How many colectomies do you usually perform per year? What is the percentage of laparoscopic procedures that you perform in cases of colorectal cancer? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158van_der_walt1e.html http://www.websurg.com/doi-vd02en2158van_der_walt1e.html H van der Walt

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What are the risks and complications of laparoscopic colorectal surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158van_der_walt6e.html http://www.websurg.com/doi-vd02en2158van_der_walt6e.html H van der Walt

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What are the indications and contraindications for laparoscopic colorectal surgery in the treatment of cancer? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158li6e.html http://www.websurg.com/doi-vd02en2158li6e.html M Li

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Do you have any advice for surgeons starting in laparoscopic colorectal surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158zorron11e.html http://www.websurg.com/doi-vd02en2158zorron11e.html R Zorron

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Are bowel inflammatory diseases common in Asia and if so, what is your surgical approach to it? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158li3e.html http://www.websurg.com/doi-vd02en2158li3e.html M Li

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What is your experience of NOTES in Asia? Do you have or do you see any applications of NOTES in colorectal surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158li4e.html http://www.websurg.com/doi-vd02en2158li4e.html M Li

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Do the SACES have specific recommendations with regards to the practice of minimally invasive surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158van_der_walt3e.html http://www.websurg.com/doi-vd02en2158van_der_walt3e.html H van der Walt

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Do you have any advice for surgeons starting in laparoscopic colorectal surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158li9e.html http://www.websurg.com/doi-vd02en2158li9e.html M Li

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Is there still a place for open surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158li2e.html http://www.websurg.com/doi-vd02en2158li2e.html M Li

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What are the indications and contraindications for laparoscopic colorectal surgery in the treatment of cancer? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158zorron8e.html http://www.websurg.com/doi-vd02en2158zorron8e.html R Zorron

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What is the place of laparoscopy in colorectal surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158zorron7e.html http://www.websurg.com/doi-vd02en2158zorron7e.html R Zorron

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What kind of recommendations would you give to a beginning surgeon? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158li10e.html http://www.websurg.com/doi-vd02en2158li10e.html M Li

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What is the proportion of patients that you operate on laparoscopically? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158li1e.html http://www.websurg.com/doi-vd02en2158li1e.html M Li

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What is the place of laparoscopy in colorectal surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158van_der_walt4e.html http://www.websurg.com/doi-vd02en2158van_der_walt4e.html H van der Walt

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As you are a member of the South African Society for Endoscopic Surgeons (SACES), can you tell us what the rate of laparoscopic surgical practices is in South Africa and what are the most common procedures that you perform in the field of MIS? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158van_der_walt2e.html http://www.websurg.com/doi-vd02en2158van_der_walt2e.html H van der Walt

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What are the advantages of laparoscopy for colorectal surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158zorron9e.html http://www.websurg.com/doi-vd02en2158zorron9e.html R Zorron

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What are the risks and complications of laparoscopic colorectal surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158zorron10e.html http://www.websurg.com/doi-vd02en2158zorron10e.html R Zorron

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What are the indications and contraindications for laparoscopic colorectal surgery in the treatment of cancer? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158van_der_walt5e.html http://www.websurg.com/doi-vd02en2158van_der_walt5e.html H van der Walt

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What are the risks and complications of laparoscopic colorectal surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158li8e.html http://www.websurg.com/doi-vd02en2158li8e.html M Li

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What are the advantages of laparoscopy for colorectal surgery? Sun, 16 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2158li7e.html http://www.websurg.com/doi-vd02en2158li7e.html M Li

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Laparoscopic TAPP for bilateral inguinal hernia Fri, 14 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2173.html http://www.websurg.com/doi-vd01en2173.html J Leroy
This video, recorded live during a surgical course, demonstrates the TAPP approach to bilateral hernia repair. Dr. Joel Leroy performs the repair using two separate meshes, one side at a time. This procedure is recommended to a general surgical audience. The author uses a 3-trocar approach with a ...
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Laparoscopic sigmoidectomy after perforated diverticulum: lateral dissection for splenic flexure mobilization Fri, 14 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2174.html http://www.websurg.com/doi-vd01en2174.html J Leroy
This live surgical video demonstrates in detail laparoscopic sigmoidectomy by Dr. Joel Leroy. A medial approach to the sigmoid mesocolon is used, combined with lateral dissection for a complete mobilization of the splenic flexure. This procedure is recommended to surgeons with an interest in ...
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Laparoscopic TME for a T4 tumor located high in the rectum Fri, 14 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2172.html http://www.websurg.com/doi-vd01en2172.html M Li
This live surgical video demonstrates laparoscopic TME for a rectal cancer, at 8-10 cm from the anal verge, after neo-adjuvant chemoradiation. Dr. Michael Li performs the procedure with an active first assistant, providing a very similar operative technique to the open approach. This procedure is ...
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Anatomical landmarks and TAPP approach for right inguinal hernia Fri, 14 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2175.html http://www.websurg.com/doi-vd01en2175.html J Leroy
This video, recorded live during a surgical course, demonstrates the TAPP approach to unilateral hernia repair. A detailed discussion of the technique is presented by Dr. Joel Leroy. This procedure is recommended to a general surgical audience. The author carries out this transabdominal ...
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Benefit of laparoscopic approach in an appendicular purulent peritonitis Mon, 10 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2192.html http://www.websurg.com/doi-vd01en2192.html F Costantino, J Marescaux
This video is one of a series of laparoscopic appendicectomies and shows the advantage of the videoscopic approach in accessing the entire peritoneal cavity in cases of diffuse peritonitis. Blood tests revealed an inflammatory syndrome in a young woman with a 3-day history of diffuse abdominal ...
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Importance of small bowel inspection during acute appendicitis Mon, 10 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2194.html http://www.websurg.com/doi-vd01en2194.html D Varela, J Marescaux
This video is one of a series of laparoscopic appendicectomies. Additional pathologies are sometimes discovered during an appendectomy. One should be equally skilled to perform the necessary exploration and intervention by laparoscopy.
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Acute abdominal pain in a young female patient with endometrial cyst and acute appendicitis Mon, 10 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2195.html http://www.websurg.com/doi-vd01en2195.html F Costantino, J Marescaux
This video is one of a series of laparoscopic appendicectomies. Evaluation of the pelvic organs in a female patient should be routinely performed to exclude any gynecological pathology.
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Laparoscopic appendectomy in a young woman, 22 weeks pregnant Mon, 10 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2193.html http://www.websurg.com/doi-vd01en2193.html D Varela, J Marescaux
This video is one of a series of laparoscopic appendicectomies. Additional pathologies are sometimes discovered during an appendectomy. One should be equally skilled to perform the necessary exploration and intervention by laparoscopy. The authors use a few technical modifications in this 22-week ...
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Laparoscopic Collis Nissen: GERD with short esophagus Sat, 01 Sep 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2176.html http://www.websurg.com/doi-vd01en2176.html B Dallemagne
This live video demonstrates the Collis-Nissen procedure performed by Dr. Bernard Dallemagne during a surgical course. The patient presented with gastro-esophageal reflux disease and was only discovered intraoperatively to have a short esophagus. The confirmation of this diagnosis and the ...
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Laparoscopic segmental resection of the transverse colon Tue, 03 Jul 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2130.html http://www.websurg.com/doi-vd01en2130.html U Parini
This video demonstrates the unusual procedure of segmental transverse colon resection performed for an adenocarcinoma in the distal part. All oncological principles are obeyed and a stapled colo-colic reconstruction is performed totally intracorporeally. This video is suitable for digestive ...
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Robotic sleeve gastrectomy Fri, 15 Jun 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2067.html http://www.websurg.com/doi-vd01en2067.html M Vix, J Marescaux
This video shows the bariatric procedure of sleeve gastrectomy performed using a daVinci surgical robot. The patient had undergone gastric banding previously so the robot is useful in the dissection of a difficult hiatus, and also for suturing in a confined space. An experienced patient side ...
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Laparoscopic sigmoidectomy for sigmoid diverticulitis in an obese (BMI=39) female patient Fri, 15 Jun 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2124.html http://www.websurg.com/doi-vd01en2124.html J Leroy, J Marescaux
This video demonstrates the laparoscopic approach to sigmoid resection following previous attacks of diverticulitis. The medial vascular approach is employed, although in this case the inferior mesenteric artery is preserved. Obesity presents particular problems of reduced space and difficulty in ...
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Removal of mesh plug and TEP repair of a recurrent left inguinal hernia in a 72-year-old man Fri, 15 Jun 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2137.html http://www.websurg.com/doi-vd01en2137.html P Arora
This video demonstrates in great detail the laparoscopic TEP approach to recurrent hernia. The previously placed mesh plug is carefully dissected and removed. The preperitoneal space is thus created in order to place a mesh in the correct position. This video is suitable for experienced ...
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Laparoscopic gastric bypass in a patient with a BMI of 51 Fri, 15 Jun 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2068.html http://www.websurg.com/doi-vd01en2068.html M Vix, J Marescaux
This video demonstrates the bariatric procedure of Roux-en-Y gastric bypass, with the Roux limb in the ante-colic position. The jejunojejunostomy is performed with a linear stapler, while the gastrojejunostomy is carried out with a circular stapler; the anvil having been passed down from the mouth ...
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Right inguinal hernia and intrafascial psoas hernia: TEP repair Fri, 15 Jun 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2099.html http://www.websurg.com/doi-vd01en2099.html B Dallemagne, S Perretta, J Marescaux
This is a video demonstrating the laparoscopic preperitoneal approach to repair a right inguinal hernia. The Veress needle is used directly at the beginning of the procedure to create the preperitoneal space. Interestingly, a psoas herniation is also discovered during the dissection. This video is ...
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Laparoscopic gastric banding in a female patient with a BMI=40 Wed, 16 May 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2110.html http://www.websurg.com/doi-vd01en2110.html M Vix
This video demonstrates the elegant pars flaccida approach to place an adjustable gastric band around the cardia of the stomach. A retrogastric tunnel is created by blunt dissection but always under visual control to minimize complications such as vascular and gastric injury. This video is suitable ...
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Laparoscopic sigmoidectomy for sigmoid diverticulitis in an obese (BMI=30) male patient Tue, 15 May 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2103.html http://www.websurg.com/doi-vd01en2103.html J Leroy
This is a didactic video demonstrating laparoscopic sigmoidectomy for diverticular disease. A combined medial and lateral approach is employed in the dissection of the sigmoid vessels, preserving the IMA. The use of the LigaSure device greatly facilitates the dissection. This approach is suitable ...
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Laparoscopic Nissen fundoplication: a perfect case to start Tue, 15 May 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2107.html http://www.websurg.com/doi-vd01en2107.html B Dallemagne, J Marescaux
This video of laparoscopic Nissen fundoplication is suitable for surgeons learning to perform this procedure. The patient is young with very few adhesions and the operative steps are very clearly presented by Dr. Dallemagne. Critical points and technical tips are emphasized throughout the ...
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Nyhus IIIb left indirect inguinal hernia repair in a young male patient: laparoscopic transabdominal preperitoneal approach (TAPP) Tue, 15 May 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2109.html http://www.websurg.com/doi-vd01en2109.html J Leroy
This didactic video is a detailed demonstration of the TAPP approach for inguinal hernia repair. It is suitable for all general surgeons. An excellent description of the anatomy of the inguinal region from the intra-abdominal laparoscopic view is presented.
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Laparoscopic splenectomy for splenomegaly: anterior posterior approach and ‘hanged technique’ Tue, 15 May 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2135.html http://www.websurg.com/doi-vd01en2135.html EM Targarona
This video demonstrates a simple yet elegant technique for laparoscopic splenectomy which emphasizes the rotation of the table to obtain the best operative angle. The technique of splenic artery ligation in order to decompress the spleen and reduce its size is demonstrated. The supero-lateral ...
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What are the indications and contraindications for laparoscopic colorectal surgery? Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2120meijerink2e.html http://www.websurg.com/doi-vd02en2120meijerink2e.html J Meijerink

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Laparoscopic sigmoidectomy for sigmoid diverticulitis in a female patient: primary splenic flexure mobilization Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2121.html http://www.websurg.com/doi-vd01en2121.html C Huscher
This is a live operative demonstration of an unusual approach to perform sigmoidectomy using only 3 trocars. A detailed anatomical approach is presented together with a lively discussion of technical points in laparoscopy. This technique is suitable for advanced laparoscopic surgeons.
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Laparoscopic and transgastric stapled resection of a posterior gastric stromal tumor Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2108.html http://www.websurg.com/doi-vd01en2108.html B Dallemagne
This video is a 'live' recorded surgery performed by Dr Dallemagne during a digestive surgery course. The 4 cm tumor is delivered through a gastrotomy performed by laparoscopy. The tumor is then resected by application of an endoscopic stapler. Finally, the gastrotomy is closed. This is a simple ...
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Totally laparoscopic right colectomy for caecal cancer Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2123.html http://www.websurg.com/doi-vd01en2123.html U Parini
This is a live video demonstration of a totally laparoscopic approach to right colectomy. The surgeon stands on the left side and performs a medial vascular approach including medial mobilization of the right colon and hepatic flexure. The specimen is resected and extracted before pneumoperitoneum ...
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What are the advantages of laparoscopic colorectal surgery as opposed to open surgery? Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2120meijerink4e.html http://www.websurg.com/doi-vd02en2120meijerink4e.html J Meijerink

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Is there still an indication for open surgery in the treatment of colorectal pathologies? Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2120meijerink5e.html http://www.websurg.com/doi-vd02en2120meijerink5e.html J Meijerink

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Splenic flexure: how to do the left flexure of the colon-medial approach? Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-lt03enwalz001.html http://www.websurg.com/doi-lt03enwalz001.html M Walz
In this key lecture, Professor Martin Walz explains the medial appoach to the left (splenic) flexure of the colon.
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What are the complications of laparoscopic colorectal surgery, if any? Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2120meijerink3e.html http://www.websurg.com/doi-vd02en2120meijerink3e.html J Meijerink

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Laparoscopic splenectomy: strictly posterior approach for HIV thrombocytopenia Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2030.html http://www.websurg.com/doi-vd01en2030.html D Mutter, J Marescaux
This is a video presenting an uncommon approach to perform splenectomy. Using this approach, the anatomy is seen from the reverse side and the operative steps are also reversed as compared to the anterior approach. This technique requires a high level of laparoscopic surgical experience to perform ...
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What is the scale of laparoscopy in colorectal surgery? Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2120meijerink1e.html http://www.websurg.com/doi-vd02en2120meijerink1e.html J Meijerink

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Do you have any advice for surgeons starting in laparoscopic colorectal surgery? Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2120meijerink7e.html http://www.websurg.com/doi-vd02en2120meijerink7e.html J Meijerink

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Laparoscopic treatment of giant hiatal hernia with standard crural repair Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2101.html http://www.websurg.com/doi-vd01en2101.html B Dallemagne
This video demonstrates the key steps of the procedure for laparoscopic repair of a giant hiatal hernia. The patient is an 84-year-old woman with a long history of hiatal hernia. The patient was symptom-free until a few days before the intervention when the patient developed severe acute dysphagia, ...
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Laparoscopic repair of multiple primary defect of linea alba with rectus muscle diastasis Mon, 16 Apr 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2106.html http://www.websurg.com/doi-vd01en2106.html S Morales-Conde
In this live video, a detailed description of ventral hernia repair is presented. Many technical points are explained, making a potentially tedious procedure appear quite straightforward indeed! This technique is applicable to a general surgical audience.
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Laparoscopic reoperation for severe dysphagia after two previous open fundoplications Fri, 16 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en1780.html http://www.websurg.com/doi-vd01en1780.html B Dallemagne, J Marescaux
This live demonstration emphasizes the problems encountered during re-operation for gastroesophageal reflux disease (GERD). The wrap is dissected off the gastroesophageal junction (GEJ) with great difficulty and on-table gastroscopy is performed.
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Laparoscopic appendectomy for abscessed and necrotic appendix Fri, 16 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en1696.html http://www.websurg.com/doi-vd01en1696.html A Rossini
This video of an emergency appendectomy demonstrates some of the advantages of the laparoscopic approach. Multiple abscess cavities are identified by a thorough exploration, including the necrotic appendix. Control of bleeding from the appendiceal artery and control of a gangrenous base of the ...
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What are the risks of laparoscopic colorectal surgery? Fri, 16 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2120meijerink6e.html http://www.websurg.com/doi-vd02en2120meijerink6e.html J Meijerink

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What is the incidence rate of seromas and how do you prevent and manage them? Thu, 15 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2104morales-conde2e.html http://www.websurg.com/doi-vd02en2104morales-conde2e.html S Morales-Conde

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What are the criteria that lead you to convert from laparoscopy to laparotomy? Thu, 15 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2104morales-conde3e.html http://www.websurg.com/doi-vd02en2104morales-conde3e.html S Morales-Conde

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What is the state of the art for incisional hernia repair? Thu, 15 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2104morales-conde4e.html http://www.websurg.com/doi-vd02en2104morales-conde4e.html S Morales-Conde

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Mobilization of the splenic flexure: medial route during left colectomy Thu, 15 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2077.html http://www.websurg.com/doi-vd01en2077.html J Leroy
This video highlights the critical steps in mobilization of the splenic flexure of the colon using the medial approach. The author carries out the division of the left colic vessels and gains entry to the lesser sac. The tail of the pancreas, mesocolon, stomach, and posterior aspect of splenic ...
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Tips and tricks for plexus dissection in laparoscopic TME for rectal cancer in a female patient Thu, 15 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2093.html http://www.websurg.com/doi-vd01en2093.html J Leroy
This is a detailed demonstration of an anterior resection, specifically highlighting the key steps to prevent nerve injury at various stages.
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Laparoscopic low anterior resection with TME and medial mobilization of the splenic flexure in a female patient Thu, 15 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2076.html http://www.websurg.com/doi-vd01en2076.html J Leroy
This video shows the case of a female patient presenting with a low rectal cancer for which neoadjuvant therapy is used. The author performs a totally laparoscopic TME using a medial approach. A colorectal anastomosis without bowel protection is performed.
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In your opinion, what types of meshes are preferable (absorbable, double-layer, etc.) and what is the future of the meshes in the treatment of ventral hernia? Thu, 15 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2104morales-conde5e.html http://www.websurg.com/doi-vd02en2104morales-conde5e.html S Morales-Conde

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In what ways is the double crown technique a better treatment than using sutures in the repair of laparoscopic ventral hernia? Thu, 15 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2104morales-conde1e.html http://www.websurg.com/doi-vd02en2104morales-conde1e.html S Morales-Conde

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Is there a place for a systematic Pringle manoeuvre in laparoscopic hepatectomy? Wed, 14 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2091topal4e.html http://www.websurg.com/doi-vd02en2091topal4e.html B Topal

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What are the best indications for a laparoscopic hepatectomy? Wed, 14 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2091topal1e.html http://www.websurg.com/doi-vd02en2091topal1e.html B Topal

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Are there specific anesthesiological requirements for laparoscopic hepatectomy (pneumoperitoneal pressure, central venous blood pressure, etc.)? Wed, 14 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2091topal7e.html http://www.websurg.com/doi-vd02en2091topal7e.html B Topal

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What is the future of laparoscopic hepatectomy? Wed, 14 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2091topal8e.html http://www.websurg.com/doi-vd02en2091topal8e.html B Topal

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What are the major risks and how do you prevent them for laparoscopic hepatectomy? Wed, 14 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2091topal6e.html http://www.websurg.com/doi-vd02en2091topal6e.html B Topal

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Is there a place for a selective vascular control of the sectorial branches in laparoscopic hepatectomy? Wed, 14 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2091topal5e.html http://www.websurg.com/doi-vd02en2091topal5e.html B Topal

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What are the requested laparoscopic instruments to perform a safe laparoscopic hepatectomy? Wed, 14 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2091topal3e.html http://www.websurg.com/doi-vd02en2091topal3e.html B Topal

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What are the poorest indications for a laparoscopic hepatectomy? Wed, 14 Mar 2007 00:00:00 +0100 http://www.websurg.com/doi-vd02en2091topal2e.html http://www.websurg.com/doi-vd02en2091topal2e.html B Topal

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Inguinal hernia repair: Total Extraperitoneal approach (TEP) Mon, 12 Feb 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2051.html http://www.websurg.com/doi-vd01en2051.html B Dallemagne, S Perretta, J Marescaux
This is live video recorded during a surgical course demonstrating the total extra-peritoneal (TEP) approach to repair of a right indirect inguinal hernia. Access to the pubis is gained on the midline. After taking down the adhesions, the authors visualize the pelvic bone. Moving laterally, they ...
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Laparoscopic redo fundoplication after Enteryx® injection Mon, 12 Feb 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en1904.html http://www.websurg.com/doi-vd01en1904.html D Mutter, B Dallemagne, C Bailey, J Marescaux
This video presents a Toupet fundoplication procedure performed for a patient who had recurrent gastro-esophageal reflux 3 years after endoscopic injection of the inert polymer ‘Enteryx’ into the gastro-esophageal junction (GEJ). The polymer can be seen around the GEJ, leading to extensive ...
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Anterior resection with TME for T2 rectal cancer of the upper rectum in a female patient Mon, 12 Feb 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2074.html http://www.websurg.com/doi-vd01en2074.html J Leroy
This detailed video demonstrates Dr. Joel Leroy performing a high anterior resection for a T2 rectal cancer. The surgery commences in the usual fashion with a high ligation of the inferior mesenteric artery, followed by excision of the rectum including the total mesorectal package. All the steps ...
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Acute cholecystitis management and technical tips Mon, 12 Feb 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2064.html http://www.websurg.com/doi-vd01en2064.html D Mutter, J Marescaux
This video demonstrates the laparoscopic approach to cholecystectomy for acute cholecystitis. Key points such as gallbladder decompression, adhesiolysis and exposure of the operative field and dissection of Calot’s triangle during acute inflammation are described in detail.
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Laparoscopic splenectomy by posterior approach Thu, 04 Jan 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2033.html http://www.websurg.com/doi-vd01en2033.html D Mutter, J Marescaux
This "live" surgery demonstrates the posterior approach to splenectomy. Dr. Mutter, MD, PhD, describes each step of the procedure as he performs it. There is an interactive discussion with the audience. The tail of the pancreas was adherent to the splenic hilum and the LigaSure device is used to ...
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Left hepatic pedicle control for laparoscopic left lateral segmentectomy Thu, 04 Jan 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2057.html http://www.websurg.com/doi-vd01en2057.html D Mutter
This video demonstrates in detail the primary vascular approach to left lateral segmentectomy, using a 5-port laparoscopic technique. Once the vascular pedicles are well controlled, liver resection is performed with minimal blood loss. Intestinal staplers are used for vascular division while the ...
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Laparoscopic total gastrectomy for adenocarcinoma Thu, 04 Jan 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2058.html http://www.websurg.com/doi-vd01en2058.html B Dallemagne
This is a video demonstrating laparoscopic total gastrectomy for adenocarcinoma. Mobilization of the greater omentum and stomach are presented in detail, together with vascular and lymph node dissection according to the Japanese gastric cancer classification. Finally, a stapled esophago-jejunostomy ...
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Laparoscopic right hepatectomy: intra-hepatic Glissonian approach Thu, 04 Jan 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2049.html http://www.websurg.com/doi-vd01en2049.html B Topal
This video demonstrates a totally laparoscopic approach to right hemi-hepatectomy. The right portal pedicle is first divided with an endoscopic stapler. The liver parenchyma is then divided with a combination of ultrasonic scalpel, Cavitron Ultrasound Surgical Aspirator (CUSA), bipolar cautery and ...
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Laparoscopic total extraperitoneal approach (TEP) for a left inguinal hernia Thu, 04 Jan 2007 00:00:00 +0100 http://www.websurg.com/doi-vd01en2035.html http://www.websurg.com/doi-vd01en2035.html GF Bégin
This "live" surgery demonstrates the totally extraperitoneal (TEP) approach for a left indirect inguinal hernia repair in a young, muscular male. Some tips are offered regarding surgery in such patients.
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Today, rectal surgery for cancer is still under evaluation. Can rectal surgery for cancer be performed using a minimally invasive approach? Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en2038marks1e.html http://www.websurg.com/doi-vd02en2038marks1e.html J Marks

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Technical tips for laparoscopic sigmoidectomy Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2050.html http://www.websurg.com/doi-vd01en2050.html M Simone, J Leroy, J Marescaux
This didactic video describes the principles of sigmoid colon resection. Different operative strategies are presented; contrasting the key steps in resection for neoplastic and non-neoplastic conditions. The vascular approach is emphasized, and super-selective vascular dissection of the inferior ...
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What is the place of robotics in colorectal surgery? Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en2038anvari1e.html http://www.websurg.com/doi-vd02en2038anvari1e.html M Anvari

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Laparoscopic treatment for recurrent incisional hernia Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2036.html http://www.websurg.com/doi-vd01en2036.html E Chelala
Very detailed and comprehensive description of recurrent incisional hernia repair. In this video, a combined trans-abdominal laparoscopic approach is used to close the hernia defect prior to placement of a bi-layer mesh. Fixation of the mesh is achieved entirely with sutures alone and no mechanical ...
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Robotic-assisted low anterior resection with total mesorectal excision Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2043.html http://www.websurg.com/doi-vd01en2043.html A Pigazzi
This video demonstrates a combined laparoscopic-robotic approach for resection of a low rectal cancer. Mobilization of the colon and mesenteric vascular division are performed laparoscopically. The Da Vinci robot is then utilized to complete the total mesorectal excision (TME). Finally, a ...
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Endoluminal surgery, Transanal Endoscopic Microsurgery (TEM): resection of a rectal sessile polyp Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2047.html http://www.websurg.com/doi-vd01en2047.html J Marks, L Kosinski, D Heinsch, G Marks
This video demonstrates the transanal endoscopic microsurgery (TEM) approach to remove a large recto-sigmoid polyp. The polyp is dissected in the submucosal plane with the needle-point diathermy. Perforation of the intestinal wall occurs during resection. The technique of suture closure of the ...
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In Europe as opposed to the United States of America, laparoscopic colectomies are seldom performed using a hand-assisted approach. Why such a difference between continents? Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en2038milsom1e.html http://www.websurg.com/doi-vd02en2038milsom1e.html J Milsom

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Bill HEALD being your mentor, is it difficult to perform rectal TME by laparoscopy? Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en2038cecil1e.html http://www.websurg.com/doi-vd02en2038cecil1e.html T Cecil

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In your opinion, what are the essential steps for the training of surgeons? Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en2038marks2e.html http://www.websurg.com/doi-vd02en2038marks2e.html J Marks

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Laparoscopic spleno-pancreatectomy for cancer Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2037.html http://www.websurg.com/doi-vd01en2037.html B Dallemagne, L Soler, J Marescaux
Laparoscopic spleno-pancreatic resection performed for adenocarcinoma in the tail of the pancreas. This case demonstrates how a complex resection can be undertaken laparoscopically using a stepwise approach. Difficulty was encountered with division of the pancreas and the management of this problem ...
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What do you think of laparoscopic TME that is video surgery with a minimal access? Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en2038heald2e.html http://www.websurg.com/doi-vd02en2038heald2e.html RJ Heald

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Laparoscopic proctectomy with stapled coloanal anastomosis demonstrating total mesorectal excision Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2046.html http://www.websurg.com/doi-vd01en2046.html J Marks, L Kosinski, D Heinsch, G Marks
This video demonstrates the minimally invasive approach to total mesorectal excision (TME). In this video, J. Marks, MD performs a proctectomy for low rectal cancer using the laparoscopic approach. The surgery is divided into 9 steps which are presented in detail. The entire operation is performed ...
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What is the place of radiation therapy before surgery in rectal cancer? Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en2038heald1e.html http://www.websurg.com/doi-vd02en2038heald1e.html RJ Heald

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In this respect, what do you think of our EITS educational course programs? Mon, 04 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en2038marks3e.html http://www.websurg.com/doi-vd02en2038marks3e.html J Marks

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Laparoscopic Transanal Abdominal Transanal (TATA) radical proctosigmoidectomy with coloanal anastomosis Fri, 01 Dec 2006 00:00:00 +0100 http://www.websurg.com/doi-lt03enmarks002.html http://www.websurg.com/doi-lt03enmarks002.html J Marks
In this key lecture, Professor John Marks goes over the Laparoscopic Transanal Abdominal Transanal (TATA) radical proctosigmoidectomy with coloanal anastomosis.
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Laparoscopic short floppy Nissen fundoplication for gastroesophageal reflux disease Wed, 08 Nov 2006 00:00:00 +0100 http://www.websurg.com/doi-ot02en331.html http://www.websurg.com/doi-ot02en331.html B Dallemagne
The original fundoplication technique as described by Rudolf Nissen in 1955 consisted in wrapping the fundus of the stomach around the esophagus, while leaving the gastrosplenic vessels and the diaphragmatic hiatus intact. Additionally, the vagus nerves were little or not preserved. The basic ...
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Redo Nissen fundoplication with stapled-wedge Collis gastroplasty Thu, 02 Nov 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2029.html http://www.websurg.com/doi-vd01en2029.html B Dallemagne
This video demonstrates a redo laparoscopic Collis-Nissen gastroplasty in a patient with recurrent gastroesophageal reflux symptoms and short esophagus. The first step of this redo procedure consists in taking down the previous fundoplication in order to identify the mechanism underlying the ...
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Epiphrenic esophageal diverticulum: a two-step laparoscopic treatment Thu, 02 Nov 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2009.html http://www.websurg.com/doi-vd01en2009.html S Sereno, B Dallemagne, J Marescaux
This video demonstrates a patient with epiphrenic esophageal diverticulum. The patient first undergoes a laparoscopic Heller's myotomy but does not experience significant improvement in his symptoms. Subsequently the patient undergoes a diverticulectomy through a right thoracoscopic approach.
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Robot-assisted Nissen-Rossetti fundoplication for the treatment of hiatal hernia Thu, 02 Nov 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2020.html http://www.websurg.com/doi-vd01en2020.html B Dallemagne
This is a totally robotic Nissen fundoplication performed by an experienced laparosopic surgeon. It is detailed, commencing with robot set-up, which is done with the help of the scrubbed assistants. All the same steps of laparoscopic Nissen fundoplication are reproduced easily with robotic ...
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Robotic assisted esophagectomy Thu, 02 Nov 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2017.html http://www.websurg.com/doi-vd01en2017.html GB Cadière
This video presents in detail the robotic dissection of the oesophagus via a trans-thoracic approach. A mediastinal lymphadenectomy is also performed. Combined with a laparoscopic gastric mobilisation, a total minimally invasive approach to oesophagectomy is possible.
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Technical details of five minimally invasive approaches for resection of gastric stromal tumors Mon, 02 Oct 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1941.html http://www.websurg.com/doi-vd01en1941.html S Sereno, J Leroy, D Mutter, B Dallemagne, D Coumaros

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Postoperative peritonis caused by thermal injury during laparoscopic colectomy: lesson learned Mon, 02 Oct 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2023.html http://www.websurg.com/doi-vd01en2023.html F Rubino, J Leroy, A Forgione, M Simone, J Marescaux
This video demonstrates two cases of postoperative peritonitis following laparoscopic colectomy due to bowel perforation caused by unrecognised thermal injury during the original colectomy. The first case is a colonic perforation treated with primary closure and loop colostomy and the second is a ...
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Laparoscopic ileo-caecal resection for appendicular mucocele Mon, 02 Oct 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1991.html http://www.websurg.com/doi-vd01en1991.html M Simone, J Marescaux
This video demonstrates a laparoscopic ileocecal resection using a medial approach in a patient with appendicular mucocele. The mesentery is divided using ligasure. The anastamosis is performed extracorporeally.
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Laparoscopic robotic-assisted Heller procedure for esophageal achalasia Mon, 02 Oct 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2007.html http://www.websurg.com/doi-vd01en2007.html B Dallemagne
This video demonstrates a robotic-assisted Heller procedure for treatment of esophageal achalasia. The surgeon starts by dissecting the gastroesophageal junction. The mobilization of the stomach is limited to the anterior and lateral aspect, leaving the posterior attachments intact. The myotomy is ...
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Laparoscopic distal gastrectomy followed by Roux-en-Y reconstruction in patients with gastric cancer Mon, 02 Oct 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2013.html http://www.websurg.com/doi-vd01en2013.html N Tanigawa
This video presents a totally laparoscopic distal gastrectomy with roux-en-Y reconstruction for gastric cancer. Demonstrated is a technique to construct the anastomosis and avoid torsion of the jejunal limb.
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Bleeding control in laparoscopic pelvic surgery Mon, 04 Sep 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1827.html http://www.websurg.com/doi-vd01en1827.html J Leroy, J Marescaux

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Laparoscopic TME with intersphincteric dissection and coloanal anastomosis for ultralow rectal cancer Mon, 04 Sep 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1831.html http://www.websurg.com/doi-vd01en1831.html J Leroy, J Marescaux

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Does immune suppression have any role in the treatment of colorectal cancer? Does it have any impact on the reduction of tumor recurrences? Mon, 04 Sep 2006 00:00:00 +0100 http://www.websurg.com/doi-vd03en2003e_anvari_whelan2.html http://www.websurg.com/doi-vd03en2003e_anvari_whelan2.html RL Whelan, M Anvari

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Hand-assisted laparoscopic surgery (HALS) with the HandPort system: are there any advantages as compared to standard laparoscopic surgery? Mon, 04 Sep 2006 00:00:00 +0100 http://www.websurg.com/doi-vd03en2003e_anvari_whelan1.html http://www.websurg.com/doi-vd03en2003e_anvari_whelan1.html RL Whelan, M Anvari

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Closure of Petersen’s defect in Roux-en-Y gastric bypass: anatomical landmarks and technical tips Mon, 04 Sep 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1832.html http://www.websurg.com/doi-vd01en1832.html F Rubino, M Vix, M Simone, S Sereno, J Marescaux
Internal hernia is a known complication after gastric bypass, especially when performed laparoscopically. Potential internal locations include a transverse mesocolon defect; Petersen’s space, the area between the mesentery of the Roux limb and the transverse mesocolon; and a jejunojejunostomy ...
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Laparoscopic right colectomy for cancer Mon, 04 Sep 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en2006.html http://www.websurg.com/doi-vd01en2006.html B Salky
This video demonstrates a laparoscopic right hemicolectomy in a patient with cecal cancer. Ileocolic vessels are mobilized through a medial approach and divided at the base using a LigaSure® Atlas device. The right colon is mobilized from medial to lateral attachments and a right hemicolectomy is ...
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What is your opinion and rating of the continuing medical education course programs that are held at IRCAD-EITS? Mon, 04 Sep 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en2003whelan.html http://www.websurg.com/doi-vd02en2003whelan.html RL Whelan

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What is your opinion and rating of the continuing medical education course programs that are held at IRCAD-EITS as well as of the WeBSurg website? Mon, 04 Sep 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en2003anvari.html http://www.websurg.com/doi-vd02en2003anvari.html M Anvari

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Tips and tricks for gastrojejunostomy in laparoscopic Roux-en-Y gastric bypass Mon, 03 Jul 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1981.html http://www.websurg.com/doi-vd01en1981.html M Vix, M Simone, F Rubino, J Marescaux
This video demonstrates the use of a EEA circular stapler in performing the gastro-jejunal anastomosis during the gastric bypass surgery. The surgeon demonstrates the preparation of the anvil, the transoral intubation, and introduction of the shaft. This video is intended to provide basic ...
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What is the effect of bariatric surgery on type 2 diabetes? Mon, 03 Jul 2006 00:00:00 +0100 http://www.websurg.com/doi-vd03en1994e_schauer_rubino.html http://www.websurg.com/doi-vd03en1994e_schauer_rubino.html P Schauer, F Rubino

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Totally laparoscopic Collis-Nissen operation for shortened esophagus Mon, 03 Jul 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1975.html http://www.websurg.com/doi-vd01en1975.html B Dallemagne
This video demonstrates a laparoscopic Collis-Nissen in a patient with a large hiatal hernia and shortened esophagus. The surgeon demonstrates the resection of the hernia sac and extensive mobilization of the esophagus through the hiatus to achieve adequate length of intra-abdominal esophagus. ...
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Tips and tricks for jejuno-jejunostomy in laparoscopic gastric bypass Mon, 03 Jul 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1997.html http://www.websurg.com/doi-vd01en1997.html M Vix, M Simone, F Rubino, J Marescaux
This video demonstrates a technique of jejunojejunostomy in an antecolic Roux-en-Y gastric bypass procedure. The surgeon shows how to measure the alimentary and biliary limb and to complete the anastomosis without twisting of the bowel. He also demonstrates the closure of mesenteric defects, which ...
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Laparoscopic sleeve gastrectomy Mon, 03 Jul 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1993.html http://www.websurg.com/doi-vd01en1993.html JL Alle
This video demonstrates a laparoscopic sleeve gastrectomy in a mobidly obese patient. The surgeon starts by mobilizing the greater curvature 7 cm proximal to the pylorus and divides all the vessels including the short gastric vessels to the angle of His. After that a linear stapler is used to ...
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Minimally invasive esophagectomy in a patient in a prone position Mon, 03 Jul 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1982.html http://www.websurg.com/doi-vd01en1982.html GB Cadière, J Himpens
This video demonstrates a total esophagectomy for a cancer of distal esophagus. The surgeon starts with right thoracoscopy with the patient in a prone position. The esophagus and adjoining lymphatics are mobilized and separated from the adjoining structures. The azygos vein is divided. Once full ...
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Talking about circular or linear stapling or hand-sewn gastrojejunostomy, which one do you go for and why? Mon, 03 Jul 2006 00:00:00 +0100 http://www.websurg.com/doi-vd03en1994e_higa_schauer.html http://www.websurg.com/doi-vd03en1994e_higa_schauer.html KD Higa, P Schauer

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To perform a Roux-en-Y gastric bypass, do you favor a transmesocolic approach or an antecolic approach? Mon, 03 Jul 2006 00:00:00 +0100 http://www.websurg.com/doi-vd03en1994e_himpens_ballantyne.html http://www.websurg.com/doi-vd03en1994e_himpens_ballantyne.html J Himpens, G Ballantyne

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Laparoscopic treatment of a left double inguinal hernia in a female patient Thu, 01 Jun 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1965.html http://www.websurg.com/doi-vd01en1965.html S Morales-Conde

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Laparoscopic near-total splenectomy Thu, 01 Jun 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1969.html http://www.websurg.com/doi-vd01en1969.html F Corcione

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Laparoscopic sigmoidectomy in a patient with Hinchey stage II diverticulitis Thu, 01 Jun 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1749.html http://www.websurg.com/doi-vd01en1749.html M Simone, J Marescaux

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Laparoscopic total extraperitoneal approach (TEP) in a male patient for a right inguinal hernia Thu, 01 Jun 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1962.html http://www.websurg.com/doi-vd01en1962.html GF Bégin

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Laparoscopic splenectomy Thu, 01 Jun 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1970.html http://www.websurg.com/doi-vd01en1970.html F Corcione

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Laparoscopic floppy Nissen fundoplication for GERD with calibration of the valve Thu, 01 Jun 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1971.html http://www.websurg.com/doi-vd01en1971.html F Corcione

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Are there any studies that look at the benefits of mesh? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961swanstrom5e.html http://www.websurg.com/doi-vd02en1961swanstrom5e.html LL Swanström

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Laparoscopic TME for cancer in a male patient treated with a coloanal anastomosis Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1959.html http://www.websurg.com/doi-vd01en1959.html J Leroy, J Marescaux

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Do you use mesh reinforcement of the cruroplasty when performing antireflux and hiatal hernia surgery? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961edye3e.html http://www.websurg.com/doi-vd02en1961edye3e.html M Edye

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What are the difficulties that you encounter while performing laparoscopic ventral hernia repair? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961morales-conde3e.html http://www.websurg.com/doi-vd02en1961morales-conde3e.html S Morales-Conde

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What do you think of the use of stapling devices for the esophago-jejunal or esophagogastric anastomosis following esophagectomy or total gastrectomy? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961bailey3e.html http://www.websurg.com/doi-vd02en1961bailey3e.html M Bailey

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Laparoscopic Nissen fundoplication for GERD Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1968.html http://www.websurg.com/doi-vd01en1968.html B Dallemagne
This didactic video clearly demonstrates all the key steps of a laparoscopic Nissen's fundoplication for the surgical treatment of gastroesophageal reflux disease. All salient issues are discussed in reference to all the important operative tricks and techniques.
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What incidence of failure do you tell patients? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961morales-conde6e.html http://www.websurg.com/doi-vd02en1961morales-conde6e.html S Morales-Conde

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What kind of errors did you make when you started to perform this technique? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961morales-conde4e.html http://www.websurg.com/doi-vd02en1961morales-conde4e.html S Morales-Conde

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Could you give us a brief description of the ventral hernia repair procedure you perform? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961morales-conde2e.html http://www.websurg.com/doi-vd02en1961morales-conde2e.html S Morales-Conde

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Are there any technical points you wish to mention, for instance to prevent complications like esophageal erosion and ulcers, or injuries after mesh fixation? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961swanstrom4e.html http://www.websurg.com/doi-vd02en1961swanstrom4e.html LL Swanström

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What are the advantages of your technique of ventral hernia repair as compared to fascial closure before mesh application? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961morales-conde7e.html http://www.websurg.com/doi-vd02en1961morales-conde7e.html S Morales-Conde

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Laparoscopic 360 degree fundoplication for GERD with posterior fixation of the valve Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1958.html http://www.websurg.com/doi-vd01en1958.html LL Swanström

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Have you experienced any severe complications related to the use of meshes? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961edye6e.html http://www.websurg.com/doi-vd02en1961edye6e.html M Edye

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Laparoscopic left colectomy for diverticulitis with mobilization of splenic flexure using 3 trocars Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1955.html http://www.websurg.com/doi-vd01en1955.html C Huscher

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What technique can be used to prevent the stomach from migrating into the chest? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961edye7e.html http://www.websurg.com/doi-vd02en1961edye7e.html M Edye

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Laparoscopic gastric banding in a female patient with BMI 38 Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1957.html http://www.websurg.com/doi-vd01en1957.html M Vix, J Marescaux

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Are there any technical points you wish to mention, for instance to prevent complications like esophageal erosion and ulcers, or injuries after mesh fixation? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961edye5e.html http://www.websurg.com/doi-vd02en1961edye5e.html M Edye

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Do you use mesh reinforcement of the cruroplasty when performing antireflux and hiatal hernia surgery? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961swanstrom3e.html http://www.websurg.com/doi-vd02en1961swanstrom3e.html LL Swanström

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What is your judgement on the laparoscopic management of ventral hernia? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961morales-conde1e.html http://www.websurg.com/doi-vd02en1961morales-conde1e.html S Morales-Conde

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What kind of recommendations would you give to beginning surgeons? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961morales-conde5e.html http://www.websurg.com/doi-vd02en1961morales-conde5e.html S Morales-Conde

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What are your indications for mesh reinforcement? Tue, 02 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1961edye4e.html http://www.websurg.com/doi-vd02en1961edye4e.html M Edye

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Laparoscopy-assisted distal gastrectomy with D2 lymph node dissection and uncut Roux-en-Y reconstruction Mon, 01 May 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1960.html http://www.websurg.com/doi-vd01en1960.html U Ichiro

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Open TME for the management of rectal cancer is a world gold standard; do you think that laparoscopy to perform TME can be done in the same way? Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1949heald3e.html http://www.websurg.com/doi-vd02en1949heald3e.html RJ Heald

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Laparoscopic reversal of Hartmann's procedure Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1742.html http://www.websurg.com/doi-vd01en1742.html M Simone, J Marescaux

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Do you think that the new generation of instruments for dissection (e.g. LigaSure, ultrasonic devices, etc.) may help to standardize the surgical technique? Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1949heald5e.html http://www.websurg.com/doi-vd02en1949heald5e.html RJ Heald

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Laparoscopic approach for a late-onset complication after Nissen-Rossetti procedure for GERD: slippage of the valve Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1931.html http://www.websurg.com/doi-vd01en1931.html B Dallemagne, J Marescaux
This video demonstrates a case of revision of previous Nissen-Rossetti fundoplication in a patient with a slipped wrap. The previous wrap is completely taken down and converted to a Toupet fundoplication.
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How do you see the development of laparoscopy in China? Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1949zheng2e.html http://www.websurg.com/doi-vd02en1949zheng2e.html MH Zheng

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What is the place of laparoscopy in colorectal surgery in China and also in your own practice? Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1949zheng1e.html http://www.websurg.com/doi-vd02en1949zheng1e.html MH Zheng

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What are the advantages of laparoscopic colorectal surgery? Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1949ballantyne6e.html http://www.websurg.com/doi-vd02en1949ballantyne6e.html G Ballantyne

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How should one learn this kind of surgery? Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1949ballantyne7e.html http://www.websurg.com/doi-vd02en1949ballantyne7e.html G Ballantyne

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What is the most frequent colorectal pathology in China? Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1949zheng3e.html http://www.websurg.com/doi-vd02en1949zheng3e.html MH Zheng

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It is reported that in Germany laparoscopic colorectal surgery is under evaluation. What is your opinion about the place of laparoscopy in colorectal surgery? Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1949hildebrandt3e.html http://www.websurg.com/doi-vd02en1949hildebrandt3e.html U Hildebrandt

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Is laparoscopic resection for rectal cancer, achieving the same standards as in open surgery, reproducible by any GI surgeon? Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1949heald4e.html http://www.websurg.com/doi-vd02en1949heald4e.html RJ Heald

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What are the risks of laparoscopic colorectal surgery? Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1949ballantyne5e.html http://www.websurg.com/doi-vd02en1949ballantyne5e.html G Ballantyne

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As you are President of the Chinese Laparoscopic and Endoscopic Society, can you tell us how training and continuing medical education are carried out in China? Mon, 03 Apr 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1949zheng4e.html http://www.websurg.com/doi-vd02en1949zheng4e.html MH Zheng

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Laparoscopic Heller procedure for achalasia Wed, 01 Mar 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1924.html http://www.websurg.com/doi-vd01en1924.html B Dallemagne, J Marescaux
This video demonstrates a limited laparoscopic Heller's myotomy without a wrap in an 86 year-old lady with achalasia and large esophageal diverticulum. The surgeon provides a good presentation of how to minimize the dissection around the esophageal hiatus to avoid the need for an anti-reflux ...
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4DDOME® right indirect inguinal hernia repair Wed, 01 Mar 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1903.html http://www.websurg.com/doi-vd01en1903.html J Leroy, D Mutter, M Vix, J Marescaux

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What are the differences between laparoscopy and open surgery in terms of operative protocols and results? Wed, 01 Mar 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1920tanigawa3e.html http://www.websurg.com/doi-vd02en1920tanigawa3e.html N Tanigawa

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Laparoscopic left lateral segmentectomy for hepatocellular carcinoma in cirrhosis: primary vascular approach Wed, 01 Mar 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1922.html http://www.websurg.com/doi-vd01en1922.html D Mutter, B Dallemagne, J Marescaux

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Are there any benefits to using laparoscopic surgery in early gastric cancers as compared to conventional open surgery? Wed, 01 Mar 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1920tanigawa4e.html http://www.websurg.com/doi-vd02en1920tanigawa4e.html N Tanigawa

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What kind of recommendations would you give to beginning surgeons? Wed, 01 Mar 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1920tanigawa6e.html http://www.websurg.com/doi-vd02en1920tanigawa6e.html N Tanigawa

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When you started out as a surgeon, what kind of errors did you make? Wed, 01 Mar 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1920tanigawa5e.html http://www.websurg.com/doi-vd02en1920tanigawa5e.html N Tanigawa

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Are there any risks related to the use of laparoscopy in the treatment of gastric cancers? Wed, 01 Mar 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1920tanigawa2e.html http://www.websurg.com/doi-vd02en1920tanigawa2e.html N Tanigawa

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4DDOME® inguinal hernia repair Wed, 01 Mar 2006 00:00:00 +0100 http://www.websurg.com/doi-ot02en328.html http://www.websurg.com/doi-ot02en328.html J Leroy, D Mutter, M Vix, J Marescaux
The description of the 4DDOME® inguinal hernia repair covers all aspects of the surgical procedure used for the management of inguinal hernia. Operating room set up, position of patient and equipment, instruments used are thoroughly described. The technical key steps of the surgical procedure are ...
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What is the current place of laparoscopic surgery in the treatment of gastric cancers in Japan? Wed, 01 Mar 2006 00:00:00 +0100 http://www.websurg.com/doi-vd02en1920tanigawa1e.html http://www.websurg.com/doi-vd02en1920tanigawa1e.html N Tanigawa

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Laparoscopic approach for a colovesical fistula Thu, 16 Feb 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1927.html http://www.websurg.com/doi-vd01en1927.html J Leroy, J Marescaux
This video demonstrates a laparoscopic sigmoid colectomy in a patient with diverticulosis and chronic colo-vesical fistula. The surgeon uses a combination of lateral and medial approach to mobilize the mesocolon and divide the vessels close to the bowel. The fistula tract is divided to free up the ...
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Laparoscopic treatment of severe dysphagia after Nissen fundoplication Mon, 06 Feb 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1915.html http://www.websurg.com/doi-vd01en1915.html B Dallemagne
This video demonstrates the laparoscopic revision of slipped Nissen-Rossetti fundoplication performed previously by open technique. The patient's primary symptom was dysphagia and the surgeon decided to take down the previous wrap and perform a gastropexy. No redo fundoplication was done in this ...
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Laparoscopic approach for sigmoid diverticulitis using LigaSure in a female patient with previous hysterectomy Mon, 06 Feb 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1873.html http://www.websurg.com/doi-vd01en1873.html J Leroy, J Marescaux

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Laparoscopic treatment of hydatid cyst of the liver in pediatric patient Fri, 13 Jan 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1889.html http://www.websurg.com/doi-vd01en1889.html F Becmeur

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Laparoscopic treatment of a recurrent hiatal hernia with mesh reinforcement of the crura Fri, 13 Jan 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1882.html http://www.websurg.com/doi-vd01en1882.html B Dallemagne
This video demonstrates a complex case of recurrent hiatal hernia in a patient with previous open repair. The surgeon demonstrates safe mediastinal mobilization of the esophagus and the stomach and full reduction of hernia sac and contents. Due to the size of diaphragmatic defect, the crural repair ...
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Laparoscopic treatment for right colon cancer Fri, 13 Jan 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1879.html http://www.websurg.com/doi-vd01en1879.html T Rockall
This video demonstrates an uncomplicated laparoscopic right hemicolectomy in an obese lady with cecal cancer. The surgeon uses 4 trocars to achieve medial mobilization of the mesentery, divide the ileocolic at the root and then mobilize the right colon up to proximal transverse colon. The terminal ...
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Laparoscopic anterior splenectomy for hydatid cyst of the spleen Fri, 13 Jan 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1911.html http://www.websurg.com/doi-vd01en1911.html J Leroy, J Marescaux
This video demonstrates a laparoscopic splenectomy for hydatid cyst using an anterior approach with patient in supine position. This approach was utilized to minimize splenic handling and to get control of hilar vessels early. A LigaSure bipolar cautery device was used to divide all the vessels ...
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Laparoscopic sigmoid colectomy for cancer Fri, 13 Jan 2006 00:00:00 +0100 http://www.websurg.com/doi-vd01en1874.html http://www.websurg.com/doi-vd01en1874.html J Leroy, J Marescaux
This video demonstrates an uncomplicated laparoscopic sigmoid colectomy for cancer in a normal weight lady. The surgeon uses a medial approach to mesenteric mobilization and division of inferior mesenteric artery at the root. The hypogatric nerves, ureter and gonadal artery are identified. The ...
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Can laparoscopic surgery for the management of colorectal cancer be performed by any GI surgeon? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1880rockall3e.html http://www.websurg.com/doi-vd02en1880rockall3e.html T Rockall

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How is Crohn's disease different from ulcerative colitis? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1880wexner8e.html http://www.websurg.com/doi-vd02en1880wexner8e.html SD Wexner

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What are the indications for laparoscopy in the field of colorectal surgery? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1880wexner6e.html http://www.websurg.com/doi-vd02en1880wexner6e.html SD Wexner

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Laparoscopic posterior 180° fundoplication for major dysphagia after Nissen procedure Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd01en1870.html http://www.websurg.com/doi-vd01en1870.html B Dallemagne

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Can laparoscopy be used to perform total coloproctectomies for familial adenomatous polyposis? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1880wexner9e.html http://www.websurg.com/doi-vd02en1880wexner9e.html SD Wexner

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Are all complications of Crohn's disease and ulcerative colitis manageable with laparoscopy? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1880delaney4e.html http://www.websurg.com/doi-vd02en1880delaney4e.html C Delaney

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Are all complications of Crohn's disease and ulcerative colitis manageable with laparoscopy? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1880rockall5e.html http://www.websurg.com/doi-vd02en1880rockall5e.html T Rockall

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What is the place of laparoscopy in the case of inflammatory bowel disease, and especially Crohn's disease? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1880wexner7e.html http://www.websurg.com/doi-vd02en1880wexner7e.html SD Wexner

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What do you think is important for a surgeon to get proper training in colorectal surgery? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1880delaney2e.html http://www.websurg.com/doi-vd02en1880delaney2e.html C Delaney

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In 1994, you set off the following debate in laparoscopic colorectal surgery: are we being honest with our patients? Can you give us an answer today with the benefit of hindsight? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1880wexner1e.html http://www.websurg.com/doi-vd02en1880wexner1e.html SD Wexner

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What kind of recommendations would you give to beginning surgeons? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1880wexner4e.html http://www.websurg.com/doi-vd02en1880wexner4e.html SD Wexner

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What are the indications and contraindications for laparoscopic colonic surgery? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1880rockall2e.html http://www.websurg.com/doi-vd02en1880rockall2e.html T Rockall

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What is your judgement on the laparoscopic management of ventral hernia? Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd02en1881chelala1e.html http://www.websurg.com/doi-vd02en1881chelala1e.html E Chelala

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Laparoscopic left colectomy Wed, 30 Nov 2005 00:00:00 +0100 http://www.websurg.com/doi-vd01en1875.html http://www.websurg.com/doi-vd01en1875.html